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: pectoral / claviculat / mediastinal infection major surgical or invasive procedure: partial sternotomy with right clavicle resection history of present illness: mr. is a 41 year old man with hx ivdu, hepatitis c, and dm who was initially admitted to from for a 10 day history of pain and swelling of his right upper chest. he was afebrile with a wbc of 16.8. a ct chest revealed a soft tissue mass along the clavical and pectoralis major containing air bubbles with extension into the anterior mediastinum. of note his liver was also noted to be nodular. blood cultures were drawn and he was given a dose of ertapenem and transferred to for surgical management. in our ed repeat blood cultures were drawn and he was given vancomycin and 160 mg of gentamicin and admitted to the surgical service. past medical history: past medical/surgical history: dm ? htn hcv: dx 3 years ago, no liver bx, no treatment ivdu depression social history: social history: lives alone. on disability etoh: {x}n {}y amount: tobacco: {}n {x}y 2ppd drugs: {}n {x}y heroin married: {x} n {} y divorced {} so {} occupations: unemployed exposures: none, no spas, gyms, water exp travel: none pets: cat, frequent scratches hiv risk: check all that apply {} no hiv risk factors {} unprotected sex with men {x} unprotected sex with women {x} ivdu {} transfusion {} csw diabetes: ? immunodeficiency: relative, hcv : n family history: noncontributory physical exam: physical exam: general: obese, pale, nad heent: op poor dentition, + caries, no lesions neck: supple, no lad cardiovascular: tachycardic, murmur loudest at lsb respiratory: clear anteriorly gastrointestinal: +bs, obese, soft, unable to appreciate liver or spleen edge musculoskeletal: no edema skin: area of marked erythema over right clavicle extending to midline and up to right shoulder, firm, no crepitance or fluctuance noted. no splinter hemorrhages or nodules noted. old scarred lesion on right arm. pertinent results: chest ct impression: 1. focal thickening of the medial pectoralis major muscle contiguous with soft tissue mass-like density of the superior anterior mediastinum. while there is no drainable fluid collection, several bubbles of gas are noted within the soft tissue mass. findings are concerning for infection. no definite local bony erosion is identified to suggest osteomyelitis, although this cannot be excluded. 2. nodular contour of the liver suggests underlying cirrhosis. 3. cholelithiasis. pathology with acute osteomyelitis of resected clavicle brief hospital course: the patient was admitted to thoracic surgery for management of his chest wall/mediastinal swelling/infection. neuro: neurology was consulted for work up of acute onset headache. lp was performed and csf sent for cx, which eventually came back negative. cth was also done, which showed no intracranial hemorrhage or mass effect. id: the patient was started on vanc/gent in the ed prior to admission, and changed to vanc/zosyn upon transfer. infectious disease was consulted and recommended echo to r/o intracardiac/endovascular focus of infection. tte was done which showed no intracardiac vegetation. post operatively, the patient was changed to zosyn/nafcillin and eventually just to nafcillin for which he will need to complete a 6 week course. endocrine: was consulted to manage blood glucoses which were uncontrolled for much of the hospitalization. under the most recent regimen and sliding scale, the sugars have been improved. msk: on , the patient was taken to the operating room for a resection of the medial right clavicle, first rib, and sternoclavicular joint, and a partial sternectomy. the patient tolerated the procedure well with no complications and was transfered to the icu postoperatively. the patient was continued with wtd dressing changes until when a wound vac was placed. the wound vac was changed several times with no events. the wound required minimal debriding and has continued to heal well. pain: the patient has a h/o ivda and required high amounts of pain medication throughout the hospitalization. chronic pain was consulted and recommendations followed. addiction was also consulted and discussed with the patient his issues and concerns. psych: psychiatry was consulted for management of the patients meds and post operative hallucinations. psych recommendations were followed regarding liberalizing klonopin for anxiety. furthermore, psych assessed the patient capacity when he decided he did not want to go to rehab, he was deemed uncapable of leaving ama, but the patient eventually agreed to rehab after witnessing the extent of his wound. the patient had rehab all set up and was