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: the patient is a year old female with multiple medical problems who was admitted to the intensive care unit on , from a nursing home with signs of sepsis including fever of 101, room air saturation of 86%, and a lactate of 5.2, as well as delta ms. the patient had been previously well at the nursing home but had acutely decompensated. on arrival, she had electrocardiographic evidence of demand ischemia and was aggressively intravenous fluid resuscitated, as well as started on broad spectrum antibiotics. past medical history: 1. left middle cerebral artery cerebrovascular accident , with resulting right hemiparesis and aphasia. 2. percutaneous endoscopic gastrostomy placed . 3. status post tracheostomy in , which has been since reversed. 4. coronary artery disease times two myocardial infarctions. 5. atrial fibrillation, no history of anticoagulation. 6. peripheral vascular disease. 7. hypertension. 8. diabetes mellitus type 2. 9. hypercholesterolemia. 10. multiple urinary tract infections in . 11. methicillin resistant staphylococcus aureus line sepsis . 12. basal cell carcinoma right cheek. 13. congestive heart failure with an ejection fraction of 21% by transesophageal echocardiogram . medications on admission: 1. lopressor 25 mg twice a day. 2. aspirin 81 mg once daily. 3. heparin 5000 units subcutaneous twice a day. 4. promod with fiber via nasogastric tube. 5. dulcolax 10 mg pr p.r.n. 6. tylenol p.r.n. 7. eucerin cream. 8. regular insulin sliding scale. 9. nph 4 units subcutaneous twice a day. 10. ritalin 5 mg p.o. twice a day. 11. lasix 20 mg p.o. once daily. 12. lipitor 10 mg p.o. once daily. 13. prevacid 30 mg p.o. once daily. 14. albuterol mdi p.r.n. 15. colace 100 mg p.o. twice a day. 16. nystatin powder. 17. scopolamine patch transdermal once daily. allergies: no known drug allergies. social history: the patient is from poland and moved to the united states in . she has been married for over fifty years. no etoh, tobacco or drug history. most recently, she has resided at nursing home. minimal verbalization at baseline since cerebrovascular accident. her daughter is very involved in her care. physical examination: on admission, temperature is 96.6, heart rate 96 and in atrial fibrillation, blood pressure 106/42 with a map of 63, cvp of 6, respiratory rate 18, oxygen saturation 100% on 50% face mask. examination is notable for thin elderly woman looking acutely ill. surgical pupil on the right. the pupil is reactive on the left. sclera anicteric, mucous membranes are moist. strong gag. no jugular venous distention or lymphadenopathy. the heart is irregular and rapid, no murmurs. lungs revealed coarse breath sounds and diffuse rhonchi. the abdomen is soft, nondistended, nontender, gastrostomy tube in place. extremities showed no edema, 2+ pulses. neurologically, dense hemiparesis of the right side with upgoing toe on the right and downing toe on the left and moving left extremities without difficulty. laboratory data: on admission, white blood cell count was 14.8, hematocrit 44.0, platelet count 350,000. chem7 was normal except for glucose of 149, ck 167, troponin 0.04. urinalysis notable for many bacteria, white blood cells, moderate leukocytes. chest x-ray revealed retrocardiac density and bibasilar atelectasis. electrocardiogram showed atrial fibrillation at 137 beats per minute, left axis deviation, 0. depressions v3 and v4, t wave inversion in leads i and avl. hospital course: 1. infectious disease - the patient was initially started on broad spectrum antibiotics, vancomycin, levofloxacin and flagyl in the setting of sepsis. eventually, urine cultures grew resistant proteus and sputum cultures grew methicillin resistant staphylococcus aureus and e. coli. her antibiotic coverage was eventually changed to vancomycin and ceftriaxone to which she responded well. she should complete a ten day course of each. 2. cardiac - pump - the patient was initially septic and dry on admission and was treated aggressively with multiple boluses of intravenous fluids. she subsequently developed evidence of pulmonary edema, not surprisingly since her ejection fraction is 20%. she was then started on lasix for diuresis which eventually evoked hypotension and she was felt to be dry. total length of stay she is positive eight liters in the intensive care unit. at this point, her goal is even fluid balance. she will be restarted on her baseline lasix. rate - the patient was in rapid atrial fibrillation on admission, unclear of the duration of her atrial fibrillation, however, she has never been anticoagulated per primary care physician because of risk of falls. the patient had a left middle cerebral artery cerebrovascular accident in , thought to be embolic in nature. she has not been anticoagulated since that time due to concern for rebleed. atrial fibrillation has been controlled initially with diltiazem drip but she was then changed to p.o. beta blocker with good rate control with heart rate in the 80s. the patient was started on lovenox 60 mg subcutaneous twice a day for anticoagulation. ischemia - the patient had non st elevation myocardial infarction in the setting of sepsis and rapid atrial fibrillation. electrocardiographic changes resolved with heart rate control. the patient was continued on aspirin, beta blocker and lipitor. 2. status post cerebrovascular accident - according to the family, the patient has been only minimally verbal since cerebrovascular accident. they do feel that they can communicate with her and understand what she is trying to communicate. there seems to have been little improvement in her function since . 3. access - the patient had a right ij placed on admission which remained throughout her hospital course. she had no erythema or infection felt to be associated with the line. 4. code status - code on admission, the patient was full code. she never did require intubation or cpr. multiple discussions with the family were undertaken while the patient was in the intensive care unit with the result that the patient was made dnr/dni as documented on , in the chart. discharge status: the patient will be discharged to an extended care facility. discharge instructions: the patient should continue vancomycin intravenously until . she will continue ceftriaxone or p.o. equivalent to end on . in addition, she should continue on lovenox for anticoagulation and her beta blocker should be titrated for adequate heart rate control. tube feeds to be continued and the patient will need physical therapy. in addition, her weight should be monitored closely for evidence of weight gain at which time her lasix should be intermittently increased. the patient may also require chest physical therapy intermittently to help handle her secretions. medications on discharge: 1. bisacodyl 10 mg p.r.n. 2. atorvastatin 10 mg once daily. 3. tylenol 325 to 650 mg p.r.n. 4. atrovent nebulizer p.r.n. 5. insulin sliding scale. 6. albuterol nebulizer p.r.n. 7. metoprolol 25 mg p.o. twice a day. 8. lansoprazole 30 mg p.o. once daily. 9. miconazole powder p.r.n. 10. lasix 40 mg p.o. once daily. 11. enoxaparin sodium 60 mg subcutaneous q12hours. 12. aspirin 325 mg once daily. 13. antibiotics as outlined in page one. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified congestive heart failure, unspecified unspecified septicemia atrial fibrillation intestinal infection due to clostridium difficile methicillin susceptible pneumonia due to staphylococcus aureus pneumonia due to escherichia coli [e. coli] 

Answer: The patient is high likely exposed to