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: indomethacin / quinidine / ativan attending: chief complaint: volume overload major surgical or invasive procedure: thoracentesis bedside wound debridement sternal debridement and vac dressing placement sternal debridement, plating and closure history of present illness: 75 yo f s/p tissue avr on presented to office for routine post op check with severe fluid overload and opening at inferior pole of msi. past medical history: aortic stenosis s/p avr congestive heart failure, diabetes mellitus, gastroesophageal reflux disease, atrial fibrillation, hypertension, anemia social history: married. lives with her husband. smoked cigarettes for 15 years 1ppd, quit 20 years ago. family history: no premature cardiac disease history. physical exam: hr 86 irreg bp 200/80 general very sob lungs decreased at the bases cor irreg abdomen benign extrem 2+ edema sternal incision with discharge at the lower pole left chest tube site with large amounts of serous drainage. pertinent results: 04:34am blood wbc-10.4 rbc-2.85* hgb-8.8* hct-27.3* mcv-96 mch-30.7 mchc-32.0 rdw-17.9* plt ct-188 01:52am blood pt-26.3* inr(pt)-2.6* 04:34am blood pt-25.1* ptt-31.1 inr(pt)-2.5* 03:57am blood pt-19.4* ptt-29.4 inr(pt)-1.8* 03:12am blood pt-15.7* ptt-27.5 inr(pt)-1.4* 04:34am blood glucose-88 urean-62* creat-1.6* na-145 k-4.2 cl-111* hco3-25 angap-13 chest (portable ap) 11:39 am chest (portable ap) reason: chf medical condition: 75 year old woman s/p closure of chest after sternal wound dehiscence reason for this examination: chf ap portable chest at 12:01 history: post-closure of chest after sternal wound dehiscence. comparison: multiple priors, the most recent dated . findings: horizontally oriented malleable plates over the sternum are again evident, consistent with the given history. while there is improved aeration of both lungs, significant interstitial and alveolar edema are evident, predominantly in the perihilar distributions with a gradient worse in the lung bases. bilateral effusions are noted. the cardiac silhouette size remains enlarged but stable. there is a tortuous atherosclerotic aorta again noted. an endotracheal tube is evident and its distal tip lies approximately 7.0 cm from the carina. a left subclavian approach central line is stable in course and position with the distal tip at the superior cavoatrial junction. impression: while the lungs are better inflated on the current study, there is possibly worse bilateral interstitial and alveolar pulmonary edema with bilateral pleural effusions again evident. endotracheal tube as above. consider advancing 2.0-3.0 cm for optimal placement. echocardiography report , (complete) done at 12:19:07 pm final referring physician information , , status: inpatient dob: age (years): 75 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: sternal debridement post avr. icd-9 codes: 786.05, 799.02, 440.0, v43.3, 424.1, 424.0 test information date/time: at 12:19 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 50% to 55% >= 55% aorta - ascending: 2.7 cm <= 3.4 cm aorta - descending thoracic: *2.7 cm <= 2.5 cm aortic valve - peak gradient: 16 mm hg < 20 mm hg aortic valve - mean gradient: 9 mm hg findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: low normal lvef. right ventricle: borderline normal rv systolic function. aorta: normal ascending aorta diameter. simple atheroma in ascending aorta. simple atheroma in descending aorta. aortic valve: no ar. mitral valve: moderately thickened mitral valve leaflets. trivial mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: small pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions patient presented with severe sob, wound dehiscence, one month post avr. no spontaneous echo contrast is seen in the left atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular systolic function is borderline normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. aortic valve: not able to clearly see individual leaflets. no aortic regurgitation is seen. a peak gradient of 16, mean of 9 is measured. the mitral valve leaflets are moderately thickened. trivial mitral regurgitation is seen. there is a small pericardial effusion, and large bilateral pleural effusions. brief hospital course: she was admitted to cardiac surgery. she was diuresed with lasix and her medications were adjusted for her hypertension. she awaited normalization of her inr before bedside sternal debridement and right thoracentesis for 100 ml of serosanguinous fluid on . ct chest showed sternal