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: dimetapp dm attending: chief complaint: fever major surgical or invasive procedure: liver abscess drainage picc line placement history of present illness: 39 m with hx of htn and dmii, who presents with fevers, productive cough for 2-3 weeks and night sweats. pt has been feeling ill since , but worse over last 3 weeks. he went to his pcp and had blood tests, and there was concern for blood in stool. a colonscopy and ct abd were ordered. he went to his pcp gain today prior to his ct and was hypotensive with bp 60/40. bp improved with 1 liter ns. the ct showed a loculated liver hypodense lesion with concern for neoplasm vs. abscess. also small cavitary lesion at the lung base. pt denies risk factors for tuberculosis. no foreign travel. pt did go camping in the summer and swam in a near . he reports some recent strong smelling stools, but does not know if there was blood or a tar color to them. no abd pain or emesis. no sob, cp, ha, or dysuria. rapid flu at pcp . guaiac + at pcp. . pt was transferred to . in er vs were 97.4 102 117/68 18 96%. surgery was consulted, they recom med admit with id consult. pt became febrile up to 105.9 with sinus tach to 150s. pt was given tylenol, motrin, vanco, and zosyn. ivf x 4 liters with hr to 120s. on transfer vs were hr 120s bp 107/37 rr 28 o2 98%ra. surgery will follow. hct 26. guaiac neg. piv access. past medical history: htn hyperlipidema dm social history: lives with wife, mother-in-law and brother-in-law. currently not working, but works in constuction. smoked ppd until last few weeks, he quit. drank 12 ppk beer per day up till end of decemeber, now 2 beers occaionally since, only had 2 beers this week on . past drug use, no ivdu. family history: copd in father dm in mulitple family members physical exam: vs: 98.2 121 106/50 26 96%ra gen: pleasant, comfortable, nad heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, resp: cta b/l with good air movement throughout cv: rr, no m/r/g, 2+ pulses abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly, some mild nt <1cm iguinal lymphadenopathy ext: no c/c/e skin: no rashes/no jaundice neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. rectal: in er guaiac neg with brown stool brief hospital course: this is a 39 year old man who was found to have streptococcus bacteremia and sepsis with associated liver abscess and 2 small lung abscesses (streptococcus anginosus milleri seen on blood cultures x 2 on which subsequently cleared from blood). patient responded to iv fluids but was continued to be febrile (he has been hemodynamically stable). he was treated with vancomycin, zosyn, and flagyl initially which were changed to iv ceftriaxone and flagyl. on , he underwent ir drainage which relieved 35 cc of pus. a drain was attached but did not drain more than 5 cc over the next 24 hours. he was then sent back to ir for flushing of the catheter which revealed the catheter was patent. therefore, given the low output, the drain was pulled. he was also seen by hepatobiliary surgery who thought the morbidity of surgery would be high given that he was responding to medical therapy (this was likely the better option). there are still un-drained collections in his liver, these will need serial imaging and long term iv antibiotics. he was discharged home with ceftriaxone iv and po flagyl for a 6 week course tentatively. he has id f/u and will likely undergo repeat imaging near the end of the antibiotic course. in addition he will f/u with a dentist and undergo a colonoscopy to look for underlying source predisposed him to streptococcus anginosus (milleri) bacteremia. for the lung lesion, he was ruled out for tuberculosis. the abscesses are small from hematogenous seeding of strep. he had anemia of chronic inflammation but he was guaiac + at his pcp office and will undergo a colonoscopy. total discharge time 34 minutes. medications on admission: (unsure on names and doses...will need to be confirmed) enalapril simvastastin viagra amlodipine metformin discharge disposition: home with service facility: home health services discharge diagnosis: primary diagnosis: strep bacteremia / septicemia liver abscess lung abscess 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 a fever and found to have a liver abscess, you were treated with iv antibiotics and will need to continue this at home. please take your medications as prescribed and make your follow up appointments. please stop taking amlodipine and enalapril (blood pressure medications) until you follow up with your primary care physician. followup instructions: name: , r. address: , , phone: appt: at 1:45pm department: digestive disease center when: tuesday at 10:00 am with: , md building: building (/ complex) campus: east best parking: main garage department: endo suites when: tuesday at 10:00 am please call the infectious disease clinic on tuesday (), you tentatively have an appointment with the clinic (dr. ) on on 2:10p.m., but you need to call to confirm this. please see a dentist in 6 weeks as we are looking for the source for the bacteria in your blood that caused the liver abscess. for the same reason you will need a colonoscopy, this has been scheduled for you on . procedure: percutaneous aspiration of liver central venous catheter placement with guidance diagnoses: anemia of other chronic disease abnormal coagulation profile unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled sepsis abscess of liver abscess of lung cocaine abuse, episodic diarrhea streptococcal septicemia alcohol abuse, episodic 

Answer: The patient is high likely exposed to