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: aspirin / nsaids (non-steroidal anti-inflammatory drug) / ambien / penicillins attending: chief complaint: hypotension major surgical or invasive procedure: none history of present illness: history of present illness: 83f with hx of copd on 2l home o2, pulm htn, and transferred from bidn and admitted to the micu for hypotension and sob concerning for cardiogenic shock. pt presented to bidn ed with dehydration and, per report, has been having poor po intake over the last few weeks due to low appetite and was found to be hypotensive to as low as the 70's systolically with (cr of 1.4 from prior baseline of 0.9). she was otherwise asymptomatic and this was assessed as severe dehydration and was given 5l of fluid without response to blood pressure. patient was started on dopamine became tachycardic to 130s without much improvement in blood pressure, he was switched to phenylephrine and patient was transferred for further workup. arrived to our ed without central access. of note, patient has noticed dark stools for the last 2 days but denies bright red blood per rectum and was guaiac positive at osh ed with crit of 25.9 down from prior baseline of high 30's. ua negative, ucx and bcx sent. she also describes some nausea and a 10 pound unintentional weight loss in the last month. she otherwise denies fevers, chills, chest pain, abdominal pain, vomiting, diarrhea, urinary symptoms, or localized numbness, weakness, or tingling. . ed course: in the ed, initial vitals were: t 98.8, hr 83, bp 90/48, rr 16, svo2 93% 10l nrb. -bp's in the 70-80's systolically on neosyneprhine -cvl rij placed -started on norepinephrine with good response -given stress dose hydrocort -cxr with b/l pleural effusions and fluid overload -bnp 3800 -cvp 12 -ekg with new q-waves -trop of 0.11 (0.139 @ osh) -wbc 15.9, plt 618, inr 1.4, cr 1.2 -lactete 3.2 -> 1.8 -bedside echo with good squeeze per report -cardiology consulted and saw patient in ed, discovered that weeks ago she had moderate chest pressure that woke her from sleep 2 nights in a row for which she did not seek medical care. reviewed her ekg which demonstrated nsr @ 97, na, ni, new inferior q waves, late transition with anterior q waves, and anterolateral st and t changes consistent with old mi. recs for plavix load, high dose atorva, serial enzymes, urgent bedside tte, and intervention as soon as possible or in case of mechanical complication. . on arrival to the micu, patient's vs: afebrile, 96, 91/53, 18, 94% 10l nrb. patient feels comfortable and is pleasant but sob. she confirms the above history. past medical history: copd on 2l nc baseline hypothyroidism asthma htn pulmonary hypertension c/b le edema h/o svt social history: social history: retired anesthesiologist. she lives in with a roommate. she is independent in her adls/iadls. she is a remote smoker who quit 25 years ago. she drinks alcohol, drinks daily. she has no history of drug abuse. family history: family history: non-contributory physical exam: afebrile, 96, 91/53, 18, 94% 10l nrb. general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-distended, bowel sounds present, no organomegaly, no tenderness to palpation, no rebound or guarding gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred. pertinent results: on admission: 09:30pm blood wbc-15.9* rbc-2.52* hgb-8.1* hct-27.4* mcv-109* mch-32.1* mchc-29.6* rdw-15.2 plt ct-618* 03:31am blood wbc-19.1* rbc-2.40* hgb-7.9* hct-26.6* mcv-111* mch-32.8* mchc-29.6* rdw-15.8* plt ct-602* 09:30pm blood neuts-88* bands-0 lymphs-6* monos-5 eos-0 baso-0 atyps-1* metas-0 myelos-0 03:31am blood neuts-97.4* lymphs-1.5* monos-0.9* eos-0.1 baso-0.1 09:30pm blood hypochr-2+ anisocy-normal poiklo-normal macrocy-2+ microcy-normal polychr-normal target-occasional stipple-occasional 03:31am blood plt ct-602* 03:31am blood pt-16.4* ptt-34.6 inr(pt)-1.5* 09:30pm blood plt smr-high plt ct-618* 09:30pm blood pt-15.1* ptt-29.4 inr(pt)-1.4* 03:31am blood glucose-142* urean-15 creat-1.2* na-137 