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: syncope major surgical or invasive procedure: none history of present illness: year-old female with htn, cad s/p cabg presents with nausea, vomiting and diarrhea since this morning. patient was in her usual state of health until this morning when she awoke with nausea, bilious vomiting and diarrhea. no blood loss reported. she was help to the toilet and then had the first of two witnessed syncopal events (witnessed by caretaker). ems was called. she had another episode in front of ems who found her to be pale and hypotensive. each episode is reported as less than 1 minute long with no seizure activity. she was brought to the ed for further evaluation. in the ed, she was found to be hypotensive to sbp in the 70s and bradycardic to the 50s. ekg showed rbbb with no st changes. on exam, she was tender to palpation on abdominal exam. ct scan showed sigmoid thickening to descending colon consistent with ischemic vs infectious colitis. surgical team was consulted but after discussion between pcp and family, it was decided that surgery would not be pursued. she received 3l ns and had a right ij placed. started on levophed with improved in sbp to 110s. mental status also improved. she had more bilious emesis in the ed. ng tube was placed with 600cc of bilious emesis returned. no further episodes of diarrhea occured in the ed. of note, she had isolated oral temp of 92.0. rectal probe placed with repeat temp of 35.4. cvp was 7. foley was in place and patient had good uop. she was started on cipro/flagyl in the ed. goals of care discussion with famiy; she is dnr/dni, but pressors are okay to use. no compressions. on transfer to the floor, patient was afebrile with hr- 74, bp- 161/68, rr- 20, sao2- 99% on 2l nc. on the floor, patient was feeling better. sbp was in the 160s and patient's hr was in the 80s. she continued to have abdominal pain but mental status had improved. past medical history: 1. coronary artery disease, status post cabg in . 2. peripheral arterial disease with status post right carotid endarterectomy in . 3. cva , status post right cea. 4. hypertension. 5. dyslipidemia. 6. pulmonary hypertension. 7. severe tricuspid regurgitation. 8. presyncope. 9. depression social history: lives alone, family nearby. uses cane with ambulation. widowed in . worked subsequently in a bank. has 6 living children - children check on her daily. has home health aide 2x/week. + remote minor tobacco, occasional glass of wine with dinner, no ivdu. family history: children with htn physical exam: vitals: afebrile, bp 162/70, hr 86, 97% on 1 liter via nasal canula general: alert and oriented; in good spirits heent: dry mm, oropharynx clear. neck: right ij in place. lungs: rales at right base > left base; no wheezes cv: regular rate and rhythm; murmur at right lower sternal border. abdomen: non-tender and soft; mildly distended gu: foley in place ext: warm, well perfused, palpable pt pulses; could not palplate dp; no edema . discharge: vs 169/92 (140-172/58-90) 84 18 98ra gen: well appearing. nad. pleasant. resp: scattered dry insp rales b. good ae. abd: benign. neuro/psych: pleasant, interactive, moves all 4. fluent speech. pertinent results: hct: 37 --> 27 wbc: 3.2 --> 28 --> 14 cr: 1.3 bicarb: 30 --> 18 lfts normal troponin negative x3 tsh: 10 (recommend outpt follow up, recheck when pt not ill) lactate: 2.5 --> 1.9 --> 0.8 urine culture: mssa cta abd/pelvis: 1. no definite signs of vascular occlusion though segments of bowel wall thickening in the distal descending and sigmoid colon raises concern for ischemic bowel versus infectious colitis. no free air or evidence of perforation. abdominal ascites noted. 2. small right pleural effusion, cardiomegaly, with evidence of chf. 3. interstitial lung disease notable at the lung bases. 4. cholelithiasis without evidence of cholecystitis. 5. ngt tip in distal esophagus. recommend advancement. 6. atrophic right kidney. discharge labs: 05:11am blood wbc-7.5 rbc-3.18* hgb-9.3* hct-29.2* mcv-92 mch-29.4 mchc-32.0 rdw-15.9* plt ct-212 06:25am blood glucose-82 urean-9 creat-1.0 na-142 k-3.4 cl-110* hco3-24 angap-11 06:25am blood calcium-8.2* phos-2.4* mg-1.9 07:39pm blood tsh-10* 04:27am urine color-yellow appear-clear sp -1.017 04:27am urine blood-mod nitrite-neg protein-30 glucose-neg ketone-10 bilirub-neg urobiln-neg ph-5.5 leuks-mod 04:27am urine rbc-20* wbc-7* bacteri-few yeast-rare epi-0 renalep-1 urine culture: staph aureus coag + | staph aureus coag + | | gentamicin------------ <=0.5 s <=0.5 s levofloxacin----------<=0.12 s <=0.12 s nitrofurantoin-------- 32 s 32 s oxacillin-------------<=0.25 s <=0.25 s trimethoprim/sulfa---- <=0.5 s <=0.5 s brief hospital course: yo female with cad s/p cabg, htn admitted with syncope x2, nausea, vomiting, diarrhea and hypotension. found to have bowel wall thickening, concerning for ischemic colitis vs ischemic colitis. also found to have mssa uti. clinically improved. . . # sepsis / septic shock / mssa uti (blood cultures negative). the patient was initially admitted with hypotension and concern for sepsis. her hypotension resolved with fluid resuscitation. she was briefly on pressure support medications but was weaned from these upon arrival to the icu. her pressures remained normotensive while in the icu. blood, urine, and stool cultures were drawn. she was treated empirically with antibiotics for a suspected gi source given her