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 / sulfa (sulfonamides) / shellfish attending: chief complaint: s/p fall major surgical or invasive procedure: none history of present illness: 83 y/o female with pmh significant for htn, syncope, and significant weight loss over the past year admitted through the ed s/p fall. pt and her family report that she has been doing very well over the last few days. eating and drinking more than normal. however, this morning she attempted to go from bed to the bathroom without assistance. her daughers heard a "crash" and found her fallen on the bathroom floor. no loc. pt denies hitting her head. her daughters report that she did not know their names when they found her but also report that she did not seem confused. her daughters put her in the wheelchair and got her back into bed. after speaking to the pt's pcp, was transported to the ed for further evaluation. in further ros, no recent fevers or chills. no cp or palpitations. pt denies any cp but has a nonproductive cough in association with a "cold" that she is recovering from. no abdominal pain, nausea, vomiting, or change in bowels. no dysuria or hematuria. pt's daughters report that she is very unstable on her feet but deny any past falls. in the ed, the pt's vs were 90.1 144/90 68 100% 2l nc. a neuro consult was obtained but they did not feel that there was a neurologic cause for the fall. in addition, an ortho consult was obtained. the pt was found to have a pelvic fracture but no surgical intervention needed. her c spine was cleared. a cardiology consult has been requested for elevated troponin. pt will be admitted to medicine for further care. past medical history: 1. htn- off all meds since weight loss and occasional hypotension. 2. weight loss- pt has had a 50 to 60 pound weight loss over the past year. normal mammogram 02/. per report, normal egd. 3. s/p syncope- 4. s/p bilateral hip fractures- 5. thoracic spine compression fractures- 6. tia- 7. hyponatremia 8. tft abnormallities- 9. mixed moderate to severe obstructive and mild restrictive ventilation defect 10. s/p right knee replacement 11. s/p cholecystectomy . diverticulosis 13. s antibodies social history: pt is retired from working as a secretary. she lives with her two daughters. ambulates with a cane and assistance from her daughters. in the past, drank 1 etoh drink per day but has not had any etoh in several months. past tobacco when she was in her 30s. no drugs. family history: non-contributory. physical exam: 35.1 115/64 88 23 100% 2l nc gen- frail, elderly lady resting on a strecher under warming blanket. alert and oriented x2. nad. denies any pain. heent- nc at. perrl. eomi. anicteric sclera. mildly dry mucous membranes. cardiac- rrr. s1 s2. no m,r,g. pulm- cta anteriorly and laterally. abdomen- soft. nt. nd. positive bowel sounds. extremities- warm. trace le edema bilaterally. 1+ dp pulses bilaterally. neuro- alert and oriented x3. cn ii-xii intact. 5/5 strength in upper and lower extremities bilaterally. pertinent results: 10:30am blood wbc-8.3 rbc-2.79* hgb-9.8* hct-27.5* mcv-99* mch-35.1* mchc-35.6* rdw-16.5* plt ct-170 10:30am blood neuts-87.7* bands-0 lymphs-8.0* monos-2.6 eos-1.6 baso-0.1 10:30am blood plt ct-170 10:30am blood pt-11.1 ptt-24.9 inr(pt)-0.9 10:30am blood glucose-86 urean-19 creat-0.8 na-131* k-4.4 cl-98 hco3-23 angap-14 10:30am blood ck(cpk)-134 07:45pm blood alt-29 ast-36 ld(ldh)-261* ck(cpk)-142* alkphos-72 amylase-76 totbili-0.3 . anaerobic bottle (final ): staphylococcus, coagulase negative. final sensitivities. coag neg staph does not require contact precautions, regardless of resistance. 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. please contact the microbiology laboratory () immediately if sensitivity to clindamycin is required on this patient's isolate. sensitivities: mic expressed in mcg/ml _________________________________________________________ staphylococcus, coagulase negative | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s . wbc scan: impression: 1) uptake in lingula and right mid lung, most consistent with pneumonia. 2) decreased uptake in the distal lumbar spine. findings could be due to scoliosis, compression deformities, or degenerative changes, but if there is back pain, spinal osteomyelitis/discitis cannot be excluded. this could be better assessed with mri if clinically indicated. 