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: respiratory distress major surgical or invasive procedure: endotracheal intubation history of present illness: mrs. is an 88 yo woman with a pmh of dementia, dm2, ckd (baseline cr 2.0), htn, chronic subdural hematoma, recent gi bleed and recent admission with ?sepsis/bradycardic arrest/hypotension complicated by spinal cord infarct who presented to the ed from nursing home with respiratory distress. . per the nursing home, she was in her usoh until approximately 6 a.m. on the morning of admission, when she acutely desaturated to 74%. with suctioning, chest pt and "breathing treatments," her sats improved to 92%. she then again became hypoxemic (to the 70s), and she was placed on a nrb, at which point mental staus changes became worrisome to the staff. she received 60 of furosemide iv, and ems was called. . the pt was intubated for hypoxemic respiratory failure in transit to . in the ed, initial vss were temp of 101.0 hr 68, bp 80/59, rr 16, 100% vented. she was started on norepinephrine for hypotension and given vancomycin and ceftazadime. past medical history: 1. dementia 2. niddm 3. renal insufficiency (bl cr 1.7) 4. vitamin d deficiency 5. htn 6. ugi bleed with admission tx with 5units prbc, egd with epi and cautery. 7. iron deficiency anemia 8. cad s/p nstemi recent admission 9. lower extremitity paraplegia s/p spinal artery infarct last admission - social history: lived at recently, unknown tobacco or etoh history. family history: nc physical exam: vitals: t: 97 bp: 134/75 (off pressors) p: 74 r: 22 sao2: 100% vent: ac 400 x 18, 50% 5 peep, 22bpm general: chronically ill appearing, non-responsive heent: ncat, surgical pupils, no scleral icterus, mmm, intubated, no lesions noted in op neck: supple, no significant jvp (4cm) pulmonary: lungs transmitted upper airway sounds cardiac: rr, nl s1 s2, ii/iv sem at usb, rubs or gallops appreciated abdomen: soft, nt, nd, normoactive bowel sounds, no masses or organomegaly noted, g tube in place extremities: 2+ edema/anasarca ue>le, 2+ radial, 1+ dp pulses b/l skin: no rashes or lesions noted. neurologic: intubated, not sedated, moves head and arms bilaterally spontaneously, no movement in le, toes mute. pertinent results: admission labs --------------- () 08:00am wbc-19.5* rbc-3.36* hgb-9.6* hct-30.1* mcv-90 mch-28.4 mchc-31.7 rdw-17.3* plt ct-466* neuts-85* bands-6* lymphs-6* monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-0 hypochr-1+ anisocy-1+ poiklo-2+ macrocy-normal microcy-1+ polychr-occasional ovalocy-1+ stipple-occasional 16.3* ptt-51.1* inr(pt)-1.5* plt smr-high plt ct-466* glucose-173* urean-115* creat-2.8* na-135 k-4.6 cl-92* hco3-32 angap-16 ck(cpk)-111 ck-mb-4 ctropnt-0.51* calcium-8.7 phos-6.7*# mg-2.3 04:02pm blood cortsol-36.6* 04:05pm blood cortsol-47.9* 06:00pm blood cortsol-60.2* . 08:28am blood type-art temp-38.3 rates-/14 tidal v-450 fio2-100 po2-263* pco2-64* ph-7.31* caltco2-34* base xs-3 aado2-403 req o2-69 intubated . 01:10pm blood type-art rates-18/22 tidal v-400 peep-5 fio2-50 po2-82* pco2-49* ph-7.45 caltco2-35* base xs-8 -assist/con intubat-intubated . 01:10pm blood lactate-1.0 na-132* k-3.9 cl-92* . 10:27pm blood type-art temp-37.0 po2-145* pco2-45 ph-7.44 caltco2-32* base xs-6 . . studies ---------- () head ct impression: 1. no hemorrhage or mass effect. 2. brain and medial temporal atrophy. . () chest x-ray impression: consolidation in the left lower lobe with small left-sided pleural effusion. probable consolidation in the right lower lobe. . . () ecg normal sinus rhythm. t wave inversions in leads v1-v6 suggest possible anterior ischemia. late r wave transition. left axis deviation. probable left anterior fascicular block. cannot exclude prior inferior myocardial infarction. compared to the prior tracing of no diagnostic change. . . () chest x-ray moderate cardiomegaly, unchanged since , substantially improved since . worsening left lower lobe consolidation could be pneumonia or atelectasis. lungs otherwise generally clear. heavy mitral annulus calcification noted may be contributing to mitral regurgitation. et tube and left subclavian line in standard placements. tubing coiled over the stomach, cannot be localized with certainty on this single view. no pneumothorax or appreciable pleural effusion. . () ecg atrial fibrillation with rapid ventricular response borderline left axis deviation - is nonspecific left ventricular hypertrophy delayed r wave progression - may be due to left ventricular hypertrophy diffuse nonspecific st-t wave changes since previous tracing of , atrial fibrillation now present, and further st-t wave changes seen . () trans-esophageal echo impression: no definitive evidence of vegetations. however, there are filamentous strands on the aortic valve leaflets which are likely normal variant, but endocarditis cannot be entirely excluded. . 