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: penicillins / linezolid / morphine / oxycodone attending: chief complaint: tranferred from rehab for replacement of j tube and elevated creatinine major surgical or invasive procedure: j tube placement arterial line midline picc history of present illness: the patient is a 65 yo f with multiple medical problems including htn/dm/pvd, recent chylothorax, pancreatitis s/p necrosectomy, s/p trach and peg whose recent hospitalization was from - . she was sent to rehab and is coming in today with a rising creatinine and malpositioned j tube. . briefly, the patient originally presented to in for a repair of an innominate aterial aneurysm. she was discharged to rehab but returned on with respiratory distress and sepsis. during this hospital course she had a pea arrest, inferior mi, and upper extremity dvt. she was ultimately transferred to on on a 4 week course of daptomycin for vre/mrsa infection. she was readmitted to on after being found to have new neurological symptoms. eventually, she was diagnosed with severe brain injury. she had a number of complications during this hospital course. she developed a chylothroax and required multiple procedures including a right vats, thoracic duct , duct embolization, talc pleurodesis, and decortication. she was trach'd and peg'd on . she unfortunately the developed near total pancraetic necrosis that required pancreatic debridement and necrosectomy and abdominal drainage of numerous absecesses. she was bacteremia on pressors at numerous points during her hospital course. she was discharged to again on with plans to complete a 14 day course of daptomycin for vre/mrsa and continue weaning from the vent if possible. . while at , the patient continued to have full body anasarca and was aggressively diuresed with a rise in her creatine over time from 0.9 to 3.4. prior to transfer to her lasix was being held. also, her peg jeujunostomy tube came out and reposition was attempted. she was transferred to for replacement of her peg jeujunostomy tube. past medical history: -- dm2 -- chronic foot ulcers/pvd -- htn -- osteoarthritis -- obesity -- asthma -- leg pain/neuropathy -- depression -- anemia -- h/o mrsa bacteremia , also septic arthritis -- right thalamic hemorrhage resulting in a gait disorder and incontinence of urine, followed by dr. . -- hypercholesterolemia. -- right vats and thoracic duct ligation -- thoracic duct embolization and talc pleurodesis -- tracheostomy and percutaneous endoscopic gastrostomy -- exploratory laparotomy, pancreatic necrosectomy, gastrostomy tube -- exploratory laparotomy, abdominal wash out -- exploratory lap, takedown gastrostomy, debride necrotic pancreas and multiple retroperitoneal abscesses -- abdominal closure and vac dressing application -- left thoracotomy and decortication, flexible bronchoscopy -- aorto innominate and left carotid bypass -- left carotid to left subclavian bypass using 8 mm ptfe and thoracic aortic stent graft placement social history: currently living at after a prolong hospital course. has seven children, many grandchildren. family history: brother died of an mi in his 30's, she denies diabetes mellitus in the family. cancer in parents (mother died in 40s, father in 80s), at least two siblings, but unsure what kind. physical exam: vitals - hr89 bp 144/32 rr16 o298% on vent fio2 100% general - obese african american female, lying in bed heent - perrl, patient not following commands neck - trach in place cv - regular rate, distant heart sounds lungs - clear to auscultation bilaterally abdomen - obese, g/j tube in place; large midline incision with vac (healing well, no signs of infection) ext - + edema pertinent results: admission labs: 06:17pm blood wbc-13.1* rbc-3.19*# hgb-9.7* hct-28.1* mcv-88 mch-30.5 mchc-34.6 rdw-16.0* plt ct-67* 06:17pm blood neuts-95* bands-5 lymphs-0 monos-0 eos-0 baso-0 atyps-0 metas-0 myelos-0 06:17pm blood pt-13.7* ptt-30.5 inr(pt)-1.2* 06:17pm blood glucose-144* urean-160* creat-3.6*# na-138 k-4.2 cl-99 hco3-20* angap-23* 07:10pm blood alt-63* ast-47* ld(ldh)-297* ck(cpk)-16* alkphos-484* totbili-0.3 07:10pm blood ck-mb-notdone ctropnt-0.41* 04:20am blood ck-mb-notdone ctropnt-0.37* 04:20am blood ck(cpk)-17* 06:17pm blood calcium-9.8 phos-5.0* mg-2.8* 10:19am blood type-art po2-146* pco2-31* ph-7.39 caltco2-19* base xs--4 04:24am blood lactate-1.0 04:24am blood freeca-1.16 hospital course labs: 04:50am blood wbc-8.5 rbc-3.42* hgb-10.3* hct-29.9* mcv-88 mch-30.0 mchc-34.3 rdw-16.0* plt ct-45* 04:50am blood plt ct-45* 04:26am blood pt-13.7* ptt-30.1 inr(pt)-1.2* 04:50am blood glucose-124* urean-169* creat-5.4* na-146* k-4.3 cl-114* hco3-14* angap-22* 04:12am blood alt-29 ast-13 ld(ldh)-227 alkphos-275* amylase-41 