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: lipitor attending: chief complaint: transfer for icd extraction major surgical or invasive procedure: removal of icd/pacemaker history of present illness: mr. is a 59 year-old male with pmh of htn, hl, chf w/ ef 30% cad s/p cabg and stent to left main, s/p pacemaker and transferred from nebh for icd extraction after vegetation noted on icd lead. patient initially presented to an outside hospital with increasing knee pain over 2-3 weeks time. at the osh impression was for a septic knee. aspirate on revealed wbc count of 255k in the knee, 8000 rbc's, 100% polys. treated initially with vancomycin, and later daptomycin. culture subsequently grew mssa, and patient subsequently grew mssa from the blood as well. . patient taken to the or for wash out and liner exchange. he was electively intubated for that procedure. never extubated post-op b/c what was felt to be clinical chf although partly was to facilitate tee. intra-op cultures confirmed mssa. . in the icu he was febrile to 103.8. patient bacteremic at nebh and on , and . tee performed and noted veg on aicd wire. due to cr 1.9 on presentation to osh patient was initially treated with ctx/daptomycin given concern for hardware infection and renal failure. diuresis was attempted with 40mg iv lasix prior to transfer but patient left intubated. . last vs prior to transfer were hr 80-90 in sinus, 115-120/50, rr 16, on fent/versed 150/12. . on arrival, patient's vs were t102.5, hr 83, bp 152/72, rr 17, o2 100%ra. he was intubated and sedated. past medical history: 1. cardiac risk factors: - diabetes, + dyslipidemia, + hypertension 2. cardiac history: -cabg: s/p cabg in with lima to lad, saphenous vein graft to pda and saphenous vein graft to om-2. had known 80% left main, 100% rca, 90% lad, and 70% om on cath. -percutaneous coronary interventions: repeat cardiac cath in showed lmca with an 80% eccentric stenosis in the distal portion (unchanged). the lad had a 70% lesion in the proximal mid segment just after the s1 origin. the lcx supplied two major oms, the second of which had an 80 % lesion near the origin. the rca was totally occluded proximally. vein graft to om was occluded proximally, lima to lad open, and rca filled retrograde from open svg to mid-rca/pda. at that time patient had direct stenting of the protected left main with a 4.5 x 13 mm bx velocity stent. successful ptca of the om2 with a 2.5 mm raptor balloon with 20% residual stenosis. . -pacing/icd: s/p single chamber icd and kappa dual chamber pacemaker first placed in for pauses, icd functionality added and single lead icd placed on the left. . 3. other past medical history: -cad s/p cabg as above -inferior myocardial infarction -atrial fibrillation -hypertension -hyperlipidemia -osa on cpap -chronic kidney disease (history of tubulointersitital disease due to nsaids and atherosclerotic renal artery disease) -gout -peripheral neuropathy complicated by progressive gait difficulty -knee arthritis s/p multiple knee surgeries -depression -motor vehicle accident in , status post arm tendon transfer -obesity -progressive supranuclear palsy -drop attacks social history: currently unemployed. lives alone. drinks occasionally with his son. family history: mother died of complications from cancer. father died at age 75 of natural causes. physical exam: general appearance: well nourished, overweight / obese eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic, endotracheal tube, og tube cardiovascular: (s1: normal), (s2: normal), no(t) s3, (murmur: no(t) systolic) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (breath sounds: wheezes : anteriorly) abdominal: soft, non-tender, bowel sounds present, no(t) distended, no(t) tender: , obese extremities: right lower extremity edema: trace, left lower extremity edema: trace, no(t) cyanosis, no(t) clubbing musculoskeletal: no(t) muscle wasting skin: warm, rash: papular rash over chest/arms pertinent results: 03:43pm wbc-6.8 rbc-2.92*# hgb-9.2*# hct-28.1*# mcv-96 