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: cephalosporins / macrodantin / sulfa (sulfonamides) / penicillins attending: chief complaint: syncope after dialysis major surgical or invasive procedure: new tunneled catheter placement history of present illness: ms. is a 84 year-old female with a history of diabetes and esrd on dialysis who presented with syncope post-dialysis. patient reported that she was at dialysis and completed her session but does not remember any further details. she denied head trauma or prior episodes of syncope as well as fevers, chills, rigors, chest pain or shortness of breath. she was transferred to where her blood pressures were in the 90s systolic. labs showed an elevated alk phos, troponin i of 0.07 with a ck of 23. wbc was 15.6 with 84% neutrophils. inr of 4.6 given ativan 0.5mg iv, dilaudid 0.5mg iv and 250cc of ns. in the ed, noted to be 101.0 rectally. bps were noted to be as low as 88/41. one liter of ns was given with improvement to the 90s and low 100s. given levaquin 750mg iv and vancomycin 1gram iv; for pain, given 1mg iv morphine. . upon arriving to to the icu patient complained of back pain. she denied any nausea/vomiting, chest pains, or shortness of breath. past medical history: 1. end-stage renal disease, dialysis t, th, sat 2. diabetes mellitus 3. hypertension 4. s/p hip fracture with surgical repair (); currently bed-bound 5. g-tube feeds x6 months 6. s/p colostomy for perforated bowel, thought to be secondary to diverticulitis 7. chronic foley 8. seizure disorder, in the setting of renal failure. no recent seizures. 9. back pain 10. bed sore social history: lives with husband and son. bed-bound since hip fracture. has health aid assistance at home. family history: non-contributory physical exam: vitals - t96.8, hr 67, bp 113/46, rr 20, 100% on 2 liters. gen - awake and alert. oriented to person, "" and "". occasionally grimaces with pain. heent - anicteric. no palor. cv - regular. distant heart sounds. pulm - clear anteriorly. abd - soft. g-tube and colostomy in place. non-tender. ext - warm. trace to 1+ edema. pertinent results: 11:40pm wbc-11.7* rbc-3.75* hgb-10.3* hct-33.4* mcv-89 mch-27.5 mchc-30.8* rdw-17.1* 11:40pm alt(sgpt)-38 ast(sgot)-34 ck(cpk)-15* alk phos-625* amylase-31 tot bili-0.4 11:40pm glucose-149* urea n-49* creat-1.6* sodium-139 potassium-4.1 chloride-99 total co2-29 anion gap-15 06:10am ctropnt-0.18* 06:10am ck(cpk)-15* 12:53pm wbc-14.3* rbc-3.63* hgb-9.7* hct-32.4* mcv-89 mch-26.6* mchc-29.8* rdw-16.1* 12:53pm albumin-2.5* calcium-9.3 phosphate-3.0 magnesium-2.1 12:53pm glucose-88 urea n-61* creat-2.0* sodium-130* potassium-4.5 chloride-95* total co2-24 anion gap-16 12:53pm alt(sgpt)-42* ast(sgot)-43* alk phos-580* tot bili-0.4 urine cx: urine culture (final ): mixed bacterial flora ( >= 3 colony types), consistent with fecal contamination. pseudomonas aeruginosa. >100,000 organisms/ml.. predominating organism. interpret results with caution. sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa | cefepime-------------- 8 s ceftazidime----------- 4 s ciprofloxacin--------- =>4 r gentamicin------------ 4 s imipenem-------------- <=1 s meropenem------------- 0.5 s piperacillin---------- 8 s piperacillin/tazo----- 8 s tobramycin------------ <=1 s wound culture (final ): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). albicans, presumptive identification. moderate growth. staph aureus coag +. sparse growth. oxacillin resistant staphylococci must be reported as also resistant to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. rifampin should not be used alone for therapy. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin----------- =>8 r erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- 2 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s brief hospital course: 1. syncope: likely in the setting of low bp after dialysis. pt was persistently hypotensive early in hospitalization. she was found to have both a pseudomonas uti and an infected dialysis line, either or both of which could have caused sepsis leading to hypotension. her anti-hypertensives were initially held and her beta blocker has been added back to her regimen as of discharge. she will need to follow up with her pcp regarding titration of her meds. 2. sepsis: pt with fevers and hypotension early in hospital course. found to have pseudomonas uti and also infected dialysis line with and mrsa cultured from drained exuded from insertion site. sensitivities listed above. she is to receive a total 14 day course of both meropenem and vancomycin to be administered after hd with her last dose on . the patient's prior hd cath was removed and a new line was placed 48 hour later by our interventional radiology group. subsequent cultures have been ngtd. 3. esrd: dialysis t/th/sat, last dialysis at was on . 