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: prednisone / aspirin / codeine / sulfa (sulfonamides) / ivp dye, iodine containing / bactrim / procardia attending: chief complaint: respiratory failure major surgical or invasive procedure: tracheal stent placment history of present illness: mrs. is a 66 year old woman with a history of copd who initially presented to hospital ed with copd exacerbation and after discharge on had respiratory arrest thought to be secondary to pneumonia/mucus plugging. she was found to have a lll pneumonia and was transferred to medical center for management. there a peg and trach were placed () but has had continued respiratory failure due to tracheobronchial malacia (tbm). she completed a 10-day course for klebsiella and mrsa pneumonias. she was put on phenopbarbital and fentanyl for and sedation. she was transferred to for rigid bronchoscopy and stenting for this condition. past medical history: copd on home o2 hypertension recurrent dvts on anticoagulation anemia recurrent mrsa and klebsiella pneumnonias steroid-induced myopathy social history: 20-40 pack years of tobacco, no known etoh use. family history: noncontributory physical exam: vs: tc 100.6 tm 101.1 bp 113/47 (76-166/47-107) hr 93 (78-117) rr 18 (18-51) sat 96-100% wt 104kg i/o: (24hrs) 2646/3960 (net: -1314) vent: simv tv 600 peep 8 rr 14 fio2 0.5; tv 645, rr 30, pip40, plat 33, map 14. gen: obese woman in bed, trached, sedated. heent: sclerae anicteric, moist mucus membranes neck: obese, trached cv: nl s1/s2, rrr pul: cta anteriorly abd: obese, large midline healed scar, peg in place. slight diffuse ttp to deep palpation. back: coccygeal breakdown (per nursing) ext: lue 1+ pitting edema, trace bilateral le edema with venous stasis dermatitis distally. neuro: sedated, unarousable. pertinent results: 06:21pm wbc-14.7* rbc-2.91* hgb-8.7* hct-26.4* mcv-91 mch-29.9 mchc-33.0 rdw-14.2 06:21pm plt count-398 06:21pm pt-13.3* ptt-64.8* inr(pt)-1.2* 06:21pm glucose-126* urea n-16 creat-0.7 sodium-138 potassium-4.8 chloride-100 total co2-29 anion gap-14 06:21pm magnesium-2.0 . cxr: l hilar mass at ap window (seen on previous cxr's). . cultures: catheter tip-iv ngtd blood culture aerobic: ngtd blood culture aerobic: ngtd ------------ anaerobic bottle (preliminary): staphylococcus, coagulase negative. staphylococcus, coagulase negative. ? of two colonial morphologies. being isolated further identification to follow. catheter tip-iv: no growth respiratory culture: mrsa staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- =>8 r oxacillin------------- =>4 r penicillin------------ =>0.5 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s vancomycin------------ <=1 s urine urine culture: yeast blood culture x2: ngtd blood culture aerobic: {enterococcus sp.}; anaerobic bottle-ngtd enterococcus sp. | ampicillin------------ <=2 s penicillin------------ 2 s vancomycin------------ <=1 s stool clostridium difficile toxin assay-final inpatient . brief hospital course: since transfer to she developed a fever on so her a-line and central line were replaced. she went to the or for stenting on . a y-stent was placed to her trachea at the carina and the end of the trach was placed into the end of it. on she transferred to the medical icu for further management. . # respiratory failure/tracheobronchial malacia: s/p y-stenting , although there is some remaining segments proximally and distally that have malacia. she was switched from pcv ventilation to pressure support on . she tolerated this well and was slowly weaned. on transfer to micu for patient was on four agents (ativan, phenobarb, fentynyl and propofol) for sedation. propofol and ativan were discontinued. fentynyl patch was applied with goal of decreasing the fentynyl gtt. phenobarb was also decreased with goal of using fentynyl or versed for sedation. phenobarb was at 60mg iv bid on transfer and was weaned slowly with goal of decreasing 10mg per day. on however, pt was tachypneic and did not tolerate ps ventilation which was thought to be secondary to too rapid of weaning of sedatives. pt was placed back on ac and increased fentanyl patch to 100mcg and restarted