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: penicillins / sulfonamides attending: chief complaint: fever and low back pain major surgical or invasive procedure: endotracheal intubation & mechanical ventilation tracheostomy history of present illness: 49 yo morbidly obese female who weighs 310 lb with hx of iddm, mrsa bacteremia, and low back pain was transferred from today. pt initially presented to with 16 hour history of fevers and left low back pain. she also complained of dysuria and abdominal discomfort 3 days prior to admission and was seen by her pcp but her urine culture was negative. the night prior to admission, she experienced fever of 101.5, chills, and diaphoresis. she was initially admitted to for evaluation of her fever and flank pain. she was initially treated with levaquin but was started on vancomycin 1g q12 once the blood culture grew out mrsa. blood culture was positive for mrsa on multiple occasion and showed no growth on . patient continued to spike fever with tm=105.1 on . at that time gentamycin was added for synergy after id consult. tee was done which was negative for any valvular vegetation. patient has left paraspinal tenderness with high grade mrsa bacteremia of unknown source, mri of the l spine was recommended to rule out epidural abscess. however, patient is claustrophobic and can only do either open mri or mri under general anesthesia. for that reason, patient was transferred to to have the mri done under general anesthesia. dr. from neurosurgery is aware of her. today, pt was on 2l oxygen but came to the hospital with 5l. patient now requiring face mask to keep her saturation. past medical history: non insulin dependent diabetes hypertension status post cholecystectomy obesity asthma fibromyalgia social history: mother lives with her at home- she has been sick recently with cellulitis -, requiring hospitalization. no recent travel. works as case manager at facility/nh for mr patients. patients on case load have been mrsa/vre positive. denies tobacco, etoh, drugs. hcp is mother: family history: noncontributory physical exam: vs: t 101.2 bp 134/50 hr 102 r 24-40's o2 sat 5 l gen: breathing in labor with face mask, diaphoretic heent: perrl, eomi, mmm, sweaty lungs: distant breath sound, crackle on right posterior exam, diffuse wheezing. cor: distant heart sound, murmurs appreciated at outside hospital but difficult to assess with her heavy rapid breathing and oxygen. abd: obese, difficult to assess liver, spleen. ext: 1+ edema bilaterally. musc: warm to touch and slight erythema of left lumber paraspinal region. +tenderness to palpation. neuro: alert, oriented. cn ii-xii grosssly intact. pertinent results: 04:42am blood wbc-10.6 rbc-4.20 hgb-11.3* hct-34.5* mcv-82 mch-27.0 mchc-32.9 rdw-14.5 plt ct-277 04:58am blood neuts-80.6* lymphs-11.6* monos-5.6 eos-1.9 baso-0.4 04:42am blood pt-12.8 ptt-31.6 inr(pt)-1.1 04:42am blood plt ct-277 04:30am blood eos ct-740* 04:42am blood glucose-123* urean-12 creat-0.5 na-141 k-3.2* cl-98 hco3-32* angap-14 04:30am blood alt-63* ast-53* ld(ldh)-230 alkphos-321* totbili-0.9 04:42am blood calcium-8.9 phos-4.3 mg-1.9 01:06am blood type-art temp-38.6 rates-/30 o2-100 po2-102 pco2-53* ph-7.39 calhco3-33* base xs-5 aado2-576 req o2-92 intubat-not intuba vent-spontaneou 01:57am blood type-art temp-38.3 rates-/30 o2-100 po2-82* pco2-55* ph-7.39 calhco3-35* base xs-6 aado2-594 req o2-95 intubat-not intuba vent-spontaneou 01:06am blood lactate-1.1 brief hospital course: ms had positive blood cultures from osh for mrsa, here she had multiple blood cultures which were pertinent only for 1 bottle of coag neg staph. she did have persistently positive sputum for mrsa with sparse gram negative rods speciated as klebsiella & enterobacter. urine negative, tee negative, ct abdomen unrevealing. tagged wbc scan negative. was on vanc for 28 days & cipro for 14 days. had persistent fevers to 102, ? was for drug fever vs persistent pna. ct scan showed rll & lll consolidation. bronch & bal was done. was intubated for worsening tachypnea, required sedation while intubated agitation. was extubated ~, but developed stridor & ? neg pressure pulm edema requiring urgent reintubation. was trached on & tolerated wean to trach collar well. infectious disease service followed here & helped manage antibiotic regimen. medications on admission: vancomycin 1.5 gm q.12 gentamycin 100 mg iv q.8 hctz 25 mg qd asa 325 mg qd advair 50/500 vasotec 10 mg qd 60 mg qd avandia 4 mg qd prilosec 40 mg qd lopressor 12.5 mg riss heparin 5000 units sq tid senna 2 tablets q hs lactulose prn effexor 150 mg qd singulair 10 mg qd nortriptyline 10 mg qhs tylenol prn ibuprofen prn morphine sulfate 4 mg iv q2h prn lasix prn responding well lanazolid ordered at osh but never received. discharge medications: 1. albuterol sulfate 0.083 % solution sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 2. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 3. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. lorazepam 2 mg/ml syringe sig: 0.5-1.0 mg injection q4h (every 4 hours) as needed for agitation/anxiety. 6. avandia 4 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: - discharge diagnosis: 1. pneumonia 2. mrsa 3. respiratory failure - resolved 4. s/p tracheostomy discharge condition: good discharge instructions: 1. trach collar maintenance 2. physical therapy/occupational therapy to increase your strength followup instructions: call case management department here at for help finding a new primary care physician procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled severe sepsis infection with microorganisms resistant to penicillins methicillin susceptible staphylococcus aureus septicemia acute respiratory failure methicillin susceptible pneumonia due to staphylococcus aureus 

Answer: The patient is high likely exposed to