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: vancomycin / ertapenem attending: chief complaint: fever, rash major surgical or invasive procedure: 1. skin biopsy on the medial part of left fore-arm 2. picc line placement history of present illness: pt. is an otherwise healthy 50 y/o m who sustained a cat bite on () s/p 14-day course of amoxicillin-clavilunate, c/b abscess formation drained on (), and was found to have osteomyelitis with cultures growing prevotella. he was treated with a 21 day treatment with vancomycin/ertapenem after which he developed a diffuse morbiliform rash and fevers to 102.8. . the pruritic rash first started on his right hip, progressed to his inner thighs bilaterally and then diffusely on his entire body. bernadryl and zytrec did not relieve the rash at home although fevers responded to tylenol but he presented to the ed due to increased edema at the base of the rashes. he denies any pain with the rash, blistering, skin sloughing and the pruritis was transcient. he also denies any fevers/chills, night sweats, nausea/vomiting, chest pain/sob/chest tightness/palpitations, diarrhea/consitpation, dysuria, weakness, arthralgias, myalgias. . in the ed, initial vs: 102.6 72 112/64 16 99% ra. on exam, the patient did not have hyperemia or edema of his oropharynx or tongue, conjunctivitis or skin sloughing or blisters. there was no anal involvement and the patient denied chest tightness, dysphagia, shortness of breath. plastics/hand surgery evaluated the patient and felt his hand was improved. dermatology saw the patient and felt this was likely a uncomplicated drug hypersensivity reaction vs dress. the patient's vanc and ertapenem were held in the ed. derm recommended triamcinolone cream for symptoms and requested no steroids until the patient is evaluated by infectious disease. the patient received mg repletion and 2l ns ivf, as well as diphenhydramine iv, ibuprofen 600mg, and acetaminophen 1gm prior to his transfer to the micu . on arrival to the micu, the patient reported significant improvement of his extremity swelling after receiving iv diphenhydramine in the ed. he denied pruritis, shortness of breath, wheezing, swelling of his orpharynx or tongue, pain, or progression of his rash. he was started on daptomycin, cipro and flagyl () for his osteomyelitis. he was evaluated by infectious disease who thought his symptoms were due to atypical dress and agreed with the antibiotic change and receommended an echo which came back normal. he was further managed with tylenol and ice packs for his fevers. he also received iv bernadryl and iv famotidine. he got about 7l of ivf for insensibile losses. dermatology biopsied his rash (pathology report pending) and recommended prednisone taper starting from 60mg 1mg/kg. past medical history: 1. dupuytrens contracture 2. left shoulder capsulitis social history: lives in / by himself. owns a cat as pet. works as a computer programmer and has been unable to work over the past two months due to r hand injury. social etoh. monogamous with significant other. hx of stds or recent travels. family history: non-contributory physical exam: admission physical exam: vs: 99.6 92 106/64 93%ra general: well-appearing, comfortable, diffuse mild-moderate swelling and erythema but in no acute distress. heent: perrla, eomi, sclerae anicteric, mmm, op without lesions, thrush on tongue, no edema of oropharynx or tongue. neck: supple, no jvd. lungs: ctab, no wheezes/rales/rhonchi, fair air movement b/l, resp unlabored. heart: rrr, nl s1-s2, no murmers/gallops/rubs. abdomen: soft/nt/nd, no masses or hsm, no rebound/guarding. extremities: wwp, no c/c/e, 2+ dp pulses b/l. skin: diffuse erythematous morbilliform rash of face, b/l ue's and le's, and trunk with swelling. no erythema around left picc site. neuro: awake, a&ox3, moving all extremities. . discharge physical exam: . vs: tmax 99.2 tc 96.8, bp 118-132/63-74 p 70-95 o2 97-97 on ra general: aox3, well-appearing in nad heent: