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 well-known to the cardiac service and vascular service, who was recently discharged after a protracted hospital stay for cardiogenic shock, status post coronary artery bypasses x2 with a vein graft to the lad and a vein graft to obtuse marginal. she was transferred to the emergency room with pain at the surgical site and drainage x24 hours. she denies constitutional symptoms. the patient was initially evaluated in the emergency room by the cardiothoracic service. she was given iv vancomycin and oxycodone for analgesic control. the patient is now admitted for further evaluation and treatment. past medical history - allergies: cephalosporins and penicillin--manifestations unknown. illnesses: include hypertension, cardiomyopathy, gallbladder disease status post cholecystectomy. status post cardiac catheterization on which showed left main trunk disease of 90%, proximal lad 50%, with 70% midcircumflex lesion, and a totally occluded right coronary artery with 2-3+ mitral regurgitation. status post intra- aortic balloon pump. status post coronary artery bypasses with vein to the lad and obtuse marginal, and a mitral valve repair with a 26 annuloplasty ring. history of bilateral lower extremity ischemia status post thrombectomies. status post aka. history of acute renal failure. recurrent cvvhd. status post a tracheostomy and peg placement. family history: noncontributory. social history: noncontributory. hospital course: on , the patient was admitted to the cardiac service after being evaluated in the emergency room. physical exam demonstrated that neurologically she was grossly intact. lungs were clear to auscultation bilaterally with diminished breath sounds in the bases. she had had a right subclavian catheter in place. heart was a regular rate and rhythm. abdominal exam showed soft with a peg in place. external left and right groins and an aspect of the thigh with a large amount of purulence and erythema. sternal wound with open area midincision with large amount of purulent drainage. the patient's white count on admission was 13.6, hematocrit 29.2, bun 6, creatinine 0.3. urinalysis showed leukocyte positive, bacteria positive, with 3-5 wbcs. the patient was continued on her transfer medications except for coumadin which was held. id was consulted. wound cultures were obtained. plastic surgery was consulted on for recommendations regarding sternal wound infection. vascular surgery was notified of the patient's admission on . the aka stumps looked intact and healing, though the patient had bilateral groin wounds. the patient underwent reversal of her inr and was transfused 2 units of ffp. she underwent on a sternal wound debridement with a left groin debridement. the patient tolerated the procedure and was transferred to the icu for continued monitoring and care. id recommendations included wound cultures on the right thigh which grew 3+ gram-positive cocci pairs and clusters, and external wound grew 3+ gram- positive cocci in pairs. recommendations were to continue current antibiotic management and adjust according to organism sensitivities. vancomycin trough was monitored and dosage adjusted accordingly. groin wounds were continued with normal saline wet-to-dry dressings. the patient underwent on a pectoral advance and flap closure. she tolerated it well. on , the left groin wound had a vac dressing placed. the patient continued on vancomycin and levofloxacin. she continued to be followed by infectious disease. sternal wound cultures came back mrsa. the patient was continued on vancomycin. vac dressing to the groins was changed q 3-4 days. the patient returned to the or on and underwent a repeat debridement with bilateral pectoral major muscle flapping and advancement. she tolerated the procedure well and was transferred to the pacu in stable condition, and actual dressings were removed on postoperative day 1. a picc line was placed on with continued iv access and antibiotics. the patient's jp drains removed on , , and last jp drain was removed on . the patient was followed by nutrition for nutritional needs and recommendations, and continued on her tube feeds cycling. she was evaluated by physical therapy who felt that she would require continued rehab. the wound care nurse followed the patient for her sacral pressure ulcer and her occipital ulcer. the occipital ulcer was mostly healed. the sacral ulcer was small with partial thickness. recommendations for the occiput ulcer was duoderm gel, antifungal powder to posterior gluteal areas, and allevyn foam changes q. 3 days to the sacral area. the patient was transferred to the vascular service on . the remainder of the hospital course was unremarkable. the patient was treated for mrsa and klebsiella and proteus wound infections. vancomycin was dosed at 750 mg iv q. 12 h. recommendations were to continue her vancomycin and keep the trough between 15 and 20. the patient should follow-up in clinic on at 3:30 p.m. with dr. . the patient should have weekly cbcs and differentials done while on continued antibiotics, along with lfts and renal function. esrs and crps should be done q. 3 week. levofloxacin and flagyl will be continued until , and vancomycin until . the patient will continue with current picc care. the patient will continue with left vac to groin with changes q. 3 days. the right groin wound is normal saline wet-to-dry dressings b.i.d. the patient will be discharged to rehab as soon as bed availability. discharge medications: 1. heparin porcine 5,000 units t.i.d. 2. escitalopram oxalate 10 mg daily. 3. fluconazole propionate actuation in aerosol inhaler puffs 2 b.i.d. 4. albuterol sulfate 0.083 solution q. 6 h. 5. ipratropium bromide 0.02% solution inhalation q. 6 h. 6. oxycodone/acetaminophen 5/325 tablets q. h. p.r.n. 7. levofloxacin 500 mg q. 24 h. to continue until . 8. flagyl 500 mg t.i.d. to continue until . 9. vancomycin 750 mg q. 12 h. to be continued until . 10. metoprolol 12.5 mg b.i.d. 11. colace 100 mg b.i.d. 12. acetaminophen 325 mg once daily. 13. magnesium hydroxide 400 mg in 5 cc suspension 30 cc at bedtime p.r.n. 14. dulcolax suppository once daily p.r.n. 15. miconazole nitrate 2% powder to affected areas q.i.d. 16. lorazepam 0.5 mg tablets q. 4 h. p.r.n. 17. lansoprazole 30 mg once daily 18. insulin humulin 100 units regular and sliding scale q.i.d. a.c. and h.s. wound care: as described previously. last vac dressing was on . fop: the patient should follow-up with dr. in weeks and call for an appointment at . she will also follow-up with dr. in 1 month's time; please call for an appointment. the patient should also follow-up with the plastic service, dr. , in weeks post discharge, and call for an appointment at . the patient has a follow-up appointment with the infectious disease service on at 3:30 p.m. with dr. . weekly cbcs with diffs, creatinine and lfts should be drawn and faxed to clinic at . also obtain esr and crps 2-3 weeks while patient is on antibiotics. vancomycin trough level should be done once a week--trough between 15 and 20. discharge diagnoses: sternal wound and groin infections bilaterally with methicillin resistant staphylococcus aureus, klebsiella and proteus. status post sternal wound and groin debridements. status post pectoral flap closure. postoperative blood loss anemia--transfused. status post peripherally inserted central catheter line placement. history of coronary artery disease and mitral valve disease status post coronary artery bypass graft x2 with mitral valve repair. , m.d. procedure: venous catheterization, not elsewhere classified attachment of pedicle or flap graft to other sites excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn transfusion of packed cells transfusion of other serum diagnoses: abnormal coagulation profile other postoperative infection acute posthemorrhagic anemia infection with microorganisms resistant to penicillins coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site pressure ulcer, other site pressure ulcer, lower back above knee amputation status 

Answer: The patient is high likely exposed to