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: percocet / codeine / robaxin / lomotil / metoprolol tartrate / linezolid / synercid / rifampin / optiray 300 / percodan attending: chief complaint: fever, hypotension major surgical or invasive procedure: none history of present illness: 59 f h/o breast ca currently being treated with carboplatin, taxotere (last ), and herceptin (last ) was in her usoh until ~5d pta, when she notes 3d of diarrhea (x2-3/day, x1-2/night) while returning from a trip to , these symptoms resolved 2d pta. on the morning of her admission, she awoke and notes nasea, vomitting x 1, and diffuse crampy abdominal pain. last bm 1d ago, well formed. no change in abd pain with food, had not had bm, but pain resolved after vomitting x 1. pt also noted to have fever (100.5 vs 105, but then up to 102 per call in). . pt also notes sharp pain in her right foot from diabetic neuropathy. ros otherwise negative for chills, cp, sob, ha, neck stiffness, join pain, rash, port-site irritation. . upon arrival to ed vs 102.6 117 151/70 20 100%ra. wbc 14, pt given vanco/cefepime. bcx, ucx sent, cxr unremarkable, ct abd/pelvis unremarakble. abdominal pain resolved. no chills, diarrhea, cp or sob. plan was to admit to omed, however pt then 78/34, given 5l ivf with modest response to 80s-90s. pt mentating throughout, asx. . pt transferred to given ongoing hypotension. . past medical history: 1) type i diabetes mellitus 2) cad - cardiac cath: 50% mid lad, 80% distal lcx; stents placed to lad and lcx - pmibi: sob w/o ischemic changes. nl myocardial perfusion - tte: mild la enlargement, mildly dilated ra, lvef >55%, trivial mr, trace ar 3) hypothyroidism tsh 0.78 4) depression/anxiety 5) breast cancer: stage ii infiltrating ductal carcinoma dx - s/p right lumpectomy followed by 4 cycles of adriamycin/cytoxan and 7 weekly taxotere treatments. arimidex since - right mastectomy when mammogram showed new calcifications 6) gerd 7) low back pain s/p placement of neural stimulator 8) right shoulder osteomyelitis: - right humeral fracture s/p orif - mrsa bacteremia from chemo port -> right septic shoulder/osteomyelitis - initially tx with linezolid, stopped due to thrombocytopenia, changed to daptomycin changed to synercid/rifampin due to daptomycin resistance. synercid/rifampin caused pancytopenia, so she was changed to po minocycline. - right shoulder joint and upper humerus removed by dr. at and antibiotic spacer inserted. intra-op cultures grew 1 colony of mrsa --> desensitized to vancomycin and d/c on planned 6 week course of vancomycin prior to shoulder replacement, which would be followed by an additional 4-6 weeks of vancomycin social history: lives with her husband in , ma. smoked 20 pack-years, quit 20 years ago; drinks cocktails per week; no illicit drug use. retired, previously worked with troubled young adults. family history: 1. dm type 1: 2 siblings, both deceased 2. mother d. ovarian ca physical exam: 99.5 bp 87/49 hr 58 rr 16 sats 100% on ra gen: nad, heent: perrla, eomi, sclera anicteric, op clear, mmm, no lad, no carotid bruits. no jvd. cv: regular, nl s1, s2, no m/r/g. pulm: cta b, no r/r/w. abd: soft, nt, nd, + bs, no hsm. ext: warm, 2+ dp/radial pulses bl, no femoral bruits. neuro: alert & oriented x 3, cn ii-xii grossly intact. strength symmetric @ triceps, biceps, delts, hip flexion, dorsoflexion, plantarflexion. sensation grossly intact. pertinent results: cxr: the lungs appear clear bilaterally, demonstrating no evidence of pneumonia or chf. . ct abd/pelvis: 1. no evidence for obstruction. 2. two benign-appearing hepatic lesions, unchanged. 3. tiny cholelithiasis. 4. stable t12 compression fracture. 5. tiny 2-mm non-obstructing left renal stone. . bone scan impression: 1. mild focal increased tracer uptake outlining the right humeral prosthesis has decreased in intensity compared with the prior study and likely reflects sequelae of healing. 2. interval development of intense tracer uptake in the sternum is suspicious for metastatic disease. 3. a linear focus of tracer uptake in the sacrum is suspicious for a sacral insufficiency fracture. 4. there is a nodule in the right upper lobe on the spect images. this study is limited, however, and further evaluation with diagnostic ct is suggested. . 06:30pm blood wbc-14.5* rbc-2.95* hgb-10.0* hct-29.6* mcv-101* mch-33.9* mchc-33.7 rdw-19.2* plt ct-101* 05:22am blood wbc-19.9* rbc-2.65* hgb-9.5* hct-27.4* mcv-103* mch-35.8* mchc-34.7 rdw-19.2* plt ct-105* 03:55am blood wbc-20.3* rbc-2.29* hgb-8.1* hct-24.1* mcv-105* mch-35.1* mchc-33.4 rdw-19.5* plt ct-91* 06:30pm blood glucose-241* urean-18 creat-1.0 na-135 k-3.9 cl-97 hco3-29 angap-13 05:22am blood glucose-69* urean-20 creat-1.1 na-138 k-3.6 cl-105 hco3-25 angap-12 04:39pm blood glucose-208* urean-17 creat-1.1 na-132* k-4.6 cl-104 hco3-21* angap-12 06:30pm blood alt-28 ast-25 alkphos-106 amylase-16 totbili-0.6 06:30pm blood lipase-12 09:09pm blood ck-mb-3 ctropnt-<0.01 04:39pm blood ck-mb-3 ctropnt-<0.01 05:22am blood ck-mb-2 ctropnt-<0.01 03:55am blood calcium-7.5* phos-2.4* mg-2.5 06:51pm blood lactate-1.0 brief hospital course: 59f with pmhx of breast cancer on carboplatin, taxotere (last dose ), and herceptin (last dose ), admitted to the icu with fever, n/v & hypotension, weaned from pressors . . hypotension: patient hypotensive in the ed and admitted to the icu. the etiology was most likely sepsis given wbc elevation and fever, although no source was identified. bcx, ucx, cxr and ct abd/pelvis unremarkable throughout admission. she was levophed for less than 24 hours. she was also ruled out for mi, echo normal- cardiogenic causes unlikely. . leukocytosis/fevers: patient treated for sepsis in the . the differential for source of infection includes