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: lasix / lidocaine / codeine / iodine containing agents classifier / latex / a.c.e inhibitors / penicillins attending: chief complaint: fever, pain around indwelling catheter major surgical or invasive procedure: left ij placed and removed, left tunnel catheter removed, right tunnel catheter placed via angiography history of present illness: ms. is a 47 yo female with many chronic medical problems who presented to the complaining of pain around site of indwelling dialysis catheter (r side of her chest) as well as painful, weeping lower extremities. she was febrile to 102. of note, the patient recently had a mssa bacteremia thought secondary to infected indwelling catheter, treated with 4 weeks of vancomycin. labs in the ed were notable for initially elevated lactate to 6.0 which decreased to 2.0 with fluids, wbc 27.6 with 4% bands. u/a with many wbc (logged in as "loaded"), pos leuk esterase. in the ed, vitals were notable for blood pressure 66/46 pulse 113 temp 103.8. the patient was put on sepsis protocol, given a small fluid bolus in the setting of renal failure with minimal urine production, and a central line and arterial line were placed. she was started on on vasopressin and levophed and brought to the intensive care unit. in the unit, the patient was found to have a tunnel catheter infection that had frank pus at the tip. cultures grew out coag positive staph aureus and she was started on vancomycin. the patient was able to be weaned from pressors and surveillance cultures have been drawn. a mild increase in lfts resolved with gentle hydration and resolution of acute sepsis. she was transferred to the floor for further evaluation. past medical history: 1. medication non-compliance 2. post-partum cardiomyopathy: ef <20 on . 3+ mr. s in . resistant to diuretics. 3. esrd on hemodialysis mon/wed/fri. ste produces about cup of urine per day. 4. hypertension 5. anxiety disorder 6. diabetes mellitus type 2 7. hepatitis b and c 8. gout: on allopurinol 9. hypercholesterolemia 10. pulmonary artery hypertension 11. hypothyroidism 12. polysubstance abuse in remission 13. cognitive impairment 14. nsvt-on amiodarone 15. iron deficiency anemia 16. mssa indwelling line infection: completed 1 month of vancomycin administered at hd. last dose on . social history: remote smoker. she quit 11 years ago. she denies any recent illicit drug use. no etoh. she lives with her 3 daughters and 2 sons. she has 9 children. family history: non contributory physical exam: on discharge, vitals: 95 95/60 (baseline 80/60) 92 20 95%ra gen: morbidly obese, pleasant and conversant, no acute respiratory distress. sclerae anicteric, op clear with slightly dry mucous membranes : clear to auscultation bilaterally cor: rrr nl s1s2, no m/r/g abd: abd morbidly obese, soft, several scars, some surgical, some from trauma. slightly tender over right upper quadrant. bowel sounds present ext: 2+ edema feet to thighs. blisters and weeping skin on . several blisters unroofed. no evidence of superinfection. no streaking or evidence of cellulitis. neuro: alert, orientedx3. answers questions appropriately. no focal abnormalities on gross neurologic exam. skin: weeping les as above. pertinent results: 11:50pm blood wbc-27.6*# rbc-3.86* hgb-9.6* hct-32.0* mcv-83 mch-25.0* mchc-30.1* rdw-22.1* plt ct-165 11:50pm blood neuts-92* bands-4 lymphs-1* monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-0 11:50pm blood plt ct-165 07:50pm blood pt-14.9* ptt-35.6* inr(pt)-1.4 11:50pm blood glucose-171* urean-25* creat-4.5* na-136 k-4.7 cl-95* hco3-28 angap-18 07:50pm blood alt-13 ast-15 alkphos-171* amylase-32 totbili-1.8* 07:50pm blood calcium-8.8 phos-2.9# mg-1.3* 07:51pm blood type-mix temp-38.9 rates-/30 po2-36* pco2-54* ph-7.39 calhco3-34* base xs-5 intubat-not intuba 05:32pm blood lactate-6.2* k-4.5 01:56am blood lactate-2.0 10:30am blood wbc-6.7 rbc-3.88* hgb-9.8* hct-32.4* mcv-84 mch-25.2* mchc-30.2* rdw-22.4* plt ct-205 05:22am blood neuts-77.4* lymphs-12.4* monos-4.4 eos-5.2* baso-0.5 05:22am blood hypochr-3+ anisocy-3+ poiklo-1+ macrocy-1+ microcy-1+ 10:30am blood plt ct-205 10:30am blood pt-15.5* ptt-37.8* inr(pt)-1.5 10:30am blood glucose-173* urean-50* creat-7.0*# na-131* k-4.8 cl-91* hco3-26 angap-19 05:50am blood glucose-123* urean-35* creat-5.9* na-133 k-5.4* cl-91* hco3-21* angap-26* 04:18am blood ck(cpk)-48 totbili-1.0 dirbili-0.6* indbili-0.4 08:51am blood ggt-66* 10:30am blood calcium-10.0 phos-5.4* mg-2.0 iron-22* 08:51am blood cortsol-40.7* 05:50am blood vanco-15.3* 04:44am blood lactate-1.7 04:32am blood lactate-3.4* brief hospital course: 47 yo female with multiple medical problems presenting with fever, pain over r tunnel catheter in the setting of recent mssa. she was admitted initially to the intensive care unit and is now here for further evaluation. 