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: naprosyn / keflex / shellfish / glucophage / tetracycline / penicillins / erythromycin base / ciprofloxacin / biaxin / bactrim / vancomycin attending: chief complaint: respiratory failure major surgical or invasive procedure: picc line placement extubation (intubated on admission) history of present illness: the patient is a 59 y/o female with pmhx diabetes, recurrent leg ulcers, htn, cad s/p mi, chronic diastolic heart failure, cva, sick sinus syndrom s/p pacemaker placement, paroxysmal a fib on coumadin who presents on transfer from intubated with concern for chf. the patient was recently admitted to for cellulitis and finished a course of augmentin. she returned to the hospital for feeling worse than usual. it was noted she had a new open area with a weeping wound on her anterior right leg. she was started on linezolid/unasyn for the cellulitis (cover mrsa w/penicillin allergy). this afternoon, the patient developed acute respiratory distress, a cxr showed signs of congestive heart failure. her ecg was unchanged and ce were negative. she was satting at 81% on non-rebreather, got lasix 40mg iv x2 with poor output, then had worsened mental status with saturation to 61% on non-rebreather. at this point she was intubated. she had frothy, bloody secretions and was broadened to linezolid and zosyn. she was also given solumedrol 100mg iv x1 for possible copd exacerbation. she received lasix 120 mg more with good response, and was transferred to for further management. while at osh, her sotalol, coumadin, and aspirin were held. . on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: left mca territory embolic infarct, likely of cardioembolic etiology in atrial fibrillation on sotalol and coumadin cad - mi @ age 44, , and nstemi in (trop t 0.06) sick sinus syndrome status post dual-chamber pacemaker mvr hyperlipidemia diabetes mellitus, type 2 obesity hypertension asthma ostructive sleep apnea on bipap mild pulmonary htn 36/18 on cath in social history: per omr - social history is significant for the absence of current tobacco use. she smoked for one year at the age of 21. there is no history of alcohol abuse. family history: per omr - her father died of cad in his 50's, he had his first mi at age 41. she has multiple younger brothers with "heart problems." physical exam: vs: t=97.4 bp= 89/57-107/56 hr= 86-90 rr= 18 o2 sat=98%ra glu 237, 264 general: obese female, heent: ncat. sclera anicteric. perrl, conjunctiva pink neck: supple wo jvd appreciated. cardiac: rrr distant heart sounds. lungs: clear bilat with no wheezes or rhonchi abdomen: soft, obese, ntnd. +bowel sounds extremities: 1+ pitting edema to shins. r anterior shin bandaged. mild tenderness. 1+ dp/pt. pertinent results: 07:25pm urine color-straw appear-clear sp -1.007 07:25pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:12pm glucose-214* urea n-19 creat-1.1 sodium-140 potassium-3.9 chloride-103 total co2-27 anion gap-14 07:12pm estgfr-using this 07:12pm alt(sgpt)-14 ast(sgot)-21 ld(ldh)-332* ck(cpk)-116 alk phos-139* tot bili-1.1 07:12pm ck-mb-6 ctropnt-0.01 probnp-3830* 07:12pm albumin-3.3* calcium-8.7 phosphate-4.0 magnesium-1.7 07:12pm wbc-12.8*# rbc-4.99 hgb-13.5 hct-40.7 mcv-81* mch-27.0 mchc-33.2 rdw-15.9* 07:12pm plt count-229 07:12pm pt-31.6* ptt-35.1* inr(pt)-3.2* brief hospital course: 59 y/o female with pmhx diabetes, htn, cad s/p mi, diastolic heart failure, sick sinus s/p pacemaker placement, paroxysmal a fib on coumadin who presents from osh intubated due to respiratory failure. . # hypoxia: hypoxic and hypercarbic respiratory failure on abg at osh. had progressive respiratory distress during hospitalization, resulting in intubation thought multilobar pneumonia and flash pulmonary edema. extubated w/o complication. no sig cough or fevers. started on antibiotics for multifocal pna coverage (linezolid and zosyn - patient on linezolid for mrsa coverage as allergic to vancomycin). placed picc for outpatient antibiotic coverage. . # cad: patient with stable disease, 1st set cardiac enzymes negative. on aspirin, sotolol for rate control, and simvastatin at home. . # acute on chronic diastolic chf: patient with diagnosis of diastolic heart failure with lvef of > 55%. appears euvolemic with no sig peripheral edema, no crackles on exam and no o2 requirement. kept on home dose of lasix. . # atrial fibrillation: a paced. rate of 80's-90's. held coumadin during hospitalization for supratherapeutic inr; restarted coumadin on discharge. pt's ppm rate increased in the icu for maintenance while intubated and reset at home rate of 70 by time of discharge. . # hypotension - restarted sotalol, bp stable . # leukocytosis - resolved, afeb. kept on broad spectrum abx . # diabetes - monitor fingersticks, iss . pt has particular regimen at home that we tried to match. will discharge on home regimen. medications on admission: 1. betapace 80mg po bid 2. 