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 (sulfonamides) attending: chief complaint: right foot gangrene major surgical or invasive procedure: amputation of right first toe amputation history of present illness: transfreered rehabfor suspicion of gangrenous ulcer on right foot. had recent complicated admission tobidmc for pna,chf,respiratory failure,ptx,hypoand hypertension and a fib with pvp. before transfer, she did not have any reported infectious prodrome,fever,chills,or erythema. no reported respiratory status and pt cannot report difficulaty breathing. past medical history: type 2 diabetes hypertension gout osteoporosis chronic obstructive pulmonary disease, steroid dependent, oxygen-dependent, (fvc 1.89,fev1 0.83, fev1/fvc 44, dlco: severely reduced) paroxysmal atrial fibrillation anemia peripheral neuropathy secondary to diabetes gastroesophageal reflux disease history of mrsa hyperthyroidism past surgical history: right below knee popliteal bypass graft with nonreversed saphenous vein and a left popliteal bypass graft with saphenous vein angiogram on . mastectomy in . picc line placement . left bka social history: the patient is a resident at rehabilitation. there is no smoking or alcohol history. family history: noncontributory physical exam: nad ncat/ mmm/op clear, carotid pulse +2 irregular . no murumurs soft/nt/nd radila pusle 2+ b/l. dp 2+ b/l, pt 1+ b/l, popliteal 2+r right foot bandaged . gangrene of 1st digit sacral ucler pertinent results: foot ap,lat & obl right 10:35 pm foot ap,lat & obl right reason: assess for osteomyelitis medical condition: 85 year old woman with r toe 1 gangrene reason for this examination: assess for osteomyelitis study: right foot three views performed on . history: this is an 85-year-old woman with right first toe gangrene. evaluate for osteomyelitis. findings: no prior studies available for comparison. there are extensive vascular calcifications identified. there is a soft tissue defect seen over the distal aspect of the right first toe. however, no definite cortical destruction is seen to indicate radiographic signs of osteomyelitis. lateral radiograph is suboptimal as a portion of the first digit has been excluded from the image. impression: soft tissue defect overlying the distal aspect of the first digit without definite radiographic evidence for acute osteomyelitis. chest (portable ap) reason: question chf medical condition: 85 year old woman s/p ptx, s/p removal of cts, now with increasing dyspnea and increased secretions reason for this examination: question chf history: 85-year-old female with dyspnea. comparison: ct chest , and multiple chest radiographs in . ap portable chest: endotracheal tube is in appropriate position approximately 7 cm above the carina. a left-sided picc line terminates in the proximal svc. compared to most recent prior chest radiograph, , there has been interval improvement in small bilateral pleural effusions. chronic bilateral increased interstitial markings persist consistent with chronic interstitial lung disease. there is improvement in vascular congestion, and there is no evidence of chf currently. the heart size and cardiomediastinal contours are unchanged given differences in position. impression: improvement in small bilateral pleural effusions. chronic interstitial lung disease. no chf. 09:21pm blood wbc-14.2* rbc-3.14* hgb-10.1*# hct-30.5* mcv-97 mch-32.0 mchc-33.0 rdw-16.9* plt ct-518* 03:28am blood wbc-14.1* rbc-3.04* hgb-9.6* hct-29.7* mcv-98 mch-31.5 mchc-32.3 rdw-17.0* plt ct-535* 03:57pm blood wbc-12.1* rbc-2.90* hgb-9.2* hct-28.2* mcv-97 mch-31.9 mchc-32.8 rdw-16.6* plt ct-504* 03:45am blood wbc-17.4* rbc-2.94* hgb-9.3* hct-29.2* mcv-99* mch-31.7 mchc-31.9 rdw-16.7* plt ct-505* 09:21pm blood pt-11.7 ptt-23.8 inr(pt)-1.0 09:21pm blood plt ct-518* 03:28am blood pt-12.0 ptt-24.3 inr(pt)-1.0 03:28am blood plt ct-535* 03:57pm blood plt ct-504* 03:45am blood pt-12.4 ptt-23.4 inr(pt)-1.1 03:45am blood plt ct-505* 09:21pm blood glucose-130* urean-47* creat-0.8 na-138 k-5.3* cl-97 hco3-35* angap-11 03:28am blood glucose-89 urean-44* creat-0.8 na-140 k-5.0 cl-99 