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 / sulfonamides / nsaids / codeine / percocet attending: chief complaint: altered mental status, fever major surgical or invasive procedure: central venous line removal history of present illness: (history obtained from charts, son, and telephone discussion with transferring physician). ms. is an 82-year-old woman with mmp including cad ( s/p 4v cabg , s/p pci ), chf ef 25%, pvd who intiially presented to an osh on with chest tightness and shortness of breath that began earlier that day. patient ruled out with 3 sets cardiac enzymes, no ekg changes, and stress test revealed cardiomyopathy with ef 30%, no reversible defects. 2 nights prior to transfer, patient felt unwell and experienced a low-grade fever, chills with t 99.5. patient with recent history of urinary retention with recurrent utis, had been on macrobid as outpatient which was held on admission, and this was re-started at treatment dose by the covering md. the following morning ~6am, patient was found unresponsive. moonlighter noted patient's eyes to be "rolling around" and patient appeared "rigid" on examination, and was concerned about seizure, so administered 2mg ativan and phenobarbital 500mg iv. around this time, patient had temperature spike to 103, other vss (had pulse, bp, and was breathing during unresponsive episode). patient had an emergent ct scan which did not reveal bleed, but showed evidence of prior infarctions. she was admitted to the icu, where she was found to have labored breathing and was intubated. she received an lp which showed 1 wbc, 0 rbc, glu 75, tp 32. she was started empirically on vanc/ceftriaxone. id was consulted, and doxycycline was added for possible spotted fever. patient continued to spike temperatures, but no localizing source of infection could be found - no rashes, no diarrhea, no cough, no sputum, lp negative. she received a neck, chest, abdomen, and pelvis ct which were reportedly unremarkable. given persistence of fever this morning (101), patient is being transferred to ed for further evaluation and management; specifically, team at osh felt that patient may benefit from mri, which they are unable to do with intubated patients. patient has not received any sedation while intubated after initial propofol. past medical history: 1. cad s/p 4v cabg s/p pci 2. chf ef 25% 3. pvd 4. mitral valve prolapse 5. gerd 6. arthritis 7. ibs 8. s/p ccy social history: fully functional prior to recent events - cooks, drives, shops independently. lives alone in . former tobacco user. no recent travel, no pets. family history: (per osh records): mother died of ? metastatic rectal ca. sister with aaa. physical exam: vs: t 98.2 ax, bp 126/46; hr 62; rr 16; o2 99% ac fi02 0.5 tv 550 peep 5 gen: intubated, unresponsive, no posturing heent: prrl. mmm. et tube in place without surroundng erythema. cv: rrr. no mrg lungs: cta b/l anterior lung field abd: soft, nt/nd. +bs ext: symmetric dps. no edema. deviated toes neuro: prrl. + gag reflex, + cough. withdraws to noxious stimuli. no response to verbal stimuli. upgoing toes bilaterally. patellar reflexes asymmetric l > r, hyperreflexive. pertinent results: 07:37pm pt-11.3 ptt-24.7 inr(pt)-1.0 07:37pm neuts-92.1* lymphs-5.0* monos-2.8 eos-0.1 basos-0.1 07:37pm wbc-12.4*# rbc-3.09* hgb-9.9* hct-28.5* mcv-92 mch-31.9 mchc-34.6 rdw-13.4 07:37pm t3-43* free t4-1.0 07:37pm tsh-1.4 07:37pm caltibc-199* ferritin-784* trf-153* 07:37pm albumin-3.0* calcium-8.1* phosphate-4.1 magnesium-1.9 iron-11* 07:37pm ck-mb-22* mb indx-0.9 ctropnt-0.87* 07:37pm ck(cpk)-2458* 07:37pm estgfr-using this 07:37pm glucose-129* urea n-47* creat-1.8* sodium-142 potassium-4.1 chloride-109* total co2-21* anion gap-16 08:27pm type-art temp-37.9 tidal vol-550 peep-5 o2-50 po2-149* pco2-35 ph-7.41 total co2-23 base xs--1 -assist/con intubated-intubated 09:22pm urine rbc-* wbc-0-2 bacteria-few yeast-none epi- 09:22pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 09:22pm urine color-yellow appear-clear sp -1.018 09:22pm urine osmolal-357 09:22pm urine hours-random sodium-11 . mri brain: 1. extensive acute innumerable infarcts involving bilateral cerebral and cerebellar hemispheres and a single focus of acute infarct in the right side of the pons. this could most likely represent embolic or septic in origin and needs clinical correlation. the largest acute infarct noted is located in the left mca territory, involving most of the left mca territory. 2. faint visualization of the left mca-m1 segment and the bifurcation. the m2, m3, and m4 segments are not definitely visualized. this could most likely represent thromboembolic occlusion. 