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: history of present illness: the patient is a 20-year-old woman with a history of asthma and migraine headaches who reported nasal congestion and sneezing on saturday () relieved with over-the-counter decongestants who presented on with an acute onset of nausea, vomiting, headache, and neck pain. the patient was well on the morning of admission. she went to her basketball pregame practice without complaints. however, shortly thereafter around lunch she noticed that her appetite was poor and that she felt very fatigued. prior to her game that afternoon, she developed the acute onset of severe nausea and multiple episodes of vomiting. she then developed a severe throbbing headache, neck stiffness, and shortness of breath; at which time she presented to the emergency department. she denied any photophobia. she lives in a dormitory at pine college and denied any sick contacts at home, or in school, or on the basketball team. in the emergency department, she received ceftriaxone and vancomycin. a lumbar puncture was performed. tube #1 revealed 34,375 red blood cells, 58 white blood cells; of which 94% were polys, 1% lymphocytes, and 5% monocytes. tube #4 revealed 1,960 red blood cells, 4 white blood cells; of which 98% were polys and 2% lymphocytes. the protein in the cerebrospinal fluid was 50, glucose was 69. ldh was 13; and the gram stain showed no organisms or polys. the tap was felt to be negative, so further etiologies of infection were investigated. the patient had complained of severe/severe neck pain, and on examination in the emergency department resident noted some erythema and exudate in the oropharynx. the patient was sent for a computed tomography of the neck without contrast to rule out a retropharyngeal abscess. the computed tomography was negative. on further investigation in the emergency department, review of systems revealed dysuria for the previous one to two days, and that the patient was currently menstruating and using tampons. in fact, on the day of admission, the patient had a tampon in place for over 12 hours; at which time the concern for toxic shock syndrome was raised. a pelvic examination was performed, and a vaginal swab was sent for culture in addition to gonorrhea and chlamydia. due to persistent hypotension with systolic blood pressures in the 90s (even after receiving 6 liters or normal saline) and fevers to 104, the patient was admitted to the medical intensive care unit for further management. past medical history: 1. asthma. 2. migraine headaches. allergies: no known drug allergies. medications on admission: none. social history: the patient is at pine college. she plays point guard on the basketball team. she does not use tobacco, alcohol, or any illicit drugs and denies any sick contacts. family history: paternal grandmother had multiple myeloma. history of diabetes in the family as well as hypercholesterolemia. review of systems: review of systems was again significant for dysuria, vaginal discomfort, sore throat, and minor dysphagia. physical examination on presentation: examination on admission revealed the patient was febrile up to 103.7, she was tachycardic in the 120s to 130s, blood pressure was 90s/50s, with a respiratory rate of 34. she was saturating 100% on room air. pertinent physical findings on head, eyes, ears, nose, and throat examination revealed erythema and a small amount of tonsilar exudate in the oropharynx with fullness of the carotids bilaterally (which were nontender). her neck was very/very tender to passive motion. there was no palpable lymphadenopathy, and there was reproducible pain with palpation in the nape of the neck. her heart examination was regular and tachycardic without murmurs. her lungs were clear bilaterally. her abdominal examination was benign with no suprapubic tenderness. her extremities revealed a small amount of lower extremity edema of approximately 1+ with 2+ pulses. her neurologic examination revealed negative kernig and brudzinski signs. it was otherwise nonfocal. examination of her skin revealed no skin rash. pertinent laboratory values on presentation: laboratories on admission revealed white blood cell count was 22.7 (with a differential of 72% neutrophils, 19% bands, 1% lymphocytes, and 6% monocytes), hematocrit was 36.3, and platelets were 241. chemistry-7 was remarkable only for acute renal failure with a blood urea nitrogen of 17 and creatinine of 1.1. coagulations were within normal limits. cerebrospinal fluid studies were reported in the history of present illness. radiology/imaging: a computed tomography of the neck revealed no soft tissue fluid collection. a chest x-ray revealed diffuse interstitial markings which were thought to possibly represent an atypical pneumonia, a viral pneumonia, a hypersensitivity pneumonitis, or other inflammatory process. medical intensive care unit course: the patient was admitted to the medical intensive care unit for further management of possible sepsis. because of the amount of blood persisting through tube #4 in the lumbar puncture, she was started on acyclovir for the concern of hsv encephalitis. hsv/pcr was added on to the cerebrospinal fluid studies as well. she was continued on vancomycin and ceftriaxone. she remained febrile, requiring frequent tylenol dosing. clindamycin had been added but was discontinued the following morning, as it was felt to be unnecessary for additional coverage. further blood cultures were sent, and she was resuscitated with normal saline. her fever became better controlled, and her blood pressure normalized, at which time she was called out to the medicine floor. hospital course on firm: the patient was called out to the floor on . she was still complaining of neck stiffness but reported that her headache had been under much better control. she was no longer feeling feverish nor was she photophobic and denied any continuation of her nausea and vomiting. however, she did still report a decrease in her appetite. her complete blood count improved from a white blood cell count of 22 down to 12.7. her hematocrit was noted to drop from 36 to 27.9; thought to be dilutional but still a very low hematocrit for a girl of her age. hemolysis laboratories were checked which were negative. at this time, infectious disease was consulted regarding further management and workup of this patient. the laboratory data that had been returned by now revealed urine culture was negative. blood cultures were negative to date times four. gonorrhea and chlamydia cultures were negative. culture and sensitivity culture was negative. toxic shock antibody panel was sent, and the hsv/pcr was still pending. her creatine kinases were noted to be elevated at 411 with a mb of 1; thought to be a minor amount of rhabdomyolysis. infectious disease consultation thought that the differential included the possibility of a severe influenza or other viral syndrome. still considered toxic shock a real possibility despite the lack of a skin rash. the following day (on ), the hsv/pcr returned negative; at which time the acyclovir was discontinued. ceftriaxone was discontinued as well as the concern for meningitis had been ruled out. the culture from a vaginal swab at this time was positive for staphylococcus aureus; making toxic shock syndrome the most likely diagnosis. clindamycin was added to the regimen at 300 mg p.o. t.i.d. and vancomycin was stopped as the staphylococcus isolate was sensitive to clindamycin. the isolate was sent to for a toxin assay which will be followed up by the infectious disease department. on the day of discharge, the patient had been afebrile for 48 hours. she has mobilized large amounts of fluid that had third-spaced into the lower extremity and likely into the neck soft tissues causing her neck stiffness and pain. range of motion in her neck was greatly improved as was the pain she was feeling in her neck. for the last 24 hours prior to discharge, she developed repeated episodes of diarrhea which could likely be a side effect from the antibiotics or possibly clostridium difficile related to the antibiotics she received as an inpatient. this was conveyed to the nurse practitioner ( ) at pine college who will follow up with ms. if the diarrhea does not improve. condition at discharge: condition on discharge was good. discharge diagnoses: toxic shock syndrome. discharge instructions/followup: 1. the patient was to see her primary care doctor (dr. at the pine college on monday. 2. in addition, she had an appointment to follow up with dr. of infectious disease in two weeks. medications on discharge: clindamycin 300 mg p.o. t.i.d. (to complete a 2-week course). , m.d. dictated by: medquist36 procedure: spinal tap incision of lung diagnoses: asthma, unspecified type, unspecified hypotension, unspecified methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site toxic shock syndrome 

Answer: The patient is high likely exposed to