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: patient recorded as having no known allergies to drugs attending: chief complaint: neck stiffness, odophagia x 5 days major surgical or invasive procedure: trans-oral drainage retropharyngeal abscess ; trans-cervical i&d retropharyngeal abscess history of present illness: 41 y/o male with sudde onset of stiff neck and odophagia x 5 days. recent uri preceding symptoms includign cough and clear rhinorrhea. pt went to osh where a ct was obtained which showed lymphadenopathy and 6-18mm partially rim enhancing prevertebral/retrophayngeal fluid collection at the level of the epiglottis. no history of neck trauma. denies fever, sob, voice change. no history oif strep throat or previous abscess. past medical history: tick disorder physical exam: vs: 97.6 73 117/74 20 98% ra gen: no apparent distress, alert and oriented;, good voice, strong cough ears: ad & as: eac clear, tm mobile, no effusion nose: no pus or polyps op/oral: no masses or exudates. uvula midline. no trismus. mild erythema posterior phaynx. hp/larynx: no masses, no edema or erythema. true cords mobile bilaterally. airway widely patent. neck: mild decrease in range of motion. no tenderness. mild lymphadenopathy l>r. no tenderness over c-spine. cv: regular rate and rhythm pulm: clear to auscualtion bilaterally ab: soft, nontender nondistended pertinent results: 05:45am blood wbc-14.4*# rbc-4.12* hgb-12.6* hct-36.3* mcv-88 mch-30.5 mchc-34.7 rdw-13.0 plt ct-199 04:30pm blood wbc-9.8 rbc-4.50* hgb-13.5* hct-40.1 mcv-89 mch-30.0 mchc-33.7 rdw-12.5 plt ct-356 09:45pm blood pt-13.4 ptt-26.0 inr(pt)-1.1 04:30pm blood glucose-127* urean-11 creat-0.8 na-139 k-4.5 cl-101 hco3-25 angap-18 04:30pm blood calcium-9.4 mg-2.1 04:41pm blood type-art po2-142* pco2-41 ph-7.43 calhco3-28 base xs-3 04:41pm blood lactate-0.7 12:59am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-neg04/23/05 2:00 am throat culture **final report ** respiratory culture (final ): heavy growth oropharyngeal flora. throat - r/o beta strep (final ): no beta streptococcus group a found 5:00 am swab retropharyngeal abscess. **final report ** gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): gram positive cocci. in pairs. 1+ (<1 per 1000x field): gram positive rod(s). 1+ (<1 per 1000x field): gram negative rod(s). wound culture (final ): moderate growth mixed bacterial flora ( >=3 colony types) consistent with skin flora. due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). staph aureus coag +. rare growth. sensitivity per dr . staphylococcus species may develop resistance during prolonged therapy with quinolones. . therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s oxacillin------------- 0.5 s penicillin------------ =>0.5 r anaerobic culture (final ): no anaerobes isolated. 7:20 pm sputum site: endotracheal **final report ** gram stain (final ): >25 pmns and >10 epithelial cells/100x field. 4+ (>10 per 1000x field): gram positive cocci. in pairs, chains, and clusters. 3+ (5-10 per 1000x field): multiple organisms consistent with oropharyngeal flora. presence of >10 epithelial cells indicates contamination with oropharyngeal secretions. interpret gram stain results with caution. respiratory culture (final ): no predominance of these respiratory pathogens: s. pneumoniae, h. influenzae, and m. catarrhalis ct neck w/contrast (eg:parotids) 9:07 am ct neck w/contrast (eg:parotid; ct 100cc non ionic contrast reason: 41 year old man with retropharyngeal abscess drained , n contrast: optiray medical condition: 41 year old man with retropharyngeal abscess drained , no with increasing neck pain and stiffness. please evaluate for undrained deep neck space infection. reason for this examination: 41 year old man with retropharyngeal abscess drained , no with increasing neck pain and stiffness. please evaluate for undrained deep neck space infection. contraindications for iv contrast: none. history: status post drainage of retropharyngeal abscess on , now with increasing neck pain and stiffness. please evaluate for undrained deep neck space infection. technique: bolus intravenous-enhanced imaging of the neck was obtained. findings: comparison with the prior neck ct scan of discloses substantial expansion of low density, which again appears to be within the retropharyngeal space and whose greatest thickness (23 mm) anteroposteriorly is at the level of the superior margin of the thyroid cartilage. however, the low density now extends laterally, partially enveloping the right common carotid artery as well as the common carotid bifurcation and extends to the medial aspect of the left common carotid artery near its bifurcation as well. there has also been longitudinal progression of this abnormality. abnormal retropharyngeal fluid is now clearly seen extending into the - and oropharyngeal compartments. within this retropharyngeal pathology are streaks of gas. it is difficult to be certain whether these are simply the result of recent drainage procedure or possibly represent a gas-forming organism. there is a prominent left jugulodigastric lymph node, also seen on the prior study. the present study also shows partial imaging of what appears to be an infiltrate within the right upper lobe posteriorly. there may also be pleural fluid seen bilaterally. in light of this finding, more comprehensive imaging of the chest is warranted. conclusion: progression of what is presumed to be an extensive retropharyngeal infection, despite attempts to drain the infected material. dr. , attending