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: penicillins attending: chief complaint: right leg pain, transfer from osh r/o necrotizing fascitis major surgical or invasive procedure: none history of present illness: 33m with no significant pmh who punctured his leg two days ago with barbed wire after tripping and falling, later burning his legs and arms bilaterally on a space heater. the patient reports pain in his right leg that is with little relief from narcotics (patient took 15 tablets of oxycodone 30mg at home). the pain is pulsatile and extends from his upper right shin to his foot. patient is unable to bear weight on right leg. he was initially seen at , where he received vancomycin and clindamycin overnight and was given a tetanus shot. he was transferred to after threatening to sign out ama. in the ed, the patient received vancomycin and clinda, he then received zosyn at . he has received dilaudid for pain control with little effect. past medical history: past medical history: - attention deficit disorder - substance abuse past surgical history: - none social history: current smoker. social alcohol use. history of snorting heroin, but no ivdu. family history: paternal grandmother with dm physical exam: on admission: vitals: tm/tc 97.8, hr 81, bp 148/65, rr 18, o2 100% on ra gen: a&o (per nurse was difficult to arouse earlier), wincing in pain heent: no scleral icterus, mucus membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: soft, nondistended, nontender, no rebound or guarding, normoactive bowel sounds, no palpable masses ext: lle with 2 cm healing, non-draining second-degree burn on anterior shin. rle with circumferential edema of crus, 1+ pitting edema of foot. poorly-demarcated erythema now extending beyond border marked earlier, extending from just below knee to ankle. multiple 1cm x 1cm scabs and 4cm x 3cm healing, non-draining second-degree burn on upper shin. dorsalis pedis pulses intact bilaterally. full rom and strength in both le and feet. on discharge: vs: 98.1 52 (ranging 50's to low 60's) 127/62 18 98%a gen: a&o, nad chest: lung sounds ctab, bradycardic normal s1s2, no murmurs/rubs/gallops abd: soft, nontender, nondistended, +bs extr: lle with multiple healing scabs 1cm x 1cm, 4cm x 3cm healing, nondraining. very minimal errythema, inside previously outlined area. minimal edema llle, +dp and tp pulses, full rom and strength in bilateral le. pertinent results: rle ct: extensive soft tissue thickening and edema consistent with cellulitis. no evidence of necrotizing fasciitis. no abscess formation. rle us: no evidence of deep vein thrombosis in the right leg. superficial thrombophlebitis is seen in the greater saphenous vein in the right calf. lue us: no evidence of deep vein thrombosis in the left arm. 08:01am wbc-6.6 rbc-4.02* hgb-12.1*# hct-34.8*# mcv-87 mch-30.1 mchc-34.8 rdw-12.7 08:01am hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 08:01am plt smr-normal plt count-223 08:01am sed rate-20* 08:01am crp-20.7* 08:01am glucose-102* urea n-10 creat-0.6 sodium-137 potassium-4.6 chloride-106 total co2-23 anion gap-13 08:05am lactate-1.3 brief hospital course: mr. was admitted on under the acute care service for monitoring and management of his rle cellulitis. a ct scan was obtained in the ed (see pertinent results for details) which showed no evidence of necrotizing fascitis. he was hemodynamically stable and was admitted to the surgical floor for monitoring and iv antibiotics. he was started on iv antibiotics empirically. the wound was monitored closely and showed significant evidence of improvement in errythema. he remained afebrile. given his history of substance abuse, his pain level was routinely assessed and he was administered appropriate amounts of pain medications as needed. he was started on a clonidine patch as well. however, on hd#3 he ingested his clonidine patch because he reports he was in severe pain and his heart was racing. he became bradycardic to the 20's and 30's without hypotension and was given activated charcoal with ng tube lavage and transferred to the trauma icu for monitoring. while observed in the trauma icu, mr bradycardia slowly resolved. by the afternoon his heartrate was in the low 50's and it had been 24 hours since the clonidine ingestion so he was deemed appropriate for floor transfer. during his stay there, a palpable cord in his rle was identified, as well as an indurated/cord-like area of his lue, so doppler exams were performed on each which showed no evidence of dvt. chronic pain and psychiatry consults were both obtained. at that time, chronic pain recommended oxycodone 15mg tid based on his reported outpatient usage of 45-60mg tid. he was given one dose of methadone 20mg on with the understanding it would not be continued. after it was determined his cardiovascular measures were stable and he was tolerating po intake, he was transferred back to the floor. on the floor he remained afebrile and hemodynamically stable with a hr in the 50's. he remained alert and oriented. his rle cellulitis continued to improve. on he is afebrile, hemodynamically stable without leukocytosis. he is out of bed ambulating independently as tolerated. he is being discharged with a 2 week course of bactrim for mrsa coverage for his cellulutis and a limited prescription for oxycodone until he follows up with his primary care provided on . medications on admission: adderall 30 mg po bid discharge medications: 1. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours): do not exceed > 4 gm of aceaminophen in 24 hours. 3. oxycodone 15 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*19 tablet(s)* refills:*0* 4. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 5. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 6. adderall 30 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home discharge diagnosis: 1. cellulitis of the right lower extremity 2. clonidine ingestion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with an infection in your skin of your right leg. you have been treated with antibiotics and the infection is stable. you are being discharged home with a presciption for two more weeks of antibiotics. please take the entire course of antibiotics as prescribed. you are being discharged on narcotic pain medication to control your pain. it is important to take this medicine as directed. do not take it more frequently than prescribed. do not take more medicine at one time than prescribed. if you are experiencing no pain, it is okay to skip a dose of pain medicine. constipation is a common side effect of narcotics. if needed, you may take a stool softener (such as colace, one capsule) or gentle laxative (such as milk of magnesia, 1 tbs) twice a day. you can get both of these medicines without a prescription. do not drink alcohol or drive/operate heavy machinery while taking narcotics. please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications, unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. followup instructions: department: health center when: tuesday at 12:00 pm with: , np building: (, ma) campus: off campus best parking: free parking on site procedure: venous catheterization, not elsewhere classified diagnoses: other chronic pain tobacco use disorder cocaine abuse, unspecified anxiety state, unspecified other specified cardiac dysrhythmias cellulitis and abscess of leg, except foot lumbago attention deficit disorder with hyperactivity opioid abuse, unspecified suicide and self-inflicted poisoning by other specified drugs and medicinal substances accident caused by other hot substance or object open wound of knee, leg [except thigh], and ankle, complicated poisoning by other antihypertensive agents accidents caused by other specified cutting and piercing instruments or objects blisters, epidermal loss [second degree] of lower leg 

Answer: The patient is high likely exposed to