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: patient recorded as having no known allergies to drugs attending: chief complaint: right lower extremity pain and swelling major surgical or invasive procedure: 1. incision and drainage of right calf hematoma with placement of - drain () 2. diagnostic venogram () 3. placement of gunther tulip vena cava filter () history of present illness: 65 yo woman w/ h/o copd, respiratory failure s/p trach after failure to wean post-op at after ruptured diverticula s/p surgical repair, as well as being recently admitted to micu for asystolic cardiac arrest at rehab on after d/c'd there from , who presents today from hospital w/ worsening right leg pain and swelling. this was first noted by the rn yesterday morning. the patient's right leg was noted to be more swollen and ecchymotic today so she was sent in for evaluation. per report, patient is usually in bed and has been bed bound since arrival to rehab on from her last admission at . per patient, her leg pain has been worsening for weeks. denies numbness or tingling. she is able to move her foot, but states that this is very painful. . on arrival to ed, patient afeb, tachy to 112, satting 100% on ac 450x16/5/0.3. plain films of knee and tib/fib did not reveal fracture. leni negative for dvt; however, a 12cm hematoma seen. vascular surgery drained hematoma in ed. also noted to have wbc of 19, stable from her last admission, but then up to 30 prior to leaving ed. currently, receiving vanc/gent since last admission to cover for possible vap after acinetobacter found in sputum. in addition, bicarb 42 (2 days ago at rehab was 41); abg unsuccessful in ed. rt informed ed staff of bad cuff , cuff pressures were increased to the 40's. also reports of patient disconnecting vent tubing multiple times while in ed. rn staff were concerned that this may be purposeful. although pt has h/o depression, she denies si. while in ed, patient received xanax 0.25mg x1, seroquel 50mg x1, ativan (total 2.5mg), and morphine 1mg x1. . patient admitted to the micu for observation after drainage of her hematoma. currently, patient answering some questions, denies pain. past medical history: - h/o cardiac arrest: asystolic () - respiratory failure, chronically ventilated after failure to wean following surgery at - small subsegmental pe: tx'd w/ lovenox bridged to coumadin (held ) - h/o pneumothorax: s/p chest tube - h/o perforated sigmoid colon s/p resection and colostomy - h/o bacteremia line infection and diverticulitis - h/o probable vap (): sputum cx w/ acinetobacter to gentamicin and mssa; but since patient mrsa+ she was treated w/ vancomycin and gent - copd (steroid dependent) - b12 deficiency - fractured right ankle - mrsa in nares - anxiety - depression - htn - atrial fibrillation . of note, recent hospitalization at , she presented with fall and weakness, found to be in a fib with avr, converted to sinus rhythm. apparently intubated for respiratory failure in setting etoh withdrawal and dt's. while intubated, had fever to 103.8, elevated wbc and + blood cultures. abd ct with free air and to or for ex-lap with sigmoid colectomy, procedure. post-op she could not be weaned off the vent and underwent trach and peg tube on . she was discharged to on vanco due to her + blood cultures and mrsa history. social history: currently resides at rehab ( hospital). family history: non-contributory physical exam: vs: t: 100.5; hr: 139; bp: 120/99; rr 26-34; o2 % 97% vent: a/c 400x20 (25) / 5 / 0.3 (pip 18) gen: elderly woman, lying in bed, trach in place, moving all extremities and body w/ twitching/squirming movements; nad heent: perrl bilat, eomi bilat, anicteric, drymm, op clear neck: jvp not elevated cv: tachy, normal s1s2, no murmurs, no s3/s4 chest: cta bilat anteriorly. poor air movement. no crackles/wheezes. abd: +midline scar mostly healed w/ area of opening packed w/ xeroform; colostomy llq; nabs; soft, nd, nt, no masses ext: +ace wrap around rle; 2+ pedal edema on right; right foot slightly warmer than left. neuro: unable to answer all questions (cannot assess orientation), cn 2-12 intact bilat, sensory/motor exam intact bilat pertinent results: 11:00am blood wbc-18.8* rbc-2.39* hgb-7.7* hct-23.2* mcv-97 mch-32.3* mchc-33.2 rdw-15.7* plt ct-279 11:00am blood neuts-80.5* lymphs-16.6* monos-2.1 eos-0.6 baso-0.2 08:50pm blood hypochr-2+ anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-1+ stipple-1+ 11:00am blood pt-12.1 ptt-33.0 inr(pt)-1.0 11:00am blood plt ct-279 11:00am blood glucose-130* urean-15 creat-0.8 na-139 k-4.9 cl-91* hco3-42* angap-11 11:00am blood ck(cpk)-24* 11:32pm blood alt-16 ast-19 alkphos-128* amylase-93 totbili-0.4 11:00am blood calcium-8.7 phos-4.2# mg-2.2 11:06pm blood type- po2-27* pco2-80* ph-7.37 caltco2-48* base xs-15 . cxr: no chf or infiltrate, trach tube appears in good position . r tib/fib plain films: neg for fx . r knee plain films: neg for fx . r leni: 1. no dvt. 2. 12 cm collection in the posteromedial right calf, likely a hematoma . bilateral leni: 1. no dvt in the left lower extremity. 