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: codeine attending: chief complaint: back and leg pain major surgical or invasive procedure: anterior/posterior lumbar fusion with instrumentation l5-s1 thoracentesis history of present illness: 65f with dm1, cad s/p stent , mr valvuloplasty (with current moderate to severe mr) ef 55%, pad s/p peripheral bypass, hx tia on asa & plavix, s/p ppm placement, s/p lumbar fusion ( & ) who presents from ortho service after 2 days of progressive hypoxia. patient noticed to be hypoxic in the pacu following the lumbar fusion, and was given lv lasix without good result. she had a cxr that revealed a rll process and was started on vancomycin and ciprofloxacin. she was given inhalers and further lasix in the setting of hypoxia, although did not respond. she was transitioned from nasal cannula to nrb with oxygen saturations in the low 90s and her tachypnea increased to >25 and was transferred to the micu. . patient denies any chest pain, lightheadeness, dizziness, abdominal pain. past medical history: htn, dmii, tia, hyperchol, copd, pvd, asystolic arrest , mitral v dz s/p valvoplasty chronic low back pain social history: non smoker no alcohol family history: non contributary physical exam: vitals - t:98.9 bp:120/106 hr:83 rr:25 02 sat: 95% general: nad skin: warm and well perfused, no excoriations or lesions, no rashes heent: at/nc, eomi, perrla, anicteric sclera, pink conjunctiva, patent nares, mmm, supple neck, no lad, no jvd cardiac: rrr, s1/s2, no mrg lung: clear abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly m/s: moving all extremities well, no cyanosis, clubbing or edema, no obvious deformities pulses: 1+ dp pulses bilaterally neuro: cn ii-xii intact pertinent results: imaging: cxr: findings: left-sided dual chamber cardiac pacemaker is again seen, unchanged. the patient is status post sternotomy, with sternotomy sutures unchanged as well. imaging is degraded by motion; however, overall the right-sided pleural effusion/consolidation appears minimally changed when compared to the prior examination. there is persistent retrocardiac opacity. no evidence of pneumothorax. 07:13am blood wbc-12.3* rbc-2.88* hgb-8.9* hct-25.8* mcv-90 mch-30.9 mchc-34.4 rdw-14.2 plt ct-423 07:30am blood wbc-11.1* rbc-2.96* hgb-9.1* hct-26.8* mcv-91 mch-30.8 mchc-34.0 rdw-14.1 plt ct-349 03:56am blood wbc-12.0* rbc-3.00* hgb-9.4* hct-26.8* mcv-89 mch-31.3 mchc-35.0 rdw-14.3 plt ct-299 06:25am blood wbc-15.6* rbc-3.12* hgb-9.7* hct-28.5* mcv-92 mch-31.1 mchc-34.0 rdw-14.1 plt ct-253 07:20am blood wbc-16.8* rbc-3.07* hgb-9.5* hct-27.9* mcv-91 mch-30.9 mchc-34.0 rdw-14.3 plt ct-218 04:06am blood wbc-20.2* rbc-3.54* hgb-11.0* hct-31.7* mcv-89 mch-31.1 mchc-34.8 rdw-14.4 plt ct-226 07:13am blood glucose-127* urean-17 creat-0.5 na-137 k-3.2* cl-99 hco3-28 angap-13 03:56am blood glucose-215* urean-27* creat-0.5 na-141 k-3.1* cl-102 hco3-28 angap-14 09:13pm blood glucose-210* urean-27* creat-0.6 na-138 k-3.3 cl-99 hco3-25 angap-17 06:00pm blood glucose-265* urean-25* creat-0.7 na-139 k-3.0* cl-101 hco3-26 angap-15 04:12pm blood glucose-167* urean-24* creat-0.5 na-142 k-2.9* cl-106 hco3-25 angap-14 07:13am blood calcium-8.0* phos-2.9 mg-2.0 07:20am blood calcium-8.4 phos-2.1* mg-2.0 brief hospital course: ms. was admitted to the service of dr. for a circufrential fusion l5-s1. she was informed and consented for the procedure and elected to proceed. please see operative note for procedure in detail. post-operatively she was administered antibiotics and pain medication. due to the dural tear intra-op, she remained flat in bed for 48 hours. she subsequently developed a pneumonia with low o2 saturation. she was transfered to the micu where a thoracentesis was preformed. transudative fluid 800cc was drained and sent for culture. all cultures have been negative to date. she was placed on vancomycin and cefepime and a picc line placed for a 10 day course of antibiotics. she was transfered out of the micu to the floor where she was able to work with physical therapy. her o2 saturation remained high and she was discharged in stable condition. she will follow up in clinic in 10 days. medications on admission: see list discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 4. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po bid (2 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. acebutolol 200 mg capsule sig: one (1) capsule po bid (2 times a day). 7. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 8. quinapril 20 mg tablet sig: two (2) tablet po daily (daily). 9. venlafaxine 75 mg tablet sig: one (1) tablet po bid (2 times a day). 10. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 11. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 12. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 13. hexavitamin tablet sig: one (1) cap po daily (daily). 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 15. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 16. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 17. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 18. cyclobenzaprine 10 mg tablet sig: 0.5 tablet po tid (3 times a day) as needed. 19. vancomycin 1000 mg iv q 12h 20. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 21. cefepime 2 gm iv q8h 22. antibiotics please continue vancomycin and cefepime for 10 days. end date is . 23. medication lantus 8 units sq discharge disposition: extended care facility: - discharge diagnosis: stenosis and spondylolisthesis l5-s1 pneumonia post-op fever post-op hypoxia discharge condition: good discharge instructions: please continue to take your pain medication with an over the counter laxative. call the clinic if you notice any redness or discharge from the incision site. call the clinic for any additional concerns. physical therapy: activity: out of bed w/ assist lumbar corset for ambulation; may be out of bed to chair without. treatment frequency: plesae continue to change the dressing daily with dry, sterile gauze. followup instructions: please follow up in the spine clinic during your previously scheduled appointments. procedure: venous catheterization, not elsewhere classified thoracentesis lumbar and lumbosacral fusion of the anterior column, posterior technique lumbar and lumbosacral fusion of the anterior column, anterior technique other repair and plastic operations on spinal cord structures insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: pneumonia, organism unspecified mitral valve disorders unspecified essential hypertension chronic airway obstruction, not elsewhere classified other nervous system complications acute respiratory failure pneumonitis due to inhalation of food or vomitus other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac pacemaker in situ hypoxemia accidents occurring in residential institution diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled acquired spondylolisthesis degeneration of lumbar or lumbosacral intervertebral disc 

Answer: The patient is high likely exposed to