1. sepsis/hypotension: the patient initially presented with an elevated wbc to 29.6, hypotension, lactate of 3.4, and a bandemia. sources of infection were initially considered to be uti with or without a line infection (right side catheter). however, upon further evaluation, it was noted that source of infection was likely the catheter alone since withdrawal of the line revealed frank pus and culture grew out coag positive staph aureus. it was necessary in the unit to maintain the patient on two pressors, but with vancomycin, the patient was able to defend blood pressure adequately. her wbc count also decreased from 29.6 to 15.6 on discharge from the unit (at discharge from the floor, wbc is 6.7. the patient was also given a cosyntropin stim test which returned unremarkably. on the floor, the patient was continued on vancomycin by level with redose < 15 and daily surveillance cultures drawn. a temporary left ij was placed for dialysis in the meanwhile. at time of this discharge summary, 3 days of consecutive blood cultures were negative. with two days of consecutive blood cultures being negative, interventional radiology placed a dialysis line on the patient's left side (right side was previously infected) and the renal service was able to successfully use the line for dialysis. the patient had no temperature spikes, and blood pressures remained at baseline range around 80/60. 2) ?uti: the patient's initial ua was impressive for a significant amount of bacteria but culture turned out to be negative. levofloxacin was used in the intensive care unit, but the patient did not require it on the floor. 2. esrd: the patient has been dialyzed tuesday, thursday, saturday. per above, the patient lost her tunnel catheter due to infection and a new line tunnel catheter was placed on the right side. 3. dm: in the unit, the patient was on an insulin drip in the unit given hyperglycemia. at home, however, the patient receives 5 units of nph in the morning and on the floor, this regimen was used in concert with an insulin sliding scale for adequate blood glucose control. 4. arrhythmia: amiodarone was continued at her outpatient dose without complication. 5. hypothyroid: synthroid was continued at her outpatient dose. 6. cad: there were no acute complaints of chest pain. aspirin and statin were continued per outpatient doses. 7. respiratory: the patient maintained adequate oxygen saturation in the 94-98% range on room air. 10. code: full medications on admission: 1. amiodarone hcl 200 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 5. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 8. benadryl 50 mg capsule sig: one (1) capsule po qd as needed for itching. disp:*30 capsule(s)* refills:*1* discharge medications: 1. amiodarone hcl 200 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 5. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po daily (daily). 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 8. benadryl 50 mg capsule sig: one (1) capsule po qd as needed for itching. disp:*30 capsule(s)* refills:*1* discharge disposition: home with service facility: vna discharge diagnosis: mssa dialysis line infection, sepsis, urinary tract infection, end-stage renal disease, diabetes, coronary artery disease discharge condition: good discharge instructions: 1. please take all of your medications. 2. please seek medical attention should you experience any of the following: shortness of breath, chest pain, palpitations, sudden weakness, lightheadedness, dizziness, loss of consciousness, fainting, nausea, vomiting, fever, chills 3. weigh yourself every morning, md if weight > 3 lbs. 4. adhere to 2 gm sodium diet followup instructions: provider: , md where: phone: date/time: 2:30 provider: , md where: lm center phone: date/time: 1:50 md procedure: venous catheterization, not elsewhere classified hemodialysis venous catheterization for renal dialysis arterial catheterization diagnoses: other primary cardiomyopathies pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma unspecified septicemia severe sepsis unspecified acquired hypothyroidism gout, unspecified other chronic pulmonary heart diseases paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease septic shock infection and inflammatory reaction due to other vascular device, implant, and graft chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta 

Answer: The patient is high likely exposed to