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: keflex attending: chief complaint: shortness of breath, cough major surgical or invasive procedure: icu monitoring flexible bronchoscopy flexible bronchoscopy with bronchoalveolar lavage, right vats total pulmonary decortication. transthoracic ultrasound. tube thoracostomy 14-french pigtail on the right side. history of present illness: ms. is a 22 yo f with a history of asthma who presents with worsening shortness of breath, cough, and r-sided pleuritic chest pain since awakening early this morning. she reports that she has had uri symptoms of rhinorrhea, sore throat, and cough for the past couple of days, which dramatically worsened this morning. her cough is productive of yellow/tan sputum, denies bloody sputum. she also reports that she in unable to take a deep breath because " just won't let me". she reports that she has been taking her advair daily and has also been using her rescue inhaler regularly for the past couple of days. the pt denies any history of blood clots or recent air travel, prolonged car travel, trauma to the les, or swelling in the legs, but does report that she has been taking ocps for the past couple of months. pt denies myalgias, arthralgias, and nausea/vomiting. in the ed, vs: t 98.8, hr 98, bp 148/77, rr 16, o2sat 100%ra. physical exam without wheezing, no accessory muscle use. pt given prednisone 60 mg, as well as combivent & albuterol nebs, for presumed asthma exacerbation, and ibuprofen for r-sided chest pain. however, cxr was indicative of rll pneumonia for which pt was started on 750 mg of levofloxacin. pt developed fever to 102.2 following nebs, and also developed worsening tachypnea to 24, with o2 sat 95% on ra (99% on 2l nc). pt was admitted due to worsening respiratory condition. currently, pt is with considerable shortness of breath as well as persistent right-sided chest pain. she reports that her dyspnea is worse than when she presented to the ed this morning. ros: denies headache, vision changes, rhinorrhea, congestion, sore throat, abdominal pain, nausea, vomiting, diarrhea, constipation, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: asthma (hospitalized as child, no history of intubation; symptoms recently well-controlled with current regimen) social history: works in administration in the recovery room, accompanied by boyfriend to hospital. denies tobacco use, endorses recent etoh use (one drink last night), denies illicit drug use. family history: denies history of blood clots. physical exam: vitals - t: 99.8 bp: 142/80 hr: 109 rr: 26 02 sat: 94%ra general: young woman sitting up in bed in apparent discomfort with difficulty breathing. heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: tachycardia, regular rhythm. normal s1, s2. no murmurs, rubs or . jvp not elevated. lung: tachypneic, coarse breath sounds bilaterally with mild expiratory wheezing. dullness to percussion at base of right lung, no change fremitus appreciated. increased work of breathing with nasal flairing and mild accessory muscle use. abdomen: bs+, soft, nt/nd. no masses palpated. ext: no edema or calf pain, 2+ dorsalis pedis pulses bilaterally. neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation and strength throughout. derm: no rashes/lesions, ecchymoses. pertinent results: 11:26pm urine color-straw appear-clear sp -1.023 11:26pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:00pm urine hours-random 11:00pm urine gr hold-hold 04:41pm lactate-2.0 04:30pm glucose-133* urea n-10 creat-0.7 sodium-139 potassium-3.3 chloride-104 total co2-21* anion gap-17 04:30pm estgfr-using this 04:30pm wbc-11.0 rbc-4.73 hgb-14.0 hct-40.0 mcv-85 mch-29.5 mchc-34.9 rdw-13.3 04:30pm neuts-70 bands-18* lymphs-9* monos-3 eos-0 basos-0 atyps-0 metas-0 myelos-0 04:30pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 04:30pm plt smr-normal plt count-225 chest x-ray (): right lower lobe pneumonia. ecg (): sinus tachycardia. st-t wave abnormalities. rsr' pattern in lead v1. clinical correlation is suggested. no previous tracing available for comparison. chest x-ray () #1: increasing pneumonia and pleural effusion at the right base. chest x-ray () #2: there is interval increase in right pleural effusion and ajacent lung consolidation. there is also increase in left pleural effusion with left retrocardiac consolidation. chest x-ray (): no short-term interval change was demonstrated