mch-31.5 mchc-32.8 rdw-15.3 03:43pm neuts-74* bands-2 lymphs-15* monos-3 eos-3 basos-0 atyps-0 metas-2* myelos-1* 03:43pm plt smr-normal plt count-243# 03:43pm pt-14.9* ptt-25.8 inr(pt)-1.3* 03:43pm glucose-94 urea n-25* creat-1.3* sodium-150* potassium-4.2 chloride-113* total co2-31 anion gap-10 03:43pm alt(sgpt)-45* ast(sgot)-86* ld(ldh)-255* ck(cpk)-758* alk phos-281* tot bili-1.8* 03:43pm ck-mb-3 ctropnt-0.04* 03:43pm albumin-2.5* calcium-8.0* phosphate-3.5 magnesium-2.5 iron-20* 05:09am blood wbc-5.8 rbc-2.92* hgb-8.7* hct-27.8* mcv-95 mch-29.8 mchc-31.3 rdw-15.2 plt ct-223 04:29am blood wbc-7.6 rbc-3.11* hgb-9.2* hct-29.7* mcv-96 mch-29.7 mchc-31.0 rdw-15.3 plt ct-269 02:43am blood wbc-6.8 rbc-2.81* hgb-8.2* hct-26.7* mcv-95 mch-29.3 mchc-30.7* rdw-15.3 plt ct-260 03:59am blood wbc-9.6 rbc-3.16* hgb-9.6* hct-29.7* mcv-94 mch-30.3 mchc-32.3 rdw-15.0 plt ct-280 03:44am blood wbc-9.1 rbc-3.33* hgb-9.8* hct-31.0* mcv-93 mch-29.4 mchc-31.6 rdw-15.7* plt ct-277 06:42am blood wbc-9.3 rbc-3.04* hgb-9.7* hct-28.8* mcv-95 mch-31.8 mchc-33.5 rdw-15.8* plt ct-343 05:46pm blood wbc-16.4*# rbc-3.65* hgb-11.2* hct-34.7* mcv-95 mch-30.6 mchc-32.2 rdw-15.9* plt ct-475* 12:10am blood wbc-14.1* rbc-3.05* hgb-9.3* hct-28.6* mcv-94 mch-30.5 mchc-32.5 rdw-16.1* plt ct-344 06:47am blood hct-28.3* 03:00am blood wbc-9.5 rbc-3.14* hgb-9.8* hct-29.5* mcv-94 mch-31.2 mchc-33.2 rdw-16.2* plt ct-395 06:26am blood wbc-9.8 rbc-3.17* hgb-10.1* hct-29.7* mcv-94 mch-31.7 mchc-33.8 rdw-16.1* plt ct-423 06:13am blood wbc-7.5 rbc-3.35* hgb-10.4* hct-31.4* mcv-94 mch-31.1 mchc-33.2 rdw-16.0* plt ct-425 06:21am blood wbc-8.3 rbc-3.61* hgb-10.7* hct-32.7* mcv-91 mch-29.5 mchc-32.6 rdw-15.9* plt ct-416 05:32am blood wbc-7.9 rbc-3.49* hgb-10.7* hct-31.8* mcv-91 mch-30.6 mchc-33.6 rdw-16.0* plt ct-374 03:32am blood wbc-7.4 rbc-3.55* hgb-10.5* hct-32.1* mcv-90 mch-29.7 mchc-32.9 rdw-15.9* plt ct-391 03:43pm blood pt-14.9* ptt-25.8 inr(pt)-1.3* 04:29am blood pt-15.6* ptt-25.8 inr(pt)-1.4* 03:44am blood pt-14.2* ptt-28.0 inr(pt)-1.2* 05:46pm blood pt-14.2* ptt-28.9 inr(pt)-1.2* 06:47am blood pt-14.6* ptt-27.8 inr(pt)-1.3* 06:26am blood pt-22.3* ptt-34.6 inr(pt)-2.1* 06:13am blood pt-19.7* ptt-33.2 inr(pt)-1.8* 06:21am blood pt-16.2* ptt-29.1 inr(pt)-1.4* 05:32am blood pt-16.1* ptt-78.2* inr(pt)-1.4* 03:32am blood pt-19.2* ptt-62.5* inr(pt)-1.8* 05:09am blood esr-141* 04:29am blood esr-137* 03:43pm blood glucose-94 urean-25* creat-1.3* na-150* k-4.2 cl-113* hco3-31 angap-10 05:09am blood glucose-121* urean-28* creat-1.5* na-150* k-3.9 cl-113* hco3-32 angap-9 05:32am blood glucose-125* urean-13 creat-1.1 na-137 k-3.9 cl-100 hco3-24 angap-17 03:32am blood glucose-123* urean-11 creat-1.1 na-137 k-3.3 cl-100 hco3-27 angap-13 03:43pm blood alt-45* ast-86* ld(ldh)-255* ck(cpk)-758* alkphos-281* totbili-1.8* 06:32pm blood alt-70* ast-104* ld(ldh)-269* alkphos-264* totbili-4.0* 03:59am blood alt-53* ast-57* alkphos-225* totbili-2.6* 05:46pm blood ck(cpk)-115 12:10am blood ck(cpk)-84 06:47am blood ck(cpk)-81 06:13am blood alt-26 ast-26 alkphos-148* totbili-1.8* 06:21am blood alt-26 ast-28 alkphos-138* totbili-1.9* 05:32am blood alt-30 ast-33 alkphos-126 totbili-2.0* dirbili-1.1* indbili-0.9 06:32pm blood lipase-57 03:43pm blood ck-mb-3 ctropnt-0.04* 05:46pm blood ck-mb-3 ctropnt-<0.01 12:10am blood ck-mb-notdone ctropnt-0.02* 06:47am blood ck-mb-notdone ctropnt-0.03* 03:43pm blood albumin-2.5* calcium-8.0* phos-3.5 mg-2.5 iron-20* 05:09am blood calcium-8.1* phos-3.8 mg-2.7* 05:32am blood calcium-9.0 phos-3.7 mg-2.1 03:32am blood calcium-8.8 phos-3.5 mg-2.1 03:43pm blood caltibc-183* ferritn-680* trf-141* 12:10am blood %hba1c-4.9 eag-94 12:10am blood triglyc-272* hdl-22 chol/hd-9.5 ldlcalc-132* 03:00am blood tsh-3.7 03:43pm blood hbsag-negative hbsab-negative hbcab-negative 05:09am blood crp-156.7* 04:29am blood crp-121.1* 07:13pm blood vanco-16.8 03:43pm blood digoxin-0.7* 03:32am blood digoxin-0.5* 03:43pm blood hcv ab-negative ekg ()- sinus rhythm with ventricular premature beats. left