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: patient recorded as having no known allergies to drugs attending: chief complaint: tx from osh with resp failure and left hum fracture. major surgical or invasive procedure: intubation x 2 history of present illness: this is a pleasant 83 year-old woman with history of htn, hypothyroidism, parox afib, hip fracture 4 years ago and s/p b/l mastectomy for breast cancer transferred from after fracturing her left humerus on s/p orif, anemia-guiaic positive requiring transfusion-neg egd-(esophagitis and gastroparesis), no colonoscopy done due to instability, with d/c to rehab on , then re-admitted with resp distress, initially thought pneumonia, placed on broad spectrum abx, spiked fever on , icu stay without intubation, but high o2 requirement serial ct's done and revealed interstitial fibrosis and b/l ground glass opacities. has been afebrile since , on zosyn/vanc until , switched to levoquin at that time. because of ct findings, diff expanded to possible amio toxicity (for afib on for years w/o previous problems), pulm fibrosis, alv proteionisis, fat embolism and steroids were started. amio d/ced on , steroids started 9/ now on 40 prednisone daily with plan for quick taper. before transfer, by report 94% on 4 liters. on arrival here, on 5liters 86-87%-->93% on non-rebreather. not tachypneic. abg shows 7.48/34/64. . she reports no fevers over past few days, stable largely non-productive cough. otherwise she says sob has been improving and currently with non-rebreather she feels comfortable. .. concerning her humeral fracture, she continues to have significant pain, says she was told pins had "slipped" and she needed further repair. by report, discharge summary, shoulder is misaligned and patient needs correction. patient primarily transferred for further management of shoulder. .. she feels comfortable, has some pain in left arm which is better after iv pain meds. no other sign complaints at this time. past medical history: hypertension hypothyroidism paf ?ischemic coronary disease by records (only 1 note--no details) hip fracture 4 years ago s/p b/l mastectomy for breast cancer, on tamoxifen. depr/anxiety social history: former smoker-quit >20 years ago, says about pack per day for approx 20 years, very infr. alcohol, no drugs. lives at home, had been very functional until this humeral fracture. family history: non-contributory physical exam: vs: temp: 99.4 bp: 130 /62 hr:66 rr: 93% on non-rebreather, desats to low-mid 80's on 5liters o2sat general: non-rebreather, speaks in full sentences, not significantly tachypneic or working hard to breath, discomfort to left humeral fracture heent: perlla, eomi, anicteric, no scleral icterus, no sinus tenderness, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules lungs: mild inspiratory crackles at the right mid lung field, o/w no wheezes or rhonchi, moving air well heart: rr, s1 and s2 wnl, ii/vi sem at rusb without radiation, rubs or gallops appreciated abdomen: nd, +b/s, soft, nt, no masses or hepatosplenomegaly extremities: no cyanosis, clubbing or edema skin/nails: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. no pass-pointing on finger to nose. rectal: deferred at this time, known guiaic positive. pertinent results: wbc 33.3 when last checked . imaging: chest ct : ground glass opacities with upper lobe predominance, septal thickening, associated pleural effusions, small mediastinal lymphadenopathy, dilated esophagus, cardiomegaly . cta : 1. comminuted left humeral head fracture, not transfixed by the large indwelling pins. 2. small fracture fragments within the shoulder joint. 3. diffuse abnormalities within the left lung worrisome for infectious/inflammatory process. would correlated with the dedicated ct of the chest from . . chest ct : 1. diffuse ground glass opacities with traction bronchiectasis consistent with the diagnosis of ards, with associated organizing fibrosis. although the etiology of ards is uncertain, hyperdensity of the liver raises the concern for drug reaction from amiodarone toxicity as a potential cause of ards. 2. increasing dense consolidation in the right upper lobe and medial right lower lobe, which could represent superimposed acute infection. 3. increasing bilateral pleural effusions with a moderate-to-severe right pleural effusion and a moderate left-sided pleural effusion. 4. increased ct attenuation of the liver could be due to amiodarone toxicity given that the patient had been on amiodarone. cxr : tip of the ng tube is in the stomach. tip of the right ij line is at the junction of the svc and right atrium. since the prior study, there has been improvement in the right lower lobe and left perihilar opacities, although there is persistent opacity in the lateral aspect of the left mid lung. most likely this represents a degree of infiltrate superimposed on increased interstitial markings consistent with chf. impression: overall, there has been a slight improvement in the degree of pulmonary opacities bilaterally. underlying interstitial process remains essentially unchanged. bronchial washings: rare atypical epithelial cells, numerous neutrophils and bacteria. no hemosiderin-laden macrophages are seen. echo : the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened. the aortic valve is not well seen. