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: all drug allergies previously recorded have been deleted attending: chief complaint: hypotension major surgical or invasive procedure: none history of present illness: f diastolic chf (ef 55%), cad, cri, afib who presented to ed in acute respiratory distress. most recently hospitalized at for nausea/vomiting/dehydration, then received ivf putting patient into acute chf, requiring intubation in this year. <br> otherwise, usoh until this week, when she began to complain of some mild difficulty breathing. was felt by her pcp to have copd exacerbation and increased baseline prednisone dose of 5qod to 30mg qd two days prior to admission. seen by pcp at home who continued to feel this was "bronchitis" - unclear if prescribed at this point. did well through evening prior to admission (apparently prepared a meal for 5 people), then at 1am on day of admission, began to have acute shortness of breath. was given nebs and supplemental o2 by home health aide. <br> after 1.5 hours, did not improve, and was brought by ambulance to ed, found to have systolic bp in 230s, low grade temp 100.2. given lasix, nitroglycerin, found to have abg of 7.03/89/334 on bipap, and consequently was intubated (etomidate/rocuronium). nitro was initially to 333mcg at 0430, then downtitrated as sbp came down to 122-> was found to be agitated while intubated and given versed 2mg-> subequently sbp down to 40/palp. started on dopamine 20mcg/kg with improvement of bp to 97/44. given total of 5 liter ns. and urine output 930cc over ed stay. otherwise, given vanco/levo/flagyl, decadron 6. past medical history: -chf- echo ef 50-55% with mild mr -coronary artery disease, lad stent -paroxysmal atrial fibrillation -asthma -s/p thyroid sx -diverticulitis -hypercholesterolemia -right hip fracture -history of tears -chronic renal insufficiency social history: -lives in apartment with 24 hour home care. able to walk with walker at home, but uses wheelchair when leaving the house. daughter is main caregiver in terms of administering medications. ambulates with a walker. smoked in her teens but none since. rare etoh use. family history: non-contributory physical exam: general: intubated, but awake, nad. heent: perrl, eomi, ommm. neck: jvp , supple, no lad. cardiovascular: s1, s2, reg, lungs: anterior exam- clear, but basilar rales. abdomen: active bowel sounds, soft, nt, nd extremities: warm, no cce. neuro: awake, and alert, able to mouth words in response to questions. moving all four. pertinent results: 04:53am lactate-3.0* 05:00am pt-11.0 ptt-21.6* inr(pt)-0.9 05:00am wbc-26.3*# rbc-4.52# hgb-13.6# hct-41.3# mcv-91 mch-30.0 mchc-32.9 rdw-14.3 05:00am neuts-72* bands-18* lymphs-6* monos-2 eos-0 basos-0 atyps-1* metas-1* myelos-0 05:00am ctropnt-<0.01 05:00am ck(cpk)-77 04:09am blood wbc-11.8* rbc-4.09* hgb-12.2 hct-38.0 mcv-93 mch-29.7 mchc-32.0 rdw-14.9 plt ct-315 06:00am blood wbc-10.1 rbc-4.31 hgb-12.6 hct-38.2 mcv-89 mch-29.2 mchc-32.9 rdw-15.2 plt ct-318 06:00am blood glucose-98 urean-53* creat-1.8* na-143 k-3.9 cl-104 hco3-28 angap-15 04:11am blood glucose-156* urean-59* creat-2.1* na-142 k-3.6 cl-110* hco3-22 angap-14 04:09am blood glucose-103 urean-47* creat-2.2* na-141 k-4.4 cl-106 hco3-22 angap-17 02:44pm blood cortsol-22.4* 04:30am blood vanco-14.9* brief hospital course: f diastolic dysfunction, cri, copd/asthma, here w/ respiratory failure and hypotension. * hypercarbic resp failure: multifactorial, due to mrsa pneumonia and copd flare, with likely chf due to flash pulmonary edema due to hypertensive urgency and large volume resuscitation in the ed given sepsis protocol. pt was intubated in the ed given her hypercarbia with a pco2 of 89 on admission. pt improved her ventilation and oxygenation while intubated after treatment with iv vanco, steroids and azithromycin. pt was extubated on hd#3 and did well post-extubation. her steroids were tapered to fairly quick po prednisone taper given the findings of her cosyntropin test which showed a brisk adrenal response. her nebulizer treatments were continued as needed and steroid was tapered off. pt was discharged to finish 14d-course vancomycin for mrsa pneumonia. however, by a mistake, a vna arrangement was not confirmed at her time of discharge on . pt was discharged without a vna arrangement for vanc administration/picc care and did not receive a dose of vancomycin prior to discharge. the pt returned to the hospital the next day for vancomycin. vancomycin 1g was given on and was discharged home again after receiving vancomycin. . * hypotension/hypertension: pt