02:35pm blood ret aut-1.1* . 02:35pm blood alt-30 ast-24 ld(ldh)-174 alkphos-82 totbili-0.3 . 02:35pm blood caltibc-147* hapto-164 ferritn-854* trf-113* . discharge labs: brief hospital course: briefly this is an 88 year old woman with multiple medical issues (dementia, dm, chf, ckd, spinal cord infarction with ble hemiplegia) who presented with hypoxic respiratory failure, and hypotension, found to have mrsa in sputum and bal, coagulase negative staph in blood and from picc line and vre in blood from art line. . 1.respiratory failure: pt admitted for hypoxemic respiratory failure, intubated in field. see to have b/l pulmonary consolidations on cxr. sputum, bal cultures grew brsa. pt on vancomycin initially, switched to po linezolid on . pt extubated in . on d/c did not have oxygen requirement. . 2. sepsis: pt was admitted with picc line in place. blood cultures from grew coagulase negative staph, her picc was d/c'd on , the cath tip also grew cns. surveillance cultures the following day () grew vre from a-line. vancomycin d/c'd and pt started on iv linezolid on to cover mrsa pna as well as cns and vre bacteremia. id was consulted and recommended plan to continue linezolid po on discharge for a total of 2 week course. will check weekly cbcs to monitor for pancytopenia. last day of linezolid . . 3. ckd: history of ckd and elevated creatinine on presentation. during admission however, creatinine improved and is now below previously recorded values. new baseline cr = 1.7. pt started on ace-i prior to d/c. . 4. dm2: adequate blood glucose control on insulin sliding scale. . 5. anemia/h/o gib: pt's hematocrit was in high 20s for hospital stay. anemia panel negative for hemolysis or iron deficiency. no signs of acute bleed. anemia likely due to phlebotomy superimposed on anemia of chronic disease. pt did not require transfusion during this stay. on day of discharge hct = 28.4. . 6. c. diff: patient was c. diff + on last admission, and her antibiotic course was completed on . no signs of ongoing infection. pt continued on flagyl during this admission for prophylaxis during treatment with antibiotics for her pna and bacteremia. c diff toxin has been negative x 2 during this admission. pt to continue flagyl for one week after the completion of linezolid course. last day of flagyl . . 7. cad/htn: pt had nstemi on last admission. had episode of afib with rvr in unit, responded to labetalol. maintained on labetalol with parameters, asa and statin. on tele during admission with no further events on floor. pt was hypertensive on regimen of labetalol, lasix and nifedipine. started on hctz. prior to d/c pt's labetolol was increased to her admission dose of 300mg . lasix chaged to po at 100mg po daily. nifedipine changed to xl 120 mg po daily. pt started on low dose ace-i in setting of htn with chf and recent nstemi on last admission. titrate up as tolerated. . 8. decubitus ulcer: wound care nursing involved during admission. pt had state decubitous coccyx ulcer and state 1 ulcer on left heel. dressing changed daily. no signs of infection in either wound. pt has had foley catheter in place in an effort to aid with coccyx ulcer healing. . 9. spinal cord infarct: occured on last admission believed to be due to hypotension during her brady arrest. pt seen by neuro at this time. no further intervention recommended pt has been normotensive to hypertensive since transfer to the floor on this admission. . 10. chronic subdural hematomas: during neuro evaluation, head ct was obtained showing interval resolution of subdural hemorrhage. . 11.mental status: per history, patient has a significant baseline dementia. on transfer to the floor pt had returned to her baseline, significantly improved from prior admission. she would open her eyes spontaneously, follow commands, answer questions appropriately in word sentences, albeit with some significant stuttering. head ct this admission showed atrophy but no intracranial mass, acute bleed or midline shift. . 