atrial abnormality. right bundle-branch block. prior inferior myocardial infarction. consider left anterior fascicular block although is non-diagnostic. st-t wave abnormalities are primary and are non-specific but cannot exclude myocardial ischemia. clinical correlation is suggested. since the previous tracing of further intraventricular conduction delay with left axis shift is now present and lateral limb lead st-t wave changes are more prominent. knee x-ray ()- left knee: there is a left total knee arthroplasty. there is prominent amount of gas within the joint space. please correlate with recent intervention. if there has been no instrumentation, then this is highly concerning for infection. no periprosthetic lucency is identified. there are medial surgical skin staples. echo ()- no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. mild spontaneous echo contrast is seen in the body of the right atrium. a thin, freely mobile, filamentous mass/thrombus associated with a catheter/pacing wire is seen in the right atrium. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no masses or vegetations are seen on the aortic valve. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. no mass or vegetation is seen on the mitral valve. no vegetation/mass is seen on the pulmonic valve. there is no pericardial effusion. impression: thin, filamentous, freely mobile mass associated with a catheter in the right atrium suggestive of vegetation or thrombus. no valvular vegetations or significant regurgitant valvular disease seen. ct torso ()- 1. dependent opacities in bilateral lung bases are mostly atelectasis; small amount of aspiration or infection cannot be excluded in this case in the lower lobes. calcified granulomas indicate prior granulomatous disease. 2. two nodules in the right upper lobe measurting 5 and 8 mm are non-specific and not likely septic emboli. recommend followup ct in six months. 3. splenomegaly measuring up to 21 cm. 4. aneurysmal dilatation of the infrarenal aorta up to 3.7 cm. aneurysmal dilatation of the proximal right common iliac artery up to 2.3 cm. 5. cystic lesion in the upper pole of the left kidney incompletely characterized. comparison to prior is recommended. if not available, follow-up in 6 months with mri or ct is recommended as ultrasound will not be able to assess. 6. anterior compression deformity of t11 not acute, but age indeterminate echo - compared with the prior study (images reviewed) of , left ventricular systolic function appears more depressed. echo - the left atrium is mildly dilated. the left ventricular cavity is moderately dilated with inferior/inferolateral hypokinesis/akinesis. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen in suboptimal views. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. compared with the prior study (images reviewed) of , left ventricular systolic function is better visualized with the assistance of contrast . ct head ()- impression: no definite evidence of intracranial hemorrhage or septic emboli. previously identified subtle area of hypoattenuation within the left frontal lobe, equivocal for small vessel ischemic disease or possible septic emboli, remain unchanged. no new lesion is identified. eeg ()- impression: this is an abnormal extended routine eeg recording due to diffuse slowing suggestive of a mild to moderate encephalopathy. infection and metabolic disturbances are among the most common causes. cta head ()- conclusion: no evidence of infarction, hemorrhage, aneurysm formation, or vascular occlusion. abi ()- impression: 1. no evidence of peripheral arterial disease in the right lower extremity. 