perrla, eomi, sclerae anicteric, mmm, op without lesions, no edema of oropharynx or tongue, multiple 1-3cm grouped vesciles mostly on ventral tongue and buccal mucosal. neck: supple, no jvd. lungs: ctab, no wheezes/rales/rhonchi, fair air movement b/l, resp unlabored. heart: rrr, nl s1-s2, no murmers/gallops/rubs. abdomen: soft/nt/nd, no masses or hsm, no rebound/guarding. extremities: wwp, no c/c/e, 2+ dp pulses b/l. skin: desquamation of chest, abdomen and back. residual erythematous macules and papules coalescing in the lower extremities. neuro: awake, a&ox3, moving all extremities. pertinent results: 01:25pm blood wbc-15.1*# rbc-4.44* hgb-15.2 hct-42.4 mcv-95 mch-34.2* mchc-35.9* rdw-13.8 plt ct-294 01:25pm blood neuts-74* bands-16* lymphs-1* monos-3 eos-4 baso-0 atyps-1* metas-1* myelos-0 01:25pm blood glucose-105* urean-18 creat-1.1 na-138 k-4.4 cl-103 hco3-25 angap-14 01:25pm blood alt-105* ast-48* ld(ldh)-282* ck(cpk)-61 alkphos-112 totbili-0.6 01:25pm blood albumin-3.3* calcium-8.4 phos-1.4* mg-1.5* 01:25pm blood crp-107.9* discharge 05:32am blood wbc-30.0* rbc-3.10* hgb-10.0* hct-29.1* mcv-94 mch-32.2* mchc-34.2 rdw-15.4 plt ct-375 05:32am blood neuts-38.6* lymphs-38.0 monos-1.8* eos-20.5* baso-1.1 05:32am blood glucose-86 urean-11 creat-0.7 na-142 k-3.8 cl-106 hco3-30 angap-10 05:32am blood alt-50* ast-17 ld(ldh)-374* alkphos-109 totbili-0.4 misc 01:00pm blood hbsag-negative hbsab-negative hbcab-negative 06:08pm blood strongyloides antibody,igg-pnd also pending is final read of immunophenotyping tte (): the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. left ventricular systolic function is hyperdynamic (ef 75%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is mild bileaflet mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. r hand xray (): soft tissue swelling. slight progression of erosions at the second metacarpal, at the index metacarpal head, possibly representing infection given the history. mottled appearance of the carpal bones without direct evidence of infection in the carpal bones. mri may be of utility to assess extent of abnormality. skin biopsy (): focal intraepidermal pustule, marked papillary dermal edema, and neutrophilic and eosinophilic inflammatory infiltrate. the findings are consistent with a bullous hypersensitivity reaction such as a bullous drug eruption. the finding of an intraepidermal pustule (in deeper sections) suggests the possibility of acute generalized exanthematous pustulosis. the pustule overlies a follicle and the differential diagnosis includes a component of folliculitis. special stains (pas and gram) are negative for organisms. the lack of prominent apoptosis and/or necrosis and finding of a mixed cell infiltrate speak against erythema multiforme and toxic epidermal necrolysis. cxr (): in comparison with study of , there has been placement of a left subclavian picc line that extends to the lower portion of the svc. no evidence of pneumonia, vascular congestion, or pleural effusion. brief hospital course: mr is an otherwise healthy 50m who sustained bite on c/b abscess formation drained on found to have osteomyelitis with culture growing prevotella and a 21d course of vanc/ertapenem after which he developed a diffuse morbiliform rash and fever, c/w dress. rash significantly improved on prednisone and has been afebrile. osteomyelitis resolved on 5 week course of iv antibiotics. course complicated by severe hsv eruption in mouth. discharge to home. active issues: 1. likely dress- attributed to vanc and/or ertapenem. brief micu stay given presenting high fever (102.8) with potential evolution to ten/sjs. cbc with differential with bands and eos that improved over hospital course. flow immunophenotyping prelim read was negative for malignancy. tte did not show myocardial involvement. rash significantly improved on prednisone. biopsy was c/w drug hypersensitivity (dress vs agep). currently on 40mg of prednisone. will continue at this dose until end of the week, then taper to 