mrsa osteomyelitis, port line, neural stimulator, c diff, gastroenteritis. patients fever has resolved before she was transferred to the medical oncology floor.leukocytosis may also have been secondary to neulesta patient recieved last week. leukocytosis resolved while on the floor. she was on cefepime from admission to , and vanco from admission to . her cultures remianed negative. stool c diff negative as well. bone scan done to check shoulder, site of previous osteomyelitis, and it was negative. bone scan did show new lytic lesion on sternum, which was not discussed with patient, and will be addressed as an outpatient with dr. . . abd pain: prior to admission, resolved, etiology unclear, lfts unremarkable, no evidence of typlitis/colitis on ct abd/pelvis. pt ruled out for mi and lfts all wnl. . diabetes mellitus type i: patient had insulin and manages her own diabetes. while she was on the floor, however, her accidentally because dislodged. she was put on lantus 9 units qhs and insulin sliding scale until her husband brought in the supplies needed to reinstall it. . anemia: hct dropping from 27 to 24 in setting of aggressive fluid recussitation. was also likely dry on admission and recently had chemotherapy. hemolysis labs show unlikely hemolysis and patient transfused 2 units prbcs on . tibc low and iron low, likely anemia of chronic disease, and also chemo related, will start on iron supplements. . breast cancer: pt due for chemotherapy this week, taxol and carboplatin (4th cycle pending). it is being held off on chemotherapy until resolution of illness. as mentioned above, bone scan shows new lytic lesion on sternum. drs. and to f/u with the patient regarding this, it was not discussed with her during this admission. . back pain: patient has has longstanding chronic back pain, has neuro-stimulator. . depression/anxiety: stable, continue wellbutrin, effexor. she was seen by social work while here. . diabetic neuropathy: neuropathy may also be exacerbated by taxol chemotherapy. - continue gabapentin . hypothyroid: continue home synthroid. . gerd: continue ppi . c diff: questionable incompletely treated in the past. she was continued on po flagyl 500 tid while here. had formed stools and 2 negative stool cultures. she was discharged off antibiotics. medications on admission: aromasin 25mg po qdaily aspirin 325mg po qdaily atenolol 25mg po qdaily clonazepam 1mg po qhs colace 100mg po bid diovan 40mg po qdaily effexor xr 150mg po bid fosamax plus d 70-2,800 qweekly lasix 40mg po qdaily lactulose 30cc qd prn ativan 1mg po tid levoxyl 150mcg qdaily lipitor 10mg po qdaily neurontin 600mg po tid novofine insulin omeprazole 20mg po tid wellbutrin sr 150mg po tid discharge medications: 1. aromasin 25 mg tablet sig: one (1) tablet po once a day. 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. atenolol 25 mg tablet sig: one (1) tablet po once a day. 4. clonazepam 0.5 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. diovan 40 mg tablet sig: one (1) tablet po once a day. 7. venlafaxine 75 mg capsule, sust. release 24 hr sig: two (2) capsule, sust. release 24 hr po bid (2 times a day). 8. fosamax 70 mg tablet sig: one (1) tablet po once a week. 9. lasix 40 mg tablet sig: one (1) tablet po once a day. 10. lactulose 10 gram/15 ml solution sig: one (1) po four times a day as needed for constipation. 11. ativan 1 mg tablet sig: one (1) tablet po three times a day as needed for nausea. 12. levoxyl 150 mcg tablet sig: one (1) tablet po once a day. 13. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 14. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 15. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po tid (3 times a day). 16. insulin reservoir 3 ml 22 x misc sig: one (1) miscellaneous once a day: self administered. 17. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 18. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: sepsis breast ca diabetes type i secondary: cad hypothyroidism gerd sinus tachycardia discharge condition: stable, afebrile. discharge instructions: you were admitted to the hospital with a fever, nausea and vomiting. you were intially in the icu and on iv medications to keep your blood pressure from dropping too low. you then came to the oncology floor and remained without a fever. . please take your medications as prescribed. . please keep your scheduled appointments as below. . please call your doctor or return to the hospital if you have fevers, chills, cough, increasing diarrhea and vomiting, or any other concerning symptoms. followup instructions: please schedule an appointment with dr. for the next weeks. . please schedule an appointment with your diabetes doctor, since you missed the appointment while you were in the hospital. unfortunately dr. does not officially have any appointments available until , but she requested that you call the office on tuesday to be seen on wednesday or thursday. if there are no openings, then please ask the scheduler to contact dr. to allow an appointment time. . provider: , md phone: date/time: 12:45 . provider: , m.d. phone: date/time: 11:50 . provider: phone: date/time: 10:55 procedure: venous catheterization, not elsewhere classified transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified septicemia unspecified acquired hypothyroidism polyneuropathy in diabetes percutaneous transluminal coronary angioplasty status sepsis intestinal infection due to clostridium difficile hypovolemia secondary malignant neoplasm of bone and bone marrow diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled anemia in neoplastic disease secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb malignant neoplasm of other specified sites of female breast 

Answer: The patient is high likely exposed to