2. mild outflow arterial disease in the left lower extremity. disease is likely located at the popliteal arterial level or more distal. brief hospital course: patient is a 59 year old gentleman with history of cad, s/p cabg with ppm/icd, prior bilateral total knee replacement surgery, who presented with mssa bacteremia with seeding of icd wire and septic arthritis of the left knee. micu course- successfully extubated in micu to room air within 12 hours of transfer. id continued to follow and recommended continued vanc/nafcillin and ortho consult to remove l knee spacer. cards with no further recommendations, need not be anticoagulated for afib. patient stable overnight and called out to the floor. # mssa bacteremia/vegetation on pacer wire/septic arthritis: found to have mssa and coag negative staph in blood cultures at osh. cr elevated on admission to nebh prompting treatment with high dose ctx/daptomycin. patient was initially persistently febrile and bacteremic. last positive cultures were . creatinine improved so he was switched to nafcillin and vancomycin. id held on gentamycin and rifampin at this time and kept the patient on vanc and nafcillin. nafcillin was briefly discontinued from as patient was still being covered with vancomycin. once cultures had been negative for >7 days, he was switched back to nafcillin with plans for an extended course. rifampin (300mg po bid) was added on . tee was done to look for valve vegetations as another nidus of infection; tricuspid valve did not have any vegetations, but a thin fibrin sheath was left in the right atrium from the icd wire. this was confirmed via chest ct. cardiology and id felt there was no need to remove the sheath and to treat through it with antibiotics. cta head did not show any septic emboli or mycotic aneurysms. patient will follow-up with id on . while at rehab, he will need weekly cbc w/diff, lfts, bun, creatinine faxed to the clinic at (. regarding knee washout, he was followed by orthopedics here- did not feel that left knee was septic. we called nebh orthopedics. the patient will follow-up with them on discharge ( at 1:30pm) regarding plans for hardware and sutures in knee. # respiratory failure, s/p intubation: patient was intubated for three days prior to arrival at . barriers to extubation included mental status, extreme agitation, and high level of peep required. appears to be ventilating well. he was diuresed to keep even. he was transferred to the micu for vent weaning. peep was quickly weaned and he passed an sbt on the first day in the micu. he was extubated without difficulty. although he was briefly confused after extubation, this improved quickly and he was calm and conversant on callout from the micu to the medical floor. he satted well on room air while on the floor. # chronic systolic chf: ef 30-40%. jvp difficult to assess; cxr showed mild fluid overload on presentation. he was diuresed to keep even. he developed chest pain and shortness of breath on and was sent to the ccu. it was determined that he did not have an mi and that its thought that his symptoms were due to his heartfailure. he was diuresed with lasix and responded well. he was sent back to the floor on 20mg iv lasix daily and did well (transitioned to 40mg po daily on discharge). he was started on lisinopril 10mg daily. # hx atrial fibrillation: on coumadin at home (6mg daily) and osh ecg's suggest possible a. flutter. ppm was removed on due to bacteremia. he was monitored closely on tele. he had some 2 second pauses on tele so his metoprolol was decreased from 200mg daily to 25mg . he remained hemodynamically stable. patient at high risk for systemic embolization given septic knee, high grade bacteremia. given concern for transformation, coumadin was initially held. patient ruled out for embolic phenomenon so coumadin was resumed on (with heparin drip bridge). inr on discharge was 1.8. patient to continue heparin gtt at rehab until inr is therapeutic (2.0-3.0). he will need inr check on to determine if dose of coumadin needs to be decreased. discharged on digoxin .250mg daily. patient will follow-up with cardiology on discharge. # altered mental status- patient showed some signs of delerium while here including inattention and occasionally was disoriented (aao x 2). neurology consulted. recommended eeg which showed no signs of seizure. it was thought symptoms were due to