20mg for 5days and then 10mg for 5days. he will follow-up with dermatology next tuesday to assess whether he continues to improve on the taper. pruritis controlled with benadryl and triamcinolone. patient will be considered allergic to vanc, ertapenem heretofore 2. hsv1 ulcers (ventral tongue and bucchal muccosa)- + dfa, negative for varicella. pt is s/p 2 doses of 2000mg of valtrex. he will go home on 500mg for 14 days. denies any side-effects of current dose. inactive issues: 1. osteomyelitis: s/p 5 week course of iv antibiotics. was briefly on dapto/cipro/flagyl before clinically deciding that infection resolved. functionally improving. he will followup with orthopedics, plastics and id for assessment of improving hand function. transitional issues: 1. resolution of hsv1 infeciton on valtrex 2. monitor for continual resolution of skin rash without flare while on steriod taper, readdress at clinic visits 3. strongyloides antibody pending 4. flow immunophenotyping final read was pending at time of discharge - subsequently returned negative for lymphoma 5. possible need for mr follow up of right hand after lucency detected previously medications on admission: - vancomycin 1250 mg iv q12h x6 weeks - ertapenem 1 gram injection q24h x6 weeks - acetaminophen 325-650 mg po q4h discharge medications: 1. triamcinolone acetonide 0.025 % cream sig: one (1) application topical once a day as needed for itching. disp:*1 tube* refills:*0* 2. mupirocin 2 % ointment sig: one (1) application topical once a day: apply to areas of breakdown. disp:*1 tube* refills:*0* 3. valacyclovir 500 mg tablet sig: one (1) tablet po twice a day for 14 days. disp:*28 tablet(s)* refills:*0* 4. prednisone 10 mg tablet sig: take 4 tablets daily for four days, then take 2 tablets daily for five days, then take 1 tablet daily for five days tablet po once a day. disp:*31 tablet(s)* refills:*0* 5. lidocaine hcl 2 % solution sig: twenty (20) ml mucous membrane tid (3 times a day) as needed for sore mouth. disp:*500 ml(s)* refills:*0* 6. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for itching, swelling. discharge disposition: home discharge diagnosis: 1. primary diagnosis -osteomyelitis -drug hypersensitivity rash likely to vancomycin and ertapenem. dress (drug reaction with eosinophilia and systemic symptoms ) vs. agep 9acute generalized exanthematous pustulosis) 2. secondary diagnosis -dupuytrens contracture -left shoulder capsulitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you when you were admitted to the for morbiliform rash and fever thought to be from a drug reaction. you were first admitted to the medical intensive care unit where your fevers were controlled and you were evaluated by the dermatologists and infectious disease doctors. the two medications you were on which could have likely precipitated your drug reaction: vancomycin and ertapenem were stopped and they were replaced with different anti-bioitics. you were also evaluated by the plastic surgeons who felt the wound on your right hand were healing well and were not concerned for worsening infections. your rash continued to evolve and get better over the course of your hospital stay on the medicine floor with prednisone. followup instructions: provider hand clinic phone: date/time: 10:00 provider , m.d. phone: date/time: 1:45 name: np (works with , g. ) location: pulmonary & primary care associates address: , , phone: appt: at 1:30pm department: orthopedics when: tuesday at 10:00 am with: hand clinic building: sc clinical ctr campus: east best parking: garage procedure: closed biopsy of skin and subcutaneous tissue diagnoses: acidosis candidiasis of mouth dermatitis due to drugs and medicines taken internally hypoxemia other specified antibiotics causing adverse effects in therapeutic use herpes simplex without mention of complication eosinophilia adhesive capsulitis of shoulder contracture of palmar fascia unspecified osteomyelitis, hand 

Answer: The patient is high likely exposed to