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: past medical history: 1. hyponatremia. 2. metabolic acidosis. 3. staphylococcus epidermidis line infection diagnosed in at the outside hospital and being treated with vancomycin. 4. history of syndrome, status post colectomy in with resultant short gut syndrome. 5. chronic tpn. 6. history of svc syndrome and multiple dvts, status post multiple stents, approximately in total, by dr. . family history: significant for syndrome. approximately six out of eight siblings have this disease. her father also died of the disease and per report many uncles have the disease as well. allergies: demerol causing seizures, compazine and reglan causing a rash, ivp dye causing a rash and nausea, tape, and betadine which caused blisters. admission medications: 1. duragesic patch 100 micrograms change q. 72 hours topical. 2. tylenol p.r.n. 3. paxil 20 mg p.o. q.d. 4. protonix 40 mg p.o. q.d. 5. dilaudid 5 mg p.o./im q. 4-6 hours. 6. zofran 8 mg p.o./iv q. six hours p.r.n. social history: she denied tobacco or alcohol use. she denied iv drug use. she lives at home with her mother. physical examination on admission: vital signs: temperature 98.9, pulse 86, blood pressure 98/50, respiratory rate 16, saturating 93% on room air. general: this is a well-nourished caucasian female lying in bed in no acute distress. heent: the pupils were equal, round, and reactive to light. the extraocular movements were intact. anicteric sclerae. the mucous membranes were moist. no lymphadenopathy. cardiovascular: regular rate and rhythm, no rubs, murmurs, or gallops. lungs: decreased breath sounds bilaterally, approximately one-half up with accompanied with decrease to percussion. abdomen: normoactive bowel sounds, nontender, nondistended. there was an ileostomy bag in place without erythema around the site. extremities: no clubbing, cyanosis or edema. there were 2+ dp pulses. laboratory data on admission: sodium 133, potassium 4.4, chloride 101, bicarbonate 21.5, bun 14, creatinine 0.8, blood sugar 113, calcium 7.4, phosphate 4.1. the cbc showed a white count of 6.4, hematocrit 23.3, platelets 86,000. her mcv was 90. hospital course: 1. infectious disease: ms. was treated with vancomycin and gentamicin per id recommendations. it was thought that rifampin would be held until she is known to be resistant to gentamicin as a synergistic . ms. was afebrile throughout her medical hospitalization. id consultation was done. possible sources on admission included a line infection, infected dvt, possible infected stent. however, blood cultures were done to rule out continued bacteremia as well as a u/a for question of continued urinary tract infection. a chest x-ray was also done to rule out pneumonia. of note, her chest x-ray was notable for bilateral pleural effusions, left greater than right which will be discussed at a later time. she also a transthoracic echocardiogram to rule out endocarditis. this was negative for any vegetations on the right or left-sided valves. transesophageal echocardiogram was held because the patient was afebrile throughout her stay. on , ms. was taken to the or by interventional radiology. her right tunneled ij catheter was removed initially and a temporary catheter was placed. she was noted to have a new clot within her svc and tpa was administered. a femoral line was also placed temporarily. at the end, another right ij catheter was placed through the same tunnel. again, she has had no leukocytosis and no fever since her admission. her blood cultures were also negative for any new bacteremia. however, at the outside hospital, her blood cultures were positive up until . 2. pulmonary: ms. cta to rule out pulmonary embolus given her relative hypoxia. cta was negative for pulmonary embolus; however, she was noted to have these new pleural effusions, left greater than right, on chest x-ray and again on ct. on , she thoracentesis by the interventional pulmonary service. her effusion was noted to be transudative in nature and had normal ph and no organisms. repeat chest x-ray the next day showed resolution of both the right and left pleural effusions and no further thoracenteses were warranted. 3. hematology: ms. had a hematocrit of 23 and platelets of 80,000 on admission. all heparin products were held secondary to a possible heparin-induced thrombocytopenia. hit antibody eventually was negative. her platelets continued to improve throughout her stay and at current are approximately 600,000. her thrombocytopenia was likely secondary to cimetidine or some other medicinal side effect. her hematocrit has remained stable between 22-26. she is asymptomatic from her anemia. prior studies from showed normal iron and repeat iron studies here were also within normal limits. ms. was continued on heparin starting on for chronic dvts. 4. fluids, electrolytes, and nutrition: tpn was restarted on . in the meantime, electrolytes were repleted per iv. she continued to take p.o. with increased output from her ostomy. 5. prophylaxis: ms. was continued on protonix during her hospital stay. she will require heparin for dvt prophylaxis. disposition: ms. will be discharged home. she will need vna services for iv antibiotics twice a day. discharge diagnosis: 1. staphylococcus epidermidis bacteremia, likely secondary to line infection. 2. chronic deep venous thromboses secondary to chronic indwelling lines. 3. history of syndrome, status post colectomy with short gut syndrome. 4. total parenteral nutrition requirement. 5. history of superior vena cava syndrome, status post multiple stents. discharge medications: 1. vancomycin 750 mg iv b.i.d. 2. fentanyl patch 100 micrograms per hour topical q. 72 hours. 3. pantoprazole 40 mg p.o. q. 24 hours. 4. paxil 20 mg p.o. q.d. 5. tylenol 650 mg p.o. q. 4-6 hours p.r.n. , m.d. dictated by: procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent thoracentesis incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: thrombocytopenia, unspecified anemia, unspecified unspecified pleural effusion bacteremia other complications due to other vascular device, implant, and graft infection and inflammatory reaction due to other vascular device, implant, and graft other and unspecified postsurgical nonabsorption 

Answer: The patient is high likely exposed to