intially hypertensive in the ed to 230s, and was aggressively treated with ntg gtt, and became hypotensive in the ed and with suspected infectious etiology, was placed on sepsis protocol, and had a cvl placed in the ed and received large volume resuscitation. likely represented aspect of hypovolemia along with element of sepsis along with aggressive iatrogenesis with her iv ntg gtt(her mvo2 remained >70% and cardiogenic shock was thought unlikely). pt was placed on levophed in the ed to help maintain her map >65, which was weaned after hd#2 as her bps allowed. she became hypertensive after her sepsis had corrected and her antihypertensive regimen was reinitiated with metoprolol 75mg tid, hydralazine and imdur. however, given she only had mild mr, no systolic dysfunction on , and inconvenient hydralazine dose frequency, hydralazine and imdur were discontinued. . * cri: at her baseline with good uop. . #. cad: s/p stenting in . continued asa, lipitor, bb. . #. h/o paf: continued bb, not coumadin candidate given h/o falls and diverticular bleeds. . # hypothyroidism: continued synthroid 88mc qday. * fen: npo while intubated. after extubation, started diet as tolerated to cardiac diet. . * access: rij placed in ed - no checklist. was removed and l subclavian was placed in the icu. this was removed once her inital sepsis resolved. . * prophylaxis: sqh, ppi, bowel regimen. because pt gets constipated easily, pt wanted mag citrate rx at the time of 2nd discharge. . * code: full . * comm: daughter h, c medications on admission: protonix 40 synthroid 88 senna metoprolol 50 tid albuterol slntg 0.3 lactulose dulcolax aspirin ec 325 nystatin advair colchicine 0.6 qod prednisone 5 qod aranesp 40 iron 325 lipitor 20 colace lasix 80 qd mvi discharge medications: 1. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 2. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 5. prednisone 10 mg tablet sig: one (1) tablet po once a day. 6. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day) as needed for constipation. 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. levothyroxine 88 mcg tablet sig: one (1) tablet po daily (daily). 9. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation every six (6) hours. disp:*qs for 1month * refills:*0* 11. colchicine 0.6 mg tablet sig: one (1) tablet po every other day. 12. ferrous sulfate 325 (65) mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 13. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). 14. multivitamins tablet, chewable sig: one (1) cap po daily (daily). 15. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 24h (every 24 hours) for 7 days. disp:*qs 7 days* refills:*0* 16. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 17. picc care picc care per ccs protocol 18. colchicine 0.6 mg tablet sig: one (1) tablet po every other day (every other day) as needed for joint pain. 19. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed. disp:*qs 2 weeks* refills:*0* 20. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed. disp:*qs 2 weeks* refills:*0* 21. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po three times a day. disp:*135 tablet(s)* refills:*2* 22. aranesp 40 mcg/0.4 ml syringe sig: one (1) syringe injection every other week. 23. senna 187 mg tablet sig: one (1) tablet po twice a day as needed for constipation. discharge disposition: home with service facility: vna discharge diagnosis: primary diagnoses: congestive heart failure exacerbation pneumonia chronic obstructive pulmonary disease exacerbation secondary diagnoses: coronary artery disease chronic renal insufficiency discharge condition: stable discharge instructions: return to emergency department or call your primary care physician if you develop fevers, chills, worsening cough, chest pain, shortness of breath, or any other worrisome symptoms. take medications as instructed and dr. will come see you at home. followup instructions: dr. will come to your house and see you next week. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization infusion of vasopressor agent diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery congestive heart failure, unspecified gout, unspecified atrial fibrillation infection with microorganisms resistant to penicillins obstructive chronic bronchitis with (acute) exacerbation percutaneous transluminal coronary angioplasty status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia acute respiratory failure methicillin susceptible pneumonia due to staphylococcus aureus hyperosmolality and/or hypernatremia diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to