dehiscense, and her breathing worsened, and she was taken to the operating room on where she underwent sternal debridement, vac dressing placement and bilateral chest tube placement. she was transferred to the icu in stable condition. she remained sedated and paralyzed until she was taken back to the operating room on where she underwent sternal plating, and pec flap. she was followed by id. cultures grew mssa and she was started on nafcillin which was switched to vanco for increasing creatinine. she comntinued to require some neo. she was extubated on but required reintubation for respiratory failure. she was started on fluconazole for yeast in urine and cefepime for ?pneumonia. she was seen by renal for arf. she was bronched on . she was maintained on tube feeds. she was started on natrecor for diuresis. she was started on cipro then meropenum for pseudomonas in urine and sputum, and flagyl for ? of cdiff. she required frequent transfusions and was guaiac positive. she became hypernatremic and was started on free water flushes. she was extubated again on . she was seen by speech and swallow and began a diet of thin liquids and ground solids. she had some areas of necrosis and drainage on her sternal incision, and reclosure in the or was planned. she was taken back to the or on where her sternal wound was debrided and reapproximated. she was transferred back to the icu. swallow evaluation recommended thin liquids and regular consistency solids. she was extubated post op but required bipap overnight. she was restarted on coumadin. or cultures grew vre and vanco was changed to linezolid. after discussing the antibiotic plan with the id service, it was decided to change the linezolid to daptomycin for a 6 week course. she progressed and was ready for discharge to rehab on . medications on admission: carvedilol 6.25" protonix 40' colchicine 6' valsartan 80' zocor 20' warfarin 2' glipizide 5" furosemide 60' amlodipine 5' discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 3. colchicine 0.6 mg tablet : one (1) tablet po every other day (every other day). 4. alprazolam 0.25 mg tablet : one (1) tablet po bid (2 times a day) as needed. 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 6. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours). 7. albuterol sulfate 2.5 mg/3 ml solution for nebulization : one (1) inhalation q4h (every 4 hours) as needed. 8. ferrous gluconate 300 mg (35 mg iron) tablet : one (1) tablet po daily (daily). 9. ascorbic acid 500 mg tablet : one (1) tablet po bid (2 times a day). 10. warfarin 1 mg tablet : 0.5 tablet po once (once) for 1 doses. 11. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). 12. insulin glargine 100 unit/ml solution : fifteen (15) units units subcutaneous at bedtime. 13. insulin lispro 100 unit/ml solution : sliding scale subcutaneous four times a day. 14. daptomycin 500 mg recon soln : five hundred (500) mg intravenous every other day for 6 weeks: until seen in clinic on , dr. . discharge disposition: extended care facility: - discharge diagnosis: sternal wound infection s/p sternal debridement and plating sepsis congestive heart failure (acute on chronic diastolic failure) post-op acute on chronic renal failure vre in sternal wound pmh: aortic stenosis s/p aortic valve replacement, diabetes mellitus, gastroesophageal reflux disease, atrial fibrillation, hypertension, anemia discharge condition: stable. discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: , md phone: date/time: 10:00 dr. in 4 weeks dr. in weeks dr. in weeks pt. was followed by the coumadin clinic at medical in .please contact them when she is ready to be discharged from rehab. labs: weekly vanco trough, chem 7, lft, cbc results to clinic attn dr fax # ( procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other bronchoscopy local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] attachment of pedicle or flap graft to other sites attachment of pedicle or flap graft to other sites injection or infusion of nesiritide internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum] diagnoses: anemia, unspecified other postoperative infection unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation disruption of internal operation (surgical) wound acute on chronic diastolic heart failure methicillin susceptible staphylococcus aureus septicemia chronic kidney disease, unspecified pressure ulcer, buttock heart valve replaced by transplant hyperosmolality and/or hypernatremia urinary complications, not elsewhere classified 

Answer: The patient is high likely exposed to