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: 43f transferred from osh with intra-abdominal abscess and fevers s/p infected iud removal major surgical or invasive procedure: none history of present illness: 43 yo f with no significant past medical history who was transferred to from on for ir vs surgical drainage of pelvic fluid collection. patient mentions that prior to admission starting on she had about 4 days of l hip pain. it was so severe that she couldn't put her pants on, because it was painful to elevate her l leg. this resolved prior to admission, and hasn't recurred. approximately 3 weeks prior to admission at developed intermittent ha and low-grade fever (to 101). on she saw her pcp, diagnosed her with an anal fissure which was culture-positive for group a strep. due to this infxn and a clinical picture concerning for lyme disease, doxycycline therapy was initiated on . she subsequently presented to - on with a fever to 103.6 and a meningitis-like appearance. wbc was 14. lp attempted in ed but unsuccessful, started on empiric ceftriaxone/acyclovir/vancomycin/ampicillin. repeat lp several hours later was negative for infection; csf glucose = 88, total protein = 26. her abx regimen was subsequently changed to pip/tazo. ct torso revealed malpositioned iud w/ free fluid in pelvis and collection in l pelvic adnexa. she was started on clindamycin on . iud removed on (had been in place for 2 years). abdominal mri revealed 6 cm necrotizing ln adhering to pelvic sidewall. early morning, tmax 103 despite ongoing antibiotics. she was transferred to for drainage of pelvic fluid collection. past medical history: anal fissure with + graph a strep appendectomy social history: smokes cigarettes/day. no drug abuse family history: non-contributory physical exam: gen: young woman lying in bed, calm, nad vitals: 99.1 98.7 64 100/60 16 97%ra heent: ncat op clear cv: rrr s1s2 no mrg resp: ctab abd: soft ntnd bs+ no masses palpated on exam ext: no c/c/e pertinent results: 08:58pm glucose-85 urea n-9 creat-0.9 sodium-143 potassium-3.5 chloride-109* total co2-27 anion gap-11 08:58pm estgfr-using this 08:58pm calcium-7.8* phosphate-2.8 magnesium-2.1 08:58pm wbc-4.7 rbc-3.16* hgb-9.9* hct-29.0* mcv-92 mch-31.4 mchc-34.2 rdw-12.2 08:58pm plt count-208 08:58pm pt-14.7* ptt-31.3 inr(pt)-1.4* 06:18am blood alt-530* ast-636* alkphos-845* totbili-0.7 06:02am blood alt-328* ast-158* alkphos-592* totbili-0.5 05:20pm blood crp-26.4* 11:04pm blood hbsab-negative igm hbc-negative igm hav-negative 04:02pm blood lactate-0.7 10:10am blood lipase-77* 10:10am blood glucose-126* urean-11 creat-0.9 na-139 k-4.1 cl-103 hco3-29 angap-11 05:20pm blood esr-80* 10:10am blood plt ct-364 10:10am blood wbc-8.6 rbc-3.40* hgb-10.9* hct-32.2* mcv-95 mch-32.0 mchc-33.7 rdw-13.4 plt ct-364 10:10am blood neuts-61.6 lymphs-30.0 monos-3.8 eos-3.8 baso-0.8 brief hospital course: general brief hospital course: the patient was admitted to the general surgical service for evaluation and treatment of her intraabdominal abscess. the patient was transferred here on from . she was admitted to the sicu for management. her hospital course is as follows: neuro: the patient received iv dilaudid with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: when the patient was transferred here from she was on 3 l nc. vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: the patient was initially npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. the patient was intially started on clindamycina and gentamycin. the patient had blood cultures drawn that were no growth to date, urine culture was negative, c diff. pcr was negative, gonnococcal and chlamydia nucleic acid probes were negative. the patient was formally evaluated by infectious disease and was started on clindamycin and zosyn. shortly after starting this antibiotic regimen the patient became afebrile and continued to stay so for the remainder of her stay. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: none discharge medications: 1. piperacillin-tazobactam 4.5 g iv q8h rx *piperacillin-tazobactam 4.5 gram 4.5 gram iv solution of piperacillin-tazobactam every 8 hours disp #*176 gram refills:*0 2. ibuprofen 600 mg po q6h:prn pain rx *ibuprofen 600 mg 1 tablet(s) by mouth every 6 hours disp #*28 tablet refills:*0 3. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 4. ondansetron 4 mg po q8h:prn nausea rx *ondansetron 4 mg 1 tablet(s) by mouth every 8 hours disp #*21 tablet refills:*0 discharge disposition: home with service facility: discharge diagnosis: pelvic suppurative lymphadenitis with multiple nodes containing abscesses discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were transferred to this hospital for pelvic suppurative lymphadenitis with multiple nodes containing abscesses coalescing that were discovered on a ct scan at . you were treated with iv antibiotics and have shown improvement. you are now ready for discharge. please continue your iv zosyn until . at which point you will followup with infectious disease for further recommendations. you are to have weekly lab tests that include:cbc with differential, bun/cr until you follow up with infectious disease. you are to resume your regular home diet, home medications, and continue staying well hydrated at home. if your nausea is decreasing your oral intake, you are to notify your physician. at home continue taking probiotics such as yogurt products as discussed with you. picc line: *please monitor the site regularly, and your md, nurse practitioner, or nurse if you notice redness, swelling, tenderness or pain, drainage or bleeding at the insertion site. * your md to the emergency room immediately if the picc line tubing becomes damaged or punctured, or if the line is pulled out partially or completely. do not use the picc line in these circumstances.please keep the dressing clean and dry. contact your nurse if the dressing comes undone or is significantly soiled for further instructions. notify your physician if you develop fevers greater than 100.4 while at home. followup instructions: please schedule a follow up appointment with dr. by calling his office at the following telephone number. surgical specialties , phone: , phone: department: radiology when: monday at 2:10 pm with: radiology building: sc clinical ctr campus: east best parking: garage department: care center when: monday at 3:15 pm with: , md building: sc clinical ctr campus: east best parking: garage department: infectious disease when: tuesday at 2:00 pm with: , md building: lm bldg () campus: west best parking: garage procedure: central venous catheter placement with guidance diagnoses: tobacco use disorder other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure mechanical complication due to other implant and internal device, not elsewhere classified pulmonary congestion and hypostasis migraine, unspecified, without mention of intractable migraine without mention of status migrainosus anal fissure chronic or unspecified parametritis and pelvic cellulitis acute lymphadenitis premenstrual tension syndromes 

Answer: The patient is high likely exposed to