Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: penicillins / tetracyclines / succinylcholine / clozaril / calcium channel blocking agents-benzothiazepines / beta-adrenergic blocking agents attending: chief complaint: transhepatic catheter self-d/c at major surgical or invasive procedure: : attempted replacement of transhepatic catheter : succesful placement of transhepatic catheter history of present illness: 36 year old woman with esrd iga nephropathy with a transhepatic hd catheter presents 2 days after discharge after having her transhepatic catheter was pulled out by the patient while at her rehabilitation facility. she has had multiple failed accesses in the past, last time with tunneled femoral line sepsis (mrsa) with removal of line and i+d right groin. she has bilateral iliac vein thromboses. she was recently discharged on warfarin, flagyl and meropenem. she had been dialyzing through the transhepatic catheter. she was recently discharged from after undergoing construction of a graft from the brachial vein to the right atrium. this was complicated by thrombosis x 2. she also received a tracheostomy in the previous admission. while at , her transhepatic catheter was reported to have been removed by the patient past medical history: past medical history: 1. esrd due to iga nephropathy 2. schizoaffective disorder 3. depression 4. anemia 5. gerd 6. cardiomyopathy 7. hypothyroidism 8. gi bleed 9. coagulase negative staph infection 10. rle dvt 11. seizures x 2 past surgical history: s/p l upper & lower av fistula - failed s/p r av fisula basilic v transposition - failed s/p r forearm av graft - failed s/p pd catheter ' - failed central venous stenosis - r brachiocephalic v. occlusion of inominate v. s/p r arm brachial->axilla av graft () s/p thrombectomy & angioplasty of outflow stenosis () s/p thrombectomy () s/p thrombectomy and revision of r arm av graft () s/p thrombectomy of r arm av graft (, ) s/p excision of infected r arm av graft () right brachial artery to right atrium graft rue graft thrombectomy 7/-/07 trache rue exploration -seroma uti, pseudomonas replacement of transhepatic hemodialysis catheter social history: lives at health and rehab center, unemployed, no tobacco, alcohol, or recreational drug use. estranged from mother () family history: non-contributory. physical exam: vs: 99.5, 103, 131/92, 20, 98% 2l, wt 74.5 kg gen: pale female, lying in bed, nad, answers yes/no questions. heent: tracheostomy out after strap malfunction during initial staff assessment. wound c/d/i. lungs: clear to auscultation heart: rrr, no m/r/g noted abdomen: soft, round, non-tender, non-distended, small defect in the abdominal wall at the previous catheter site; dressing c/d/i extr: left lower extremity swollen and tender, improved from discharge. skin: dry, warm pertinent results: on admission: wbc-7.5 rbc-2.87* hgb-9.2* hct-27.4* mcv-96 mch-32.1* mchc-33.6 rdw-16.1* plt ct-247 pt-25.6* ptt-27.5 inr(pt)-2.6* glucose-99 urean-48* creat-5.1* na-136 k-4.5 cl-97 hco3-30 angap-14 calcium-9.1 phos-5.8* mg-2.5 brief hospital course: patient was admitted from rehab following loss of transhepatic catheter for hemodialyis. this was reported as a self d/c, however this was apparently unwitnessed; catheter was found in the patient's bed. an attempt was made to replace catheter on which was unsuccessful. on another attempt was made under anesthesia. successful placement of a transhepatic hemodialysis catheter was accomplished through the left hepatic vein into the svc through a previously established tract. post procedure, she was sent to the sicu for monitoring. she was dialyzed without event. she was then transferred back to the med- floor. on the night of admission, her trache fell out while she was turned. a #6, cuffless, non-fenestrated trache was replaced by ent on . she did well post placement of trache with sats in high 90's on 40% trache collar. the passy muir valve remained off due to edema. other recs included the following: trach suctioning prn trach should not be changed at least until monday or tuesday () maximal ppi diet as tolerated. speech and swallow if concern for aspiration aspiration precautions, reflux precautions she was also seen by psychiatry for noted sleepiness. notation was made of 2nd seizure while at rehab on . thorazine