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: history of present illness: this is a 51-year-old white female patient who is status post coronary artery bypass grafting x3 at medical center in . her surgery was complicated by a sternal wound infection requiring multiple courses of antibiotics and three surgical sternal debridements. patient was subsequently referred to dr. , who is a plastic surgeon at for flap evaluation. patient did present for cardiac surgery evaluation as well due to sternal involvement. past medical history: coronary artery bypass graft as previously stated. insulin dependent-diabetes mellitus. hypertension. crohn's disease. osteoarthritis. hypothyroidism. depression. past surgical history: right ear surgery at age 14. preoperative evaluation: cardiology workup. her echocardiogram revealed a normal left ventricular ejection fraction, no mitral regurgitation, and normal pulmonary artery pressures. preop medications: 1. humulin nph insulin. 2. glipizide 5 mg p.o. t.i.d. 3. asacol 400 mg three tablets t.i.d. 4. celexa 20 mg p.o. t.i.d. 5. synthroid 88 mcg p.o. q.d. 6. aspirin 81 mg p.o. q.d. 7. advil 600-800 mg t.i.d. prn. 8. lipitor 20 mg p.o. q.d. 9. lisinopril/hydrochlorothiazide 20 mg/25 mg. 10. temazepam 15 mg prn. 11. seroquel 50 mg q.h.s. allergies: the patient states an allergy to bactrim, which causes a rash. the patient also underwent a preoperative stress test, which showed no inducible ischemia and good exercise tolerance. hospital course: the patient was taken to the operating room on , where she underwent a sternal debridement with pectoral advancement flap with dr. and dr. . postoperatively, the patient was transported in good condition to the cardiac surgery recovery unit. she was weaned from mechanical ventilation, extubated the day of surgery. on postoperative day one, she remained hemodynamically stable. she had two - drains in place. she was begun on her preoperative oral medications and transferred out of the intensive care unit to the telemetry floor. over the next few days the patient began to progress slowly with ambulation. her cultures from the sternal wound and tissue reviewed coag-negative staph and the patient has been continued on iv vancomycin for this. over the next few days, the patient remained hemodynamically stable. continued on her iv vancomycin. her drains remained in for a number of days due to continued drainage. the patient continued to progress very slowly from physical therapy standpoint, very difficult to get her ambulating and physically active. on postoperative day four, her tsh was checked and found to be elevated and her synthroid was increased to 100 mcg at that time. however, she remained very slow to continue ambulation. on postoperative day four, hematology consult was obtained due to persistent leukopenia with a white cell count in the 2.6 to 4.9 range. it was their recommendation to check peripheral smears, and folate, and b12 levels and continue to follow her tsh and these are all issues that need to be continued to be addressed as the patient was discharged from rehabilitation facility. on postoperative day five, the - drains were discontinued. patient continued to progress very slowly from an ambulation standpoint. therefore it was determined that it would be in the patient's best interest to be discharged to a rehabilitation facility to help with mobility issues. patient has had fluctuating blood glucose levels high in the 170s, but low in the 40s-50s. her glipizide was discontinued as was her nph insulin, and she was placed on ultimately a sliding scale coverage of regular insulin for that reason. ultimately, the patient will need to be resumed on her preoperative dose of nph insulin as well as her oral hypoglycemic glipizide when she is able to tolerate p.o. intake more adequately. the patient remains hemodynamically stable and will be discharged to a rehabilitation facility today, postoperative day 10. condition today: temperature is 96.5, pulse 72 in normal sinus rhythm, blood pressure 130/50, respiratory rate 18, and on room air oxygen saturation was 99 percent. her intakes and output for today have not been reported. physical examination: neurologically: the patient is intact. pulmonary: her lungs are clear to auscultation bilaterally. she has a regular, rate, and rhythm. her incision is clean and healing well with no erythema or drainage. she has no peripheral edema. discharge medications: 1. colace 100 mg p.o. b.i.d. 2. aspirin 325 mg p.o. q.d. 3. tylenol 650 mg p.o. q.4h. prn pain. 4. percocet 1-2 tablets p.o. q.4h prn pain. 5. milk of magnesia 30 ml p.o. q.d. prn constipation. 6. mesalamine dr 1200 mg p.o. t.i.d. 7. celexa 20 mg p.o. t.i.d. 8. lipitor 20 mg p.o. q.d. 9. temazepam 15 mg p.o. q.h.s. prn. 10. seroquel 50 mg p.o. q.h.s. 11. synthroid 100 mcg p.o. q.d. 12. lisinopril 20 mg p.o. q.d. 13. hydrochlorothiazide 25 mg p.o. q.d. 14. vancomycin 750 mg iv q.12h. for 10 more days after discharge to be discontinued about the . folic acid 1 mg p.o. q.d. 16. ascorbic acid 500 mg p.o. b.i.d. 17. ferrous sulfate 325 mg p.o. q.d. 18. multivitamin one capsule p.o. q.d. 19. ibuprofen 400-600 mg q.8h. prn pain. 20. sliding scale regular insulin coverage before meals and at bedtime for blood glucose of 120-150, she is to receive 3 units subcutaneously. for a glucose of 151-200, she is to receive 5 units. blood glucose of 201-250 7 units. glucose greater than 250 10 units. the patient should continue to be re-evaluated on a daily basis for resumption of her preoperative nph insulin, which is 8 units at bedtime as well as her glipizide, which was 5 mg p.o. t.i.d. discharge instructions: patient also needs to be followed up as an outpatient for her leukopenia through her primary care physician, she should also be monitored for her thyroid replacement and have another tsh level checked in approximately four more weeks since her synthroid was recently increased to 100 mcg. the patient needs to followup with dr. in approximately four weeks after discharge from the hospital. she needs to call for an appointment at . patient is to followup with her primary care physician, at , and she should call for an appointment to be seen upon discharge from rehabilitation. the patient also needs to be seen by plastic surgery service, dr. at , and she should follow up in approximately one week from now and call to make an appointment. discharge diagnosis: postoperative sternal wound infection status post sternal wound debridement and pectoral flaps. , procedure: venous catheterization, not elsewhere classified graft of muscle or fascia attachment of pedicle or flap graft to other sites excisional debridement of wound, infection, or burn other partial ostectomy, scapula, clavicle, and thorax [ribs and sternum] diagnoses: other postoperative infection acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status 

Answer: The patient is high likely exposed to