set to go to on iv nafcillin and with a wound vac, but the patient decided to leave ama. we warned him of the implications of not receiving iv antibiotics and not having a wound vac, but the patient decided to leave anyway. we had social work discuss other options and he refused any of our assistive measures. the patient is leaving on keflex for 4 weeks and with wet to dry dressing changes medications on admission: home medications: lisinopril clonodine remeron klonopin percocet amitryptyline discharge medications: leaving ama on 1. keflex 500 mg capsule sig: one (1) capsule po four times a day for 4 weeks. disp:*112 capsule(s)* refills:*0* if he were to leave to rehab, this is the regimen he wound have gotten 1. amitriptyline 50 mg tablet sig: four (4) tablet po hs (at bedtime). 2. mirtazapine 30 mg tablet sig: one (1) tablet po hs (at bedtime). 3. mirtazapine 15 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 6. clonazepam 1 mg tablet sig: one (1) tablet po qid (4 times a day). 7. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 8. clonidine 0.2 mg tablet sig: two (2) tablet po tid (3 times a day). 9. nafcillin 2 gm iv q4h 10. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 11. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). capsule(s) 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 14. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 16. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthru pain. 17. insulin sliding scale see attached sheet 18. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 19. oxycodone 30 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 20. glargine sig: seventy four (74) units during lunch. 21. insulin regular human injection discharge disposition: home discharge diagnosis: chest wall abscess s/p partial sternotomy with right clavicle resection diabetes mellitus hepatitis c hypertension depression iv drug user discharge condition: stable discharge instructions: you are leaving against medical advice. please be advised that the current dressing you are leaving on is suboptimal to the wound vac, and the antibiotics that you are leaving on are suboptimal to the iv antibiotics we were planning on giving you at rehab. you have a serious wound that will require your attention while you are at home. you are advised not to use illegal drugs, drink alcohol, or smoke. call dr. office if you experience: -fever > 101 or chills -increased shortness of breath, cough or sputum production -purulence from wound -or any other concern complete course of antibiotics: 4 weeks keflex wound: change your dressing twice a day. take out all dressings dry. then wet the roll of gauze (kerlex) and ring it out to make it damp and not wet. then start at the perimeter and stuff the gauze under your skin edges then completely pack the wound with the rest of the kerlex. cut it where appropriate. do not have any damp parts of the gauze roll touch any of your skin as it will cause it to breakdown over time. then cover the whole wound with 1 pack of 4x8inch gauze sheets. there are two sheets in each pack so stagger it so the whole wound is covered. then stick an abdominal pad over the gauze and use paper tape to completely cover the bandage. if you return to a hospital you can tell them that we had your on nafcillin 2g iv every 4 hours and that we had a white sponge wound vac over your chest wound changed every 3-4 days. followup instructions: you have a follow up appointment with dr. at 10:30pm on the clinical center. please arrive 45 minutes prior to your appointment and report to the rdaiology for a cxr. procedure: venous catheterization, not elsewhere classified spinal tap incision of lung diagnostic ultrasound of heart other partial ostectomy, scapula, clavicle, and thorax [ribs and sternum] other myectomy other immobilization, pressure, and attention to wound diagnoses: unspecified essential hypertension alcoholic cirrhosis of liver other and unspecified alcohol dependence, in remission unspecified viral hepatitis c without hepatic coma polyneuropathy in diabetes depressive disorder, not elsewhere classified opioid type dependence, continuous bacteremia calculus of gallbladder without mention of cholecystitis, without mention of obstruction staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus diabetes with other specified manifestations, type ii or unspecified type, uncontrolled diabetes with neurological manifestations, type ii or unspecified type, uncontrolled other bone involvement in diseases classified elsewhere pyogenic arthritis, shoulder region agoraphobia without mention of panic attacks acute osteomyelitis, shoulder region 

Answer: The patient is high likely exposed to