toxic or infecttious etiology. cta did not show any signs of infection, infarct of aneurysm. patient's symptoms improved while here. he has follow-up with neurology on . # left ankle pain- patient complained of vague left ankle discomfort on . abi showed mild left arterial outflow disease. # hypernatremia: persistent hyponatremia, presented with 8l free water defecit. this was repleted iv and po per og tube. sodium was 137 on discharge # cad: the patient has a history of cad s/p cabg and pci with stent placement. anatomy as above. continued on statin, aspirin and beta-blocker. started on lisinopril 10mg daily. # osa: continued on cpap. # depression: home meds initially held. resumed wellbutrin and amitryptiline on discharge. # gout: allopurinol and colchine were continued. # htn: beta-blocker continued but decreased to 25mg po bid given pauses on tele. hemodynamically stable on discharge. # hyperlipidemia: home medications continued. medications on admission: medications on transfer from : -ceftriaxone 2grams q12 -daptomycin 1gram daily iv -versed gtt -fentanyl gtt -allopurinol 200mg po daily -zetia 10mg po daily -welbutrin 75mg po qhs, 100mg -toprol xl 200mg daily -pepcid 20mg daily -combivent 4 puffs qid -cymbalta 30mg po daily -aspirin 81 mg daily -amitriptyline 75mg daily -heparin 5000 sq tid -digoxin 250ucg daily . home medications lasix 40mg daily digoxin 125 ucg daily coumadin 6mg qpm prilosec 20mg daily zyloprim 300mg daily ec asa 81mg daily zetia 10mg daily cymbalta 30mg daily elavil 250mg daily tramadol 100mg tid wellbutrin 300mg qam, 75mg qpm lyrica 75 tid toprol 200mg daily . medications on transfer to : allopurinol 200 mg po daily amitriptyline 75 mg po qhs aspirin 81mg daily bupropion 75 mg po q24, and 75mg qhs colace 100mg digoxin 375 mcg po daily cymbalta 30mg daily zetia 10mg daily pepcid 20mg daily heparin 5000 sq tid toprol xl 200mg daily lyrica 50mg tid daptomycin 1gram iv daily dilaudid 2mg sq q4-6h prn zofran 4mg po q8h prn percocet 1-2 tabs q6h prn discharge medications: 1. allopurinol 100 mg tablet sig: two (2) tablet po daily (daily). 2. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 3. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: four (4) puff inhalation q4h (every 4 hours) as needed for wheezing. 5. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 6. nafcillin 2 g iv q4h start: stat 7. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 8. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for sore throat. 9. amitriptyline 75 mg tablet sig: one (1) tablet po at bedtime. 10. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 11. polyethylene glycol 3350 17 gram/dose powder sig: one (1) packet po daily (daily) as needed for constipation. 12. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for cramping. 13. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 14. wellbutrin 75 mg tablet sig: one (1) tablet po at bedtime. 15. lyrica 50 mg capsule sig: one (1) capsule po three times a day. 16. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 17. warfarin 2 mg tablet sig: three (3) tablet po once daily at 4 pm. 18. zofran 4 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. 19. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 20. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 21. rifampin 300 mg capsule sig: one (1) capsule po q12h (every 12 hours). 22. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 23. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 24. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever, pain. 25. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 26. famotidine 20 mg tablet sig: one (1) tablet po twice a day. 27. wellbutrin 100 mg tablet sig: three (3) tablet po qam. 28. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 29. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. 30. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 31. heparin sliding scale continue per attached sliding scale. ptt goal- 60-80. please stop when inr is therapeutic (2.0-3.0) discharge disposition: extended care facility: - - discharge diagnosis: primary: septic arthritis, bacteremia secondary: atrial fibrillation, hypertension, hyperlipidemia discharge condition: good. vital signs stable. mental status: confused - sometimes level of consciousness: alert and interactive activity status: ambulatory - requires assistance or aid (walker or cane) discharge instructions: you were admitted to the hospital after a washout procedure for your knee. we found that you had bacteria in your blood so you were treated with iv antibiotics while here. you will need an extended course of these antibiotics on discharge. while here, you experienced an episode of chest pain which required a brief stay in the ccu. they determined that you did not have a heart attack. you were transferred back to the floor once you were stabilized and did well. you remained afebrile with no more signs of bacteria in your blood. you are being discharged to a rehab facility to build up your strength. upon discharge, you were hemodynamically stable. the following changes were made to your medications: 1. please start taking nafcillin 2g iv daily (day 1- ). you will need an extended course of this medication. the infectious disease team will determine the exact duration of the medication. 2. pleast start taking rifampin 300mg by mouth twice a day (day 1- ). you will need an extended course of this medication. the infectious disease team will determine the exact duration of the medication. 3. please continue your coumadin at 6mg daily. we ask that your rehabilitation facility check an inr on and that they adjust your dose as needed. 4. please continue the heparin drip until your inr is therapeutic (2.0-3.0). 5. please start taking lisinopril 10mg by mouth daily 6. please stop taking your toprol xl 7. please start taking metoprolol tartrate 25mg by mouth twice a day 8. please stop taking your tramadol weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: please remove chest staples on . please follow-up in sleep clinic (dr. and dr. on at 7:40am. you can contact them at . please follow-up with neurology on at 3:30pm. you can contact them at please follow-up with your orthopedic surgeon (dr. ) on at 1:30pm. this will be at - , , ma. you can contact him at . please follow-up with infectious disease (dr. ) on at 10:30am. you can contact them at . please follow-up with the cardiology team in 3 months. you can contact them at . please follow-up with your primary care physician (dr. within 1 month. you can contact him at . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnostic ultrasound of heart removal of lead(s) [electrode] without replacement revision or removal of pacemaker device video and radio-telemetered electroencephalographic monitoring diagnoses: obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified acute kidney failure, unspecified hyposmolality and/or hyponatremia severe sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status methicillin susceptible staphylococcus aureus septicemia chronic kidney disease, unspecified pulmonary collapse other and unspecified hyperlipidemia acute respiratory failure atherosclerosis of renal artery old myocardial infarction long-term (current) use of anticoagulants other diseases of lung, not elsewhere classified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation obesity, unspecified cerebral embolism with cerebral infarction metabolic encephalopathy abdominal aneurysm without mention of rupture unspecified hereditary and idiopathic peripheral neuropathy acute on chronic systolic heart failure syncope and collapse knee joint replacement pain in joint, ankle and foot other alteration of consciousness infection and inflammatory reaction due to other internal orthopedic device, implant, and graft infection and inflammatory reaction due to cardiac device, implant, and graft pyogenic arthritis, lower leg other degenerative diseases of the basal ganglia 

Answer: The patient is high likely exposed to