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: this is an 84-year-old woman with a history of tracheobronchiomalacia and chronic respiratory failure who was transferred to the from hospital. the patient originally had her respiratory failure following an episode of aspiration pneumonia back in , at which time she had failed attempts at stenting of her tracheobronchiomalacia and required tracheostomy and peg tube placement for her chronic respiratory failure. she has been at hospital since that time and has been unable to wean from the ventilator. her usual vent settings are simv, respiratory rate of 8, tidal volume of 500, pressure support of 15, peep of 5, fio2 of 0.3. the patient had been doing well and had been gradually weaned off the ventilator until the day of admission. at that time she was noted to be in respiratory distress. she was tachypneic and short of breath. two saturations decreased to 90%. she went from cpap back to imv. arterial blood gas was 7.23/70/123/30/96%. breath sounds were noted to be distant and chest x-ray could not be obtained for a significant period so she was sent to for further evaluation. in the emergency department the patient was bagged and suctioned. no obvious mucous plugs were removed and lasix 60 mg iv x 1 was given. the patient's symptoms improved and she was transferred to the medical intensive care unit for further evaluation. past medical history: 1. diabetes mellitus type 2. 2. hypertension. 3. tracheobronchiomalacia as above. 4. anemia. 5. moderate to severe mitral regurgitation. allergies: the patient has no known drug allergies. medications: 1. protonix 40 mg p.o. q.d. 2. ritalin 5 mg p.o. q.d. 3. zoloft 50 mg p.o. q.d. 4. albuterol p.r.n. 5. subcutaneous heparin 5,000 mg subcutaneous b.i.d. 6. ativan 0.25 mg p.o. q. 8 hours p.r.n. 7. lasix 40 mg p.o. q.d. on hold x 1 week. family history: unknown. social history: the patient is currently a resident at hospital. she has some family members who are involved in her care. she has no known history of tobacco or drug use. physical examination: vital signs were 98.8, heart rate 82, blood pressure 92/47, respiratory rate 18, 100% bagged. in general she was an obese, confused woman who was in no acute distress at the time of the medical intensive care unit evaluation. heent: left eye cataract with some ptosis. oropharynx was noted to have thrush, otherwise dry. neck: no jugular venous distension, no lymphadenopathy. tracheostomy in place. cardiac: regular rate and rhythm, no murmurs, gallops, or rubs. lungs: rhonchi noted diffusely with decreased breath sounds at the bases bilaterally, occasional expiratory wheezes. abdomen: soft, nontender, distended abdomen, positive bowel sounds. peg in place with clamp. extremities: no cyanosis, clubbing or edema, warm with good pulses, no calf tenderness, no palpable cord. neurological: the patient was able to move all extremities, decreased hearing and unable to communicate or take p.o. laboratory data: white blood count 18.2, hematocrit 36.4, platelet count 425, and 87.5, no bands. sodium 132, bun 49, creatinine 1.1, glucose 231. urinalysis had large blood, greater than 50 white blood cells, red blood cells, nitrite negative, leukocyte esterase moderate. hospital course: 1. pulmonary: the patient was admitted with respiratory distress of unclear etiology. she was given lasix initially for congestive heart failure, although this was unlikely to be congestive heart failure. the patient was thought to have a mucous plug given the rapid improvement of her symptoms after suctioning. the patient had follow-up chest x-ray which demonstrated right middle lobe pneumonia and question of pneumonia at the left base. the patient was initially started on ceftriaxone and azithromycin in the emergency department, but was then changed to vancomycin and zosyn to cover a ventilator-associated pneumonia. the patient was then put back on her hospital ventilator settings and her white count decreased. she continued to have low-grade temperatures which were thought to be due to her lack of adequate antibiotics. sputum culture showed greater than 25 polys, less than 10 epithelial cells with mixed flora and final culture is pending at the time of this dictation. 2. cardiac: the patient was treated empirically in the emergency department for congestive heart failure. she underwent transthoracic echocardiogram to evaluate her ejection fraction given possible congestive heart failure. this demonstrated left atrium with moderate dilatation, right atrium with moderate dilatation, mild left ventricular hypertrophy, minimal aortic stenosis, 1+ aortic regurgitation, mild to moderate mitral regurgitation, impaired ventricular relaxation. it was not clear if the patient was in any congestive heart failure and she was not given lasix. this can be restarted should her symptoms worsen. 3. weakness: on hospital day number one the patient was noted to have some left-sided weakness. it is unclear exactly what her baseline is. she was able to move all four extremities, however she had some flaccidity and hyperreflexia in the left upper and lower extremities. she underwent ct scan of the head which demonstrated no acute changes but chronic microvascular changes and atherosclerosis of the internal carotid and vertebral arteries. given the patient's condition and unclear age of her findings, no additional work-up was undertaken. 4. endocrine: the patient was maintained on fingersticks q.i.d. and a regular insulin sliding scale for her diabetes mellitus. this should be maintained at her discharge for optimal blood sugar control during her time of infection. 5. anemia: the patient's blood counts decreased from admission of 36 down to 26 on hospital day number two. some of this was thought to be dilution as the patient did receive some intravenous fluids during her admission. she was guaiac negative and did not have any signs of active bleeding. blood count is stable at the time of her discharge. she did not have a history of coronary artery disease so no packed cells were given. should her hematocrit decreased to less than 24, blood transfusion may be of benefit to her. 6. access: the patient had a picc line placed for intravenous antibiotics to complete a 14-day course of vancomycin and zosyn. condition on discharge: stable. discharge status: the patient was discharged back to hospital for continued weaning and intravenous antibiotic therapy. discharge diagnoses: 1. ventilator-associated pneumonia. 2. cerebrovascular accident of unclear duration. 3. mitral regurgitation. 4. anemia. 5. diabetes mellitus. 6. urinary tract infection: positive urinary tract infection with gram-negative rods and beta streptococcus. discharge medications: 1. vancomycin 1 gram q. 48 hours started on to receive a 14-day course. 2. zosyn 2.25 grams iv q. 6 hours started on to complete a 14-day course. 3. sertraline 50 mg p.o. q.d. 4. methylphenidate 5 mg p.o. b.i.d. 5. albuterol nebulizer inhaled q. 6 hours p.r.n. 6. atrovent 2 puffs inhaled q.i.d. 7. heparin 5,000 mg subcutaneous b.i.d. 8. fluticasone 110, 2 puffs inhaled b.i.d. 9. regular insulin sliding scale. 10. fluconazole 100 mg p.o. q. 24 hours for thrush to complete four additional doses. 11. lansoprazole 30 mg via nasogastric tube q.d. 12. ativan 0.25 mg p.o./iv t.i.d. p.r.n. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances other intubation of respiratory tract injection of antibiotic diagnoses: pneumonia, organism unspecified urinary tract infection, site not specified other pulmonary insufficiency, not elsewhere classified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure multiple involvement of mitral and aortic valves staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to