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: history of present illness: the patient is a 58 year old male who has a history of a left buccal carcinoma. past medical history: hypothyroidism, insulin dependent diabetes mellitus, early macular degeneration. past surgical history: shoulder surgery in , knee surgery in , tonsillectomy in . medications: medications on admission: lantus 21 units at bedtime; humalog 10 units with breakfast, 9 units lunch, and 20 to 25 units at dinner. levoxyl 127 mcg q a.m. aspirin 81 mg daily. accurite pressor vision 4 daily. allergies: allergies to penicillin, unknown reaction and to codeine causing dizziness and gi upset. hospital course: on the patient underwent a left composite resection of his left buccal fossa, as well as a left modified radical neck dissection and a left radial forearm free flap and partial mandibulectomy for his left buccal carcinoma resection procedure. postoperatively he remained in the intensive care unit for flap monitoring for 2 days prior to transfer to the floor. his hospital course both in the intensive care unit and on the floor was largely uneventful. by systems neurologically his pain was initially controlled with an iv pain regimen, which once he began tolerating ng tube feeds and later po, was switched to po pain control, roxicet elixir. he remained cognitively intact throughout his hospital stay. cardiovascular: he remained stable with no issues. he was maintained on a perioperative beta blocker regimen. pulmonary: no issues. he was gradually weaned off ventilation post procedure and was maintained on room air by postoperative day 3. gi: postoperatively the patient had an ng tube for possible feeding. this ng tube began to be used on postoperative day 2. the patient also began to tolerate a regular oral diet on postoperative day 5 and took in enough that his tube feeds were shut off by postoperative day 6. his ng tube was then removed on postoperative day 7 prior to discharge. the patient tolerated a mechanical soft oral diet without any episodes of nausea or vomiting. gu: the patient maintained a good urine output throughout his hospital course. his foley was removed after he was transferred out of the intensive care unit and he voided spontaneously without complication. id: the patient was maintained on a course of clindamycin due to some mild diarrhea as he switched from his tube feeding to his oral regimen. on postoperative day 6 the patient's clindamycin was discontinued given the possibility of c. diff colitis and he was started on flagyl, which he was then sent home with for 24 hour coverage after the drain was removed after discharge. the patient's c. difficile culture is pending at the time of this dictation. endocrine: the patient is known to be preoperatively a brittle diabetic. he was followed by the diabetes service, who recommended maintaining him on an nph b.i.d. regimen, as well as a modified sliding scale while he was npo with the ramping up of his tube feeds and eventually conversion over to oral medications. his regimen continued to be altered by them on a daily basis. he was restarted on his usual home lantus dose on the evening of postoperative day 6 and was not discharged until the diabetes team felt that his glycemic control was adequate. heme: the patient's postoperative hematocrit was stable until he began ambulating and spending a great deal of time out of bed each day. he was maintained on pneuma boots, as well as subcu heparin for dvt prophylaxis. he was out of bed and ambulating by postoperative day 3. surgical site: the patient's flap, as well as his jp drains were managed by the plastic surgery service while he was in house. his jp drains were gradually removed when their output dropped below 10 per shift. his flap remained pink, patent and perfused with good doppler signal at his flap donor site. dressing was eventually taken down from its elevated status by the plastic surgery team, after which time he received daily dressing changes to that area. a visiting nurse him with wound checks and dressing changes at home upon discharge. the patient was ready for discharge for postoperative day 7 pending result of his c. diff stool culture, as well as stabilization of his glycemic control, as well as confidence by the plastic surgery team that his jp output was at a reasonable level, the jp drain could be removed and he could be sent home. again, the patient is set to be discharged home on postoperative day 7, which is . disposition: his disposition is home with services. condition on discharge: his discharge condition is stable. discharge medications: his discharge medications are as indicated on the discharge order sheet. , dictated by: medquist36 d: 22:07:58 t: 13:08:59 job#: procedure: enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy other skin graft to other sites attachment of pedicle or flap graft to other sites other surgical extraction of tooth other plastic repair of mouth radical neck dissection, unilateral other excision of mouth partial mandibulectomy diagnoses: unspecified acquired hypothyroidism long-term (current) use of insulin intestinal infection due to clostridium difficile diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled malignant neoplasm of other specified parts of mouth 

Answer: The patient is high likely exposed to