3. tiny foci of susceptibility, scattered in the brain parenchyma could represent foci of hemorrhage versus calcification. . eeg: abnormal portable eeg due to the voltage asymmetry and background slowing and disorganization described above. the lower voltage background over the left hemisphere suggests material interposed between the recording electrodes and cortical surface (e.g. subdural fluid), or a widespread cortical dysfunction. the background suggests a widespread encephalopathy. medications, metabolic disturbances, and infection are among the most common causes. there were no epileptiform features. . echo: no vegetations or abscess seen. dilated left ventricle with severe regional systolic dysfunction. mild right ventricular systolic dysfunction. moderate aortic regurgitation. moderate mitral regurgitation. mild pulmonary hypertension. brief hospital course: is an 82-year-old woman with cad s/p 4v cabg, chf (ef 25%), pvd, who was intubated at osh for respiratory distress, transferred here for further work-up and management of persistent mental status changes and fever. the following issues were addressed during her micu course: . # ams patient with new acute decompensation in mental status, arrived in comatose state without need for sedation. toes were upgoing bilaterally on babinski, and patient withdrew only to deep noxious stimuli. lp negative at osh. head ct negative for acute changes at osh. given concern for central process, emergent head mri was obtained which showed large mca stroke with several small bilateral acute cvas, likely embolic. sbp was maintained > 120 with intermittent use of pressors to maintain cerebral perfusion. neurology stroke service was consulted, prognosis was poor given territory of involvement. patient was not anti-coagulated given risk for hemorrhagic conversion. to evaluate etiology of embolic cva, lenis were done and returned negative for dvt. tte was done which showed no vegetations or abscess. given depressed loc, eeg was done to rule out non-convulsive status, which showed widespread encephalopathy. in light of these findings, discussion was held between icu and family regarding goals of care, and it was decided to pursue comfort care. patient was extubated. . # respiratory distress patient with altered level of consciousness requiring mechanical ventilation, unable to generate spontaneous breaths. cxr unremarkable for infiltrate or effusion on admission. as above, given prognosis, decision was made for comfort care, and patient was extubated. . # fever patient received full fever work-up including cxr, ua, blood cx. patient with leukocytosis and left shift. patient was continued empirically on vancomycin for gram + coverage given embolic source of cvas. 2/2 blood cultures at osh returned positive for staph aurues, and vancomycin was continued. surveillance cultures were obtained. tte was obtained to assess for endocarditis, and no vegetations were seen. tee was deferred given goals of care. . # cardiac/nstemi patient with significant cardiac history, cad and ischemic cardiomyopathy, reduced ef 25%. patient began to rule in for mi at osh, enzymes and ekg revealed nstemi here. patient was medically managed. anti-coagulation was contra-indicated given large territory infarct. she was given asa, high-dose lipitor. hr was well controlled in 60s without pharmacotherapy. bb were held to maintain map > 60 for cerebral perfusion. . # communication hcp, , medications on admission: medications at home 1. prilosec 40mg po qd 2. coreg 12.5 mg po bid 3. spironolactone 12.5mg po qd 4. lasix 40mg po qd 5. ecotrin 162mg po qd 6. vytorin 10mg po qd 7. tylenol 8. coq10 50mg po bid 9. diovan 40mg po qd 10. macrobid 50mg po qd started . medications on transfer 1. dilantin 100mg q8h ng 2. nacl @ 125 c/hr 3. asa 162mg ng 4. albuterol q4h: prn 5. colace 100 6. lasix 40mg iv qd 7. diovan 160mg ng qd 8. levaquin qpm 9. coreg 12.5 mg 10. ceftriaxone 2g iv q12h 11. vancomycin 1g iv q12h 12. zovirax 800mg iv q12h 13. flagyl q8h 14. protonix 40mg ng qd discharge disposition: expired discharge diagnosis: stroke discharge condition: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: subendocardial infarction, initial episode of care esophageal reflux congestive heart failure, unspecified acute kidney failure, unspecified severe sepsis infection with microorganisms resistant to penicillins aortocoronary bypass status peripheral vascular disease, unspecified methicillin susceptible staphylococcus aureus septicemia other specified forms of chronic ischemic heart disease acute and subacute bacterial endocarditis cerebral embolism with cerebral infarction hypovolemia hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to