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: morphine attending: chief complaint: "abdominal pain and fever" major surgical or invasive procedure: exploratory laparatomy/ left salpingoophorectomy of an infected dermoid cyst, herniorrhaphy, vulvar biopsy, omental biopsy and cystoscopy. history of present illness: ms is a 66y/o p2 presents as transfer from outside hospital with abdominal pain, fever and enlarged dermoid cyst. pt reports that about one month ago, she noticed severe abdominal pain and nausea which prompted work-up by her pcp with an abdominal ct scan. on ct, she was noted to have a large dermoid cyst and was referred to a gyn physician who she is supposed to within the next week. her pain had eventually resolved but on presentation, she started to notice it again and reports being doubled over in pain and nauseous. she also reports a fever of 101 at the outside hospital. denies vomiting. she describes the pain as a twisting type of sensation on the left side that is persistent. at the outside hospital, she had a ct abd/pelvis which was remarkeable for a ?ruptured dermoid cyst. here in the ed, she has undergone a bedside fast u/s which was negative for free fluid. she denies dizziness or sob. ros +for cough which she has had for one week now. past medical history: - rheumatoid arthritis - groin/axillary infections s/p excisions and skin grafts - right ankle surgery social history: lives with daughter, denies t/e/d use, former smoker, quit 7 yrs ago family history: none on file physical exam: physical examination was performed by dr. . vs-97.8 92 91/52 -> intermittently 80's/50's 20 94%ra appears slightly uncomfortable with movement, appears to be wheezing heart regular rate and rhythm lungs clear to auscultation bilaterally although difficult to hear given poor inspiratory effort abdomen obese, mildly distended, +mild diffuse tenderness to palpation, no rebound or guarding pelvic: multiple protruding labial masses with chronic skin changes and areas that appear denuded (pt states this is chronic since rejection of vulvar skin graft) bimanual: no cervical motion tenderness, difficult to assess size of uterus secondary to body habitus and patient difficulty with exam extremities: no lower extremity edema bilaterally pertinent results: 04:54pm type-art po2-114* pco2-39 ph-7.26* total co2-18* base xs--8 04:54pm glucose-106* lactate-0.9 04:54pm o2 sat-98 04:54pm freeca-0.97* 04:03pm voidspec-specimen c 03:51pm glucose-139* urea n-14 creat-0.9 sodium-138 potassium-4.7 chloride-111* total co2-19* anion gap-13 03:51pm calcium-7.6* phosphate-3.7 magnesium-1.3* 03:51pm wbc-12.8* rbc-3.62* hgb-11.0* hct-33.5* mcv-93 mch-30.5 mchc-32.9 rdw-13.6 03:51pm plt count-535* 02:41pm type-art temp-37.3 rates-12/ tidal vol-600 o2-50 po2-180* pco2-43 ph-7.31* total co2-23 base xs--4 intubated-intubated vent-controlled 02:41pm glucose-126* lactate-1.4 na+-138 k+-4.3 cl--112 tco2-20* 02:41pm hgb-10.0* calchct-30 o2 sat-98 02:41pm freeca-1.12 01:51pm type-art temp-37.3 rates-14/ tidal vol-450 po2-180* pco2-47* ph-7.28* total co2-23 base xs--4 intubated-intubated vent-controlled 01:51pm glucose-123* lactate-1.6 na+-137 k+-4.3 cl--111 tco2-21 01:51pm hgb-10.1* calchct-30 01:51pm freeca-1.16 01:12pm type-art temp-37.3 rates-12/ tidal vol-500 o2-50 po2-174* pco2-49* ph-7.27* total co2-23 base xs--4 intubated-intubated 01:12pm glucose-126* lactate-1.5 na+-138 k+-4.1 cl--111 tco2-22 01:12pm hgb-10.5* calchct-32 01:12pm freeca-1.23 12:15pm type-art po2-217* pco2-43 ph-7.31* total co2-23 base xs--4 12:15pm glucose-138* lactate-1.2 na+-136 k+-4.0 cl--109 12:15pm hgb-10.4* calchct-31 o2 sat-98 12:15pm freeca-1.06* 10:12am type- po2-92 pco2-51* ph-7.24* total co2-23 base xs--5 comments-green top 10:12am lactate-2.3* 09:48am wbc-18.2* rbc-3.76* hgb-11.1* hct-33.9* mcv-90 mch-29.6 mchc-32.8 rdw-13.5 09:48am plt count-635* 02:32am lactate-2.0 02:20am glucose-147* urea n-16 creat-1.3* sodium-138 potassium-4.5 chloride-105 total co2-23 anion gap-15 02:20am estgfr-using this 02:20am wbc-14.9* rbc-3.68* hgb-10.9* hct-32.7* mcv-89 mch-29.5 mchc-33.3 rdw-13.4 02:20am neuts-89.8* lymphs-7.1* monos-2.8 eos-0.1 basos-0.2 02:20am plt count-573* 02:20am pt-14.2* ptt-23.0 inr(pt)-1.2* brief hospital course: ms was seen and examined and observed for 3 hours in ed. ct scan at osh ()demonstrated 12 x 9 cm mass, read as c/w dermoid. review of ct scan at also demonstrated small umblical hernia w/ possible incarcerated bowel. under observation, pt became hypotenisve to sbp of 60, not responsive to hydration alone. her abdominal exam remained unchanged. bedside ultrasound performed and was limited due to size of mass and patient habitus and assessment of doppler flow to mass could not be completed. as the patients hemodynamic status had stabilized, pain unchanged, impression was intermittent left adnexal torsion in the setting of ovarian mass. the decision was made to admit to sicu for monitoring and plan surgery consult to assess for possible bowel incarceration at umbilical hernia. upon admission to sicu, ms remained hypotensive despite ongoing levaphed treatment. she was evaluated by surgical consult and sicu atttending and assessment was consistent with