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: no known allergies / adverse drug reactions attending: chief complaint: neck pain major surgical or invasive procedure: , : i and d of neck infection history of present illness: ms. is a 30 year-old female who presented on with 4 days right sided neck pain in the the lower right lateral neck and supracalivcular/apical area. she noted this because of discomfort and tenderness when pushing there. she has associated fever. she has a migraine (retroorbital and r temporal) that per her report is consistent with her chronic migraine headache. she denies sore throat, dysphagia, , neurologic symptoms, cough, sob, rash, dyspnea on exertion, chest pain, abd pain, diarrhea, nausea, vomiting, dysuria, flank pain, gi bleeding, or lumps or bumps. other 13pt detail ros is negative in full. she reports negative hiv test with former pcp . . she reports negative ppd prior to immigrating from . in the ed -- t 101.6, 95, 145/57, 16, 99%ra got tylenol, morphine 4mg, vanco, clinda, unasyn past medical history: no surgeries no hospitalizations g2p1 - 1 miscarriage social history: from -- came to us 1 year ago. works in group home for mentally retarded individuals. non smoker, non drinker. married with 1 child. husband and 2yo daughter alive and well. family history: father died in his sleep at 76. mother, brother, and sister are alive and well. physical exam: on admission: vitals - t 99.0, 148/80, 80, 16 spo2 100%ra anicteric, no , op dry but clear, no visible swelling neck tnder in r inferior posterior strap area and supraclavicular area lungs - cta bilat cor - rrr no mrg abd - soft, nt, no hsm ext - no edema skin - no rash neuro - a & o x3, non focal, grossly normal pertinent results: admission labs wbc-4.6 rbc-3.80* hgb-12.5 hct-36.2 mcv-95 mch-32.9* mchc-34.5 rdw-12.8 plt ct-182 neuts-65.1 lymphs-26.2 monos-6.9 eos-0.5 baso-1.2 glucose-100 urean-8 creat-1.0 na-140 k-4.0 cl-102 hco3-26 angap-16 alt-15 ast-20 ck(cpk)-81 alkphos-35 pertinent data: hiv ab-negative quantiferon(r)-tuberculosis gold negative mri neck (): 1. diffuse increased signal intensity and patchy heterogeneous enhancement in the right sternocleidomastoid muscle, soft tissues of the right carotid space, extending into the right parapharyngeal and retropharyngeal spaces as well. nonenhancing area is noted in the retropharyngeal space, may relate to fluid collection and an evolving abscess cannot be completely excluded. mr of the c-spine can be considered for better assessment. 2. lesser degree of enhancement in the right internal jugular vein. to correlate with color doppler ultrasound to assess for patency. 3. small t2 hyperintense foci in the right lobe of thyroid- need further evaluation with ultrasound. brief hospital course: the patient is a 30 f who presented to ed on with right sided neck pain. imaging was concerning for a deep soft tissue infection/bacterial lymphadenitis. initial ct scan and mri of the neck confirmed a deep space/retropharyngeal space infection consistent with phlegmon. after initially having persistent fevers on vanc/unasyn, she was switched to vanc/zosyn per id recs. during this period, she was noted to be transiently leukopenic/neutropenic, with a dropping white count along with functional neutropenia and atypical cells. heme/onc was consulted; review of her smear revealed large atypical cells, consistent with a possible viral infection. hiv ab and vl returned negative and ebv and cmv serologies were consistent with prior infection. after ~2 days without fever she again became febrile with elevated temperatures (as high as 105). thus, she underwent repeat mri on showing worsening of the soft tissue disease including increase in retropharyngeal fluid and necrotic lymph nodes. she was taken to the or by ent on for drainage of neck collection and debridement of necrotic cervical lymph nodes and surrounding tissue. intra-op findings notable for necrosis of the medial surface of the mid one third of the sternocleidomastoid muscle, primarily involving the fascia with involving some muscle fibers deep to the fascia, also some necrotic tissue of the carotid sheath fascia as well as of the fat medial to the carotid sheath and of some lymphadenopathy in the mid jugular chain around level 3. she was extubated and taken to the pacu and then to the floor post-operatively. she was continued on iv antbiotics with vancomycin, meropenem per id recommendations. over the ensuing two days she developed worsening odynphagia and fevers again re-developed to tm 105 on , concerning for persistent infection. she was taken to the