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: fever major surgical or invasive procedure: ir lines history of present illness: 72yo vasculopathic f with esrd on hd (bl cr ), bilateral bkas, dm2 (hba1c 5.2), htn, chf (ef 50%), hx of mrsa line infection presents from hd with fever. she completed her hd run (wts not available in paperwork). there she was hd stable, but per verbal report 76% ra, bld cultures were drawn (presumptively off of the hd line). she was given 750mg of vanco and 60mg of gentamicin and transferred from . . in the ed, initial vs were 100.8 125 138/70 20 78%ra in triage, and 102.2 115 94/38 14 99%3l. patient had more bld cxs drawn. cxr showed increased opacity on right side (chronic pulmonary edema +/- mild pleural effusions). pt was given tylenol and flagyl (presumptively for asp pna). . per conversation with nh staff pt had oxygen of 96% thursday and friday, 93% on monday. they also noted that she has had decreased appetite, refusing supplements over the last few days, ?right arm swelling, pt had been dening sob. . of note patient has had mulitple hd lines over the years. most recently on she had an exchange for a non-functioning hd line. . on the floor, she denies pain and is breathing comfortably, but crying intermittently. past medical history: 1. esrd on hd since 2. diabetes mellitus ii 3. orthostatic hypotension on midodrine 4. hyperlipidemia: ldl of 49 5. peripheral disease 6. diastolic chf, lvh, ef 55% in 7. chronic upper extremities dvts 8. cva x2 9. seizure d/o s/p cva . h/o mrsa line sepsis/klebsiella bacteremia, coag neg staph bacteremia 11. h/o osteomyletis (l3-l4 vertabrae) ' 12. h/o pelvic fx 13. h/o psoas abscess 14. pericardial tamponade, cardiac perforation post dialysis catheter change past surgical history: 1. s/p right bka 2. s/p emergent cardiac surgery with sternotomy and drainage in . social history: lives at home in , ma. daughter is next of : , but friend is hcp. tobacco, etoh, drug use. family history: non-contributory physical exam: vs: 99.0 114 114/45 11 92%ra, 100%2l general: elderly aa female, cachectic, laying in bed, awake, denies pain and aox1 (to name, not to date) skin: warm and well perfused, left tunnelled line with tracking erythema up to above subclavian where line dives deeper, back with healed sacral decub with very minimal scab. heent: at/nc, eomi, pupils sluggish 2 to 1.5mm bilaterally, anicteric sclera neck: dilated veins throughout neck. cardiac: rrr, s1/s2, 2/6 systolic murmur at usb lung: significant bibasilar crackles, fair air movement, no wheezes abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly, significantly dilated superficial veins m/s: r bka, l aka, moves upper extremities, hands tightly clenched neuro: a+o x1 (name), rarely makes eye contact, cn grossly intact, sensation to touch intact, moves all 4, but hands are held in contracted position (able to move them). pertinent results: 05:30pm pt-27.5* ptt-50.5* inr(pt)-2.8* 05:30pm plt count-140* lplt-1+ 05:30pm wbc-9.2# rbc-3.05* hgb-10.8* hct-32.7* mcv-108* mch-35.5* mchc-33.0 rdw-14.7 05:36pm lactate-1.7 06:25pm alt(sgpt)-63* ast(sgot)-72* alk phos-279* tot bili-0.6 06:25pm glucose-176* urea n-20 creat-2.3*# sodium-143 potassium-3.9 chloride-102 total co2-34* anion gap-11 . 07:58pm blood wbc-6.7 rbc-2.68* hgb-9.0* hct-29.0* mcv-108* mch-33.6* mchc-31.0 rdw-15.9* plt ct-555* 07:58pm blood pt-26.7* ptt-150* inr(pt)-2.7* 09:50am blood pt-17.2* ptt-67.8* inr(pt)-1.6* 09:50am blood glucose-84 urean-22* creat-3.7*# na-140 k-3.7 cl-102 hco3-29 angap-13 02:30am blood alt-9 ast-17 ld(ldh)-137 alkphos-152* totbili-0.6 09:50am blood calcium-8.7 phos-5.3* mg-2.1 09:31pm blood type-art po2-48* pco2-46* ph-7.36 caltco2-27 base xs-0 09:31pm blood lactate-4.7* brief hospital course: a/p: 72yo vasculopathic f with esrd on hd (bl cr ), bilateral bkas, dm2 (hba1c 5.2), htn, chf (ef 50%), hx of mrsa line infection admitted for ongoing mrsa bacteremia and recent yeast fungemia on dapto as well as ms for pain. . #. mrsa + yeast line sepsis: patient with high grade bacteremia and fungemia persisting on abx. hd line removed and grew mrsa at tip. i&d at site of hd line by surgery. on daptomycin from onwards with clear cultures since that time. therefore new