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: sulfa(sulfonamide antibiotics) attending: chief complaint: polytrauma major surgical or invasive procedure: left chest tube placement tracheostomy and egd history of present illness: 76f s/p mvc vs tree transferred from osh. a&o upon arrival to osh, reported she lost consciousness for unknown period of time and hit a tree. intubated prior to transfer for declining mental status. panscanned, l ct placed for l pnx. l pigtail also placed for non-re-expansion. patient became hypotensive, started on 10 of dopamine, given 2l of crystalloids. digoxin level 3.1 at osh. transferred to , received 2 additional l of crystalloids with good response, dopamine down to 5 in the ed. transferred to tsicu. past medical history: copd, afib, hypothyroidism, pvd, obstructive bronchitis, cardiomyopathy, chf, etoh abuse, mrsa cellulitis of l foot, tracheostomy, hysterectomy social history: main family contact is son. unclear tobacco use, with possible alcohol consumption. denies illicit drugs. family history: nc physical exam: day made cmo: gen: appears cachectic, bruised all over thorax and le cv: irregular resp: ctab, diminished at bases abd: soft, nontender, , site clean and dry ext: groin laceration weeping serous fluid but without signs of infection. multiple sites of skin denudation and chronic venous stasis ulcers with no signs of infection pertinent results: 04:39pm blood digoxin-4.3* 09:04am blood cortsol-16.4 04:39pm blood wbc-19.3* rbc-3.70* hgb-10.7* hct-32.7* mcv-88 mch-29.0 mchc-32.8 rdw-16.3* plt ct-104* 09:17pm blood glucose-179* urean-15 creat-1.1 na-136 k-3.1* cl-106 hco3-21* angap-12 ct chest/abdomen/pelvis: 1. moderate-sized pneumothorax, mild rightward displacement of the mediastinum. left thoracostomy tube within the upper pleural space with contusion in the left upper lobe and moderate left pleural effusion. 2. multiple left rib fractures and sternal fracture. 4. moderate-to-severe emphysema. an 8-mm left upper lobe nodule warrants evaluation in six months with a chest ct following resolution of acute symptoms or evaluation with pet-ct should be considered with attention in follow-up to mildly prominent central mediastinal nodes. 5. extensive right basilar opacity with volume loss including mucus plugging, suggesting extensive atelectasis versus aspiration or pneumonia. 6. severe atherosclerotic calcifications of the coronary vessels and aorta. 2.4-cm infrarenal abdominal aortic ectasia. 3-cm left iliac arterial aneurysm. no evidence of rupture. follow-up ct imaging is recommended within six months for surveillance. 7. endotracheal tube terminating at the distal trachea. orogastric tube terminating within the stomach. 8. 19 x 14-mm non-obstructing right renal pelvis stone. likely tiny left hemorrhagic renal cyst. ct cspine: 1. nondisplaced fractures of the left t2 and t3 transverse processes. there is a small hematoma within the left supraclavicular fossa and along the base of the posterolateral left neck. 2. acute left clavicle fracture. 3. trace left pneumothorax. 4. emphysema. xr r knee: no definite fracture. if there is continued concern, given the history of trauma, recommend ct. l foot: there is generalized osteopenia of the visualized bony elements. however, no evidence of gas in soft tissues or bone destruction. there is a moderate inferior calcaneal spur. l hand: 1. intra-articular fracture of the long finger proximal phalanx. 2. degenerative changes. mr : 1. study limited due to motion-related artifacts. within this limitation, there is no obvious focus of slow diffusion to suggest an acute infarct. no mass effect. 2. moderate dilation of the lateral and the third ventricles, as described above, which may relate to volume loss or communicating hydrocephalus such as nph. correlate clinically. 3. diffuse mucosal thickening and fluid in the mastoid air cells, moderate amount of fluid in the sphenoid sinus and mild-to-moderate mucosal thickening in the ethmoid air cells. 4. diffuse hypointense signal of the marrow is noted related to anaemia, myeloproliferative or infiltrative disorders. correlate with hematology labs. echo: the left atrium is normal in size. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size is normal. with normal free wall contractility. the number of aortic valve leaflets cannot be determined. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. renal us: 1. no hydronephrosis bilaterally. subcentimeter non-obstructive right renal calculus. limited doppler images show normal arterial and venous flow at the renal hilae bilaterally. 2. heterogenous area within the right lobe of liver concerning for a mass but incidentally noted and only partially imaged. dedicated ultrasound imaging of the liver is recommended. 3. increase in amount of intraabdominal ascites. 4. apparent fluid distended bladder may represent a pocket of ascitic fluid given reported presence of foley catheter. brief hospital course: ms. work up in the ed revealed the following injuries: - l clavicle fracture - l ribs fracture with associated pneumothorax s/p chest tube and pigtail placement - sternal fracture - t2-t4 l transverse process fractures she was transferred to the tsicu for further management. her course is below by system: neuro: patient's ct evaluations revealed no head or spinous trauma. her c-collar was kept on until cleared by neurosurgery. she was taken off log roll. she was neurologically intact while intubated, though sedated on propofol and fentanyl. given her prior possible history of ethanol abuse, she was monitored with a ciwa scale. her sedation was weaned as her pain improved, however she was lethargic and minimally responsive. neurology was consulted and an mri was performed which ruled out stroke. neurology felt her mental status was a result of her global trauma state. she gradually improved and was intermittently aware and interative, though resigned mostly. cv: on admission, patient was found to have a supratherapeutic