hco3-37* angap-9 03:57pm blood glucose-134* urean-35* creat-0.8 na-140 k-5.2* cl-100 hco3-35* angap-10 03:45am blood glucose-125* urean-31* creat-0.8 na-137 k-5.3* cl-98 hco3-36* angap-8 09:21pm blood calcium-9.8 phos-4.1 03:28am blood albumin-2.8* calcium-9.4 phos-4.4 mg-2.0 03:57pm blood calcium-8.9 phos-4.5 mg-1.8 03:45am blood calcium-9.0 phos-4.7* mg-1.8 09:40pm blood type- ph-7.32* 08:40am blood type-art po2-195* pco2-90* ph-7.25* calhco3-41* base xs-8 10:50am blood type-art po2-78* pco2-64* ph-7.37 calhco3-38* base xs-8 09:40pm blood glucose-136* 08:40am blood glucose-177* 10:50am blood glucose-191* k-5.5* brief hospital course: pt directly admitted to sicu due to all her comorbid conditions.pt placed on trach mask. pt palced on vancomycin as precautioanry measure for underlying osteomyelitis. a fxr was ordered and showed soft tissue destruction but no osteomyelitis. labs were sent. pt palced on g-tube to gravity and left npo. on hd 2, pt pre-oped for or. pt underwent a right hallux amputation. offical operative report can be read in the chart. pt tolerated the procedure well and was transfered back to the sicu in stable condition. infectious disease was consulted to assess if there were any other underlying infectious causes of elevated white count. they felt that the increase could be attributed to the long term steroid use. a ua and sputum culture were obtained as precautionary measure. pt d/c back to on hd 3. vanco was d/c. instructions sent to have pt seen by pcp for decreasing steroid dose. pt is to follow up with dr in 2 weeks. medications on admission: lasix lopressor aldectone neurontin amio tramadol fluconasol prednision lisinopril prevacid riss cardizam atroven albuterol tobramax nortiptyline lantus zfilikast methemazole plavix asa colase senna discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 2.5 tablets po bid (2 times a day). 2. furosemide 40 mg iv bid 3. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 6. methimazole 5 mg tablet sig: one (1) tablet po qd (). 7. zafirlukast 20 mg tablet sig: 0.5 tablet po qd (). 8. fexofenadine 60 mg tablet sig: one (1) tablet po qd (). 9. nortriptyline 25 mg capsule sig: one (1) capsule po hs (at bedtime). 10. tobramycin 300 mg/5 ml solution for nebulization sig: inhalation (2 times a day). 11. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 12. gabapentin 100 mg capsule sig: two (2) capsule po bid (2 times a day). 13. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 14. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 15. fluconazole 50 mg tablet sig: one (1) tablet po q24h (every 24 hours). 16. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 17. diltiazem hcl 90 mg tablet sig: one (1) tablet po qid (4 times a day). 18. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation qid (4 times a day). 19. albuterol 90 mcg/actuation aerosol sig: four (4) puff inhalation q6h (every 6 hours). 20. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 21. insulin regular human subcutaneous discharge disposition: extended care facility: & rehab center - discharge diagnosis: gangrene of right hallux discharge condition: stable discharge instructions: please continue medicatiosn as directed. you will not be on any antibiotics. please monitor patients white count. she is chronically elevated. this may be due to her steriods. please check with her priamry care doctor to see if the steriod level can be decreased followup instructions: please monitor pateint in rehab. she can follow up with dr in 2 weeks. procedure: amputation of toe diagnoses: anemia, unspecified esophageal reflux unspecified essential hypertension unspecified protein-calorie malnutrition chronic airway obstruction, not elsewhere classified atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm rheumatic heart failure (congestive) ulcer of other part of foot long-term (current) use of insulin osteoporosis, unspecified atherosclerosis of native arteries of the extremities with gangrene diseases of tricuspid valve gastrostomy status tracheostomy status rheumatic mitral insufficiency 

Answer: The patient is high likely exposed to