peritonitis due to pelvic process and not consistent incarcerated bowel herniation. ongoing concern for intermittent torsion; etiology of hypotension differentia was torsion vs. sepsis vs. other process. the decision was made to proceed with exploratory laparatomy given acute abdomen in the setting of hemodynamic instability. intraoperatively, an enlarged left adnexal mass consistent with dermoid on frozen section with purulent material throughout abdominal cavity, normal right tube and ovary, normal. patient was observed in the surgical icu following surgery. her post-operative course was complicated by inability to extubate until post-op day 3. patient was started on iv levofloxacin/flagyl and vancomycin for broad spectrum treatment until cultures returned. cultures returned positive for methicilin sensitive staph aureus. intravenous vancomycin and flagyl were discontinued on post-op day 4 and post-op day 2 respectively. her sicu admission was complicated by oliguria with a creatinine of 1.2 and edema, which subsequently resolved after several doses of lasix, ileus requiring prolonged ng tube placement and multiple chest x-rays to evaluate for pulmonary status. patient also developed stage 2 decubitus ulcer and possible allergic dermatitis. ms was transferred to the gynecology floor on post-operative day 4 for continued routine post-operative care. on the floor, ng tube was discontinued. there was concern for prolonged prothrombin time, which prompted a curb-side consult to hematology, who thought it was as a result of iv antibiotics resulting in clearing of gut flora and subsequent vitamin k deficiency. in addition, patient was tried to wean off oxygen and experienced a desaturation to 86% prompting a cta, which revealed bilateral pulmonary embolisms. patient was then started on heparin and then transitioned to lovenox. floor admission also complicated by the developement of yeast urinary tract infection, treated with diflucan. on post-operative day 10, staples were removed and patient experienced separation of the vertical abdominal incision. wound was inspected and fascia was found to be intact. the incision was packed with wet-to-dry dressing, which was changed twice daily. she was also given topical antifungal therapy for treatment of fungal infection on her mons. an attempt to wean her off oxygen produced a desaturation to 87% suggesting that she would require home oxygen. ms was discharged on post-operative day 11 to her home with vna services twice a day in good condition, tolerating a regular diet, voiding independently, ambulating with assist but with oxygen requirement of 1l and albuterol nebulizer treatments. per id, she will continue on oral ciprofloxacin and flagyl to complete a 14day course of antibiotics. medications on admission: -prednisone 10mg po daily -remicaide monthly infusion discharge medications: 1. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for sleep. 2. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po twice a day. disp:*10 tablet(s)* refills:*0* 4. flagyl 500 mg tablet sig: one (1) tablet po three times a day. disp:*15 tablet(s)* refills:*0* 5. enoxaparin 120 mg/0.8 ml syringe sig: one (1) syringe subcutaneous q12h (every 12 hours). disp:*60 syringe* refills:*2* 6. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day): to mons. disp:*qs qs* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: left dermoid cyst, pelvic infection with mssa, sepsis. postop course complicated by bilateral pulmonary embolisms, superficial wound dehiscence. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms , you were admitted and underwent an exploratory laparatomy/ left salpingoophorectomy of an infected dermoid cyst, herniorrhaphy, vulvar biopsy, omental biopsy and cystoscopy. general instructions: * take your medications as prescribed. * do not drive while taking narcotics. * no strenuous activity, nothing in the vagina (no tampons, no douching, no sex), no heavy lifting of objects >10lbs for 6 weeks. * you may eat a regular diet. incision care: * you may shower and allow soapy water to run over incision; no scrubbing of incision. no bath tubs for 6 weeks. * if you have steri-strips, leave them on. they will fall off on their own or be removed during your followup visit. * if you have staples, they will be removed at your follow-up visit. followup instructions: - post-op appt with dr. wed - f/u appt with np at medical 1330 - f/u dr. 330pm procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other cystoscopy other open umbilical herniorrhaphy biopsy of peritoneum other unilateral salpingo-oophorectomy biopsy of vulva central venous catheter placement with guidance diagnoses: candidiasis of other urogenital sites methicillin susceptible staphylococcus aureus septicemia sepsis other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation iatrogenic pulmonary embolism and infarction paralytic ileus pressure ulcer, lower back rheumatoid arthritis other ascites umbilical hernia without mention of obstruction or gangrene disruption of external operation (surgical) wound pressure ulcer, stage ii unspecified peritonitis benign neoplasm of ovary 

Answer: The patient is high likely exposed to