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: haldol / compazine / phenergan / tigan / flagyl attending: chief complaint: chest pain major surgical or invasive procedure: removal of tunneled cath (previously used for tpn) history of present illness: 54yo f with crohn's s/p ileostomy and subsequent short gut syndrome with port-a-cath placement for tpn who presents with progressive right sided chest pain that comes in waves. the pt reports sharp 10/10 chest pain under the right breast which is getting progressively worse. the pain is worsened with deep inspiration or movement. it initially started one day previously but has gotten significantly worse over last 12 hours. it is associated with sob as well as fevers, chills. the pt denies abd pain, n/v or increased ostomy output. . given her fever, sx of chest pain and sob as well as an elevated wbc count, she was initially thought to have a pna. she was therefore given ceftriaxone 1g iv x1 and azithromycin 500mg po x1 in the ed. as the cxr was without any evidence of pna, or ptx, the pt subsequently received a cta to evaluate for pe which revealed multifocal bilateral pna but no pe. at this time, she was given vancomycin 1g iv x1. she was also given morphine 2mg x3, 4mg iv x2, dolasetron 12.5mg x2 and ativan 1mg iv x1. past medical history: 1. crohn's disease, dx s/p three bowel resections and eventual ileostomy, resulting in short gut syndrome 2. restless leg syndrome 3. ? parkinsons vs. eps side effects from risperdal 4. chronic idiopathic pancreatitis, as demonstrated on ct in 5. arthritis s/p "pin placement" in left foot 6. degenerative disc disease s/p two back surgeries in 80's 7. benzo and opiod addiction 8. paranoia/depression, h/o auditory hallucinations, ?mania 9. port-a-cath placement for iv hydration in setting of short gut syndrome, complicated by clotting x 4, requiring replacement . abd ct performed showed multiple calcifications in the body and tail of the pancreas with a larger cystic lesion in the tail of the pancreas. a second 9 mm cystic lesion is seen in the head of the pancreas. these findings are consistent with chronic pancreatitis with pseudocyst formation social history: lives w/ her husband in area; smokes cig/d (30 pack year history); no alcohol or recreational drug use, has had addiction to benzodiazepines and opioids in the past family history: mother-; daugher-ibs, colitis; mother--breast ca,; father- tumor, no dm, no cad physical exam: v: 101.4, 102, 167/54 -> 159/77, 24 -> 16, 98% ra -> 96% ra gen: middle aged obese female lying in bed on her left side asleep, speaking slowly. appears younger than stated age heent: perrl, op clear, mmm cv: rrr, s1, s2 distant chest: crackles at right base with . air movement. tender over right chest abd: obese, multiple surgical scars. ileostomy bag present with gas and stool. absomen soft, tender to palpation over ruq, but no guarding or rebound ext: tr edema, 2+ dp bilaterally pertinent results: 01:30am glucose-208* urea n-21* creat-1.3* sodium-138 potassium-4.2 chloride-104 total co2-23 anion gap-15 01:30am ck(cpk)-31 01:30am ctropnt-<0.01 01:30am wbc-14.4*# rbc-3.82* hgb-11.5* hct-33.5* mcv-88 mch-30.2 mchc-34.5 rdw-14.7 01:30am neuts-78.0* lymphs-17.0* monos-4.6 eos-0.3 basos-0.1 01:30am plt count-128* 01:30am pt-12.3 ptt-26.1 inr(pt)-1.0 . cta - impression: 1. no definite pulmonary embolism is identified. 2. peripheral patchy opacities are seen bilaterally, most consistent with multifocal pneumonia. . cxr - there are faint ill-defined opacities within the right lower lung zone and left upper lung zone could represent a multifocal pneumonic process. . cxr - impression: multilobar pneumonia with interval worsening in the left lung but slight improvement in the right lower lobe. . head ct - ordered to evaluate for changes to explain delta ms conclusion: left parietal subcortical hypodensity, likely ischemic. no definite changes since the mr of in . . cxr impression: marked improvement. brief hospital course: 54yo f with crohn's disease s/p ileostomy with subsequent short gut syndrome with port-o-cath for tpn presents with acute onset pleuritic chest pain with fever, chills, and sob. . 1. chest pain/fever/chills: the acute onset of chest pain was initially very concerning for a pe, however the chest ct demonstrated multifocal consolidation consistent with a bacterial pna. this is consistent with the remainder of the pt's history including fever, chills, sob and an elevated wbc count. the pt was given ceftriaxone/azithromycin/vancomycin in ed. blood, urine and sputum culutres were sent. pt's blood cultures came back positive for staph aureus and enterococcus, both were pansensitive. sputum culture also returned with staph. aureus. ceftriaxone and azithro were discontinued, and vacomycin was continued. pt initially was hypoxic requiring nrb for o2 sat of 94%, with any attempt to wean she would desat. pt was intubated prior to tunneled catheter removal, see below. (the tunneled catheter later came back for negative for culture.)earlier that day pt had a chest x ray which showed diffuse infiltrative process concerning for ards. post procedure pt remained intubated on ardsnet protocol. she self extubated the first day and was reintubated without any complications. her o2 requirement improved on the vent over the next few days and she was weaned off the vent on . after extubation her o2 requirement was down to 1l nc with sats in mid 90s. she was transferred to the floor for further managment. . the patient remained afebrile when she transferred to the medicine service. she was weaned off the oxygen and for the remainder of her course her o2sats were stable on room air. the patient had completed her antibiotic course while in house. 