totbili-0.3 04:12am blood lipase-68* 04:50am blood calcium-8.6 phos-4.0 mg-2.4 04:12am blood albumin-2.0* calcium-8.7 phos-4.0 mg-2.2 06:08pm blood tsh-31* 06:08pm blood free t4-0.53* 05:43pm blood cortsol-43.8* 04:54pm blood cortsol-41.4* 04:31pm blood cortsol-25.2* 01:53pm blood type-art temp-36.2 rates-/28 fio2-50 po2-90 pco2-34* ph-7.20* caltco2-14* base xs--13 intubat-intubated 10:07am blood type-art po2-138* pco2-31* ph-7.30* caltco2-16* base xs--9 04:55am blood lactate-3.2* 10:07am blood lactate-1.2 brief hospital course: 65yo f c complex medical history, who is s/p a prolonged hospital course complicated by sepsis, pancreatic necrosis requiring pancreatic necrosectomy, and cylothorax requiring numerous surgical procedures, presented from rehab with malpositioned j tube and an elevated creatinine. she was admitted to the micu because she was chronically ventilated/trached. her j tube was replaced by ir on without compications. she had limited to no cognative response during her micu course. during her complicated micu course, she developed worsening renal failure and a gi bleed along with a rising wbc count and hypotension. after many family discussions including with her hcp daughter, it was decided to not escalate care on . on the family decided to make her dnr/dni and begin comfort care. her vent was turned to room air settings with minimal pressure support. she was started on a morphine drip and the patient passed away. family requested autopsy. her course was complicated by the following: # respiratory failure - s/p trach in . she had difficulty weaning off the vent at rehab and was continued to be 24 hour vent dependent at the time of transfer to . # id - s/p course of synercid, meropenem, and caspofungin (finished on ) prior to hospitalization. patient likely colonized with multiple resistant organisms. wbc recently declined on meropenem for proteus uti and was started on bactrim on for stenotrophomonas infection. she developed proteus uti and pneumonia along with mrsa pneumonia. she had a pleural vac inplace on admission which had fluid draining which was growing vre and mrsa. she was on vanco and meropenem. she still had an abdominal vac inplace s/p pancreatic surgery. # arf - etiology likely prerenal and progressed to atn. she continued to have rising creatinine and uremia. renal consult was called and many discussions were held regarding the utility of hemodialysis for her. ultimately, it was decided on with hcp daughter not to escalate care. in addition, it was felt by the renal consult team and the primary team that hd was not medically indiacated given poor prognosis and lack of bridge to intermittent hd. # anemia - patient required several units of prbcs to keep hct above 21. during her hospitalization she began to pass clots per her rectum. gi was consulted and it was decided that the risk of endoscopy was greater than the benefits at that time. # hypothyroid - continued synthroid and increased dose and gave it iv as her tsh was above 30 and it was thought that her gi absorption was very poor. # diabetes - continued insulin # skin - several areas of breakdown without signs of infection. fen - tube feeds ppx - ppi, bowel regimen access - midline, a-line, ej code - dnr, no pressors; family meeting again on - family decided to not escalate care. will continue current care. if patient decompensates, will call family and change to morphine and ativan to help keep her comfortable and will stop all other care. contact - daughter/hcp, cell ; home - . medications on admission: mucomyst nebs vitamin c 500mg bacitracin to the peg site colace 100mg advair hfa 1 puff heparin sq tid regular iss synthroid 50mcg via peg daily mvi daily accuzyme topically daily to the wounds beneprotein 1 scoop daily senna daily zinc sulfate 220mg via tube daily tylenol 650mg prn atrovent and albuterol q2 prn aspirin 325mg daily dulcolax 10ml pr daily glycerine suppository pr prn lactulose 20grams daily prn reglan 10mg via tube q4 prn nitroglycerin prn seroquel 12.5mg q12 prn - has not needed at discharge medications: none discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: none followup instructions: none procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrojejunostomy diagnoses: thrombocytopenia, unspecified end stage renal disease urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia iron deficiency anemia secondary to blood loss (chronic) unspecified protein-calorie malnutrition severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure anoxic brain damage morbid obesity hemorrhage of gastrointestinal tract, unspecified dehydration proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site tracheostomy status 

Answer: The patient is high likely exposed to