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: penicillins attending: chief complaint: pain/shortness of breath major surgical or invasive procedure: sternal wound debridement /vac placement sternal wound debridement /vac placement sternal wound debridement /vac placement history of present illness: this 43 year old white female underwent mechanical mitral valve replacement, closure of patent foramen ovale and ligation of left atrial appendage three weeks previously. she was doing well post-operatively until saturday()when she had nausea and after an episode of vomiting developed acute sternal incision pain that makes it difficult to breath. she presented to er and was subsequently transferred to for further management. past medical history: hypertension pulmonary hypertension possible rheumatic heart disease asthma chronic obstructive pulmonary disease migraines obstructive sleep apnea depression/bipolar disorder possible fibromyalgia on percocet osteoarthritis history of bells palsy s/p mechanical mitral valve replacement)/closure foramen ovale/resection left atrial appendage/talon closure sternum s/p cervical spine surgery in at s/p tah for excessive bleeding in s/p c-section x 2 social history: she currently lives in , . she is married with two daughters who are healthy. she smokes one to two packs per day for the past 21 years. social alcohol use. no drug use. she is currently unemployed and not on disability family history: significant for fibromyalgia in her brother, mother and maternal aunt. history of ovarian, breast, and colon cancer in maternal side. congenital heart dz in niece. mother with rhd and mvr as well as mi in her 40s. mgf with stroke in 80s. physical exam: admission: temp 98.6 pulse: 122-reg resp: 24 o2 sat: 95% 3lnp b/p right: 143/87 left: height:5'6" weight:155.5 kg general: skin: dry intact small scabbed over area at base of sternal incision, minimal surrounding erythema. incision tender to touch heent: perrla eomi neck: supple full rom chest: diminished at bases, rhonchorous throughout heart: rrr tachycardic, sharp click abdomen: soft non-distended non-tender bowel sounds + extremities: lymphedema with 4+bilateral pedal edema neuro: a&ox3: grossly intact pulses: femoral right: np left: np dp right: np left: np pt : np left: np radial right: 1+ left: 1+ carotid bruit right:no left:no pertinent results: 03:52am wbc-11.3* rbc-3.05* hgb-8.0* hct-25.0* mcv-82 mch-26.2* mchc-32.0 rdw-16.9* plt ct-455* 04:08pm wbc-20.2* rbc-3.92* hgb-9.9* hct-31.7* mcv-81* mch-25.1* mchc-31.1 rdw-16.8* plt ct-662* 03:52am glucose-92 urean-32* creat-1.2* na-132* k-4.5 cl-96 hco3-27 angap-14 04:08pm glucose-140* urean-12 creat-0.6 na-133 k-4.5 cl-97 hco3-23 angap-18 04:08pm %hba1c-6.2* impression: increase in size of fluid collection noted immediately anterior to the sternum, now measuring 3.8 cm x 3.4 cm x 7.5 cm. extensive adjacent fat stranding. some of these changes may be postsurgical; however supperimposed infection cannot be excluded. the study and the report were reviewed by the staff radiologist. dr. . dr. approved: tue 10:15 am imaging lab brief hospital course: she was transferred from on . the sternum was stable on exam with a quarter sized eschar at the lower end, without surrounding cellulitis. there was 2+ lower extremety edema with cellulitis. cultures were drawn and the sets from the 16th and 17th grew staph aureus. vancomycin and clindamicin were started and her white count fell. she was rehydrated as her creatinine rose to 2 after diuresis and sepsis and coagulopathy corrected with fresh frozen plasma and vitamen k for an inr of 10. infectious disease saw the patient. on the eschar was excised and the wound was solid, without tracking. the wound was packed, wet to dry. cultures grew coag negative staph. the cellulitis of the lower extremeties improved quickly and her creatinine improved. a picc was placed for a 4 week course of vancomycin and the clindamicin stopped. local wound care to the sternum was continued. ct scan done and she was taken to the or for sternal wound debridement on . cultures from the operating room grew rare growth of coag + staph aureus. transferred to the cvicu after extubation in the or. a wound vac was left in place and pain was controlled with dilaudid, oxycontin and tramadol. she was resumed on a heparin drip and coumadin was held for a future flap surgery with plastics. she was continued on vancomycin with adjustments in doses based on trough levels. on she was taken to the operating room with dr. and dr. for removal of talon plating, sternal debridement and plating with pec flap advancement. please refer to operative note for details. post operatively she remained intubated and was admitted to the icu. she was weaaned and extubated without any difficulty. she was maintained on iv vancomycin for mrsa with consultation and management by infectious disease . her pain was managed with oxycodone sr and dilaudid for breakthrough pain. her