in the bibasilar right significantly more than left consolidations and bilateral pleural effusions also right more than left. chest x-ray (): no significant interval change of the bibasilar opacities, right greater than left. chest ct - severe multifocal pneumonia, with complete heterogenous consolidation of the right middle lobe and right lower lobe, associated with necrotizing component in right lower lobe. obstruction of the bronchus intermedius with peribronchial nodal tissue could be due to mucous plugging and less likely inflammatory reaction to a foreign body. chest ct -overall improvement. improvement in right lower lobe collapse and consolidation, left lower lobe consolidation and collapse, and aeration of multiple bronchi as described above. improvement of bilateral pleural effusion, especially on the right. 05:14am blood wbc-16.1* rbc-3.30* hgb-9.7* hct-28.0* mcv-85 mch-29.6 mchc-34.8 rdw-13.3 plt ct-454* 05:04am blood wbc-41.5*# rbc-3.50* hgb-10.3* hct-30.2* mcv-86 mch-29.5 mchc-34.2 rdw-13.4 plt ct-556* 06:15am blood wbc-19.0*# rbc-3.38* hgb-9.8* hct-28.9* mcv-85 mch-28.9 mchc-33.9 rdw-13.1 plt ct-540* 03:38am blood wbc-11.8* rbc-3.02* hgb-8.7* hct-25.6* mcv-85 mch-29.0 mchc-34.1 rdw-13.4 plt ct-605* 05:44am blood wbc-9.7 rbc-3.24* hgb-9.4* hct-27.6* mcv-85 mch-29.1 mchc-34.2 rdw-14.1 plt ct-641* 05:41pm blood vanco-18.1 respiratory culture (final ): oropharyngeal flora absent. staph aureus coag +. brief hospital course: ms. is a 22 yo f with a hx of asthma found to have severe community-acquired pneumonia, transferred to micu on hd#1 with increasing dyspnea and o2 requirement, with slow improvement on empiric vancomycin/levofloxacin; transferred to medicine floor on hd#3. 1) severe community-acquired pneumonia: pt was initiated on levofloxacin for cap, but continued to progress during hospital day #1 with worsening tachypnea, new o2 requirement, and splinting due to severe right-sided pleuritic chest pain. she was transferred to the micu where she required high-flow o2 and vancomycin was empirically added to her antibiotic regimen to cover a post-viral pneumonia. initial abgs in the micu demonstrated respiratory alkalosis, but lactate was elevated as well indicating a superimposed metabolic acidosis in the setting of sepsis. sputum samples with no definitive microbiology, but rather moderate oropharyngeal flora, for which broad-spectrum antibiotics were continued. respiratory viral panel as well as urine legionalla were negative, and bcx were with no growth to date. serial chest x-rays demonstrated rapid progression of right lower lobe consolidation from hd #1- hd #2, but no interval change following that time period. u/s in the micu was negative for a loculated or drainable pleural effusion. pt slowly improved clinically on antibiotics with morphine prn for right-sided pleuritic chest pain, and was transferred to the medicine floor on 4l o2 on hd #3. on a right pigtail catheter was placed in an attempt to drain the large effusion, ct scan showed significant loculations as well as a thick pleural rind, the decision was made to take the patient to the operating room for a formal decortication and drainge. on the patient was taken to the operating room, a right pulmonary decortication, bronchoscopy with bal, and drainage with placement of chest tubes x3 was performed. post-operatively the patient was admitted to the floor on telemetry, antibiotics were continued pain was controlled with a pca, all 3 chest tubes were left to sution. cxr were checked daily to evaluate for recurrence of effusion, pneumothorax as well as appropriate chest tube position. diet and activity were advanced, although the patient did have difficulty with nausea and vomiting early in her post-operative course, this was managed with anti-emetics, and resolved. intra-operative cultures became positive for mrsa, vancomycin and levaquin were continued as abx coverage. given the need for long term antibiotic therapy a picc line was placed. on pod 4 patient noted some swelling in her right arm a venous duplex was performed to evaluate for dvt given her picc line, the study was negative for thrombosis. on pod 5 repeat ct scan was performed, showing; " overall improvement. improvement in right lower lobe collapse and consolidation, left lower lobe consolidation and collapse, and aeration of multiple bronchi as described above. improvement of bilateral pleural