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: latex / pollen extracts / adhesive bandages attending: chief complaint: superficial sternal wound- wound vac malfunction major surgical or invasive procedure: none history of present illness: the patient is a 66 year old female who underwent mitral valve replacement on . postoperative course was uneventful. the patient returned with a superficial sternal wound infection. she was discharged with iv antibiotics and a wound vac yesterday (). she returned last evening with a reported wound vac malfunction. she was due for her antibiotic dose and by returning to the hospital, had missed the visiting nurse- therefore, she was admitted overnight for iv antibiotics. past medical history: ihss/hocm hypertension dyslipidemia colonic polyps history of scarlet fever ventral hernia s/p tonsillectomy social history: works as a director of housing. lives with her husband. denies smoking and drinks rare alcohol. family history: father died at 61 from "severe" cad physical exam: vs: 98.3, 115/67, 88sr, 18, 95%ra gen: nad, wg, overweight wf heent: unremarkable chest: lungs ctab cv: rrr no murmur (audible click of mechanical valve) abd: nabs, soft, non-tender, non-distended,large ventral hernia ext: trace edema sternal wound: with vac, no cellulitis about edges, drainage is serosanguinous without any pus pertinent results: 05:09am blood urean-11 creat-0.7 k-3.6 05:09am blood mg-2.2 05:09am blood pt-25.8* inr(pt)-2.5* brief hospital course: the wound vac was inspected and found to be working appropriately. iv antibiotics were administered as scheduled. the patient was discharged home again with vna services and appropriate follow up instructions. medications on admission: aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. hydromorphone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). 6. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 9. warfarin 7.5 mg tablet sig: one (1) tablet po once (once) for 1 doses: dose to change daily by dr. for goal inr 2.5-3.5. 10. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 11. vancomycin 1000 mg iv q 12h discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. hydromorphone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). 6. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 9. warfarin 7.5 mg tablet sig: one (1) tablet po once (once) for 1 doses: dose to change daily by dr. for goal inr 2.5-3.5. 10. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 11. vancomycin 1000 mg iv q 12h discharge disposition: home with service facility: kci discharge diagnosis: superficial wound infection. s/p mechanical mvr discharge condition: good discharge instructions: keep wound clean and dry. no bathing or swimming. no powder cream or lotion to wounds. take all medications as prescribed. call for any fevers or change in wound appearance. followup instructions: 1) dr in 2 weeks. patient to call for appt() 2) dr () on @10:15wound clinic 3) wound check on monday on 6 at 11:30 am 4) need inr checks monday/wednesday/friday for mechanical mitral valve, goal inr 3-3.5. level checked wednesday with results to dr office (fax - ) 5) dr in the clinic in 2 weeks ( 6) need weekly labs: bun/cr, esr, crp, cbc w/diff, vanco level (goal 15-20) results to dr fax: ( procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery open and other replacement of mitral valve nonexcisional debridement of wound, infection or burn application of other wound dressing diagnoses: other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension other and unspecified hyperlipidemia surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site rheumatic mitral insufficiency personal history of colonic polyps hypertrophy of breast other rheumatic heart diseases 

Answer: The patient is high likely exposed to