lopressor was titrated to control her heart rate and was agressively diuresed. she was discharged to home on 80mg lasix - home dose 120mg - dose change discussed with dr. . coumadin dosing and follow up confirmed with dr. . medications on admission: warfarin: currently taking 10mg qd inr goal 3.0-3.5 daily metoprolol tartrate 75 mg , aspirin 81 mg daily atorvastatin 20 mg daily, ipratropium-albuterol 1-2 puffs q4h alprazolam 1 mg -prn, aripiprazole 15 mg qhs, docusate sodium 100 mg , venlafaxine 225 mg qhs, advair 250-50 , nortriptyline 40 mg qhs, lisinopril 2.5 mg daily, potassium chloride 20 meq tab daily, furosemide 40 mg oxycontin 30 and dilaudid 2-4mg q3-prn on discharge, recent note from pcp states pain regime changed to: percocet 7.5/325-up to 8 pills per day. one dose of extra strength tylenol-1000 mg allowable which w will keep total daily tylenol under 4000 mg. however patient states she is still taking oxycontin and dilaudid discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. venlafaxine 75 mg capsule, sust. release 24 hr sig: three (3) capsule, sust. release 24 hr po daily (daily). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. nortriptyline 10 mg capsule sig: four (4) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 5. aripiprazole 15 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. vancomycin 500 mg recon soln sig: seven y (750) mg intravenous q 12h (every 12 hours) for 72 doses: start date x 6 weeks- end date . disp:*72 doses* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. white petrolatum-mineral oil cream sig: one (1) appl topical (2 times a day). disp:*1 tube* refills:*2* 10. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheezes. disp:*1 mdi* refills:*2* 11. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 12. hydromorphone 4 mg tablet sig: 1/2-1 tablet po q4h (every 4 hours) as needed for pain: 2 weeks supply. disp:*100 tablet(s)* refills:*0* 13. oxycodone 20 mg tablet sustained release 12 hr sig: five (5) tablet sustained release 12 hr po q12h (every 12 hours): 2 week supply. disp:*140 tablet sustained release 12 hr(s)* refills:*0* 14. coumadin 2.5 mg tablet sig: as directed tablet po once a day: take as directed by dr. . disp:*60 tablet(s)* refills:*2* 15. outpatient lab work next inr draw is then everyother day or as advised by dr. please fax result to attention -dr. or coverage or . 16. lasix 80 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 17. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. disp:*30 tab sust.rel. particle/crystal(s)* refills:*2* 18. outpatient lab work cbc with diff, bun/creat, vanco trough weekly and fax to dr. . discharge disposition: home with service facility: all care vna of greater discharge diagnosis: bacteremia lower extremity cellulitis s/p mitral valve replacement (mechanical),closure patent foramen ovale,ligation of left atrial appendage pulmonary hypertension possible rheumatic heart disease asthma chronic obstructive pulmonary disease migraines obstructive sleep apnea depression/bipolar disorder fibromyalgia osteoarthritis history of bells palsy discharge condition: vital signs stable,walking wounds clean discharge instructions: no lotions creams or powders on any incision shower daily and pat incision dry no lifting greater than 10 pounds for 10 weeks no driving for one month call for fever,redness or drainage. call dr. or dr. for weight gain or 2 pounds in 2 days or 5 pounds in one week. inr check every other day or as directed by dr. for coumadin dosing. weekly labs cbc/diff, bun/creat, and vanco trough- results faxed to dr. (infectious disease) ace wraps daily to bilateral lower extremities. followup instructions: see dr. (pcp) on at 12:30pm () see dr. (cardiologist) at 11:40 see dr. (surgeon) in 2 weeks () see dr. in one week from discharge for drain removal- . follow up with dr. in infectious disease clinic on at 3:50pm () dr. will follow your inr and dose your coumadin. your next inr draw is . procedure: other repair of chest wall local excision of lesion or tissue of bone, scapula, clavicle, and thorax [ribs and sternum] graft of muscle or fascia nonexcisional debridement of wound, infection or burn application of other wound dressing application of other wound dressing application of other wound dressing excision or destruction of lesion of chest wall excision or destruction of lesion of chest wall internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum] diagnoses: obstructive sleep apnea (adult)(pediatric) other postoperative infection cellulitis and abscess of trunk unspecified essential hypertension acute kidney failure, unspecified disruption of internal operation (surgical) wound other chronic pulmonary heart diseases heart valve replaced by other means bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site morbid obesity surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation chronic obstructive asthma, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to