tunnelled line was placed by ir. before that pt has been on multiple abx regimens to treat her perisitent bacteremia. tte had been negative, but tee was not possible in this pt. plan was to continue qod dapto v vanco for 6 weeks from last confirmed negative culture per endocarditis protocol. if pt re-infected to consider chronically infected dvts and move to cmo. . #. chronic upper extremity dvts: on coumadin at home. on heparin drip for line replacement. concern is that these clots are infected and serving as source for her ongoing bacteremia. need long term abx . #. pain: evidently chronic. reason unclear. followed closely for localizing s/s, but nothing ever really localized. on standing dilaudid plus breakthrough dose as well as standing tylenol per palliative care with good effect.4 . #. esrd: lytes stable on hd. cont nephrocaps, cincalcet . #. seizure d/o s/p cva. cont keppra. . #. mental status: per prior housestaff discussion with hcp, pt has had subacute decline over the last year. usually oriented to self. appears to be at baseline. moaning in pain but able to interact. . # elevated lfts: abd exam intermittently concerning, but not clearly problem. of alt 63* ast 72* ap 279* on . resolved spontaneously. . #. dm: riss . #. anemia: chronic. baseline around 29-33. cont folic acid and procrit at hd. was using 22 as cutoff for xfusion. . #. chronic orthostatic hypotension: cont midodrine 10mg tid . #. glaucoma: cont timolol gtts, lumigan gtt . #. healed sacral decubitus ulcer: chronic, noted at admission. . # course the day of death: pt had good am, went to ir for tunnelled line placement and returned in the evening hypotensive and tachycardic. tachycardia had been a problem for the past 48 hours. was planning prbc transfusion. pt ultimately became diaphoretic and increasingly tachypneic as well as tachycardic. trid ivf with little success. after dinner was noted to be coughing. sats dropping. cxr looked improved to last check. abg was attempted but seems to have been venous blood. notably, lactate was 4.7. concern was for aspiration pna v fluid overload v. pe v. dic/sepsis. family was contact and informed of course and agreed to current plan of dnr dni. pt became apneic and developed pea. eventually pass. family agreed to autopsy. medications on admission: medications on admission: insulin regular human 100 unit/ml injection injection riss ** nh says qmonday remeron 15 mg tab oral qhs dilaudid -- 6mg solution(s) four times daily 6a,11a,5p,9p dilaudid 6mg prn q4 hours cinacalcet 30 mg tab oral daily ranitidine 150 mg tab oral daily adult aspirin 81 mg chewable tab oral daily keppra 500mg qd at 6pm coumadin -- 3.5mg tablet(s) once daily simvastatin 40mg daily timolol gtts 1gtt ou daily lumigan 1gtt ou qhs midodrine 10mg tid, hold sbp >130 nephrocaps daily folic acid daily ducolax prn nitro paste prn albuterol 90 mcg/actuation aerosol inhaler inhalation 2 aerosol(s) every 4 hrs, prn senna plus 2tabs daily lactulose 10 gram/15 ml oral soln oral 1 solution(s) twice daily tylenol prn discharge medications: none discharge disposition: expired discharge diagnosis: line sepsis discharge condition: death discharge instructions: none followup instructions: none procedure: venous catheterization for renal dialysis venous catheterization for renal dialysis venous catheterization for renal dialysis venous catheterization for renal dialysis venous catheterization for renal dialysis other incision with drainage of skin and subcutaneous tissue incision with removal of foreign body or device from skin and subcutaneous tissue diagnoses: hyperpotassemia anemia in chronic kidney disease end stage renal disease pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute on chronic diastolic heart failure hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation pressure ulcer, lower back epilepsy, unspecified, without mention of intractable epilepsy infection and inflammatory reaction due to other vascular device, implant, and graft methicillin resistant staphylococcus aureus in conditions classified elsewhere and of unspecified site below knee amputation status vascular dementia, uncomplicated orthostatic hypotension pressure ulcer, stage iii 

Answer: The patient is high likely exposed to