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: bilateral claudication with minimal activity, mottled left 1st toe. major surgical or invasive procedure: aortobifemoral repair () history of present illness: the patient is a 62-year-old female who presented with symptoms of ischemia in her left lower extremity. on doppler exam she had only a weak monophasic pt. she did not have palpable femoral pulses in either groin. an arteriogram revealed a cutoff of the left iliac artery, as well as diseased right iliac artery with reconstitution of the left superficial femoral artery. she presents for an aorto-bifemoral bypass. past medical history: morbid obesity htn copd gerd paod back pain carotid stenosis s/p right cea () social history: lives alone; 40-pack-year tobacco history; consumes 1 alcoholic beverage per month. denies illicit drug use. brief hospital course: the patient was admitted on the day of surgery. she underwent aorto-bifemoral artery bypass with dacron graft on . please refer to the operative note of for further details about the procedure. after surgery, the patient was brought to the trauma/surgical icu for post-operative care. she remained intubated and sedated in the immediate post-operative period, as she failed to wean from the mechanical ventilator. also notable was that she was requiring quite high peep. she was transiently hypotensive and oliguric, responding well to intravenous fluid boluses. on post-operative day (pod) #1, the patient's platelets dropped precipitously to 90 from an immediate post-operative value of 159. all heparin products were discontinued, and a heparin-induced antibody test eventually proved negative. on pod#3, empiric vancomycin and levofloxacin were started after the patient remained on mechanical ventilation, and was productive of copious amounts of sputum. sputum cultures eventually grew s. pneumoniae and pan-sensitive enterobacter and klebsiella spp. by pod#4, she was 31 liters positive over her pre-operative fluid status. aggressive diuresis was begun. on pod#5, the patient was transfused one unit of packed red blood cells for a hematocrit of 23.6. throughout her hospital course, the patient's hematocrit remained stable but low without evidence of hemolytic process. she continued to receive transfusions of packed red blood cells throughout her stay when her hematocrit dropped below 24.0. on pod#7, the patient began receiving total parenteral nutrition. she tolerated hyperalimentation well. by pod#10, the patient had been relieved of the great majority of excess total body water, she had been on antibiotics for over 1 week, and she had received excellent aggressive pulmonary toilet, but she was still failing to wean from the mechanical ventilator. plans were made for placement of a tracheostomy tube. this operation was performed on without incident. in the second post-operative week, the patient had nearly daily low-grade fevers. a sputum culture taken on revealed methicillin-resistant s. aureus; and p. aeruginosa, s. marsescens and k. pneumoniae, all sensitive to ceftazidime. she was administered vancomycin and ceftazidime for what the infectious diseases consult service recommended should be a 2-week course. a dobhoff post-pyloric feeding tube was placed on (pod#14) and tube feeds were started after all sedation was weaned. the patient was increased slowly on tube feeds until her goal nutrition requirements were reached (respalor at 50ml/hour.). thereafter, tpn was discontinued. her nasogastric tube was also discontinued after the patient passed a 24-hour period without gastric residuals. on pod#17, the patient was weaned to tracheostomy mask, which she tolerated for approximately 20 hours before becoming tachypneic. thereafter, she was reattached to a cpap mechanical ventilation setting. later in the evening, the patient pulled out her tracheostomy tube, which was replaced with the aid of bronchoscopy. on pod#18, the patient's wound staples were take out, and on pod#21, a picc line was placed for long-term intravenous access. by pod#23, the patient had tolerated trach mask for 2 days. she did well with a passey-miur valve. plans were made to discharge her to a vented rehabilitation facility for her extended postoperative care. at the time of discharge, the patient is alert and aware, is pain-free, and is on her way to breathing independently of mechanical assistance. she is receiving goal tube feeds through a post-pyloric dobhoff tube. she appears to be at about her pre-surgery weight. her lower extremity pulses are palpable at femoral, popliteal, dorsalis pedis and posterior tibial sites bilaterally, and she has warm, well-perfused feet bilaterally. she has received the services of physical therapy and is ready for more intensive rehabilitiation. while at rehab., she is to complete her antibiotics courses as specified in her 'page 1.' she is in good condition. she is to follow up in clinic with dr. in 2 weeks for her continued care. medications on admission: verapamil enalapril asa discharge medications: 1. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) as needed for prn vanco random level < 15 for 6 days: 1) please check a random vancomycin level every morning 2) if the level is less than 15.0, please give 1g iv. 2. cefepime 2 g piggyback sig: one (1) piggyback intravenous q8h (every 8 hours) for 6 days. piggyback(s) 3. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 8 days. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. lansoprazole oral 6. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily) as needed. 7. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation qid (4 times a day). 8. albuterol 90 mcg/actuation aerosol sig: six (6) puff inhalation q4h (every 4 hours) as needed. 9. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 10. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 11. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 12. verapamil 80 mg tablet sig: one (1) tablet po q8h (every 8 hours). 13. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsat (every saturday). 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 15. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). 16. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 17. ascorbic acid 90 mg/ml drops sig: one (1) po daily (daily). 18. ferrous sulfate oral 19. guaifenesin 100 mg/5 ml syrup sig: ten (10) ml po q6h (every 6 hours). 20. quetiapine 100 mg tablet sig: one (1) tablet po bid (2 times a day). 21. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: & rehab center - discharge diagnosis: aorto-iliac occlusive disease bilateral lower extremity peripheral artery occlusive disease hospital-acquired pneumonia morbid obesity copd htn cad diabetes mellitus type ii discharge condition: stable discharge instructions: you may resume your pre-hospital medications. call dr. office or come to the emergency room if you have: * fever above 101.0 * nausea, vomiting or diarrhea that doesn't stop * separation of or drainage from your wounds * sudden coolness, intense pain, or loss of feeling in your feet or legs. * chest pain or shortness of breath you can shower - just pat the wounds dry afterward. no soaking in a tub or swimming for 4 weeks. you must stop smoking. followup instructions: see dr. in clinic in 2 weeks. call for an appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances aorta-iliac-femoral bypass non-invasive mechanical ventilation arterial catheterization temporary tracheostomy bronchoscopy through artificial stoma transfusion of packed cells replacement of tracheostomy tube insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: thrombocytopenia, unspecified esophageal reflux tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified long-term (current) use of insulin morbid obesity pressure ulcer, lower back pneumococcal pneumonia [streptococcus pneumoniae pneumonia] atherosclerosis of native arteries of the extremities with rest pain pneumonia due to klebsiella pneumoniae 

Answer: The patient is high likely exposed to