k-3.8 cl-107 hco3-21* angap-13 09:30pm blood glucose-125* urean-14 creat-1.2* na-138 k-3.8 cl-104 hco3-23 angap-15 03:31am blood alt-53* ast-280* ld(ldh)-274* ck(cpk)-131 alkphos-126* totbili-2.1* 09:30pm blood alt-33 ast-164* alkphos-136* totbili-1.9* 09:30pm blood lipase-13 03:31am blood ck-mb-9 ctropnt-0.09* 09:30pm blood ctropnt-0.11* 09:30pm blood probnp-3816* 03:31am blood albumin-2.4* calcium-7.1* phos-3.6 mg-1.2* 09:30pm blood albumin-2.4* calcium-7.2* phos-3.7 mg-1.3* 03:45am blood type- po2-47* pco2-47* ph-7.24* caltco2-21 base xs--7 11:36pm blood type-central ve po2-91 pco2-48* ph-7.23* caltco2-21 base xs--7 intubat-not intuba 03:45am blood lactate-1.5 11:36pm blood lactate-1.8 09:43pm blood lactate-3.2* 2:17 am mrsa screen source: nasal swab. mrsa screen (pending): chest (portable ap) study date of 9:24 pm impression: opacification of the lower lungs, greater on the right than left, probably reflecting pleural effusions and associated atelectasis, although an infectious process is hard to exclude. regular lung markings and architecture suggesting there may be emphysema. portable tte (focused views) done at 1:00:00 am final conclusions poor image quality. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is probably preserved (lvef>50%). no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. rv with normal free wall contractility. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. ekg: nsr @ 97, na, ni, q waves in ii, iii, twi's in i, v5, v6, poor r-wave progression brief hospital course: assessment and plan: 83f with hx of copd, htn, pulm htn, and remote smoking hx admitted to the micu with gib, evidence of recent inferior mi, pneumonia and hypotension/septic shock requiring pressor support. . # pneumonia/septic shock/hypoxia: patient presented with hypoxia and left lower lobe consolidation. she was started on broad spectrum antibiotics and pressors for blood pressure support. sputum cultures grew staph aureus which had been appropriately covered by vancomycin. however, she continued to require pressors and continued to clinically deteriorate. multiple discussion were held regarding goals of care. initially the goal was to wean her off pressors so that she could go home with hospice. however she was not able to be weaned off. she was then made cmo and her pressors and antibiotics were stopped. she was started on morphine drip for comfort and she passed away shortly after. . # recent inferior mi c/b cardiogenic shock: she had evidence of a new inferior mi on her ekg. because of her hypotension it was initially thought that she had a component of cardiogenic shock. an echo was performed which showed preserved lvef, in conjunction with low central venous pressure makes cardiogenic shock highly unlikely. . # concern for ugib: patient's hematocrit on admission was lower than previous baseline. she was trasnfused two units prbc in the setting of hypotension and concern for active gib. however her hct remained stable. gi was consulted who felt that she was not having gi bleeding and that further intervention was not waranted. medications on admission: medications: pt unsure of her meds, per recent outpatient note: symbicort 1 puff twice a day thyroxine 75 mcg daily atenolol 25 mg daily detrol 4 mg daily tramadol 50 mg daily ativan 0.5 mg prn sleep furosemide 20 mg daily discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired md, procedure: central venous catheter placement with guidance diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis unspecified acquired hypothyroidism other chronic pulmonary heart diseases personal history of tobacco use other specified cardiac dysrhythmias pneumonia due to staphylococcus, unspecified septic shock acute myocardial infarction of other inferior wall, initial episode of care hypoxemia chronic obstructive asthma with (acute) exacerbation acute systolic heart failure do not resuscitate status dehydration encephalopathy, unspecified alcohol abuse, continuous other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to