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: a 48-year-old male with a history of crohn's disease admitted on with a headache a right hand numbness and weakness. a ct of the head in the emergency room showed a left-sided enhancing mass worrisome for a brain abscess. the patient was in his usual state of health until one month prior when he was diagnosed with epididymitis after noticing right urethral discharge. he was treated with ciprofloxacin 500 mg p.o. b.i.d. times one month. four days prior to admission the patient noted right-sided weakness, fevers to 102, with severe frontal headache. no evidence of seizures and denies any falls or urinary incontinence. he was noted to have photophobia and neck stiffness prior to admission. in the emergency department he had a lumbar puncture and a head ct performed, and the head ct noted a left-sided enhancing mass worrisome for a brain abscess. he was given morphine, ceftriaxone, flagyl, vancomycin, and decadron and admitted to neurosurgery and then the neurosurgery intensive care unit. while in the neurosurgery intensive care unit he was continued on ceftriaxone, flagyl, vancomycin, and decadron, as well as dilantin. on he was noted to have a stereotactic ct-guided biopsy of the brain lesion with multiple cultures sent. cerebrospinal fluid cultures were negative to date, and the biopsy results were gram stain negative. he was neurologically stable and was transferred to the floor. at the time of evaluation the patient described a headache that was described as "best in several days," and felt his sinus rhythm numbness and weakness was "improving." he denied any fever, chills, and night sweats. no photophobia. no shortness of breath or chest pain. no abdominal pain. no nausea, vomiting, or diarrhea. he denied any change in his bowel movements or dysuria or hematuria. past medical history: (his past medical history is notable for) 1. crohn's disease, status post colectomy 15 years ago; notable for a history for a history of psoriasis, arthritis, and fistula related to his crohn's disease. 2. c7-c6 and c6-c7 laminectomy with screws done in secondary to herniation of the disk. medications on discharge: medications prior to admission included vioxx 25 mg p.o. q.d., ciprofloxacin 500 mg p.o. b.i.d. times one month. medications on transfer: on transfer, he was receiving vancomycin 1 g intravenously q.12h., flagyl 500 mg intravenously q.8h., ceftriaxone 2 g intravenously q.12h., decadron 4 mg intravenously q.6h. (tapered by 1 g every two to three days), zantac 150 mg p.o. b.i.d., dilantin 100 mg p.o. q.8h., morphine 2 g intravenously q.4h. p.r.n., tylenol p.r.n., regular insulin sliding-scale, percocet, as well as morphine sulfate p.r.n. allergies: no known drug allergies. family history: no family history of cancer. mother passed away at age 67 from chronic obstructive pulmonary disease and diabetes. father died at age 69 secondary to a myocardial infarction, and he has three siblings that are healthy. social history: tobacco history revealed he smoked three to four cigarettes per day and smoked heavily for two years in the distant past. alcohol wise, he denies any alcohol or intravenous drug use. he lives in rivi??????re, . he has one son who is age 18. married, is a glass maker, and has no other sexual partners. physical examination on presentation: generally, he alert and oriented times three, in no apparent distress. he was resting comfortably. his speech was noted to be slightly slurred. vital signs revealed a temperature of 96.7, pulse of 71, blood pressure of 104/70, respiratory rate 20, oxygen saturation 97% on room air. head, ears, nose, eyes and throat revealed normocephalic and atraumatic. pupils were equal, round, and reactive to light. extraocular movements were intact. mucous membranes were dry. the oropharynx was clear without any lesion. neck was supple. no lymphadenopathy. no masses. no jugular venous distention and 2+ carotids, without any bruits. chest was notable for bibasilar rales, right greater than left, with right-sided rales noted to be approximately one-third of the way up. cardiovascular revealed a regular rate and rhythm, without any murmurs, gallops or rubs. the abdomen was soft, nontender, and nondistended, with normal active bowel sounds. no hepatosplenomegaly. colostomy was noted in the right lower quadrant with no erythema. extremities revealed no cyanosis, clubbing or edema with 2+ pulses bilaterally and symmetric. skin was warm and dry without any rashes. neurologically, his cranial nerves ii through xii were intact. a mild right facial asymmetry was noted on smile. there was normal sensation across his face. his motor examination revealed 5/5 strength on the left, and 4/5 strength in the right upper extremity and right lower extremity, and sensation was diminished in the right upper extremity. mini-mental examination was 28/30, on which he lost a point space on serial sevens. deep tendon reflexes were diminished on the right side compared to the left, and toes were downgoing bilaterally. pertinent laboratory data on presentation: laboratories upon transfer revealed white blood cell count of 13.5, hematocrit 36.4, platelets 230. coagulations were within normal limits. coagulation studies were within normal limits. sodium 136, potassium 3.8, chloride 102, bicarbonate 22, blood urea nitrogen 16, creatinine 0.7, glucose of 110. magnesium of 1.5, calcium 8.1, phosphate 1.3. ast 8, alt 10, alkaline phosphatase 74, total bilirubin of 0.4, albumin 3. differential showed 84% neutrophils, 0 bands, and 11.4% lymphocytes. a cerebrospinal fluid from a lumbar puncture performed on showed a white blood cell count of 2325, 60 red blood cells, 80% neutrophils in tube 4; and tube 1 was notable for 2125 white blood cells, 90 red blood cells, with 81% neutrophils, total protein was 172, glucose was 37. the biopsy of the brain mass was gram stain negative with no polymorphonuclear leukocytes. culture was negative to