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: history of present illness: this is an 85 year old female with a history of chronic pancreatitis secondary to ethanol use and peptic ulcer disease, status post distal diskectomy, admitted to surgical intensive care unit from hospital where she presented with nausea, vomiting, diarrhea and epigastric pain. the patient presented to at 9:45 pm, with a history of weakness, nausea, vomiting and creamy diarrhea times one to two weeks with poor p.o. intake. the patient reports a one month history of diarrhea. no fever or chills. the patient reports epigastric pain, 6 out of 10, no radiation. past medical history: 1. chronic pancreatitis diagnosed in with pancreatic pseudocyst drained ; 2. peptic ulcer disease, status post partial distal diskectomy; 3. atrial fibrillation; 4. gout; 5. hyperlipidemia; 6. ethanol abuse. medications on admission: medications at home include - 1. lasix; 2. diovan; 3. propranolol. social history: positive tobacco history, none currently. positive heavy ethanol use in the past, unclear use now. the patient is married and lives with her husband. family history: non-contributory. physical examination: on admission temperature was 96.3, pulse 86, blood pressure 126/54, respirations 18, sating 100% on 100% face mask. the patient was on dopamine 7.5 mcg/min. general: frail elderly female in mild distress secondary to abdominal pain. head, eyes, ears, nose and throat: positive icterus, oral mucosa slightly dry. oropharynx clear. neck: supple, jugulovenous distension to jaw line at 45 degrees. no lymphadenopathy. cardiac: regular rhythm, no murmurs, rubs or gallops. lungs: decreased breathsounds with mild rhonchi. abdomen: old scar noted. normoactive bowel sounds. soft, moderate tenderness in the epigastrium, positive guarding. distention of abdomen, but soft without evidence of peritoneal signs or rebound. extremities, warm with no edema. rectal, poor tone, guaiac negative. laboratory data: laboratory studies on admission revealed white blood cell count 10.6, hematocrit 25.3, platelets 310, inr 1.1, ptt 25.5, sodium 138, potassium 4.1, chloride 115, bicarbonate 12, bun 51, creatinine 1.6, glucose 151. alt 43, ast 72, alkaline phosphatase 140, total bilirubin 1.2, amylase 27, lipase 52, calcium 7.6, magnesium 1.3, phosphorus 3.5. arterial blood gases, 7.29, 28, 68, lactate 1.3. computerized tomography scan: small amount of fluid in retroperitoneum. mildly thickened small bowel loop, bilateral pleural effusions, positive pleural plaques. ultrasound: no dilated common bile duct, cholelithiasis but no evidence of cholecystitis. hospital course: 1. abdominal pain - the patient's abdominal pain with nausea, vomiting and diarrhea was felt to be consistent with chronic pancreatitis flare versus gastroenteritis. there was no evidence of cholecystitis or common bile duct dilatation on right upper quadrant ultrasound and aside from a few loops of thickened bowel on abdominal computerized tomography scan, abdominal findings were unremarkable. the patient's initial acidosis were felt secondary to fluid losses from diarrhea and improved with volume resuscitation. the patient's abdominal examination steadily improved and her liver function tests remained unremarkable throughout the hospital stay. at the time of discharge the patient was without nausea, vomiting or diarrhea. 2. cardiology - the patient's cardiac enzymes were cycled with a troponin peak of 0.14. cardiology was consulted who recommended a transthoracic echocardiogram and persantine mibi with gentle diuresis for elevated jugulovenous pressure and initiation of lopressor. the patient's transesophageal echocardiogram on showed an ejection fraction of 60% with 1+ mitral regurgitation, 2+ tricuspid regurgitation, severe pulmonary artery and systolic hypertension. the patient's troponin leak is likely secondary to strain and further workup not pursued at this time. the patient will require a persantine mibi scheduled as an outpatient through her primary care physician. 