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. microbiology: c diff neg x 3, toxin b: pending vre uti by cx : mod mrsa in sputum pl fld : rare mrsa bal and : hsv 1, 10-100k mrsa brief hospital course: assessment and plan: this is an 83 year-old woman with history of htn, hypothyroidism, paf who suffered humeral fracture on s/p orif at which failed. patient was sent to rehab but returned the following day with hypoxic respiratory failure and was then transferred to for further management. she suffered progressive respiratory failure and was eventually made cmo and passed. # fever/id: was not spiking fevers during first week of hospitalization at while off of antibiotics. pneumonia not thought to be bacterial, initially. - started acyclovir 400mg tid on for hsv 1 cultured from lungs. we treated given we had no other diagnosis. stopped . - gave fluconazole for uti (x2days =) - pt extuabed , but had further resp distress and vomiting, possible aspiration. started levaquin/flagyl and completed 14 day course. - bal showed gpc in pairs, started vanco and completed 14 day course. - wbc back on the rise prior to being made cmo, cx remain ngtd - ? new pna vs c diff (toxin b pending) . .. # resp failure: initial cxrs upon admission to the osh were unremarkable, so this process is acute. ct w/ground glass opacity. pt was intubated for bronch and kept intubated for ards. pt placed on ardsnet settings then entered in ards study. per path, hemosiderin and fat laden macrophages have ddx = alveolar hemorrhage; wegeners; gbm, also can be fat emboli. - s/p bronch with bal to r/o pcp, pna. has hsv=i - tapered steroids that were started at osh for ?eosinopholic pna, off after . steroids (methylpred 40qd) restarted given decompensation. - extubated but not doing well on 100% face mask, decompensation due to derecruitment. cxr consistent with aspiration vs derecruitment. levo/flagyl started empirically . - chest ct showed worsening of parenchyma but also bilateral effusions. pt was aggressively diuresed. - reintubated for worsening sats. sats in low 90's despite 100% fio2. second bronch performed but cx negative. chest tube placed 9/23-4 overnight for pneumo post bronch or due to coughing against tube. sats 100% with 40% fio2. - ptx resolved and ct d/c - subsequent sputum cx grew out mrsa, patient tx w/ course of vancomycin and was again ready for extubation - d/w patient and family led to decision to change code status to dnr/dni - following extubation, patient again began to fail, presumably due to chf and likely aspiration - d/w family and patient led to decision to change plan of care to cmo - patient started on morphine gtt and was stable o/n off lasix gtt w/ permissive po's - in the am, family requested d/c 100% nrb and patient expired w/in approximately 15 minutes from respiratory arrest . # humeral fracture: humeral head shattered, rods floating freely in rotator cuff. ortho consulted. plan was for or repair weeks following pulmonary recovery. . # diarrhea: c diff neg x 3. toxin b pending. possibly related to antibx or catharsis from gib. continue to follow. . # cv: a) ischemia: no clear h/o ischemic disease. on aspirin 81mg, will continue this / hold beta-blocker given relative bradycardia. not on statin, will need better records . b) pump: unclear history, otherwise initially appeared euvolemic to dry, chf possible contribution to hypoxia, ground glass opacities and positive probnp. developed fluid overload in setting of possible arf. - on norvasc, holding for hypotension. . c) rhythm: h/o paroxysmal af, not currenly on anti-coag given recent guiac positive stools with hct drop at osh. will hold anti-coag now. . # anemia: - osh egd showed esophagitis - ppi increased to when patient developed black stools - colonoscopy deferred given respiratory status and relatively stable hct - patient continued to have guiac positive and occasionally black stools and was supported w/ transfusions until made cmo . # transaminitis: mild, possibly med related, resolved. . # depression/anxiety: continue paxil (dose decreased while on linezolid to decrease r/o serotonin syndrome) # h/o breast cancer: continue tamoxifen # hypothyrodism: continue synthroid. . # thrombotic prophylaxis: patient should be on coumadin for afib, lovenox for fracture but given concern for gi bleeding, unstable crits at osh, thus, these medications were held. sq heparin was administered. . # code:full -> dnr/dni -> cmo # access: right subclavian tlc (), right dp a-line (), right fem a-line (could not place in either arm or left foot) . # comm: spokesperson (daughter), in addition, family discussions included all 3 of patient's daughters medications on admission: medications: on transfer: prednisone 40, atrovent nebs, levaquin 250, zofran protonix40,, colace, senna, caltrate, vitamin d, aspirin 81, vicodin, mvi, levoxyl, paxil 20, norvasc 5, tamoxifen 20. --on amio until --on vanc/zosyn until --on lovenox until discharge medications: none, patient expired discharge disposition: expired discharge diagnosis: mrsa pneumonia aspiration pneumonitis gi bleed left humeral fracture discharge condition: patient expired discharge instructions: none, patient expired followup instructions: none, patient expired md procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances arterial catheterization arterial catheterization closed [endoscopic] biopsy of bronchus transfusion of packed cells removal of thoracotomy tube or pleural cavity drain injection or infusion of oxazolidinone class of antibiotics diagnoses: other iatrogenic hypotension urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) unspecified acquired hypothyroidism atrial fibrillation infection with microorganisms resistant to penicillins personal history of malignant neoplasm of breast unspecified fall depressive disorder, not elsewhere classified acute respiratory failure pneumonitis due to inhalation of food or vomitus postinflammatory pulmonary fibrosis methicillin susceptible pneumonia due to staphylococcus aureus encounter for palliative care hemorrhage of gastrointestinal tract, unspecified other and unspecified complications of medical care, not elsewhere classified other specified disease of white blood cells closed fracture of shaft of humerus unspecified mechanical complication of internal orthopedic device, implant, and graft 

Answer: The patient is high likely exposed to