12. fen/lytes: patient was maintained on tube feeds, which she tolerated well throughout admission. . 13. prophylaxis: during admission, heparin sc tid was used for dvt prophylaxis and ppi iv was given due to history of gi bleed. . 14. communication: contact person was daughter, , (h), (c) and grandson, , . 15. code status: ms remained full code during admission, confirmed with family. . on day of discharge pt was afebrile with vss. sating 100% on 2l nc. pt's white count had trended down from high of 25 to 7. pt to be discharged to acute rehabilitation facility on continued antibiotics. pt will need to have cbc checked while on linezolid. medications on admission: atorvastatin 20 mg daily aspirin 81 mg daily acetaminophen prn pain nifedipine 30 mg q8hrs esomeprazole labetalol 300 mg metronidazole 500 mg insulin glargine 4 units furosemide 100 mg iv daily heparin (goal ptt 40-60) insulin sliding scale discharge medications: 1. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). 2. zinc sulfate 220 (50) mg capsule : one (1) capsule po daily (daily). 3. calcium acetate 667 mg capsule : two (2) capsule po tid w/meals (3 times a day with meals). 4. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 5. insulin glargine 100 unit/ml cartridge : one (1) 10 subcutaneous at bedtime. 6. insulin regular human 100 unit/ml cartridge : one (1) please see sliding scale injection qac: please see attached sliding scale. 7. ascorbic acid 90 mg/ml drops : one (1) po bid (2 times a day). 8. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 9. cholecalciferol (vitamin d3) 400 unit tablet : two (2) tablet po daily (daily). 10. linezolid 600 mg tablet : one (1) tablet po twice a day for 12 days: take twice a day until , pt will need cbc checked on to check for potential side effect of pancytopenia. . 11. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 12. metronidazole 500 mg tablet : one (1) tablet po tid (3 times a day) for 19 days: take for 7 days after linezolid completed. 13. hydrochlorothiazide 25 mg tablet : one (1) tablet po once a day: please give 1/2 hour before lasix. 14. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 15. labetalol 200 mg tablet : 1.5 tablets po bid (2 times a day): hold for sbp <100, hr <55. 16. furosemide 40 mg tablet : three (3) tablet po daily (daily). 17. nifedipine 60 mg tablet sustained release : two (2) tablet sustained release po daily (daily): hold for sbp <100. 18. lisinopril 2.5 mg tablet : one (1) tablet po daily (daily): hold for sbp <100. titrated up as bp allows. discharge disposition: extended care facility: hospital discharge diagnosis: primary: 1. mrsa pneumonia 2. respiratory failure 3. bacteremia 4. acute on chronic renal failure secondary: 1. diabetes mellitus 2. hypertension 3. paraplegia discharge condition: stable, extubated, maintaining adequate oxygenation with saturation 100% on 2l nc discharge instructions: you were admitted to the hospital in respiratory failure requiring intubation. you were found to have a pneumonia and an infection in your blood. you were treated with antibiotics that will be continued on discharge. you need to get blood drawn every week while on the antibiotic linezolid because of the potential side effect of pancytopenia (low blood counts). take the antibiotic flagyl for one week after the course of linezolid is completed. please take all medications as prescribed. please follow up with your primary care physician within week of discharge. call your doctor or return to the emergency room if you experience fevers, hypothermia, low blood pressure, change in mental status or respiratory distress or for any other concerning symptoms. followup instructions: you will follow up with the staff radius physician . . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified acute respiratory failure bacteremia methicillin susceptible pneumonia due to staphylococcus aureus pressure ulcer, lower back infection and inflammatory reaction due to other vascular device, implant, and graft subendocardial infarction, subsequent episode of care paraplegia 

Answer: The patient is high likely exposed to