2. evolution of right calf hematoma, which is now slightly smaller in size . peripheral smear/flow cytometry: immature cell forms; flow cytometry on peripheral blood showed half lymphocytes are abnormal/lymphoma cells; final heme/path report pending. brief hospital course: micu course: . #) right lower extremity hematoma: 12cm hematoma found on leni on admission. this was thought likely to be related to anticoagulation received for pe which was started on recent hospital admission. s/p drainage by surgery in ed (>200cc drained). no evidence of compartment syndrome per surgery. hematocrit dropped during admission, requiring a total of 7units prbc transfusions throughout entire admission. on , patient went to or with vascular surgery s/p evacuation of hematoma and placement of jp drain. last transfusion was night of . anticoagulation was continued to be held at the time discharge. bilateral leni's negative for dvt. removable ivc filter was placed in or by vascular surgery on . . #) fever/leukocytosis: the patient was found to have a significant leukocytosis during her last admission (wbc 16 at the time of d/c). her wbc count on this admission was initially 18.8 w/ 80n, 16l. on review of prior labs here, her wbc count seemed to be chronically elevated in past. she also had a low grade temp early in her admission. her ua and cxr were negative. blood cultures also negative. she was continued on gentamicin and vancomycin started on her last admission for her known vap of acinetobacter and mssa (although has h/o mrsa). sputum this admission grew acinetobacter again sensitive to gentamicin, as well as mrsa. antibiotics were discontinued after a 14 day course. . in addition, the hematopathologist reported that her peripheral blood smear showed immature forms and performed flow cytometry on her blood. per preliminary report, flow cytometry on her peripheral blood showed approximately half of her lymphocytes were abnormal/lymphoma cells. heme/path commented that this appeared to be consistent with a b-cell lymphoproliferative disorder; however, further subclassification is pending at this time. the patient and family were informed of these results. after further discussion with the family, they wish to make sure the patient is "comfortable," and do not wish to pursue aggressive treatments given her poor overall prognosis. however, patient disagreed with this, and wants everything done. patient will be transferred back to rehab and may have heme/onc evaluation after final path report returns. patient's outpatient physician was updated regarding this new diagnosis, and is aware that diagnosis is not finalized at this time. . #) history of pe: pe was diagnosed on . her cta showed an incomplete right lower lobe subsegmental pe. she was started on lovenox during her last admission with a bridge to coumadin. her anticoagulation was held on this admission given her rle bleeding. bilateral lenis negative for dvt. as mentioned above, an ivc filter was placed for further prophylaxis. . #) a fib: patient has a history of a fib. she appeared to be in sinus during this admission. she is now off anticoagulation as above due to active bleeding. . #) fen: she was continued on tube feeds during this admission. this will need to be . #) code status: full code; after diagnosis of heme malignancy, patient's family considered making patient dnr/dni/cmo; however, patient refused this status and stated that she wanted to live "every minute possible" and disagreed with dnr/dni status. patient confirmed that she wanted to be full code. this was relayed to the family, and they agreed that she should be able to make that decision for herself. therefore, the patient is full code. . #) communication: - son - primary contact) - brother . #) dispo: patient was transferred back to rehab. . medications on admission: gentamicin 80mg iv q12h (last dose given @2am) vancomycin 1gm iv q12h (last dose given @9am) coumadin 5mg ng qhs (held ) lovenox 80mg sc bid (last dose 2/12; held ) albuterol inh q4hprn combivent 4puffs inh q4hprn zantac 150mg ng flovent 110mcg 2puffsd tylenol 650mg ng q6h colace liquid 100mg ng prozac liquid 20mg ng daily seroquel 50mg ng tid seroquel 100mg ng qhs xanax 0.25mg ng tid xalatan 1 gtt hs acular 0.5% 1gtt qid pred forte 1% 1gtt atrovent inh 4puffs q4hprn prednisone liquid 5mg ng daily discharge disposition: extended care facility: hospital discharge diagnosis: 1) right lower extremity hematoma 2) blood loss anemia 3) pulmonary embolism 4) leukocytosis discharge condition: stable discharge instructions: please continue medications as prescribed after discharge. follow up with your pcp after transfer to rehab. followup instructions: please follow up with your primary care doctor after returning to rehab. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava closed [endoscopic] biopsy of bronchus other incision with drainage of skin and subcutaneous tissue other incision with drainage of skin and subcutaneous tissue diagnoses: unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation other b-complex deficiencies dysthymic disorder long-term (current) use of anticoagulants anticoagulants causing adverse effects in therapeutic use hemorrhage, unspecified tracheostomy status other disorders of muscle, ligament, and fascia dependence on respirator, status other lymphatic and hematopoietic tissues 

Answer: The patient is high likely exposed to