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: influenza virus vaccine / shellfish derived / egg / adhesive bandage / heparinoids attending: chief complaint: "jp drains falling out" major surgical or invasive procedure: none history of present illness: this is a 67 yo f with mmp including cad s/p cabg in with subsequent chronic sternal wound infection with multiple highly resistant organisms and a recent admission for fever who now re-presents from rehab because one of her two jp drains was accidentally pulled out and the other partially displaced at rehab. rehab facility noted displaced jp drains on morning rounds and patient sent to ed. in the ed, initial vs were t 99.3 h 140 bp 110/60 rr 20 o2 sat 100% on ra. pt then developed a rectal temp of 102.2. labs showed elev wbc, low k and low mg. lactate was 2.3, but no anion gap. ua was indicative of infection, urine cx was sent and is pending. pt received ivf with k in ed as well as some mg. pt was on daptomycin and colistin for fuo from recent hospital stay. pt received colistin in ed, but not the daptomycin. pt was evaluated by plastic surgery in the ed who thought there were no signs of wound infection and pt does not need jp drain replacement at this time. cxr preliminarily did not show any consolidation. ct head showed no bleed, just a known mass with no surrounding edema. pt also got tylenol in ed for fever. pt's hr improved to 100s after fluids. bp hsa been stable throughout. rr in 20-24 range, satting high 90s on 2l nc. urine and cx have been sent. on trasnfer, vs were t 99.6 hr 110 bp 128/70 rr 26 o2 100% on 2l nc. on the floor, pt appears chronically ill, unable to answer more than "yes and no" questions. pt denies any pain. denies shortness of breath, cough. past medical history: - diabetes - hypertension - cad s/p prior rca stenting c/b isr x 2, cypher stenting in for nstemi, s/p cabg x 2 with lima-lad, svg-pda - mvr : 25 mm mosaic porcine valve - non sustained polymorphic vt s/p icd placement - chronic sternal wound infection since with multiple highly resistant organisms - vte on warfarin - hit (heparin-induced thrombocytopenia) - mengingioma, formerly on chronic steroids - osteopenia/porosis - s/p tah-bso - h/o c diff - depression - anxiety - hypercholesterolemia - h/o large post cath rp hematoma, - gastroesophageal reflux disease - history of pulmonary nodules, followed by serial imaging - history of h. pylori - history of gi bleed in the setting of anticoagulation social history: currently at nursing and rehab. she has a brother and sister who are her supports and she plans to live with her brother when discharged from rehab. past smoker (30 pk yr), no etoh or drugs. currently in a wheelchair at baseline. family history: father died at age 50 of an mi and "enlarged heart." brother with drug abuse. mother had depression and panic attacks, dm. physical exam: admission physical exam: vitals: t: 95.3 bp: 114/64 p: 104 r: 16 o2: 100% on 2l nc general: appears comforable, alert but oriented to only person, answers only "yes or no" questions heent: sclera anicteric, perrl, dry mucous membranes neck: supple, jvp not elevated, no lad lungs: clear to auscultation anteriorly cv: rrr, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema, picc in rue w/o surrounding erythema or ttp, jp sites in r axilla and anterior chest wall c/d/i discharge: vs: t: 96.6, p: 76, bp: 140/70, rr: 22, 96% on ra gen: thin, chronically-ill appearing woman in nad. aaox person, , hospital, month not year heent: mmm, no jvd cv: reg rhyrhm & rate, no m/r/g chest: wound over right lateral chest- bandaged; anterior chest wound- clean dry intact pulm: ctab on anterior lungs ext: le in waffle boots, no edema pertinent results: hematology: 03:06am wbc-6.0 rbc-3.31* hgb-10.0* hct-30.2* mcv-91 mch-30.2 mchc-33.0 rdw-17.4* plt ct-204 01:48pm wbc-11.3* rbc-3.87* hgb-11.7* hct-34.1* mcv-88 mch-30.1 mchc-34.2 rdw-16.8* plt ct-302 03:06am pt-23.6* ptt-59.9* inr(pt)-2.2* 01:48pm pt-29.0* ptt-37.0* inr(pt)-2.9* chemistries: 03:06am glucose-97 urean-21* creat-0.6 na-141 k-4.5 cl-110* hco3-26 angap-10 01:48pm glucose-100 urean-9 creat-0.7 na-145 k-2.6* cl-103 hco3-29 angap-16 03:06am alt-13 ast-27 ld(ldh)-204 ck(cpk)-60 alkphos-70 totbili-0.2 05:36am alt-13 ast-27 ck(cpk)-110 alkphos-67 totbili-0.3 03:06am albumin-2.0* calcium-8.7 phos-3.7 mg-2.0 micro: urine urine culture-final {klebsiella pneumoniae, proteus mirabilis} abscess gram stain-final; fluid culture-preliminary {proteus mirabilis}; anaerobic culture-final culture culture, routine-final {enterococcus faecalis, staphylococcus, coagulase negative}; aerobic bottle gram stain-final; anaerobic bottle gram stain-final : chest x-ray: findings: as compared to the previous radiograph, the technique of the image is improved. borderline size of the cardiac silhouette. no pulmonary edema. no focal parenchymal opacity except for a small retrocardiac atelectasis. no pleural effusions. left pectoral pacemaker and right picc line in unchanged position. brief hospital course: patient is a chronically ill 67 yo female with cad s/p cabg complicated by sternal wound infection, diastolic chf admitted after jp drains fell out, found to have fever to 102 in ed and bcx + for enteroccocus and coag neg staph, hospital course complicated by hypotension and pulmonary edema requiring micu transfers with goals of care now focusing on comfort. # history of pe: the pt was intially on coumadin but noted to refuse, pocket or spit out many po meds daily. once admitted to micu the pt was started on argatroban (due to history of hit) for bridging to a therapeutic inr. she had a cta that was negative for pe. her coumadin was stopped per goals of care. # bacteremia: cultures grew enterococcus faecalis and coag neg staphyloccus both sensitiv to daptomycin. she was afebrile without leukocytosis. tte did not show valve vegatations. she was continued on colistin/dapto until when all antibiotics