physician, well as the ent resident staff were informed immediately of these findings. the right upper lobe infiltrate and possible pleural fluid is new since the prior study, as well. mr w& w/o contrast 10:18 am mr w& w/o contrast; mr contrast gadolin reason: h/o retropharyngeal abscess s/p trannscervical drainage. r/o osteomylitis contrast: magnevist medical condition: 41 year old man with h/o retropharyngeal abscess s/p transcervical drainage. please use contrast. mri per id request. reason for this examination: r/o osteomylitis. history: known retropharyngeal abscess. status post transcervical drainage. rule out osteomyelitis. technique: multiplanar t1- and t2-weighted gadolinium-enhanced imaging of the cervical spine was obtained. findings: comparison to the prior neck ct scan of redemonstrates the large presumed retropharyngeal inflammatory collection which exhibits exuberant enhancement except in a central region, with where a linear area of low signal intensity could represent either gas, nonenhancing fluid, or a combination of the two. this same low signal intensity appears to extend along the tract of the right transcervical drainage. in our conversation today with dr. , he indicated that a drain is present in this latter locale. within the limits of mr scanning, no overt evidence for discitis or osteomyelitis is seen. there is no subluxation of the component vertebrae. there is relatively poor delineation of the cord versus subarachnoid space due to extensive pulsation artifacts on the sagittal t2-weighted images. however, definition of this margin is better on the axial scans. there is no gross evidence for the presence of cord compression or pathological enhancement to suggest that there is an epidural abscess. conclusion: redemonstration of large retropharyngeal inflammatory collection. no definite evidence for osteomyelitis or discitis. no overt sign for an epidural abscess. comment: there is moderate mucosal thickening within the visualized portion of the sphenoid sinus. this finding could represent an allergic or some other type of inflammatory process. brief hospital course: the patient is a gentleman who was transferred from an osh with a slowly progressive illness over the last few days in which he has had neck stiffness. his ct scans document a retropharyngeal fluid collection and examination documents a palpable fluctuance of the posterior oropharyngeal wall. the patient was taken to the operating room that night for incision and drainage of the abscess. cultures were sent and patient was started on iv unasyn. there were no complications. patient was extubated in the operating room and was taken to recovery in stable condition. after meeting pacu criteria, patient was transferred to the floor unfortunately, he continued to worsen and repeat cat scan 48 hours later revealed extension of the abscess into the parapharyngeal space. this correlated clinically with his spiking fevers and worsening symptoms. the decision was made to proceed to the operating room for transcervical drainage of the abscess. at this time, 3 penrose drains were placed intra-op, cultures semt, and it was decided to keep the patient intubated because of the edema. he was transferred to the recovery room and then surgical icu intubated in stable condition. patient remained intubated for 4 days because of edema. packing was pulled back 3 inches a day. neck swelling slowly decreased over time. on post-op day 3, ngt was placed , id consult was obtained, tube feeds started. patient was then started on vancomycin. patient was successfully extubated on -op day #4. range of motion markedly improved, no stridor apparent, patient was then transferred to the floor. post-op day 5, patient was started on clear liquids and tube feeds were at goal. thsat night packing was removed without bleeding. post-op day 6, superior penrose drain was removed. post-op day 7, diet was advanced, and mri obtained which was negative for osteomyelitis. post-op day 8, the other penroses were removed. patient was discharged in good condition with vna care. medications on admission: orap discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: one (1) 100 po bid (2 times a day). disp:*60 100* refills:*2* 2. oxycodone hcl 5 mg/5 ml solution sig: five (5) ml po q4h () as needed for pain. disp:*250 ml(s)* refills:*0* 3. acetaminophen 160 mg/5 ml elixir sig: 650mg po q4-6h (every 4 to 6 hours) as needed for pain. disp:*250 * refills:*0* 4. levofloxacin 250 mg/10 ml solution sig: 500mg po once a day for 14 days. disp:*qs * refills:*0* 5. misc wet to dry dressing changes twice a day 6. clindamycin hcl 300 mg capsule sig: 450mg mg po three times a day for 14 days. disp:*qs * refills:*0* discharge disposition: home with service facility: vna of discharge diagnosis: retropharyngeal abscess s/p trans oral drainage, trans cervical i&d discharge condition: stable discharge instructions: seek immediate medical attention for fever >101.5, chills, redness or new drainage from incision, chest pain, shortness of breath, or anything else that is troubling you. ok to shower but do not soak incision until follow up, at least. do not drive or drink alcohol while taking narcotic pain medications. follow up with dr. in one week. followup instructions: dr. in one week procedure: laryngoscopy and other tracheoscopy incision and drainage of tonsil and peritonsillar structures incision and drainage of tonsil and peritonsillar structures diagnoses: retropharyngeal abscess 

Answer: The patient is high likely exposed to