versed. on discharge, she was on fentanly 50mcg and versed 2mg. plan was to continue to wean down with addition of halidol 2.5mg tid for agitation. . # fevers/bacteremia: pt had history of mrsa and klebsiella pneumonias. while in the sicu she had temperature spike she was pancultured and central line was changed. one sputum culture with showed mrsa. she also had blood cultures with enterococcus (sensitive to vanc) and coag negative staph. these were thought to be contaminants. she was started on vancomycin . she remained afebrile in the medical icu with ocassional low grade temp. her arterial line was discontinued. she should be treated for total 10 days with vancomycin and the last dose to be on . she continues to have a left subclavian. . # h/o dvt: on coumadin at home, unclear when the dvt was diagnosed. she had a upper extremity dvt on which showed no growth. she was continued on heparin gtt and this was maintained with goal ptt 60-85. she should be restarted on coumadin. . # pulmonary nodules: cxray showed mediastinal mass and so had a chest ct which showed right lobe pulm nodules and mediastinal lad. needs further w/u with pet/ct, fnac. ppd placed on @ 2:30pm - needs follow up. . # endocrine: sliding scale insulin. # access: left subclavian central line # ppx: ppi, on heparin gtt. # code: full # comm: () - husband , cell # disposition: being transferred to closer to her family for continued call. medications on admission: heparin gtt 1900u/hr 1000 ml lr 75 ml/hr insulin gtt tylenol prn lidocaine 1% 1-2 ml ih q1-2h:prn cough albuterol puff ih q4h:prn when on vent lorazepam 1 mg po bid albuterol-ipratropium puff ih q4h when on vent miconazole powder 2% 1 appl tp diltiazem 60 mg po/ng qid phenobarbital 60 mg iv q12h escitalopram 10 mg po daily fentanyl citrate 125 mcg/hr iv drip infusion propofol 20-50 mcg/kg/min iv drip titrate to sedation furosemide 40 mg iv bid vancomycin hcl 1000 mg iv q18h discharge medications: 1. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 2. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 3. albuterol 90 mcg/actuation aerosol sig: 4-6 puffs inhalation q4h (every 4 hours) as needed for when on vent. 4. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours) as needed for when on vent. 5. diltiazem hcl 30 mg tablet sig: two (2) tablet po qid (4 times a day). 6. vancomycin hcl 1000 mg iv q18h 7. heparin flush cvl (100 units/ml) 1 ml iv daily:prn 10ml ns followed by 1ml of 100 units/ml heparin (100 units heparin) each lumen qd and prn. inspect site every shift 8. insulin sliding scale 9. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 10. lidocaine hcl 1 % solution sig: one (1) ml injection q1-2h () as needed for cough. 11. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily). 12. fentanyl citrate @ 50mcg/hr drip rate 13. versed @ 2mg/hr drip rate 14. furosemide 40 mg iv bid 15. heparin (porcine) in d5w 100 unit/ml parenteral solution sig: 1700units/hr intravenous asdir (as directed). 16. vancomycin hcl 1000 mg iv q 24h 17. haloperidol 2.5 mg iv tid discharge disposition: extended care discharge diagnosis: tracheomlacia respiratory failure h/o dvt discharge condition: stable discharge instructions: please continue to take all medications as described. if there is any further difficulties with ventilation or difficulties with the tracheal sent please seek further medical care. followup instructions: please follow up with your pcp after discharge from hospital. please call (, interventional pulmonary at to setup an appointment with dr. after discharge from hospital. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances arterial catheterization other intubation of respiratory tract other intubation of respiratory tract bronchoscopy through artificial stoma diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified infection with microorganisms resistant to penicillins long-term (current) use of anticoagulants methicillin susceptible pneumonia due to staphylococcus aureus personal history of venous thrombosis and embolism obesity, unspecified chronic respiratory failure attention to tracheostomy 

Answer: The patient is high likely exposed to