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: tetracycline attending: chief complaint: transfer from to sicu major surgical or invasive procedure: s/p i&d () s/p debridement () history of present illness: mr. is a 86 yo male transferred from -. he developed right foot pain the sunday prior to admission and was seen by his podiatrist, who diagnosed him with gout. he was given colchicine and prednisone. mr. then developed more pain and warmth to his right foot later in the week and presented to the - ed. at this hospital he underwent an i&d () of a right foot infection and subsequently underwent re-exploration () for developing necrotizing fascitis. he was transferred to for further care. past medical history: pmh: prostate ca, glaucoma psh: rih repair, s/p turp, s/p thyroid excision social history: etoh physical exam: 98.9, 93, 137/78, 16, 98% gen: nad heent: eomi, anicteric, op pink neck: no masses, supple cv: rrr, no m/r resp: clear gi: soft/nt/nd ext: r foot with erythema/swelling; muscle and tendons exposed, with necrotic edges, some fibrinous exudate neuro: axox3 pertinent results: mri rle "1. 7 cm linear fluid collection running between the anterior and lateral muscle compartments, extending from a large area of soft tissue loss seen in the distal lateral foreleg to roughly the mid tibia/fibula, 18 cm distal to the knee joint line. the collection is largest at its most proximal extent, measuring 1.4 x 0.7 cm in the transverse dimension. 2. non-specific myositis involving multiple muscle groups in the foreleg, most severe in the anterior, lateral, and posterior deep compartments. 3. tendinosis of the posterior tibialis and peroneus brevis tendons. no tendon tear. 4. no evidence of abnormal bone marrow signal intensity or intraosseous abscess." rle angio "1. mild but multifocal atherosclerotic disease involving the infrarenal aorta and iliac arteries, with no significant pressure gradient associated. 2. significant segmental stenosis (approx. 5-6 cm long) in the mid right superficial femoral artery. 3. high bifurcation of the popliteal artery at the knee level. 4. in the proximal calf, severe stenosis or occlusion of the two terminal branches arising from this popliteal bifurcation (likely the anterior tibial and the peroneal arteries). two significant focal stenoses of the distal right anterior tibial artery. right posterior tibial artery completely occluded. 5. patent medial and lateral plantar arteries, filled through collaterals arising mostly from the peroneal artery. dorsalis pedis artery not seen." brief hospital course: mr. was admitted to the tsicu. he was placed on penicillin g, clindamycin. for empiric coverage of his wound, with group a strep growth from the - cultures. he was transferred to the floor on hd#2. he continued to undergo dressing changes. plastic surgery was asked to evaluate the patient. per their recommendations, silvadine was applied to the tendons to prevent dessication. vascular surgery was also asked to evaluate the patient's right lower extremity blood flow. an angiogram on hd#4 showed severe tibial disease and moderate sfa disease, no dp artery was seen. the vascular team recommended a femoral-peroneal bypass for revascularization and performed this operation on hd #5. he tolerated the procedure well, please see dr. operative note for detail. on pod#1, mr. received 2 units of prbcs for post-op anemia (hct 25). mr. continued to be followed by infectious disease, whose recommendations were to complete a week course of penicillin g and clindamycin after the foot was completely debrided and the skin flaps completed. his wound continued to heal well and by pod #6 a vac dressing was placed. he received a picc on pod#7 for his long-term antibiotic therapy. at the time of discharge, mr. had good pain control, was tolerating a regular diet, had a well-healing wound treated with a vac dressing, and was to continue his iv pcn g and clindamycin. he was discharged to a rehab facility in fair condition. medications on admission: timolol .5% discharge disposition: extended care facility: healthcare - discharge diagnosis: right lower extremity necrosing fascitis history of prostate cancer s/p turp glaucoma discharge condition: fair discharge instructions: if you have any fevers/chills, nausea/vomiting, chest pain, foot pain, please seek medical attention. followup instructions: please follow up with dr. in one week, call for an appointment. follow up with dr. in 2 weeks, call for an appointment. procedure: venous catheterization, not elsewhere classified arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass nonexcisional debridement of wound, infection or burn nonexcisional debridement of wound, infection or burn transfusion of packed cells application of other wound dressing diagnoses: acute posthemorrhagic anemia personal history of malignant neoplasm of prostate unspecified glaucoma atherosclerosis of native arteries of the extremities with gangrene necrotizing fasciitis streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group a 

Answer: The patient is high likely exposed to