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: was obtained from the patient and transfer data from . this is a 57-year-old white male with diabetes, who had a "blister" on the right plantar fifth met head which was debrided by his podiatrist seven weeks ago. after several office debridements, there was no improvement or healing, the patient was referred to a vascular surgeon. the patient underwent a right bk to tarsal bypass graft nonreverse saphenous vein on at , which failed. patient had a thrombectomy of the bypass graft on , but the graft was occluded. a right below the knee amputation was recommended, but the patient sought a second opinion. he was seen in the office by dr. on . he is now admitted for further evaluation and treatment. the right foot x-ray at showed osteomyelitis of the right fifth met head. cultures grew skin flora including beta hemolytic strep group b and heavy beta b fragilis group. patient was begun on flagyl and zithromax 250 mg q.d. also was treated with silvadene dressings. patient was also admitted for further evaluation and treatment. allergies: no known drug allergies. medications: 1. insulin nph 54 units q.a.m. with 2-8 regular at lunch, and 54 units of nph presupper with a regular insulin-sliding scale. 2. lopressor 25 mg b.i.d. 3. zantac 150 mg b.i.d. 4. ativan 0.5 mg t.i.d. prn. 5. flagyl 500 mg t.i.d. 6. zithromax 250 mg q.d. 7. heparin subq b.i.d. past medical history: 1. diabetic type 2 insulin dependent with retinopathy. 2. bilateral mature cataracts. past surgical history: 1. left thumb surgery. 2. right bk tarsal artery with nonreverse saphenous vein on . 3. thrombectomy of right -pt bypass graft on . 4. bilateral laser treatments. social history: patient is single. he is an electrician technologist. he is a former smoker. he has not smoked for 35 years. he denies alcohol use. he lives with a significant other. ambulates independently. physical examination: vital signs: 98.3, 76, 18, blood pressure 126/52, o2 saturation 98% on room air. general appearance: alert and cooperative white male in no acute distress. heent examination is unremarkable. carotids are palpable without bruits. pulse examination: radials are 2+ bilaterally. femorals are 2+ bilaterally. the right popliteal is absent at the dorsalis pedis and pt on the right doppler signal. the popliteal on the left is 2+ with a dopplerable dorsalis pedis on the left and a palpable pt on the left. chest examination: lungs are clear to auscultation. heart is regular, rate, and rhythm without murmur, but distant. abdominal examination was benign. right lower extremity shows -tarsal bypass sutures intact with erythema along the entire length. there is a penrose drain at the distal incision. the plantar fifth met head ulcer is 2.5 cm, which probes to bone. there is no odor. there is minimal drainage. admitting laboratories: white count of 11.3, hematocrit 32.5, platelets 397 k. bun 16, creatinine 0.8. pt and inr were normal. ekg was in normal sinus rhythm with a rate of 79, there are no acute ischemic changes. chest x-ray was unremarkable. hospital course: patient was admitted to the vascular service. he was continued on antibiotics. was requested to evaluate and manage the patient's diabetes. the patient was preoped and underwent on , patient had a right to plantar bypass with left arm vein angioscopy and intraoperative arteriogram. patient tolerated the procedure well. was extubated and transferred to the pacu in stable condition. postoperatively, immediately the patient was hemodynamically stable. his postoperative hematocrit was 29.7, bun 17, creatinine 0.8, k of 4.4. patient continued to remain stable and was transferred to the vicu for continued monitoring and care. on postoperative day one, there were no overnight events. patient's diet was advanced as tolerated. he was restarted on is preoperative oral medications. he was transfused 1 unit of packed red blood cells. postoperative day two the patient remained in the vicu. there were no overnight events. on postoperative day three, patient's foley was discontinued. central line was discontinued. vancomycin was discontinued. his post-transfusion hematocrit was 27.9. antibiotics were continued, and patient was transferred to the regular nursing floor. patient required multiple adjustments in his insulin dosing. he was begun on nph insulin with adjustments. patient should follow up with , dr. for evaluation and long-term management of his diabetes. patient should call for an appointment. considerations of lantus will be decided at that time. patient will also require patient education regarding injections. weightbearing status at the time of discharge was partial weightbearing, heel touchdown only, essential distances. patient should elevate the leg when sitting in a chair in bed. the patient had pvrs of the right transmetatarsal done prior to discharge. depending on what the pvr shows, what further intervention will or will not be needed for the ulceration. patient will continue on antibiotics for two weeks post discharge. wounds at the time of discharge were clean, dry, and intact. the right foot wound was with minimal erythema with normal saline wet-to-dry dressings t.i.d. discharge medications: 1. flagyl 500 mg t.i.d. for a total of 14 days. 2. acetaminophen 325-650 mg q.4-6h. prn for pain. 3. colace 100 mg b.i.d. 4. senna two q.d. prn. 5. metoprolol 25 mg b.i.d., hold for systolic blood pressure less than 110, heart rate less than 55. 6. ranitidine 150 mg b.i.d. 7. levofloxacin 500 mg q.24h. for a total of 14 days. 8. insulin-sliding scale as follows: nph insulin 54 units at breakfasttime and 28 units at bedtime. humalog sliding scale breakfast, lunch, dinner and at bedtime. breakfast sliding scale and dinner sliding scale are as follows: glucoses less than 120, no insulin; 121-160, 2 units; 161-200, 4 units; 201-240, 6 units; 241-280, 8 units; 281-320 10 units; 321-360 12 units; 361-400 14 units. lunchtime humalog sliding scale: glucoses less than 240, no insulin; 241-280 4 units; 281-320 6 units; 321-360 8 units; 361-400 10 units. bedtime sliding scale is as follows: glucoses less than 240 no insulin; 241-280 2 units; 281-320 4 units; 321-360 6 units; 361-400 8 units. discharge diagnoses: 1. ischemic foot ulcer status post right popliteal-pedal bypass with arm vein and intraoperative angiogram. 2. insulin dependent diabetes type 2. 3. blood loss anemia corrected. 4. hypertension controlled. , m.d. dictated by: medquist36 procedure: other (peripheral) vascular shunt or bypass excisional debridement of wound, infection, or burn transfusion of packed cells percutaneous angioscopy diagnoses: unspecified essential hypertension surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other complications due to other vascular device, implant, and graft diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy ulcer of heel and midfoot unspecified osteomyelitis, ankle and foot other combinations of endocrine dysfunction 

Answer: The patient is high likely exposed to