2. hx of multiple port-o-cath clots: although the pt is on warfarin chronically, her inr was subtherapeutic. goal inr . initially coumadin was increased, however given concern for infected line, general surgery was consulted who removed the line in the icu. . 3. arf: pt initially with mild , this was thought to be due to dehydration, after initial volume repletion her renal function improved to her baseline. . 4. psych: the pt has a history of paranoia/depression. on admission she was taking quetiapine 300 mg qhs and clonazepam 1mg qam, 1mg q3pm, 2 mg po qhs. quetiapine was continued however clonipin was initially held when she was intubated on fentynyl/versed. this was restarted post extubation. intially after being transferred from the icu to the medicine service the patient was mentating appropriately. her course later became complicated by visual and auditory hallucinations. she made disturbing comments to the hospital personnel. she was unable to sleep at night, often pacing the halls. she required a 1:1 sitter. psychiatry was consulted. they felt that her presentation was secondary to delirium and was multifactorial. they attributed it to polypharmacy, recent infection (pneumonia) and insomnia. a head ct was done which ruled out any acute processes. the patient refused an lp. they made recommendations for adjustments to her anti-psychotic medications. at discharge the patient was on clonazepam 1mg tid, seroquel 300 and neurontin 600 qam, 1200 qpm and 1200 qhs. the hospital course was prolonged because of her delirium. once her mental status improved she was discharged. . 5. ?parkinson's disease/ akithesia: the patient was maintained sinemet. 6. pain: in addition to her usual neuropathy pain, the pt initially appeared to have significant pain from the multi-focal pna as well. (home regimen, gabapentin 800 mg po qam, 1600 mg po q3pm, 1600mg po qhs. this was held in the icu and she was given diluadid prn for pain control. the patient's narcotic and psych regimen was evaluated by psychiatry during her delirium. please see above for their recommendations. . 7. fen: given her hx of ileostomy secondary to crohn's disease and resultant short gut syndrome, the pt requires nutritional support via tpn. after removal of tunneled line pt was given tube feeds while she was intubated. the patient was transitioned to a low fat, low residue diet. 8. ppx: ppi and heparin sc 9. dispo: the patient was discharged home and instructed to follow up with her pcp. follow up scheduled with psychiatry. medications on admission: 1. quetiapine 300 mg qhs 2. clonazepam 1mg qam, 1mg q3pm, 2 mg po qhs 3. ferrous sulfate 325 po daily 4. carbidopa-levodopa 25-250 mg po 5 times per day. 5. gabapentin 800 mg po qam, 1600 mg po q3pm, 1600mg po qhs 6. heparin lock flush 10 unit/ml daily as needed. 7. saline flush 8. prevacid 30 mg po twice a day. 9. vistaril 50 mg once a day as needed for nausea. 10. zofran 4 mg po once a day as needed for nausea. 11. vitamin b-12 1,000 mcg/ml one injection every other week. 12. vicodin 5-500 mg 1-2 tablets po every six (6) hours prn 13. warfarin 1 mg po hs. 14. tpn discharge medications: 1. amylase-lipase-protease 33,200-10,000- 37,500 unit capsule, delayed release(e.c.) sig: four (4) cap po w/ meals and snacks (). disp:*120 cap(s)* refills:*2* 2. carbidopa-levodopa 25-250 mg tablet sig: one (1) tablet po 5 times a day (). disp:*150 tablet(s)* refills:*2* 3. pramipexole 0.125 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 4. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 5. ferrous sulfate 300 mg/5 ml liquid sig: one (1) po daily (daily). disp:*5 bottles* refills:*2* 6. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). disp:*3 tubes* refills:*2* 7. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 8. quetiapine 100 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 9. propranolol 10 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. neurontin 300 mg capsule sig: three (3) capsule po three times a day: take 2 tabs in the morining, 4 tabs in the afternoon, and 4 tabs in the evening. disp:*100 capsule(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: pneumonia discharge condition: good discharge instructions: you are to return to the hospital immediately if you should experience any chest pain, shortness of breath, fevers or any other worrisome symptom. . please continue taking your medications as prescribed. followup instructions: provider: , psychiatry opd phone: date/time: 3:30 . please followup with your primary care physician weeks of discharge. md procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: pneumonia, organism unspecified acute kidney failure, unspecified severe sepsis methicillin susceptible staphylococcus aureus septicemia chronic kidney disease, unspecified acute respiratory failure infection and inflammatory reaction due to other vascular device, implant, and graft other and unspecified postsurgical nonabsorption ileostomy status 

Answer: The patient is high likely exposed to