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: (per admitted resident) ms. is a 53-year-old woman with multiple medical problems, most notable of which is reported igg deficiency, renal agenesis, and a recent history of methicillin-resistant the patient presented to an outpatient clinic on the day of admission complaining of fevers, rigors, cough, and dyspnea. the patient stated she awoke on with a sore throat and developed fevers to 101 degrees. the patient's symptoms improved by ; but on her symptoms returned, and she developed a cough productive of green sputum. the time. on the morning of presentation, the patient complained of rigors, shortness of breath, chest tightness with breathing, rhinorrhea, mild headache, and bilateral ear pain. the patient was transferred to the emergency department for evaluation and possible admission. her temperature in the emergency department was 100.1 degrees. blood cultures were drawn, and levofloxacin was started. past medical history: 1. suspected munchausen's syndrome; the patient's primary care physician and immunologist strongly suspect that the patient has fabricated and/or exaggerated numerous elements of her past medical history. the patient has been admitted to a number of hospitals in this state with a variety of diagnoses. 2. recent methicillin-resistant staphylococcus aureus bacteremia at an outside hospital ( through of ). 3. congenital renal agenesis, with partial opposite nephropathy. 4. reported igg deficiency. 5. chronic pyelonephritis. 6. hypothyroidism. 7. hypercholesterolemia. 8. history of multiple sclerosis by magnetic resonance imaging in ; stable. allergies: (?) penicillin, sulfa, tetracycline, azithromycin. medications on admission: outpatient medications include cardizem, dyazide, synthroid, lipitor, provera, estrogen patch. social history: the patient is a first grade teacher. she has spent many months in the last several years in a variety of hospitals in the state. physical examination on presentation: (per admitting resident) temperature of 100.4, heart rate of 104, respiratory rate of 16, blood pressure of 104/60, satting 98% on room air. in general, uncomfortable, with rigors, in no acute distress. lungs were clear to auscultation bilaterally. cardiovascular examination revealed slightly tachycardic, a regular rhythm. no murmurs, rubs or gallops. abdomen was soft, mildly tender in the left upper quadrant and left flank. positive costovertebral angle tenderness. positive bowel sounds. no rebound or guarding. extremities revealed no clubbing, cyanosis or edema. pedal pulses were 2+. neurologically, alert and oriented times three. positive nuchal rigidity. positive photophobia. funduscopic examination revealed no obvious papal edema. negative brudzinski sign was noted. pertinent laboratory data on presentation: laboratory data on presentation with complete blood count which revealed a white blood cell count of 11.5 (with a differential of 83% neutrophils, no bands, and 13% lymphocytes). hematocrit was 32.5, platelets were 392. chem-7 revealed a sodium of 139, potassium of 3.6, chloride of 101, bicarbonate of 24, blood urea nitrogen of 28, creatinine of 1.4, blood sugar of 96. urinalysis revealed 0 white blood cells and 0 red blood cells, occasional bacteria, 0 epithelial cells, a ph of 5. radiology/imaging: chest x-ray was unremarkable and unchanged from prior study of . hospital course: the patient was admitted to the medicine service for further evaluation and treatment of her above-noted symptoms. at the time of the patient's initial presentation to the medicine service (as well as to the emergency department), the house staff were unaware of the patient's history of suspected munchausen's syndrome. following admission, blood and urine cultures were obtained, and the patient underwent a lumbar puncture which did not reveal any evidence of meningitis. given the patient's history of methicillin-resistant staphylococcus aureus as well as the concern for meningitis, the patient was initially covered with broad spectrum antibiotics including vancomycin, gentamicin, and ceftriaxone. shortly following the patient's lumbar puncture, the patient's peripheral intravenous line reportedly fell out, and the intravenous line teams were unable to obtain further peripheral access. thus, the patient underwent placement of a right femoral line without complications. on , the patient became quite stridorous. although her oxygen saturation remained normal, her symptoms were worrisome enough that the patient was transferred to the intensive care unit. the patient was treated with racemic epinephrine for her stridor. this intervention did not have any significant effect. the ear/nose/throat service was consulted and felt that the patient exhibited paradoxical vocal cord movement. her airway was not felt to be in any danger whatsoever. the patient was also deemed to have bilateral otitis externa. thus, she was treated with ciprofloxacin otic drops and ear wicks. an abdominal ct obtained while the patient was in the intensive care unit revealed no evidence of pyelonephritis nor hydronephrosis. there was evidence of a tiny (1 mm) nonobstructing calculous in the left kidney. the patient did well in the intensive care unit and was transferred back to the medicine floor on . although the patient continued to exhibit periodic stridor, her oxygen saturation remained excellent throughout her hospital course. her symptoms did not seem to respond significantly to racemic epinephrine. a psychiatry consultation was obtained. the patient was felt to have an adjustment disorder with dysthymia. the psychiatry team did not feel that the patient's condition warranted antidepressants at that time. information relayed from revealed that the patient's positive methicillin-resistant staphylococcus aureus history was related to a wound site infection (site unknown) on , as well as positive culture from a line tip (). there was no record at of any blood cultures being positive for methicillin-resistant staphylococcus aureus. regarding the patient's purported history of igg deficiency, several studies were sent including igg (which was found to be 895), iga (which was found to be 163), and igm (which was found to be 201). all were within normal limits. the patient's thyroid-stimulating hormone level was also found to be within normal limits at 1.6; and, thus, she was maintained on her outpatient dose of synthroid. the patient's antibiotics, by this point, had been weaned down to levofloxacin 250 mg p.o. q.d. (for possible bronchitis) and the above-noted otic drops. over the remainder of the hospital course, she did well. her femoral line was removed, and she ambulated without difficulty. the patient's foley catheter was also removed, and she subsequently produced ample urine output. also, the patient was eating well. the patient was discharged home on with a prescription for levofloxacin and ciprofloxacin otic drops. at the time of this dictation, the patient's blood and cerebrospinal fluid cultures remained negative. also, direct influenza a, influenza b, and respiratory syncytial virus antigen tests were negative. condition at discharge: condition on discharge was afebrile, stable vital signs. discharge diagnoses: 1. suspected munchausen's syndrome. 2. low-grade fever; cause unknown. 3. stridor, attributable to paradoxic vocal cord movement. 4. otitis externa. discharge followup: the patient was to follow up with her primary care physician, . , at her discretion. also, the patient was to follow up with the ear/nose/ clinic within the next week to 10 days for further evaluation of her paradoxic vocal cord movement. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified spinal tap incision of lung diagnoses: abdominal pain, unspecified site unspecified essential hypertension retention of urine, unspecified acute bronchitis renal agenesis and dysgenesis adjustment disorder with mixed anxiety and depressed mood other diseases of vocal cords infective otitis externa, unspecified common variable immunodeficiency 

Answer: The patient is high likely exposed to