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: service: history of present illness: the patient is a 50 year old woman with a very extensive past medical, psychiatric and neurologic history who was transferred back to medicine service after left hip repair. patient had been admitted on , for hyponatremia. she had suffered a hyponatremia was noted on routine blood work. patient has a significant history of epilepsy which required two lobectomies and titration of a variety of antiepileptic drugs. she has had multiple admissions for hyponatremia down to the 120s before. previous workup revealed a siadh picture. because the siadh was thought to be secondary to her antiepileptic medications, patient was previously treated has been following her and drew a sodium which revealed sodium of 120 on . after further questioning, patient reports her usual seizure activity, partial complex of left hand and arm twitching times one two days prior to admission. she had not had a prior seizure in over a year. on admission she was noted to have a large protruding mass over the left thigh, extremely tender and erythematous. pain films revealed a new fracture of the left acetabulum. patient has a history of bilateral hip fractures, although she only recalls a left hip fracture. an abscess over the site was drained. cultures grew gram positive cocci in pairs and clusters. she went to the operating room on , where hardware from previous repair was removed. cultures were taken in the operating room. she received four units of packed red blood cells and lasix. when patient was seen she complained of left knee pain, severe in intensity. she reports having had similar knee pain in the past and was admitted in due to similar complaints. denies dyspnea, fever, chills, chest pain. denies headaches. has not had a seizure during this admission. past medical history: complex partial seizures. status post right temporooccipital lobectomy with vp shunt and partial left hemiparesis in . depression. obsessive compulsive disorder. chronic left lower extremity edema. right hip fracture to the left and fracture of the lateral ischial ring on the right side. left hip fracture dislocation status post left hip replacement. history of methicillin resistant staphylococcus aureus growth in the left joint status post total hip replacement. anorexia, binging eating disorder. osteoporosis status post multiple fractures. severe left knee pain likely referred from the left hip. premenopausal. history of b-12 deficient anemia. history of incontinence status post urinary stent. constipation. peripheral vascular disease left lower extremity. history of cellulitis in left lower extremity. osteoporotic compression fractures. syndrome of inappropriate diuretic hormone thought to be secondary to psychiatric medications. social history: she lives in . she denies ethanol use. denies tobacco use. she graduated from high school as well as from with a bachelor's in religion. she attended school. she was forced to leave her studies after the second year secondary to her seizure disorder. she has never been married. she has no children. she currently lives alone in an apartment in . she has a personal care attendant who works with her five days a week. medications on admission: carbamazepine 200 mg p.o. t.i.d. (this must be brand name tegretol), docusate sodium 100 mg p.o. t.i.d., oxycodone sustained release 20 mg p.o. q.eight, tylenol, senna one tab p.o. b.i.d., dulcolax 10 mg p.o. p.r. q.d., vancomycin 1 gm iv q.12, protonix 40 p.o. q.24, midodrine 10 mg p.o. t.i.d., percocet one to two tabs p.o. q.four to six hours p.r.n., calcium, fluocinolone cream, risperidone 1 mg p.o. b.i.d., raloxifene 60 mg q.d., phenobarbital 30 p.o. t.i.d., multivitamin, lactic acid lotion, ibuprofen 400 mg p.o. q.eight p.r.n., hydrocortisone cream 1% t.p. b.i.d., tiagabine 4 mg p.o. b.i.d., alendronate sodium 70 mg p.o. q.monday, oxybutynin 10 mg p.o. b.i.d., baclofen 10 mg p.o. q.i.d., hydroxyzine 25 p.o. q.four to six hours p.r.n., amoxapine 25 p.o. t.i.d., coumadin 5 mg p.o. q.d. allergies: no known drug allergies. physical examination: temperature 98.4, heart rate 70 to 80, blood pressure 100/60, respirations 12 to 16, oxygen saturation 99% on 2 liters nasal cannula. in general, this was an alert female with slow speech pattern, however, she was talkative with sporadic intermittently tearful episodes. heent: extraocular movements intact. pupils were equal, round, and reactive to light and accommodation bilaterally. oropharynx had poor dentition, but otherwise clear. mucosal membranes were moist. neck no lad, supple, palpable vp shunt on right side of neck. heart widely split s2 with loud p2, regular rate, mild hsm radiating to the axilla. lungs had no wheezes or crackles limited anteriorly. abdomen normal bowel sounds, distended, mildly tympanitic, nontender, no rebound or guarding. extremities: left hip covered