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: morphine / penicillins / shellfish attending: addendum: update from until time of discharge: cardiac: due to continued episodes of paroxsymal atrial fibrllation, low dose beta blockade was resumed just prior to discharge. sbp ranged between 90-140 mmhg. heart sounds were regular without murmur or rub. she continues to have bilateral lower extremity edema, + right greater than left. pulmonary: continued to have acidotic episodes with trach collar. also continued to require suctioning for moderate amounts of thick yellow sputum. plan is to continue psv trials as tolerated and complete 2 week course of antibiotics. lungs sounds at discharge were mostly clear with bibasilar ronchi but much improved. renal: bun/creatinine at discharge remained stable at 65/2.0. foley catheter remains. other labs show k 4.3, cl 104, na 135. neuro: alert and oriented at time of discharge with no complaints of pain. nutrition/gi: swallow recommendations at discharge are advance to po diet of thin liquids and ground consistency solids. no mixed consistencies. pills can be taken whole with water but if coughing occurs, give with purees or nectar thick liquid. the vent should be off with the pmv in place. she should be seated upright in a chair. id: needs to complete 2 week course of vancomycin, levofloxacin and flagyl from date of trach placement. she remains afebrile with improving secretions. all surgical incisions at time of discharge were clean, dry and intact. heme: white count on discharge was 7.0 with a hematocrit of 29%. platelet count was 186k. other: seen by wound care specialist just prior to discharge. coccyx ulcer reportedly looks fine. she also noted to have right lower extremity ulcer which needs to be cleaned with daily dressing changes. discharge disposition: extended care facility: hospital md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart insertion of endotracheal tube temporary tracheostomy open and other replacement of mitral valve bronchoscopy through artificial stoma transfusion of packed cells injection or infusion of nesiritide injection or infusion of nesiritide diagnoses: acidosis other iatrogenic hypotension coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation acute respiratory failure unspecified disorder of kidney and ureter pressure ulcer, lower back obesity, unspecified chronic respiratory failure ulcer of other part of lower limb monoclonal paraproteinemia 

Answer: The patient is high likely exposed to