digoxin level. she received digibind on hd1 and was seen by the cardiology team. echo was performed with preserved ef and hypokinesis of the left ventricular wall inferomedially. she required pressor support despite fluid resuscitation and blood transfusion, prompting adrenal cortical evaluation. cortisol was relatively low for her stressed state and she was started on hydrocortisone, allowing a small wean in her pressor requirement. with antibiotic therapy for sepsis from mssa pneumonia, patient's pressors were weaned off. her bradycardia improved and she was taken off dopamine. cardiology was consulted for possible pacer, however, given her fragile state and high risk for infection and skin breakdown, it was not recommended. repeat echo on showed normal cardiac function with no valvular disease. patient had almost daily episodes of bradycardia with hypotension and lethargy requiring atropine to recover. after a long discussion with the family, the decision was made not to escalate care and to only provide a maximum of 2 mg of atropine for symptomatic bradycardia and the patient was made dnr. resp: patient was intubated prior to arrival in our ed. a large air leak was noted in her chest tube, presumably from parenchymal injury to the lung. chest tube was kept on suction until air leak diminished and then changed to waterseal. pigtail was removed on . significant consolidation of the rll was noted on cxr and ct. bronchoscopy showed thin bloody secretions consistent with pulmonary contusion. bal was initially negative for pneumonia, however repeat bronchoscopy showed purulent secretions in the rll which grew mssa. patient was treated with a complete course of cipro and vanc. her left chest tube was removed on after a clamp trial with xray showing no pneumothorax. patient was difficult to wean from the ventilator. tracheostomy was performed on . pressure support weans were attempted daily with some improvement. diuresis was attempted with minimal improvement. patient would develop severe respiratory acidosis as pressure sipport was weaned. patient was gradually weaned down to cpap but required being turned back to cmv with each bradycardic episode. gi: patient was kept npo initially due to abdominal distension. bladder pressures were normal. once distension resolved, she was started on tube feeds which she tolerated well. patient was noted to have melena on , though her hct was stable. egd showed mild gastritis and she was kept on protonix. her melena resolved thereafter. gu: urine output was low to normal during initial post-trauma period. cr began to rise and peaked at 1.7. ua was positive and patient was started on cipro on hd1, however cultures were ultimately negative. patient has persistent anion gap metabolic acidosis with acute kidney injury. renal was consulted with recommendations for presumed renal tubular acidosis, treated with bicarb. her creatitine gradually improved. heme: patient received 2u prbc for persistent hypotension and hct of 23 post-injury. she was tranfused intermittently when hct was below 22. once hct was stable, she was started on heparin sc for dvt prophylaxis. id: patient was noted to have a uti upon admission and was started on cipro. with persistent hypotension, no evidence of cardiac dysfunction, and possible rll pneumonia, coverage was expanded to include vanco and cefepime. she was treated for a complete course as above. endo: patient was treated with stress steroids for persistent hypotension and relative adrenal insufficiency, which were gradually weaned off. she was kept on an insulin sliding scale. msk: patient's clavicle, sternal, and rib fractures were treated nonoperatively. after multiple family meetings about the patient's prognosis, the family chose to make the patient "comfort measures only" given her fragile condition, lack of options for long term treatment of her bradycardia, and persistent respiratory failure. she was extubated on and expired shortly thereafter. medications on admission: digoxin 0.125mg daily, furosemide 40mg , and levothyroxine 50mcg daily. discharge medications: na discharge disposition: extended care discharge diagnosis: polytrauma - l clavicle fracture - l ribs fracture with associated pneumothorax s/p chest tube and pigtail placement - sternal fracture - t2-t4 l transverse process fractures - symptomatic bradycardia - respiratory failure discharge condition: deceased discharge instructions: na followup instructions: na procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus nonexcisional debridement of wound, infection or burn central venous catheter placement with guidance diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified urinary tract infection, site not specified acute kidney failure, unspecified severe sepsis unspecified acquired hypothyroidism atrial fibrillation methicillin susceptible staphylococcus aureus septicemia hypotension, unspecified closed fracture of sternum blood in stool septic shock closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury encounter for palliative care do not resuscitate status traumatic pneumothorax without mention of open wound into thorax syncope and collapse contusion of lung without mention of open wound into thorax other specified noninflammatory disorders of vagina obstructive chronic bronchitis without exacerbation venous (peripheral) insufficiency, unspecified other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle poisoning by other specified drugs and medicinal substances, undetermined whether accidentally or purposely inflicted mixed acid-base balance disorder closed fracture of three ribs open wound of abdominal wall, lateral, without mention of complication methicillin resistant pneumonia due to staphylococcus aureus ulcer of ankle acute respiratory failure following trauma and surgery other adrenal hypofunction closed fracture of shaft of clavicle poisoning by cardiotonic glycosides and drugs of similar action 

Answer: The patient is high likely exposed to