3) uptake in right hand of uncertain etiology, possibly due to inflammatory arthritis. correlate with a direct examination of the hand. . cxr : large region of consolidation or focal edema developed in the left lung between and 13, and it has progressed. right lung is severely fibrotic and shows mild pulmonary edema compared to the appearance on before or early in this admission. tip of the right pic catheter projects over the superior cavoatrial junction, but it could be in a small branch such as the right internal mammary vein. despite a nasogastric tube, the stomach is severely distended with air and fluid. brief hospital course: a/p: 83 y/o female with pmh significant for htn, syncope, and significant weight loss over the past year admitted through the ed s/p fall. hospital course is discussed by problem. . 1. pubic fracture. the patient was evaluated by ortho, and no surgical intervention was found to be necessary, she was provided supportive care, and began treatment with physical therapy. . 2. cardiac- she was initially ruled out for mi, although her presentation was not highly suggestive of a cardiac cause, no stress required. the patient was thought to be mildly overloaded on exam, and was given lasix multiple times for diuresis. however, it was later thought that her lung findings were likely more chronic and suggestive of pulmonary fibrosis rather than pulmonary edema. . 3. hypothermia- resolved. the patient briefly went to micu overnight for warming and evaluation, stabilization. endocrine was consulted and she was started on synthroid here for high tsh (but normal ft4). stim was normal. . 4. anemia- given one unit ; pt with significant anemia and a hct of 27.5 w/ drift down to hct 22. her baseline hct is in the mid 30s. no evidence of bleeding into fracture site at pelvis but may have had some degree on presentation. stool guaiacs negative here. had recent c scope per patient's daughter at , which was benign, per daughter. hematocrit remained stable after transfusion. . 6. pt followed by neuro for a history of tias vs cva. continued on dipyridamole asa 200-25 mg q12h. . 7. id: she was treated for a uti with levofloxacin x 10 days. she then developed bacteremia, with multiple blood cultures positive for cns, last positive culture on , with surveillance cultures after that negative. the patient underwent a tagged wbc scan to further evaluate potential sources of infection, particularly her hardware from past knee and hip replacements; however a clear source was not found other than increased uptake in the lungs (suggestive of pneumonia), the back (suggestive of discitis), and the right hand (clinical exam was benign). the patient was initially treated with vanc and gent, then changed to vanc, cefepime, and flagyl when she developed a new consolidation on cxr, thought to be suggestive of aspiration pneumonia. . the patient did relatively well on the medicine floor, then required a second admission to the icu for increased hypoxia and tachypnea. the patient's oxygen requirement climbed to 100% fio2 on face mask, and was unable to be weaned. she was found to have a new infiltrate on cxr, and antibiotics were adjusted as above, per the id service recommendations. it was thought that if the patient were to undergo bronchoscopy, she would need to be intubated, and may be difficult to wean off the ventilator. her condition was discussed with her daughters, and it was decided that they did not want to intubate her for any reason. it was then explained that she would soon tire out from her increased work of breathing, and if intubation was not an option, the patient should be made comfortable. the daughters expressed their wish to make the patient cmo and a morphine drip was started. the patient expired approximately 4 hours later, with her family at her bedside. an autopsy was offered to the family, but declined. given that the patient's initial admission was for a fall, the medical examiner's office was notified and the chart will be reviewed. medications on admission: 1. asa 81 mg daily 2. dipyridamole asa 200-25 mg q12h 3. calcitriol 0.25 mcg mon-wed-fri 4. multivitamin 1 tab daily 5. betamethasone valerate 0.1% cream 6. calcium 7. vitamin d 8. ibuprofen 400 mg daily discharge medications: none discharge disposition: extended care facility: for the aged - discharge diagnosis: fall with pelvic fracture respiratory failure bacteremia pneumonia discharge condition: expired procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart enteral infusion of concentrated nutritional substances diagnoses: pneumonia, organism unspecified anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia unspecified fall acute respiratory failure bacteremia closed fracture of pubis staphylococcus infection in conditions classified elsewhere and of unspecified site, staphylococcus, unspecified 

Answer: The patient is high likely exposed to