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: the patient is a 60-year-old gentleman who presented to via medivac after being diagnosed with fournier's gangrene on . on presentation, it was noted that he had three days of swelling and pain in the scrotal perineal region. past medical history: the past medical history was significant for a myocardial infarction in , noninsulin dependent diabetes, hypertension and hypercholesterolemia. medications on admission: the patient was noncompliant with all medications and therefore was on none at home. allergies: the patient had no known drug allergies that we could ascertain. laboratory data: upon admission, the chem 7 revealed a sodium of 128, potassium of 4.3, chloride of 92, bicarbonate of 25, bun of 25, creatinine of 1.2 and glucose of 525. liver function tests included an alt of 12, ast of 13, total bilirubin of 0.5 and alkaline phosphatase of 95. coagulation studies revealed a prothrombin time of 13.9, partial thromboplastin time of 24.9 and inr of 1.3. cbc revealed a white blood cell count of 11,200, hematocrit of 38.3 and platelet count of 198,000. a negative urinalysis was obtained from this gentleman. hospital course: stat cultures were sent off from the swab and the patient was emergently taken to the operating room for emergency scrotal debridement. please see the operative report for full details. postoperatively, the patient was admitted to the surgical intensive care unit team for immediate postoperative care at least overnight. during the course of the night, a central venous line was inserted into the right subclavian vein and a unit of blood was transfused. the patient remained n.p.o. and required several corrections as to his electrolytes as needed for both magnesium and potassium. on postoperative day #1, , the patient was transferred to the vascular intensive care unit, where he was noted to have respiratory distress. he had an arterial blood gas with a ph of 7.42, a pco2 of 36 and a po2 of 50. he was emergently ruled out. an electrocardiogram was done as well as a chest x-ray and arterial blood gases. an arterial line was placed. a cardiology consultation was called, which stated the possibility of fluid overload. he was started on lasix and he was diuresed out. the patient was made n.p.o. the patient was taken back to the operating room on postoperative day #3 for further debridement of his scrotum and perineum. he was also given a diverting colostomy. please see the operative note for full details regarding that procedure. postoperatively, he was admitted to the surgical intensive care unit and was ruled out for a myocardial infarction again, which came back negative. the patient was requiring ventilatory support at this time. the patient required ventilatory support until postoperative days #5 and #3, , at which time he was switched over to nasal cannula. his laboratory studies and electrolytes were repleted as necessary. his hematocrit was stable. on postoperative days #6 and #4, , the patient was stable and in the medical intensive care unit. the possibility of total parenteral nutrition was started and the infectious disease service was asked to come in. his antibiotics were changed to flagyl 500 mg every eight hours, levofloxacin 500 mg once a day and vancomycin 1 gm every 12 hours. originally, the patient had been started on ampicillin 2 gm every six hours, gentamicin 80 mg every eight hours and flagyl 500 mg q.d. the patient had remained on this regimen until the infectious disease service recommended a change on . on , the patient was still in the intensive care unit and he pulled out his central line. however, in consultation with the surgical intensive care unit team, the patient was transferred to the floor on . whereupon, the service was called and they recommended glyburide being added to his medication profile at 10 mg p.o. b.i.d. for better control of his blood sugar. the patient was stable at this point and had an hemoglobin a1c which came back at 15.1 and a vancomycin peak and trough of 29.8 and 10.2. his cultures will be dictated at the end of his dictation summary. the patient remained in on in stable condition. on , it was noted that the patient was growing some yeast and a urinalysis sent off showed 5 epithelial cells, 6 to 8 red blood cells, 290 white blood cells and moderate yeast. yeast was also shown going down the sides. on , the flagyl was discontinued and the patient was started on fluconazole, initially on 200 mg p.o. times one day to be followed by 100 mg p.o. for six days. on , the patient had repeat laboratory studies which showed his electrolytes and his hematocrit to be in balance and his liver function tests to be normal. on , his chemistries came back with a sodium of 137, potassium of 4.4, chloride of 102, bicarbonate of 28, bun of 12, creatinine of 1.1 and glucose of 107. ast was 10 and alt was 15. cbc had a white blood cell count of 11,700 with a hematocrit of 30.7 and a platelet count of 452,000. on , with vancomycin and levofloxacin being #6 and fluconazole being day #3, the patient was stable. the plastic surgery service's chief resident was consulted, as well as the general surgery service. his cbc came back with a white blood cell count of 11.7, hematocrit of 33.4 and platelet count of 468,000. disposition: a picc line is to be inserted today and his blood sugar is back under control. the phone number for the plastic surgery service is . the patient is to have follow up and have an appointment for . the patient is also to be seen by the general surgery service on the same day. discharge medications: the patient will most likely be discharged on vancomycin 1 gm every 12 hours with fluconazole 100 mg p.o. q.d. and levofloxacin 500 mg p.o. q.d., to complete a two week antibiotic course. condition on discharge: on discharge, the patient is stable. note: the addendum with complete discharge information and medications will be dictated by dr. , when the patient finally goes to rehabilitation. final comments regarding microbiology: swabs taken intraoperatively and cultures showed that the patient was growth alpha streptococcus and monilia as well as coagulase negative staphylococcus in addition to the yeast that he grew postoperatively. the vancomycin and levaquin will cover for that and the fluconazole is covering for the yeast. the alpha streptococcus was sensitive to clindamycin, erythromycin and levofloxacin. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn biopsy of parathyroid gland excision or destruction of lesion or tissue of scrotum biopsy of parathyroid gland excision or destruction of lesion or tissue of scrotum permanent colostomy anastomosis to anus diagnoses: coronary atherosclerosis of native coronary artery cellulitis and abscess of trunk congestive heart failure, unspecified cardiac complications, not elsewhere classified alcohol abuse, unspecified vascular disorders of male genital organs diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled alcohol withdrawal 

Answer: The patient is high likely exposed to