were stopped per goals of care without plan to . # normocytic anemia: iron studies consistent with anemia of chronic disease. hct dropped with daily survillience cultures and improved when draws were limited. # chronic sternal wound infection: sternal wound is clean, dry, intact. she was seen and evaluated by plastics and there was no need to replace drains at this time. she was continued on dapto/colistin until . her wounds were dressed per wound care recommendations. # diabetes ii: fs at goal, she did not require insulin and insulin sliding scale was stopped. # afib/nsvt: hr regular. has icd. metoprolol xl 200 mg po was decreased to 25 mg po bid. # chronic diastolic heart failure: stable on discharge. on the pt was noted to be tachypneic, tachycardic, and requiring increasing amts of supplemental oxygen. the pt required nrb o2, and was transferred to the micu. her respiratory status improved with lasix, and in the icu the pt was diuresed gently. she was not restarted on an ace inhibitor as she was hypotensive for much of her admission. she was discharged on furosemide 20 mg po qod. # pressure: patient was hypotensive for much of her admission, thought secondary to poor po intake and hypovolemia. her metoprolol and furosemide were decreased on discharge. # depression/anxiety: continued on citalopram. #nutrition: dysphagia diet with assistance for meals. # mental status: patient is aaox person and place. she has baseline low cognitive function likely secondary to chronic illness, frontal menigioma, depression, possible dementia. #goals of care: family meeting was held with (son) and (sister) on with family in the presence of the patient. given patient's decline in functional status without evidence of improvement on aggressive medical care over the last several months, decision was made by the family to transition goals of care to comfort based care. # code status: dnr/dni (confirmed with son , hcp) medications on admission: 1. furosemide 20 mg tablet sig: one (1) tablet po daily (daily): hold for sbp < 100. 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. aripiprazole 5 mg tablet sig: 0.5 tablet po daily (daily). 5. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 6. divalproex 125 mg capsule, sprinkle sig: two (2) capsule, sprinkle po bid (2 times a day). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 10. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime). 11. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). capsule(s) 12. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 13. colistimethate sodium 150 mg recon soln sig: 75 mg recon solns injection q12h (every 12 hours): last day . 14. daptomycin 500 mg recon soln sig: 300 mg recon solns intravenous q24h (every 24 hours): last day . 15. magnesium oxide 400 mg tablet sig: one (1) tablet po twice a day. 16. potassium chloride 20 meq packet sig: one (1) packet po once a day: hold for k > 5.0. 17. coumadin 3 mg tablet sig: one (1) tablet po once a day: please hold your coumadin dose until and have your inr rechecked. 18. toprol xl 200 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. discharge medications: 1. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours). 6. acetic acid 0.25 % solution sig: one (1) appl irrigation (2 times a day) as needed for w-d dressing for right posterior wound. 7. furosemide 20 mg tablet sig: one (1) tablet po every other day (every other day). 8. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 9. bacitracin 500 unit/g ointment sig: one (1) topical once a day: as needed for wound care. 10. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: extended care facility: nursing home - discharge diagnosis: primary: bacteremia secondary: coronary artery disease, chronic sternal wound infection discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital with fevers and bacteria in your . you were given intravenous antibiotics. you had several complications during your hospitalization, including low pressure and pulmonary edema (water on the lungs). we had a meeting with you and your family to discuss your goals of care. it was decided that the goals of care should be focused on your comfort. the following changes were made to your medications: -decreased lasix from 20 mg once a day to 20 mg every other day -decreased metoprolol from 200 mg once a day to 25 mg twice a day -stopped: daptomycin, colistin, coumadin, simvastatin, aspirin, aripiprazole, divalproex, calcium carbonate, lorazepam followup instructions: hospice care procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances mastotomy injection or infusion of oxazolidinone class of antibiotics diagnoses: other iatrogenic hypotension anemia of other chronic disease other postoperative infection urinary tract infection, site not specified congestive heart failure, unspecified toxic encephalopathy unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other pulmonary insufficiency, not elsewhere classified atrial fibrillation acute on chronic diastolic heart failure coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status unspecified osteomyelitis, other specified sites personal history of tobacco use hypopotassemia dysthymic disorder other and unspecified hyperlipidemia paralysis agitans other specified cardiac dysrhythmias bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site long-term (current) use of insulin osteoporosis, unspecified benign neoplasm of cerebral meninges long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] heart valve replaced by transplant dehydration proteus (mirabilis) (morganii) infection in conditions classified elsewhere and of unspecified site other alteration of consciousness heparin-induced thrombocytopenia (hit) dysphagia, unspecified infected postoperative seroma late effect of complications of surgical and medical care personal history of pathologic fracture 

Answer: The patient is high likely exposed to