3. respiratory - the patient developed a cough with increased respiratory rate into the 30s on . a chest x-ray at that time showed left upper lobe and lower lobe opacities consistent with congestive heart failure versus pneumonia as well as a bilateral pleural effusion. the patient was diuresed with lasix over 2.3 liters over the next 36 hours with no improvement in respiratory symptoms. follow up chest x-ray showed an increase in the size of the left pleural effusion and multifocal bilateral pulmonary infiltrates. the patient was begun empirically on levofloxacin and flagyl and was transferred to the medicine intensive care unit for further management of suspected nosocomial pneumonia. the patient had sputum culture taken on and which grew methicillin-resistant staphylococcus aureus and vancomycin was added upon transfer on to the medicine intensive care unit. the patient will continue ciprofloxacin, flagyl and vancomycin for a total of 14 day course for nosocomial pneumonia. the patient underwent a thoracentesis on which gram stain showed no polymorphonucleocytes and no microorganism. total protein 1.3, albumin less than 1, glucose 138, ldh 81, preliminary probe fluid culture was negative. based on these results pleural effusion was felt to be a transudate likely secondary to congestive heart failure and the patient was gently diuresed during the course of the hospital stay. the patient was noted to have copious secretions throughout length of stay in the medicine intensive care unit requiring frequent suctioning. she had a weak cough and was unable to bring up secretions on her own without chest physical therapy. 3. fluids, electrolytes and nutrition - the patient was noted to be hypernatremic with sodium 149 at time of transfer to the medicine intensive care unit. free water deficit was 1.6 liters. the patient was repleted with 1/2 normal saline. the sodium had stabilized at the time of discharge. sodium was 139. metabolic acidosis was noted on admission to surgery intensive care unit, resolved with closing anion gap and normalization of ph. the patient had speech and swallow evaluation on given concern of possible aspiration as a contributor to her current pneumonia. bedside swallowing evaluation showed that the patient appeared to aspirate water but refused to take more than one bite or one sip. her lack of cooperation, lack of desire to eat and drink and her waxing and level of alertness placed her at significant nutritional risk, even if she could swallow safely. therefore, the patient's dobbhoff tube was placed and tube feeds started. the patient will require further evaluation once strength increases to evaluate whether she is able to take p.o. once she is over her acute illness. 5. anemia - the patient was noted to have decreased hematocrit on transfer to the medicine intensive care unit, although this was within her baseline ranges of 25 to 35. the patient was guaiac negative. iron studies suggestive of anemia of chronic disease. we continued to monitor her hematocrit through her hospital course. it remained stable and at the time of discharge was 28.2. the patient will require further monitoring of her hematocrit as an outpatient to ensure that it remains stable. 6. delirium - the patient was noted to have waxing and mental status throughout the course of her hospital stay although it gradually improved as we avoided sedatives. the delirium was felt likely secondary to acute infection overlying the existing underlying dementia, possibly from prior heavy ethanol use. the patient's mental status stabilized. no further workup was performed at this time. 7. renal failure - the patient's elevated creatinine noted on admission to surgery intensive care unit gradually returned towards normal with a creatinine of 1.0 at the time of discharge. given the patient's creatinine clearance, less than 35, all medications were dosed renally. the patient will require further follow up of creatinine to ensure that it remains within normal limits. the patient's elevated creatinine on admission was likely secondary to prerenal although there may have been an acute tubular necrosis component. condition on discharge: fair discharge status: to be discharged to acute rehabilitation facility. discharge diagnosis: 1. chronic pancreatitis 2. nosocomial pneumonia 3. atrial fibrillation 4. gout 5. peptic ulcer disease 6. hyperlipidemia discharge medications: 1. colace 100 mg p.o. b.i.d. 2. metronidazole 500 mg intravenously q. 8 hours 3. regular insulin sliding scale 4. pantoprazole 40 mg p.o. q. 24 hours 5. ciprofloxacin 400 mg intravenously q. 24 hours 6. vancomycin 500 mg intravenously q. 24 hours , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances thoracentesis arterial catheterization diagnoses: acidosis mitral valve disorders unspecified pleural effusion congestive heart failure, unspecified atrial fibrillation methicillin susceptible pneumonia due to staphylococcus aureus chronic pancreatitis diseases of tricuspid valve 

Answer: The patient is high likely exposed to