with bandage, has drain collecting sanguineous fluid. left knee appears more swollen than right. no clear collection of fluid. nontender to palpation. both lower extremities were cool to touch. had dopplerable pt and dp pulses bilaterally. left lower extremity from knee to foot is erythematous, not so in right lower extremity. on neuro exam cranial nerves ii-xii intact. left arm , right side . has limited ankle dorsiflexion and plantar flexion. left subclavian line nontender. laboratory data: white cell count 12.9, hematocrit 43.7, platelets 272. inr 1.2. urinalysis showed 30 protein, 3 white cells. chest x-ray confirmed good central line placement from subclavian. left hip film showed a large soft tissue density projected over the left groin. this appeared to be a fractured left acetabulum with continued protrusion of the acetabular component of the total hip prosthesis into the pelvis. hospital course: after the patient returned from surgery where infected hardware was removed, her hyponatremia was managed with fluid restriction and sodium tablets. sodium remained stable at 130 over the two to three days prior to discharge. the sodium supplementation helped her chronically low blood pressure. her midodrine was therefore discontinued. she was continued on vancomycin. wound cultures returned with cultures positive for mrsa. id consult was requested and recommended very long term antibiotic use with vancomycin 1 gm iv q.12 hours for a total of four to six months. followup with id was to be scheduled by rehab staff within three to four weeks after discharge from the hospital. the patient was started on coumadin for anticoagulation with a goal of 1.5 to 2.0. she was discharged on coumadin 5 mg p.o. q.d. regarding epilepsy, patient remained seizure free during her hospital stay. her seizure episode was thought to be caused by hyponatremia. per id recommendation an mri of the left thigh was performed. this showed old left supracondylar fracture with high suspicion for complications with osteomyelitis with discrete interosseous abscess. there was also inflammatory change present within the joint and soft tissue, particularly the posterior compartment. however, no discrete soft tissue abscess was appreciated. orthopaedic surgeon, dr. , was consulted again and recommended conservative management with long term vancomycin with no surgical intervention at that time. infectious disease was consulted as well and they agreed with the plan. the patient was discharged to rehab on , on the following medications. discharge medications: 1. coumadin 5 mg p.o. q.d. 2. lactulose 30 mg p.o. q.eight p.r.n. 3. tiagabine 4 mg p.o. h.s. 4. oxycodone extended release 10 mg p.o. q.12. 5. amoxapine 50 mg p.o. b.i.d. 6. tegretol (this must be brand name tegretol) 200 mg p.o. t.i.d. 7. vitamin d 50,000 units p.o. twice a week on wednesday and saturday for a total of six doses, then resume 800 iu q.d. 8. sodium tabs 4 gm p.o. t.i.d. 9. colace 100 mg p.o. b.i.d. 10. senna one tab p.o. b.i.d. 11. eucerin cream q.i.d. p.r.n. 12. dulcolax 10 mg p.o. p.r. q.d. 13. vancomycin 1 gm iv q.12. duration to be determined by infectious disease. at this time the anticipated duration is four to six months. 14. oxybutynin 10 mg p.o. b.i.d. 15. protonix 40 mg p.o. q.d. 16. risperidone 1 mg p.o. b.i.d. 17. percocet one to two tabs p.o. q.four to six hours p.r.n. 18. calcium carbonate 1250 p.o. b.i.d. 19. fluocinolone cream b.i.d. 20. raloxifene 60 mg p.o. q.d. 21. phenobarbital 30 mg p.o. t.i.d. 22. multivitamin one tab p.o. q.d. 23. lactic acid lotion. 24. ibuprofen 400 mg p.o. t.i.d. 25. hydrocortisone cream 1% b.i.d. 26. alendronate sodium 70 mg p.o. q.monday. 27. baclofen 10 mg p.o. q.i.d. 28. hydroxyzine 25 mg p.o. q.four to six hours p.r.n. 29. ditropan xl 10 mg p.o. b.i.d. discharge instructions: cbc, chem-7, albumin, calcium will need to be checked every week at minimum. calcium must be followed given high dose of vitamin d. followup appointments will need to be set up by rehab staff with infectious disease specialist, dr. or dr. at , in three to four weeks after discharge and orthopaedic surgeon, dr. , in four to five weeks after discharge. discharge diet high protein, high salt with fluid restriction of 1 liter a day. condition on discharge: fair. discharge diagnoses: 1. seizures. 2. acetabular fracture. 3. infected hardware status post removal. 4. hyponatremia. 5. osteomyelitis of left femoral bone. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified arthrotomy for removal of prosthesis without replacement, hip diagnoses: peripheral vascular disease, unspecified osteoporosis, unspecified epilepsy, unspecified, without mention of intractable epilepsy other disorders of neurohypophysis closed fracture of acetabulum acute osteomyelitis, pelvic region and thigh infection and inflammatory reaction due to internal joint prosthesis 

Answer: The patient is high likely exposed to