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 76 year-old white female with coronary artery disease, hypotension, atrial fibrillation, status post abdominal aortic aneurysm with recent repair of thoracoabdominal aneurysm with a long postop course complicated by aspiration pneumonia and ards transferred for altered mental status and respiratory distress and hypertension. the patient underwent repair of thoracoabdominal aneurysm with the implantation of sma and left renal arteries and spent two weeks in the surgical intensive care unit for aspiration pneumonia and ards. she was extubated on and required reintubation on . the patient underwent trach feeding tube placement and was discharged to rehab facility on . on the patient had positive sputum culture for mrsa and was begun on vancomycin and ceftriaxone course antibiotics. the patient also began on fluconazole for urinary tract infection. on admission the patient was found with altered mental status and respiratory distress and found to have a blood pressure of 80/50, heart rate 85. prior to this patient was alert and responded to voice by following eyes, but on admission she was unresponsive. arterial blood gases on simv 650 by 12, fio2 of 60%, peak of 7.5/7.44/51/136/34. the patient was given intravenous fluid bolus and was transported to where her heart rate was 100 and blood pressure was 60/40. the patient was started on a dopamine drip in the emergency department. dopamine was weaned off with intravenous fluid boluses. in the emergency department the patient was alert and followed eyes to voice, but also unresponsive. a triple lumen was placed after two unsuccessful attempts at subclavian. past medical history: coronary artery disease, hypertension, atrial fibrillation, status post abdominal aortic aneurysm repair in , hyperthyroidism, thoracoabdominal aneurysm repair . allergies: sulfonamide. medications on transfer: coumadin 1 mg q day, amiodarone 200 mg q..d, lopresor 12.5 mg q day, methimazole 10 mg q day, ativan 2 mg q.h.s, prevacid 30 mg q.d., nystatin, ceftriaxone 1 gram q 24, vancomycin 1 gram q 36, fluconazole 100 mg q.d., aldactone 550 mg q.d., lasix 50 mg q.d., albuterol nebulizers q 6 hours, atrovent nebulizers q 6 hours and haldol .5 mg q.h.s. physical examination: the patient's temperature was 101. heart rate 83. blood pressure 100/60. respiratory rate 12. o2 sat 97%. this is a frail, elderly appearing white female in no acute distress. pupils are equal, round and reactive to light. mucous membranes are moist. grade 2 out of 6 harsh systolic murmur heard best at the apex. regular rate and rhythm. normal s1 and s2. decreased breath sounds. lungs clear to auscultation. loud abdominal bruit. abdomen soft, nontender, nondistended. no masses. positive bowel sounds. extremities are cool with no edema. the patient is alert and following intermittent commands. there is a sacral decubitus ulcer, 5 x 3 cm in greatest diameter. also a stage .................... superficial .................... laboratory: the patient's white count was 27.5, hematocrit 34.8, platelets 286. chem 7 146, 4.6, ................, ................... ast .................., alt 260. alkaline phosphatase 169, total bilirubin 0.6. ck 19, lipase 29. urinalysis showed trace protein, otherwise unremarkable. chest x-ray, showed a large tortuous aorta, resolving bilateral alveolar infiltrates, improving right upper lobe pneumonia. head ct was negative for acute bleed. no evidence or signs of disease. electrocardiogram was normal sinus rhythm at 83 and left atrial enlargement and left ventricular hypertrophy. there were depressions in v4 and 5. these were compared to electrocardiogram. echo showed 2+ moderate left ventricular hypertrophy, normal left ventricular systolic function, trace mitral regurgitation. hospital course: this 76 year-old female with coronary artery disease status post abdominal aortic aneurysm repair, atrial fibrillation with recent thoracoabdominal aneurysm repair with a very complicated postop course transferred from a vent weaning facility for fever, hypotension, altered mental status and recent sputum culture positive for mrsa presented with fever, increased white count, believed to be septic shock. 1. cardiovascular: the patient was given fluid boluses and subsequent to the emergency department course was weaned off blood pressure medication. over the course of the hospitalization she had several episodes of hypotension believed to be due to hypovolemia. the patient responded well to fluid boluses. the patient had episodes of hypotension secondary to sedative medications in particular ativan and morphine. these episodes were also responsive to fluid boluses. 2. pulmonary: the patient's vent setting initially was simv 550/10, 40% fio2 with a peep of 5. during the course of the day the patient was eventually changed over to pressor support 10 and 5, fio2 of 40% with a peep of 5, which she tolerated well. several spontaneous weaning trials were attempted; however, the patient failed these secondary to agitation, tachypnea, and mucous plugging. subsequently the patient's simv was stable with pressor support. the patient developed a mrsa positive pneumonia while at rehab. during the course of this hospitalization she completed her vancomycin course. subsequent sputum cultures grew out stenotrophomonas maltophilia and providencia stuartii. infectious disease was consulted and believed these to be low virulence organisms, not likely to be the cause of the patient's original septic shock presentation. the patient was started on admission on ceftazidime 2 grams q 24. this was subsequently discontinued on . the patient was also started on flagyl 250 mg q 8, which was discontinued on . 3. infectious disease: the patient's presentation was most consistent with septic shock. the most likely source was believed to be the mrsa positive pneumonia; however, subsequent workup did not reveal another source of infection. the patient's urine was unremarkable. foley catheter was subsequently changed during this hospitalization. nasogastric tube was subsequently discontinued. the patient had multiple blood cultures, which showed no growth to date. the patient's peak white count was on admission at 27.5, and subsequently the white count trended downward. infectious disease was consulted. the issue of a graft infection was discussed with infectious disease, however, they felt that the likelihood of graft infection was low given that the graft was placed in of this year with no subsequent infection. additionally, infectious disease believed that sinusitis was unlikely given that on admission head ct showed no evidence of sinus disease. 4. neurological: the patient had head ct which showed no signs of intracranial bleed. the patient's mental status was believed to be at her baseline. she would respond to voice; however, it did not appear that she recognized family members. this was believed to be baseline. 5. renal: on admission bun and creatinine were elevated at 82 and 1.3. subsequently over the course of the hospitalization the bun and creatinine trended downward on , bun was 29, creatinine 0.9. 6. hematology: the patient was recently admitted on coumadin secondary to extensive deep venous thrombosis involving the brachiocephalic vein, axillary vein and left subclavian vein. this was originally discovered on hospital admission during for which the patient had a thoracoabdominal aneurysm repair. this was believed to be secondary to multiple central line catheters in place for prolonged course. during that hospitalization a chest and abdominal ct was obtained, which showed no evidence of malignancy. 7. fen: the patient received multiple fluid boluses over the course of the hospitalization. during her hospitalization the patient became mildly hypernatremic at 152, subsequently water boluses returned sodium to normal levels. 8. intravenous access: upon admission the patient had a left groin triple lumen placed. this was subsequently discontinued. the patient also initially had a left picc line placed, however, this subsequently failed and the patient had a right picc line placed. code status: the patient is a full code. condition on discharge: fair. discharge status: stable. discharge diagnoses: septic shock. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified candidiasis of other urogenital sites atrial fibrillation pneumonitis due to inhalation of food or vomitus other shock without mention of trauma hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to