at hs was stopped and prolixin was increased to 5mg at lunch (in addition to am and pm dose). monitoring for worsening of any psychotic symptoms was recommended given that she would be off thorazine and is off fluphenazine decanoate injection given being on anticoagulant. follow up with her outpatient psychiatrist (dr. was recommended. neurology was called for h/o 2nd seizure while at rehab. an eeg was recommended as well as avoidance of fluoroquinolones which can lower seizure threshold and finding alternative to flagyl which can also lower seizure threshold. an eeg was not done on this admission. flagyl was stopped. of note, she has been on flagyl for an extended course to cover for c.diff resolution 2 weeks post meropenum. meropenum stopped on . patient was to undergo another attempt at thrombectomy of the right venous/atrial graft. however this was deferred per dr. . coumadin was on hold from to for this reason. coumadin was resumed on at 2mg qd. goal inr is 2.0. she should have an inr on . a peripheral saline lock was placed in her right foot on . last hd was . while in hd she received 2 units of prbc for hct 24.4. hct was 29 on . medications on admission: colace 100 mg capsule po bid, folic acid 1 mg po daily, levothyroxine 150 mcg po daily, ropinirole 1.5 mg po qpm, fluphenazine 5 mg po daily, fluphenazine 10 mg po hs, and at lunch, mirtazapine 37.5 mg po hs, clonazepam 0.75 mg po bid, metronidazole 500 mg po tid, insulin regular sliding scale four times a day, famotidine 20 mg po q24h, chlorpromazine 25 mg po hs, hexavitamin 1 cap po daily, senna 8.6 mg tablet 1 po bid, percocet 5-325 mg 1-2 tablets po q4h as needed, camphor-menthol 0.5-0.5 % lotion 1 appl topical 4 times a day as needed for pruritus, metoprolol 25 mg po tid hold for sbp <110 or hr <60, miconazole 2 % powder 1 appl topical tid to peri area/groin, coumadin 3 mg tablet po daily, meropenum 500 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. levothyroxine 75 mcg tablet sig: two (2) tablet po daily (daily). 4. ropinirole 1 mg tablet sig: 1.5 tablets po qpm (once a day (in the evening)). 5. fluphenazine hcl 10 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 6. fluphenazine hcl 1 mg tablet sig: five (5) tablet po lunch (lunch). 7. mirtazapine 15 mg tablet sig: 2.5 tablets po hs (at bedtime). 8. clonazepam 0.5 mg tablet sig: 1.5 tablets po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp <100 and hr <55. 13. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 14. fluphenazine hcl 1 mg tablet sig: five (5) tablet po breakfast (breakfast). 15. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 16. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed: sarna for pruritus. 17. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 18. warfarin 2 mg tablet sig: one (1) tablet po daily (daily): check inr . 19. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift discharge disposition: extended care facility: & rehab center - discharge diagnosis: esrd with placement of new transhepatic catheter thrombus of venous/atrial graft replacement of trach discharge condition: fair discharge instructions: please call if the patient experiences fever > 101.4, chills, nausea, vomiting, diarrhea, bleeding, pain. please see new schedule for psych meds continue hemodialysis schedule q m-w-f using new transhepatic dialysis catheter no passy-muir valve until notified by ent that this is safe to use due to swelling at the site of the trach followup instructions: follow-up with outpatient psychiatrist dr. appointment with for trach change provider: , md phone: date/time: 8:50 procedure: hemodialysis venous catheterization for renal dialysis transfusion of packed cells replacement of tracheostomy tube transfusion of other serum diagnoses: other primary cardiomyopathies anemia in chronic kidney disease end stage renal disease esophageal reflux unspecified acquired hypothyroidism depressive disorder, not elsewhere classified epilepsy, unspecified, without mention of intractable epilepsy other complications due to renal dialysis device, implant, and graft schizoaffective disorder, unspecified attention to tracheostomy nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney fitting and adjustment of extracorporeal dialysis catheter 

Answer: The patient is high likely exposed to