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: sulfonamides / e-mycin attending: chief complaint: abdominal pain major surgical or invasive procedure: : percutaneous cholecystostomy tube : picc line placement history of present illness: the patient is a 86-year-old female who began having abdominal pain in the ruq. she is rather a poor historian, but does not affirm that the pain is related to food. she states that the pain is worse with inspiration and is accompanied by nausea but no emesis. she denies fever and chills. last bm was today. she had a similar presentation in , and had a positive hida scan but appeared to improve with antibiotic therapy. past medical history: hypertension diverticulitis lactose intolerance glaucoma right l5 radiculopathy djd c. difficile colitis social history: lives in alone, her daughters live in the same building. , contact number . smoked, denies any etoh use. has vna who comes in 2 days/week. family history: brothers with diabetes physical exam: vs: 97.6 80 158/79 26 95ra gen: elderly female, obese, nad, no icterus heent: nc/at, eomi, perrla bilat., dry mm, without cervical lad on my exam cor: rrr without m/g/r, no jvd, no bruits lungs: cta bilat. : +bs, soft, obese, distended with mild tympany, mild ruq tenderness with no sign, no masses, no hernias ext: warm feet, 2+ pitting edema l>r, to knees pertinent results: 02:00am blood wbc-16.3*# rbc-4.16* hgb-11.7* hct-35.1* mcv-84 mch-28.0 mchc-33.2 rdw-14.9 plt ct-401 02:00am blood neuts-89.5* lymphs-7.5* monos-2.8 eos-0.1 baso-0.1 10:22am blood pt-14.6* ptt-24.3 inr(pt)-1.3* 02:00am blood glucose-248* urean-28* creat-0.7 na-135 k-4.3 cl-95* hco3-27 angap-17 02:00am blood calcium-9.2 phos-3.6 mg-1.3* 02:00am blood d-dimer-686* 02:00am blood alt-24 ast-21 alkphos-90 totbili-0.2 06:00am blood ck-mb-notdone ctropnt-0.01 02:14pm blood ck-mb-notdone ctropnt-0.04* 10:20pm blood ck-mb-notdone ctropnt-0.03* abdominal u/s : unchanged cholelithiasis with mild gallbladder wall thickening which may relate to underlying chronic cholecystitis. no definite edema, pericholecystic fluid collections, or son sign was obtained. if there is continued high clinical suspicion and alteration of care will occur, a repeat gallbladder nuclear study could be performed ct torso : 1. no evidence of aortic dissection or pulmonary embolism. small bilateral pleural effusions with bilateral lower lobe atelectases. 2. hyperenhancement of gallbladder mucosa with wall edema/thickening and peri-inflammatory changes of the surrounding fat. the degree of edema has increased from prior exams and the inflammatory changes are new. findings likely reflect acute-on-chronic cholecystitis. no definite choledocholithiasis, although the extrahepatic cbd is dilated (can evaluate with mrcp if needed). small contained microperforation appears to have been present in . 3. sub acute to chronic right-sided rib fractures. wedge compression deformities of t12 and l1 are new from . 4. mild wall edema involving the decompressed segment of hepatic flexure/transverse colon which is presumed to be reactive from the surrounding inflammatory changes of the gallbladder. no findings of bowel obstruction. 5. atherosclerotic disease within the coronary circulation and aorta. 6. multinodular goiter. can consider dedicated evaluation with thryoid ultrasound on non emergent basis. echocardiogram : normal biventricular cavity sizes with preserved global and regional biventricular systolic function. mild-moderate mitral regurgitation. mild aortic regurgitation. mild pulmonary artery systolic hypertension. cxr : a new picc terminates in the right atrium. pullback 2 cm suggested for optimal positioning. otherwise the appearance of the chest is not changed over the last three hours. right percutaneous nephrostomy tube is unchanged in position. there remain bilateral pleural effusions and basilar atelectasis. brief hospital course: the patient was admitted to the surgical floor with acute cholecystitis. she was started on admit for resuscitation and iv antibiotics (ciprofloxacin and flagyl), diet npo. a percutaneous cholecystostomy tube was placed without any difficulty. - vancomycin was added to antibiotics, continued cipro/flagyl, diet advanced to clears - the patient developed rapid atrial fibrillation unresponsive to lopressor, she was transferred to the icu for a diltiazem drip. cardiology was consulted. they recommended aspirin, diltiazem drip. continued clears, antibiotics - converted to sinus rhythm overnight, changed to oral medications, lopressor 25 , diet advanced to regular and transferred to the surgical floor on telemetry, picc line placed discontinued cipro/flagyl, continued vancomycin for mrsa positive cultures in both blood and bile, foley catheter removed, tlso brace in place, working with physical therapy - speech and swallow consult obtained for difficulty swallowing - pt to take nectar thick liquids and solids, lopressor changed to 25po tid, pressure tolerating - pt tolerating po, pain controlled, rhythm sinus, therapeutic on vanc at current dose. decision pt stable for discharge medications on admission: diazepam 5'', neurontin 100''', atenolol 25', hctz 25 qday, ?prednisone 10mg 3 daily temporal arteritis, prozac ?, xalatan 1 gtt discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day): d/c when/if pt is out of bed sufficiently. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 4. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime) as needed for glaucoma. 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. gabapentin 100 mg capsule sig: one (1) capsule po tid (3 times a day). 8. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 9. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 10. vancomycin 1000 mg iv q 24h 11. vancomycin 1,000 mg recon soln sig: one (1) gm intravenous once a day for 2 weeks. disp:*14 soln* refills:*0* 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: nursing and rehab discharge diagnosis: primary diagnosis: recurrent acute cholecystitis growing mrsa secondary diagnoses: htn, diverticulitis, lactose intolerance, glaucoma, r l5 radiculopathy, djd, c.diff colitis, temporal arteritis discharge condition: stable discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day followup instructions: please call to make an appointment to follow up with dr. in two weeks at please call the office of neurosurgery to make a follow up appointment in 2 weeks with dr. at follow-up with your primary care physician, . within 1 week of discharge for review and update of outpatient medications procedure: percutaneous aspiration of gallbladder diagnoses: unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation unspecified glaucoma bacteremia accidental fall on or from other stairs or steps osteoarthrosis, unspecified whether generalized or localized, site unspecified methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site closed fracture of one rib acute diastolic heart failure closed fracture of lumbar vertebra without mention of spinal cord injury diverticulosis of colon (without mention of hemorrhage) calculus of gallbladder with acute cholecystitis, without mention of obstruction volume depletion, unspecified oliguria and anuria giant cell arteritis thoracogenic scoliosis 

Answer: The patient is high likely exposed to