4mg po bid 3. aspirin 162 mg po daily 4. humalog 75/25, 15-25 in am, 15-20 in pm 5. lasix 20 mg po daily 6. flovent 7. lipitor 20mg po qhs 8. humulin n 35-42 units at bedtime 9. prilosec 40mg po daily 10. keppra 500mg po bid 11. flonase 12. atrovent 13. claritin 14. coumadin 3mg po daily discharge medications: 1. outpatient lab work please check chem-7, lft's and cbc on and call results to , md at phone: fax: 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: six (6) puff inhalation q4h (every 4 hours) as needed for wheezing. 3. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day) as needed for asthma. 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 5. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). 6. linezolid 600 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 weeks. disp:*28 tablet(s)* refills:*0* 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 8. levetiracetam 250 mg tablet sig: one (1) tablet po bid (2 times a day). 9. warfarin 1 mg tablet sig: three (3) tablet po once daily at 4 pm: please have your inr checked regularly. tablet(s) 10. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) intravenous q8h (every 8 hours) for 9 days weeks. disp:*27 * refills:*0* 11. 2 mg tablet sig: two (2) tablet po twice a day. 12. aspirin 162 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 13. humalog mix 75-25 100 unit/ml (75-25) insulin pen sig: 15-20 subcutaneous twice a day: take 15-20 units in am and 15-20 in pm as per your usual home regimen. 14. humulin n 100 unit/ml suspension sig: 35-42 units subcutaneous at bedtime: take 35-42 units as per your usual home regimen. 15. lipitor 20 mg tablet sig: one (1) tablet po at bedtime. 16. atrovent hfa 17 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. discharge disposition: home with service facility: homecare discharge diagnosis: cellulitis acute on chronic diastolic congestive heart failure multilobar pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear mrs. , you were admitted for respiratory failure (could not breathe) secondarily to heart failure and pneumonia. you were intubated at an outside hospital because of respiratory failure. your breathing improved and you were extubated. you were treated with antibiotics for your leg infection and pneumonia. . please make the following changes to your medications: start linezolid 600 mg po q12, which is an antibiotic for your infection (legs and pneumonia) start zosyn 4.5 g iv q8, which you will need to get through the picc to complete 14-days total (you have gotten it already for 5) . continue sotalol 80 mg po bid continue furosemide 20 mg po daily continue warfarin 3 mg po daily continue 4mg po bid continue aspirin 162 mg po daily continue humalog 75/25, 15-25 in am, 15-20 in pm continue humulin n 35-42 units at bedtime continue lipitor 20mg po qhs continue prilosec 40mg po daily continue keppra 250mg po bid continue fluticasone continue flonase, atrovent, claritin . . weigh yourself every morning, call dr. if weight goes up more than 2 lbs in 1 day or 6 pounds in 3 days. . you will need a liver mri as outpt to evaluate r lobe liver lesion. followup instructions: name: , location: of address: , , phone: appointment: tuesday 1:30pm procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified arterial catheterization injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation acute on chronic diastolic heart failure other chronic pulmonary heart diseases other and unspecified hyperlipidemia acute respiratory failure hypotension, unspecified cellulitis and abscess of leg, except foot long-term (current) use of insulin old myocardial infarction long-term (current) use of anticoagulants cardiac pacemaker in situ personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits obesity, unspecified chronic obstructive asthma with (acute) exacerbation ulcer of other part of lower limb venous (peripheral) insufficiency, unspecified 

Answer: The patient is high likely exposed to