4. pseudomonas uti: sensitive to meropenem which was used given penicillin and cephalosporin allergies, and resistance of organism to quinolones. she will receive meropenem for 14 days. 5. diabetes: lantus regimen from home caused marked hypoglycemia, her most recent lantus dose is 8 units at bed time with a riss. her bg on this regimen and with her tube feeds has been well controlled. 6. seizure d/o: continued keppra. 7. anticoagulation: on warfarin for dvt treatment, this has been held until below therapuetic level so that new dialysis line could be placed. this will need to be restarted on discharge with close follow up. 8. hemodialysis line infection: and mssa cx'd from discharge exuding from insertion site. line pulled from rig on and new tunnelled line placed by ir on . ---code: dnr/dni medications on admission: 1. ambien 5mg daily 2. sucralfate 1gram qid 3. vitamin c 500mg 4. keppra 500mg 5. lantus 24 units daily 6. hydroxyzine 25mg prn 7. hydralazine 10mg q8h prn 8. nystatin 9. triamcinolone topical 10. tylenol 650mg q4h 11. metoprolol 50mg 12. procel oral powder 13. omeprazole 20mg 14. remeron 15mg daily 15. renax daily 16. oxycodone 5mg q4h prn 17. warfarin 1.5mg qhs discharge medications: 1. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 2. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 3. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 4. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). disp:*30 adhesive patch, medicated(s)* refills:*2* 6. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 7. meropenem 500 mg recon soln sig: one (1) recon soln intravenous after hemodialysis: last dose to be given on . 8. vancomycin 1000 mg iv at hemodialysis 9. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 10. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 11. lopressor 50 mg tablet sig: one (1) tablet po twice a day. 12. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 13. renax 35-2.5-70-20 unit-mg-mcg-mg tablet sig: one (1) tablet po once a day. 14. lantus 100 unit/ml solution sig: one (1) subcutaneous at bedtime: 8 units sc qhs. 15. med continue with regular insulin sliding scale and checking bg qac, qhs. please see attached sheet for sliding scale. 16. insulin syringe 0.3 ml 28 x 1 syringe sig: one (1) miscellaneous four times a day. disp:*30 1 box* refills:*6* 17. lancets regular misc sig: one (1) miscellaneous four times a day. disp:*60 1 box* refills:*2* 18. insulin regular human 100 unit/ml solution sig: one (1) injection four times a day: per sliding scale. disp:*1 1 bottle* refills:*6* 19. warfarin to be restarted by pcp as outpatient. discharge disposition: home with service facility: home care discharge diagnosis: uti hypotension esrd on hd dialysis line infection discharge condition: stable discharge instructions: you were admitted with hypotension and found to have low blood glucose and a urinary tract infection. later in the hospital it was seen that your dialysis line was infected and so it was removed and a new line placed. you should call your pcp or return to the er if you develop fevers, chills, nausea, vomiting or any new symptoms. you should continue your tube feeds at the previous rate. patient has 24 hour established care already. followup instructions: you will need to follow up with dr. from nephrology at () as well as your pcp, in at . please make an appointment for next week. you will also need to continue antibiotics with hemodialysis (th,th,sat) to receive a total 14 day course. your last dose of antibiotics should be administered on . you will need to have your inr drawn on with results sent to your pcp. procedure: enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis diagnoses: end stage renal disease unspecified pleural effusion urinary tract infection, site not specified unspecified septicemia unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease pressure ulcer, lower back epilepsy, unspecified, without mention of intractable epilepsy infection and inflammatory reaction due to other vascular device, implant, and graft kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled accidents occurring in unspecified place pseudomonas infection in conditions classified elsewhere and of unspecified site 

Answer: The patient is high likely exposed to