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: bacteremia major surgical or invasive procedure: central venous catheter history of present illness: 73 yo female transferred from to for intermittent fevers. pt initially admitted to on after being discharged from after prolonged hospitalization. initially, the pt underwent cabg, prosthetic mvr, and closure of foramen ovale on . post-op course complicated by mediastinal hemorrhage, prolonged shock, renal failure. the pt failed to recover neurologically, and the family decided to pursue trach and peg. hd was initiated, and the pt was transferred to for rehab. since admission, she has had intermittent fevers and leukocytosis, and recurrent infections. she initially was treated with a course of vanc, zosyn, and flagyl. she was then started on fluconazole for fungus in the urine, and bacteremia. this was changed to caspofungin when the patient failed to respond to treatment. the pt also grew out of her blood and was started on linezolid. she also had new bilateral pulmonary infiltrates on cxr, and was started on imipenem for broad coverage. she developed fever and hypotension requiring pressors off and on from the 20th to the 24th. she underwent a tte that showed no vegetations, ef 40%. surveillance cultures have been ngtd. she was started on steroids empirically, and a random cortisol level returned at 3. she is transferred to for further evaluation including tee, ct, id consult, and infected lined change. past medical history: 1. cad, s/p cabg for 2vd 2. cardiomyopathy, ef 40% on echo 3. anoxic encephalopathy 4. esrd, on hd tues/thurs/sat 5. a-fib 6. trach/peg on 7. stent to lad 97 8. htn 9. hypercholesterolemia 10. insulin dependent diabetes 11. spinal stenosis 12. copd social history: no etoh, previous 20 pack year smoking history, quit 20 years ago, previously lived w/ daughter, who is hcp family history: nc physical exam: vitals: wt 72/ 95.2/ bp 107/72/ pulse 89/ vent: ac .40/ 500/ 14/5 gen: comatose heent: conjunctiva injected, dry mucosa, op clear neck: no lad. trach in place cv: rrr, 2/6 systolic murmur lungs: bronchial bs abd: distended, soft, hypoactive bs ext: 3+ pitting edema b/l, symmetric up to knees and on ue. multiple areas of skin breakdown. r picc site clean, hd site clean neuro: sluggish pupillary reflex, no corneal reflex, no spontaneous movement of extremities, no response to voice, minimal response to pain. muscles contracted. pertinent results: 02:35a 142 110 32 120 agap=12 3.5 24 0.5 ca: 7.2 mg: 1.7 p: 3.7 alt: 22 ap: 99 tbili: 0.2 alb: 1.5 ast: 20 ldh: 235 dbili: tprot: : 82 lip: 16 mcv 95 wbc 10.4 hgb 8.3 plts 196 hct 25.5 pt: 12.2 ptt: 28.1 inr: 1.0 . 12:38a ph 7.49 pco2 35 po2 33 hco3 27 basexs 3 . blood cx , from picc pending . cxr: right lower lobe/right infrahilar opacity. differential includes asymmetrically distributed alveolar edema or consolidation, possibly aspiration related. mild vascular conjestion. . tee - conclusions: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a small left-to-right shunt across the interatrial septum is seen at rest consistent with a small secundum atrial septal defect. there is regional left ventricular systolic dysfunction with basal inferior akinesis. there are simple atheroma in the ascending aorta. there are complex (>4mm, non-mobile) atheroma in the aortic arch and scending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no masses or vegetations are seen on the aortic valve. trace aortic regurgitation is seen. a well seated mitral valve annuloplasty ring is present. the leaflets are mildly thickened with normal gradient. no mass or vegetation is seen on the mitral valve. very mild mitral regurgitation is seen. there is no pericardial effusion. impression: normal functioning mitral annuloplasty ring with very mild mitral regurgitation. no vegetations identified. complex (non-mobile) aortic atherosclerosis. small secundum type atrial septal defect. regional left ventricular systolic dysfunction c/w cad. brief hospital course: 73 yof with anoxic brain injury, renal failure and line infection. . line infection - and grown at rehab. treated with caspofungin, linezolid, and meropenem. hemodialysis and picc lines removed, tip cultures negative. left subclavian line placed. repeat cultures neagative. tee done which showed no vegetation or abcess. new picc line placed , left subclavian d/c'd. to complete a 14 day course of meropenem, linezolid, caspofungin to end on . . renal failure - patient was on dialysis after prolonged hypotension leading to atn. hd catheter removed at time of admission. cr and electrolytes remained stable. patient making ~1l of urine a day. hemodialysis discontinued indefinetly. . hypotension - patient transiently hypotensive. hypovolemia vs sepsis. responded to fluids. . anoxic encephalopathy- secondary to prolonged shock, evaluated by neurologist at , poor prognosis for recovery based on prolonged state of neurological decline. no change in neuro exam during hospitalization. . respiratory failure- trached. per outside hospital physician, to wean from vent. attempted to wean while here, but failed ps. - continue vent at current settings ac 500 x 12/peep 5/ fio2 40% - mdis standing - growing pseudomonas in sputum, being treated with meropenem x 2 weeks - vbg showed near normal ph with low pco2 and low bicarb. ph 7.43 pco2 29 po2 38 medications on admission: 500 ml ns bolus 500 ml over 15 mins 500 ml ns bolus 500 ml over 15 mins qvar *nf* 160 mcg ih 1 inhalation delivers 80 mcg of beclomethasone. azithromycin 500 mg iv q24h meropenem 500 mg iv once meropenem 500 mg iv q6h pantoprazole 40 mg iv q24h linezolid 600 mg iv once albuterol-ipratropium puff ih q4h fluticasone propionate 110mcg 2 puff ih aspirin 81 mg ng daily artificial tears 1-2 drop both eyes prn linezolid 600 mg iv q12h caspofungin 50 mg iv q24h dexamethasone 2 mg iv q12h heparin 5000 unit sc tid insulin sc docusate sodium (liquid) 100 mg po bid senna 1 tab po bid:prn bisacodyl 10 mg po/pr daily:prn discharge disposition: extended care facility: - discharge diagnosis: primary - line infection (, ) pseudomonas in sputum secondary - 1. cad, s/p cabg for 2vd 2. cardiomyopathy, ef 40% on echo 3. anoxic encephalopathy 4. esrd, on hd tues/thurs/sat 5. a-fib 6. trach/peg on 7. stent to lad 97 8. htn 9. hypercholesterolemia 10. insulin dependent diabetes 11. spinal stenosis 12. copd discharge condition: stable, normotensive and afebrile discharge instructions: please continue course of antibiotics as specified in the dischartge summary for treatment of pseudomonas, , and . continue medications as detailed. wound care as directed, continue tube feeds. vent settings as specified. followup instructions: provider: phone: date/time: 11:00 provider: , md phone: date/time: 1:40 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart diagnoses: other primary cardiomyopathies end stage renal disease coronary atherosclerosis of native coronary artery pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified atrial fibrillation aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypotension, unspecified anoxic brain damage long-term (current) use of insulin other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation infection and inflammatory reaction due to other vascular device, implant, and graft gastrostomy status tracheostomy status 

Answer: The patient is high likely exposed to