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: demerol / unasyn / cephalosporins / levaquin / moexipril / morphine / cyclosporine attending: chief complaint: fever major surgical or invasive procedure: rue avg excision history of present illness: 30-year-old woman with previous hemodialysis access graft which had been revised. the graft has become exposed and infected and she is now febrile to 104, the decision has been made to remove it. past medical history: - sle diagnosed complicated by lupus nephritis, anemia, serositis and ascites - end stage renal disease secondary to lupus, hd t/th/sat - history of vsd s/p corrective surgery, age 13 - hypertension - itp - h/o mssa endocarditis - sickle cell trait - s/p left oophorectomy related to iud associated infection - restrictive lung disease noted on pfts . in , chest ct with diffuse ground glass opacities. - gerd - s/p cadaveric renal transplant on complicated by rejection and capsule rupture 11/. - right pelvic abscess s/p tah/rso - b/l renal solid masses s/p resection pathology was negative for carcinoma - r tib/fib fx with orif . complicated by wound./hardware infection requiring bka - rue avg excision social history: no smoking, occasional alcohol, no drug use. originally from , now lives in . used to work at . family history: noncontributory physical exam: in the sicu: t: 97.6 p: 93 r: 19 bp: 104/62 general: intubated heent: mmm, neck supple, no lad card: regular, s1 s2 only with ii/vi systolic murmur to axilla lungs: few basilar crackles bilaterally gastrointestinal: soft, nt, nd musculoskeletal: bka of right lower extremity skin: no generalized rashes. extr: right arm with dressing in place, no edema noted pertinent results: on admission: wbc-9.1 rbc-3.06* hgb-8.7* hct-26.6* mcv-87 mch-28.4 mchc-32.8 rdw-20.7* plt ct-121* pt-18.0* ptt-92.5* inr(pt)-1.6* glucose-99 urean-13 creat-5.0*# na-138 k-4.3 cl-100 hco3-28 angap-14 calcium-8.8 phos-3.0 mg-1.7 on discharge: wbc-6.9 rbc-3.19* hgb-8.8* hct-27.7* mcv-87 mch-27.8 mchc-31.9 rdw-19.8* plt ct-150 glucose-84 urean-12 creat-5.2*# na-141 k-3.8 cl-104 hco3-30 angap-11 albumin-2.6* calcium-8.8 phos-3.2 mg-1.8 %hba1c-5.0 brief hospital course: temperature was 104 in the ed. she was taken to the or for excision of the exposed rue avg that was infected. postop, she was sent to the sicu for pressor support for hypotension, temperature of 105 and cvvhd. she continued to be febrile and was pan cultured. r tunneled dialysis catheter was removed and tip sent for cx. the exposed graft from grew mrsa. iv vanco and gent were started. blood cultures and tunnelled line tip (present at time of admission) were negative. blood cultures sent from her hd unit prior to admit grew methicillin sensitive staph aureus. subsequent cultures were sent and have been negative to date. id was consulted and a tte was recommended for persistent fevers. the tte showed moderate mitral annular calcification with probable small, calcified vegetation/mass on the posterior leaflet of the mitral valve. preserved biventricular systolic function. moderate tricuspid regurgitation. a tee was then done confirming moderate-sized vegetation on the posterior leaflet of the mitral valve. moderate mitral regurgitation. moderate tricuspid regurgitation. depressed right ventricular function. ef was >55%. cardiac surgery recommended medical treatment with antibiotics with follow up serial cardiac echo as an outpatient in conjunction with a cardiac consult. ekg on showed sinus rhythm with lateral t wave abnormalities ,atrial premature complex and left atrial abnormality with prolonged q-tc interval. these findings were nonspecific. sbp continued to be on the low side in the 90's. hr ranged between 70-80. she experienced sob with ambulation requiring 1 liter/nc while ambulating otherwise, she did not complain of cp/sob/palpitations. a left groin temporary hemodialysis line was initially placed. a right femoral vein tunnelled hd line (55-cm cuff-to-tip 14.5 french double lumen)was placed on after she was afebrile x 48 hours. the tip of the catheter was in the right atrium. the left temporary line was removed. this was used without problems on . usual hd schedule was to continue on tues-th-sat. id recommended vancomycin per hd protocol x 6wks (stop ) and gentamicin dosed per hd using dose of gent of 80 mg iv for a trough of less than two; goal peaks would be in the range of . recommended goal vancomycin troughs are 15-17. discontinuation of gent could occur whith clearance of blood cultures. care group vna (1-) was set up for right upper arm graft excision site. the incision appeared clean. wicks were removed and no futher packing was required. she did complain of right hand pain and numbness. radial pulse was strong (2+). hand felt warm and there was no edema. pt and ot were consulted recommending continuation of home pt/ot. the plan was for a f/u echo and close f/u with cardiology (dr. ) in 2 weeks. she did not need to f/u with ct surgery unless cardiology felt that this was indicated. medications on admission: amitryptilline 100 hs, calcitriol 0.25', epogen 10,000 units at hd, fentanyl patch 75 q72 hrs, folic acid 1', hydromorphone 4-8mg q4-6 prn, omeprazole 40', percocet 5/325 prn, prednisone 5', renagel 800''', tizanidine 2''', tylenol prn, aspirin 81', b complex vitamin, bisacodyl 5mg 2tabs daily prn, colace 100'', senna 8.6'' prn, ibuprofen 600 prn, discharge medications: 1. amitriptyline 50 mg tablet sig: two (2) tablet po hs (at bedtime). 2. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 3. sevelamer hcl 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 4. tizanidine 2 mg tablet sig: one (1) tablet po tid (3 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 7. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 8. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gram intravenous hd protocol (hd protochol) for 15 doses: give at hemodialysis through for endocarditis. disp:*15 * refills:*0* 9. hydromorphone 2 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 10. epogen at hemodialysis 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 12. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 13. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). disp:*10 patch 72 hr(s)* refills:*0* 14. b-complex with vitamin c tablet sig: one (1) tablet po daily (daily). 15. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: infected rue av graft, mrsa endocarditis (mitral valve vegetation) esrd on hemodialysis discharge condition: good discharge instructions: please call dr. if fever > 101, chills, shortness of breath, chest pain, right arm has increased swelling, redness/bleeding/drainage or increased numbness/altered sensation visiting nurse arranged for right arm dressing changes twice daily. pt/ot ordered as well resume usual hemodialysis schedule. iv vancomycin to be given at hemodialysis through per infectious disease recommendations. cardiology to follow. they will schedule follow-up echo prior to clinic visit. please call with questions or concerns. followup instructions: , md phone: date/time: 11:40 , md phone: date/time: 1:00 , transplant social work date/time: 1:30 clinic ( ( building, ) at 1:40 -cc7 sc clinical ctr, cc7 cardiology (sb) they will schedule echo prior to appointment. md, procedure: diagnostic ultrasound of heart insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis removal of arteriovenous shunt for renal dialysis diagnoses: chronic glomerulonephritis in diseases classified elsewhere systemic lupus erythematosus other iatrogenic hypotension end stage renal disease anemia, unspecified esophageal reflux unspecified essential hypertension bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation acute and subacute bacterial endocarditis other diseases of lung, not elsewhere classified other postprocedural status infection and inflammatory reaction due to other vascular device, implant, and graft diseases of tricuspid valve below knee amputation status immune thrombocytopenic purpura kidney replaced by transplant disruption of external operation (surgical) wound sickle-cell trait 

Answer: The patient is high likely exposed to