date with negative acid-fast bacillus, fungal cultures, as well as nocardia were pending at the time of transfer to the floor. in addition, blood cultures from were negative to date, and cerebrospinal fluid cultures showed 1+ polymorphonuclear leukocytes with no microorganism, and fungal cultures were pending. his urine culture was negative, and a gc and chlamydia culture were also negative. radiology/imaging: ct of the abdomen showed multifocal pneumonia, a normal prostate, questionable small fluid collection at the inferior tip of the liver. no evidence of an small-bowel obstruction. an magnetic resonance imaging of the head performed on admission showed a 1.8-cm x 1.4-cm moderately enhancing irregular mass lesion in the left posterior frontal white matter; question abscess versus neoplasm, which was described as lymphoma versus fungal versus toxoplasmosis. electrocardiogram showed normal sinus rhythm at 85 beats per minute, with normal intervals, normal axis. no st-t wave changes, mild atrial enlargement. an echocardiogram showed normal left atrium, normal right atrium, normal left ventricle with an ejection fraction of greater than 55%, normal right ventricle, normal aortic valve, 1+ mitral regurgitation, trivial tricuspid regurgitation, trivial pulmonary regurgitation, and no effusion or vegetation noted. hospital course: mr. was admitted to the on with a right-sided weakness and numbness and found on ct and magnetic resonance imaging to have a left posterior frontal lesion, thought to be a brain abscess. he was transferred to the floor on , and his hospital course will be dictated from that time. the patient was continued on his antibiotic regimen including vancomycin, ceftriaxone, and flagyl. his biopsy results were followed and waiting for their culture and speciation. the etiology of his abscess was uncertain; however, felt secondary possibly to his crohn's disease as well as his recent epididymitis. his biopsy results were pending, but the gram stain was negative that was worrisome in this biopsy. a repeat magnetic resonance imaging was performed to assess abscess size, status post the stereotactic drainage. subsequently, two days later, the magnetic resonance imaging showed a significant amount of vasogenic edema surrounding the lesion. there was no hemorrhage or hydrocephaly noted but a small susceptibility defect which may not be within the center of the ring enhancing lesion. no other new findings were noted compared to the magnetic resonance imaging dated . over the course of this time, the patient was continued on ceftriaxone, vancomycin, and metronidazole. he continued to receive morphine and percocet p.r.n. for the pain with subsequent trending downward of his headaches by hospital day . he reported mild improvement of his right arm numbness and reported improvement of his neurologic function on the right side of his body. his physical examination improved so that his right facial droop as well as motor examination improved on the right side of his body. on , a repeat lumbar puncture was attempted. access was attempted using a 20-gauge lumbar puncture needle; however, access was attempted in several locations; however, the spinous processes were not located. since this lumbar puncture was an elective procedure continued attempts were deferred, and further attempts were discussed with the infectious disease and neurology team. to further work up the etiology of the patient's brain abscess a scrotal ultrasound was performed that showed no neoplasm, hydrocele of approximately 3.5 cm, as well as a transesophageal echocardiogram to look for possible vegetation with endocarditis being a source of septic emboli. on , the tissue cultures returned with mild growth of streptococcus milleri. based on these results, the patient's vancomycin was discontinued. he was continued on intravenous ceftriaxone as well as oral metronidazole. after several discussions regarding his further course of care and plans; since the patient's headache was resolving, and a repeat lumbar puncture showed documented resolving white blood cell count in cerebrospinal fluid, mr. was deemed stable for discharge with several followups. at the time of hospital discharge, the patient had markedly improved headache without having received percocet or morphine. he will continue tylenol for the headaches p.r.n. his right-sided weakness had markedly improved at the time of discharge as well. discharge status: the patient was discharged home with . discharge instructions: he will continue the dilantin and decadron taper. in addition, he will continue ceftriaxone intravenously and flagyl for up to a 6-week course. discharge followup: he was to follow up with his primary care provider, . , one week after discharge. in addition he will have an ent followup on for his continued hoarseness for a vocal cord evaluation. in addition, he was to have an echocardiogram on at 11 a.m. to evaluate for endocarditis and to rule out septic emboli as a source of his brain abscess. in addition, he was to follow up in the infectious disease clinic in early to adjust antibiotic course at that time. medications on discharge: 1. dilantin 100 mg p.o. q.8h. 2. decadron 1 mg p.o. q.6h. times two days. 3. flagyl 500 mg p.o. t.i.d. times six weeks. 4. ceftriaxone 2 g intravenously q.12h. times six weeks. 5. percocet 2 tablets p.o. q.6h. p.r.n. discharge diagnoses: 1. streptococcus milleri brain abscess. 2. continued headaches. 3. hoarseness. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified spinal tap incision of lung diagnostic ultrasound of heart other esophagoscopy closed [percutaneous] [needle] biopsy of brain diagnoses: pneumonia, organism unspecified tobacco use disorder regional enteritis of unspecified site streptococcus infection in conditions classified elsewhere and of unspecified site, other streptococcus intracranial abscess colostomy status other seborrheic keratosis 

Answer: The patient is high likely exposed to