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: codeine attending: chief complaint: sternal wound infection major surgical or invasive procedure: sternal wound debridement with vac placement/bil. chest tubes history of present illness: 59 y/o female s/p cabgx3/mv repair on transferred to d/t sternal wound infection. past medical history: coronary artery disease s/p coronary artery bypass graft x 3, mitral regurgitation s/p mitral valve repair (), diabetes mellitus, hypertension, hyperlipidemia, cholelithiasis, anemia, s/p appendectomy, s/p left knee replacement social history: the patient works as a food service worker in a high school. she lives with her husband. the patient quit smoking 15 years ago; previously smoked 1ppd x 30 years. rare alcohol use. family history: no early heart disease. father with mi in 70s. brother with cad s/p at 58. history of dm, htn. physical exam: sedated, intubated bp 130/54 90 ctab -w/r/r rrr -c/r/m/g chest wound open in uppper-middle and lower pole of incision. necrotic tissue present along with small amount of purulent drainage. abd soft nt/nd, +bs ext. warm, +pulses discharge general no acute distress pulmonary cta decreased at bases cardiac rrr, no murmur/rub/gallop abd soft, nontender, nondistended, +bs ext warm pulses palpable inc: left leg evh healed sternal with vac intact changed pertinent results: cxr : comparison with . there is interval increase in bilateral pleural effusions. there is probably development of underlying pulmonary vascular congestion, but the lungs are somewhat obscured. the patient is status post median sternotomy and cabg as before. an endotracheal tube has been inserted and ends at the thoracic inlet. a nasogastric tube has been placed and ends below the diaphragm, off of the bottom of the image. a picc line has been placed and terminates in the region of the superior vena cava. cxr : new bibasilar opacities and associated atelectasis with lung volume loss suggestive of either aspiration versus a new infectious process such as pneumonia. ct /: 1. large bilateral pleural effusions, right greater than left with adjacent bibasilar compressive atelectasis. 2. small pericardial effusion. 3. diffuse coronary artery calcifications. 4. no evidence of sternal osteomyelitis/parasternal fluid collections. 5. cholelithiasis, without evidence for cholecystitis. echo : mild spontaneous echo contrast is present in the left atrial appendage. a left atrial appendage thrombus cannot be excluded. a left- to-right shunt across the interatrial septum is seen at rest. a small secundum atrial septal defect is present. there is moderate regional left ventricular systolic dysfunction. overall left ventricular systolic function is moderately depressed. resting regional wall motion abnormalities include hypokinetic mid and apical portions of the septum, anterior septum, inferior septum, inferior wall and anterior wall. right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. no masses or vegetations are seen on the aortic valve. there is moderate aortic valve stenosis (area 0.8-1.19cm2) trace aortic regurgitation is seen. a mitral valve annuloplasty ring is present. no mass or vegetation is seen on the mitral valve. mild mitral regurgitation is seen. 09:56pm blood wbc-6.2 rbc-3.96* hgb-11.6* hct-33.1* mcv-84 mch-29.2 mchc-34.9 rdw-15.2 plt ct-306 05:40am blood wbc-7.5 rbc-4.39 hgb-12.6 hct-37.5 mcv-85 mch-28.6 mchc-33.5 rdw-14.6 plt ct-298 09:56pm blood pt-14.5* ptt-26.8 inr(pt)-1.3* 02:42am blood pt-13.7* ptt-24.8 inr(pt)-1.2* 09:56pm blood glucose-130* urean-22* creat-0.8 na-140 k-3.9 cl-106 hco3-23 angap-15 05:40am blood glucose-157* urean-10 creat-0.5 na-139 k-4.1 cl-101 hco3-30 angap-12 10:50am blood wbc-7.7 hct-39.3 10:50am blood k-3.9 02:42am blood alt-46* ast-40 alkphos-123* amylase-63 totbili-0.3 06:08am blood wbc-6.4 rbc-3.80* hgb-10.9* hct-32.7* mcv-86 mch-28.8 mchc-33.4 rdw-16.0* plt ct-560* 05:42am blood neuts-79.4* lymphs-10.0* monos-4.3 eos-6.2* baso-0.2 06:08am blood plt ct-560* 06:08am blood urean-25* creat-2.0* 05:42am blood alt-27 ast-20 alkphos-80 totbili-0.3 05:40am blood calcium-8.5 phos-4.7* mg-2.2 medications on admission: vanco, ceftriaxone, heparin, nexium, aspirin, lipitor, lasox, lopressor, riss, lantus, propofol discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 1* refills:*0* 7. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation every six (6) hours. disp:*1 1* refills:*0* 8. outpatient work labs: cbc with diff, lft, bun/cr, alt/ast, vanco trough -results to id fax# please check with 3rd dose after discharge 9. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed. 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 11. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 12. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. 13. pioglitazone 15 mg tablet sig: two (2) tablet po daily (daily). 14. vancomycin in normal saline 1 g/250 ml solution sig: one (1) gram intravenous q 24h (every 24 hours): to see in clinic on discontinuing . 15. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed. discharge disposition: extended care facility: life care center of discharge diagnosis: sternal wound infection s/p debridement with vac placement/ bil. chest tube placement for pleural effusions pmh: coronary artery disease s/p coronary artery bypass graft x 3, mitral regurgitation s/p mitral valve repair (), diabetes mellitus, hypertension, hyperlipidemia, cholelithiasis, anemia, s/p appendectomy, s/p left knee replacement discharge condition: good discharge instructions: continue wound care with vac dressing changes every three days - to follow up with plastics at wound clinic on friday no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving no lifting more than 5 pounds please call with any questions or concerns followup instructions: dr. in 2 weeks () please call for appointment plastics - follow up in wound clinic on friday please call for appointment () infectious disease - dr. phone: date/time: 9:30 labs: cbc with diff, lft, bun/cr qweekly with results to id fax# first draw procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours excisional debridement of wound, infection, or burn application of other wound dressing diagnoses: anemia, unspecified other postoperative infection unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other and unspecified hyperlipidemia acute respiratory failure bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site calculus of gallbladder without mention of cholecystitis, without mention of obstruction diarrhea knee joint replacement disruption of external operation (surgical) wound penicillins causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to