effusion, especially on the right." the patient also began to have vision changes, opthamology was consulted, and commented this was likely secondary to the anti-cholinergic effects of her anti-emetics. on pod #6 repeat bronchoscopy was performed, this demonstrated improvement of edema in rml/rll, with no evidence of obstruction. the anterior-apical tube was d/c'd, the post-apical and basilar tubes were both backed out 2cm and resecured. on pod #8 the patient was deemed fit for discharge, with visiting nursing services for home vancomycin therapy as well as monitoring of the wounds. at the time of discharge, pt pain was controlled with po meds, she was ambulating without assistance, her oxygen saturations were in the high 90's on room air, her wbc had normalized, and she was tolerating a regular diet. 2) asthma: pt demonstrated no physical exam evidence of wheezing, suggestive against an acute asthma exacerbation. continued pt on fluticasone-salmeterol and albuterol nebulizers given difficulty of taking home inhalers with dyspnea. systemic steroids, which were given in ed, were not continued given known infection and no evidence of asthma exacerbation. 3) sinus tachycardia: heart rate 110 bpm at admission; most likely secondary to fever and pleuritic chest pain, as well as s/p albuterol nebulizers, both of which can produce tachycardia. heart rate only mildly elevated at admission, and improved with defervescence and improved respiratory function. 4) normocytic anemia: hct dropped to 32-34 during hospitalization, hct 40 at admission. baseline unknown, likely component of hemodilution given ivfs. no clinical evidence of bleeding. 5) ppx: heparin sq, bowel regimen 6) code: full medications on admission: advair proair prn ocps discharge medications: 1. oral contraceptive pills : one (1) once a day: continue to take, as directed. 2. advair hfa 115-21 mcg/actuation aerosol : two (2) inhalation twice a day. 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. hydrocodone-acetaminophen 5-500 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed. disp:*70 tablet(s)* refills:*0* 6. heparin, porcine (pf) 10 unit/ml syringe : two (2) ml intravenous prn (as needed) as needed for line flush. disp:*qs ml(s)* refills:*0* 7. sodium chloride 0.9 % 0.9 % solution : three (3) ml injection q8h (every 8 hours) as needed for line flush. disp:*qs ml(s)* refills:*0* 8. vancomycin 500 mg recon soln : 2.5 recon solns intravenous q 8h (every 8 hours) for 5 weeks. disp:*qs recon soln(s)* refills:*0* 9. levaquin 750 mg tablet : one (1) tablet po every twenty-four(24) hours for 2 weeks. disp:*14 tablet(s)* refills:*0* 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing for 2 weeks. disp:*30 nebs* refills:*0* 11. nebulizer/compressor with supplies indication - necrotizing pneumonia discharge disposition: home with service facility: , discharge diagnosis: severe right middle and lower lobe pneumonia with necrosis discharge condition: stable discharge instructions: call dr. office if experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -incision develops drainage -chest tube site place clean dressing daily. drain pneumostat daily -no driving while taking narcotics. take stool softners with narcotics -you may shower. no tub bathing or swimming until all incisions healed -go directly to the ed if you experiene any of the following; acute onset chest pain, shortness of breath, intractable nausea/vomiting, severe pain not relieved by medication, or any other concerning symptoms. -take all new medications as prescribed; a visiting nurse has been arranged for your antibiotic infusions. they will also assist with the care of your wounds, as well as the picc line. followup instructions: follow-up with dr. date/time: 11:30pm in the building i chest disease center procedure: other lavage of bronchus and trachea closed [endoscopic] biopsy of bronchus other incision of pleura thoracoscopic pleural biopsy thoracoscopic decortication of lung diagnoses: anemia, unspecified unspecified pleural effusion asthma, unspecified type, unspecified nausea with vomiting abscess of lung methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site empyema without mention of fistula pleurisy without mention of effusion or current tuberculosis inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation foreign body in other specified parts bronchus and lung 

Answer: The patient is high likely exposed to