or on for additional debridement with drainage of right parapharyngeal and retropharyngeal space fluid collection and excision of right level ii lymph node, closure of venotomy right upper internal jugular vein. the patient tolerated these procedures without complications, for details please see separately dicated operative reports. the patient was kept intubated and transfered to the icu for closer monitoring and wound changes to help further debridement. she had a penrose in place to drain the retropharynx and a three gauze in place in her neck wound. she underwent a repeat ct on which should no reaccumulation of fluid or necrotic debris. the penrose was removed on , and replaced with a wick to help stent the retropharyngeal opening and allow drainage. she underwent twice daily dressing changes initially with three gauze soaked with 1/2 strength dakin's solution which was diluted eventually to single saline gauze s her wound showed progressive healthy granulation tissue without further evidence of necrosis. he continued on iv antibiotics per id. her wbc stabilized and she was aferile for four days. she was then gently diuesed to alleviate tongue swelling and subsequently extubated on without difficulty. further details of her hospital course reviewed below by systems: neuro: cv: endocrine: on imaging, she was noted to have thyroid nodules/abnormal tsh. mri of the neck to have a small hyperintense focus of the right lobe of the thyroid. tsh was also elevated slightly at 5.3 on admission. this finding is not interpretable in the setting of acute illness. she will need a dedicated thyroid ultrasound and re-check of her tsh once she has recovered from this acute illness. id: id service recommended a 2 week course of moxifloxicin on discharge. prior to discharge, a single blood culture from was positive. this was thought to be skin contamination. the patient was afebrile for 48 hours prior to discharge. cultures of the picc tip and blood cultures were sent at the request of id prior to discharge. wound: the patient will follow-up with plastic surgery for closure (dr. . moist to dry dressing were established and assisted by vna services. medications on admission: prn tylenol and nsaids discharge medications: 1. moxifloxacin 400 mg tablet sig: one (1) tablet po once a day for 14 days. disp:*14 tablet(s)* refills:*0* 2. acetaminophen oral 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: lymphadenitis and soft tissue infection of the neck necrotizing facscitis of the right neck discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with fever, neck pain and abnormal soft tissue appearance in the neck on ct scan concerning for infection. you were given broad spectrum antibiotics. an mri showed an infection of the muscle of the neck. you were taken to the or twice for debridement of necrotic tissue and lymph nodes and subsequently required dressing changes. you were intubated and in the icu during this hospitalization. you will need to complete the antibiotic course as prescribed. please follow up with id regarding your antibiotic therapy. followup instructions: - follow-up with the resident/fellow clinic (dr. in weeks. please call to schedule an appointment. -follow-up with plastic surgery dr. . 1 week. call to schedule. - follow-up with infectious diseases (dr. , ). . at 9am building, ground floor. . follow-up with medical departnment to ensure regular follow-up care by a primary care physicaion. please follow-up at the st. health center, . they are located in (, ma) . note: you currently only have pre-natal insurance which does not cover any health issues for yourself. please come to this appt where they can help you apply for medical insurance for yourself as well. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more suture of vein excision of lesion of other soft tissue other myectomy other myectomy simple excision of other lymphatic structure excision of deep cervical lymph node other incision of soft tissue injection or infusion of oxazolidinone class of antibiotics diagnoses: unspecified pleural effusion acute posthemorrhagic anemia unspecified septicemia sepsis accidental puncture or laceration during a procedure, not elsewhere classified pulmonary collapse acute respiratory failure alkalosis obesity, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus neutropenia, unspecified accidental cut, puncture, perforation or hemorrhage during surgical operation retropharyngeal abscess necrotizing fasciitis dysphagia, unspecified acute lymphadenitis injury to internal jugular vein 

Answer: The patient is high likely exposed to