abdominal pain and history of diarrhea. - see colitis below . # colitis, ischemic vs infectious. ct abd performed in the ed showed bowel wall thickening concerning for ischemic vs. infectious colitis. the patient and her family expressed that surgical management was not an option and she was managed conservatively with antibiotics and fluid resuscitation. her diarrhea resolved and her pain was controlled with morphine. she has remained abdominal pain-free on the floor, and is now tolerating a regular diet. pt is being treated with cipro/flagyl with plan for 10 day course to end . (cipro dosing remains appropriate for renal function) pt's diet was advanced, and she tolerated a regular diet without difficulty. . # mssa uti a urine culture grew mssa and she was started on iv vancomycin. this was later changed to dicloxacillin (avoided bactrim d/t potential renal toxicity). d1 of appropriate antibiotics was . plan for 14 day course to complete . . # coronary artery disease/malignant hypertension. the patient has a h/o cad s/p cabg. her blood pressure medications were intially held out of concern for hypotension. pt became very hypertensive, with max sbp 220, but asymptomatic. her home bp medications were resumed, and her bp is under improved control. - contin labetolol to home dose 100 mg po bid - contin lisinopril 10 mg po q day - contin nifedipine sr 30 mg po q day - want to avoid possible hypotension, as may have led to ischemic colitis as possible inciting event. it is important for patient to maintain adequate hydration to avoid further episodes. - contin asprin / statin . # acute renal failure. the patient's creatinine improved with fluid resuscitation. renal function continues to improve. - avoid renal toxins . # goals of care. contin dnr/dni. dr. discussing possible bridge to hospice. . # hypophosphatemia. - resolved with repletion . # hypokalemia - resolved with repletion . prophylaxis: subq heparin. code: dnr/dni; pcp planning to discuss possible bridge to hospice as an outpt disp: d/c to rehab, today. medications on admission: medications - prescription bupropion hcl - 75 mg tablet - 1 tablet(s) by mouth twice a day cilostazol - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth twice a day labetalol - 100 mg tablet - 1 tablet by mouth twice a day lisinopril - 20 mg tablet - 0.5 (one half) tablet by mouth once a day nifedipine - 30 mg tablet sustained release - 1 tablet(s) by mouth once a day pravastatin - 80 mg tablet - 1 tablet(s) by mouth qpm . medications - otc acetaminophen - (otc) - dosage uncertain aspirin - (otc) - 81 mg tablet, chewable - 1 tablet by mouth once a day ergocalciferol (vitamin d2) - 1,000 unit capsule - 1 capsule(s) by mouth daily senna - (prescribed by other provider) - 8.6 mg capsule - 1 capsule(s) by mouth every other night discharge medications: 1. bupropion hcl 75 mg tablet sig: one (1) tablet po bid (2 times a day). 2. cilostazol 50 mg tablet sig: one (1) tablet po twice a day. 3. labetalol 100 mg tablet sig: one (1) tablet po bid (2 times a day). 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. nifedipine 30 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 6. pravastatin 80 mg tablet sig: one (1) tablet po q pm. 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. vitamin d 1,000 unit capsule sig: one (1) capsule po once a day. 10. senna 8.6 mg tablet sig: one (1) tablet po every other day. 11. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 12. dicloxacillin 250 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 8 days. 13. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 5 days. 14. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. 15. heparin (porcine) 5,000 unit/ml solution sig: one (1) inj injection (2 times a day): (dvt ppx). discharge disposition: extended care facility: for the aged - discharge diagnosis: # sepsis/septic shock # syncope # colitis; likely ischemic vs possible infectious # hypertension, malignant # acute renal failure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted after syncopal episodes, and were found to have very low blood pressure. you were admitted to the icu, and were found to have colitis, either due to ischemia or due to infection. you are being treated with antibiotics, and you have gotten better. you were also found to have a urinary tract infection, for which you are being treated with antibiotics. followup instructions: department: internal medicine when: tuesday at 9:00 am with: , md building: lm bldg () campus: west best parking: garage department: cardiac services when: wednesday at 9:00 am with: , md building: campus: east best parking: garage procedure: other incision of skin and subcutaneous tissue diagnoses: anemia of other chronic disease urinary tract infection, site not specified acute kidney failure, unspecified unspecified septicemia severe sepsis coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other chronic pulmonary heart diseases depressive disorder, not elsewhere classified hypopotassemia other and unspecified hyperlipidemia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site disorders of phosphorus metabolism septic shock personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits malignant essential hypertension infectious colitis, enteritis, and gastroenteritis unspecified vascular insufficiency of intestine unspecified disorders of arteries and arterioles 

Answer: The patient is high likely exposed to