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: post traumatic amputation of right index finger at phalangeal level. major surgical or invasive procedure: operation performed: 1. ipsilateral microvascular second toe transfer to right index finger. 2. local flap closure of toe. 3. local flap closure on index finger. 4. split-thickness skin graft right index finger. 5. application short-arm splint. 6. application short leg splint. operation performed: 1. debridement, right foot. 2. split-thickness skin graft, right foot. 3. short leg cast, right lower extremity. 4. debridement, right index finger. 5. advancement flap, right index finger, with stump revision. 6. application short-arm splint. history of present illness: mr. is a middle-aged man who sustained a much earlier traumatic amputation of his index finger, distal to the pip joint. the extrinsic flexors and extensors were intact in the joint where he had excellent flexion and extension. he wished to have a distal finger with sensation and a pulp surface with a nail, strictly for functional purposes. he is an excellent candidate for a second toe transfer. his medical history was significant in that he had had arrhythmias. he is presently being treated with beta blockers. he is being brought to the operating room today for elective second toe transfer. past medical history: htn, traumatic amputation distal r index finger social history: lives at home with wife and 4 children. no smoking, occassional etoh, no drugs. family history: n/a physical exam: d/c pe: gen: pt anxious, otherwise nad vs: af/vss cv: rrr no murmurs resp: cta b/l r hand; dressing and splint cdi. r foot; cast cdi pertinent results: 10:50am blood pt-17.2* ptt-32.3 inr(pt)-1.6* 10:50am blood plt ct-225 12:47am blood wbc-10.5 rbc-3.82* hgb-12.9* hct-34.6* mcv-91 mch-33.9* mchc-37.4* rdw-12.7 plt ct-170 12:47am blood glucose-112* urean-10 creat-1.0 na-137 k-4.0 cl-101 hco3-27 angap-13 12:47am blood calcium-9.1 phos-3.6 mg-2.1 brief hospital course: patient was admitted post-operatively to the tsicu for q1h checks of perfusion to the transplanted digit. of note, during the surgery, the patient was seen to have sluggish return of circulation to his foot when the tourniquet was released to the r foot after partial toe removal. post-operatively, the patient was started on asa and heparin at 500cc/hr as per the flap protocol, and he had a bear hugger around the digit. immediately post-operatively he had an episode of fever to 102.5, which resolved spontaneously. during the following days, the patient's tranferred digit remained relatively underperfused however some capillary refill was still appreciated. on (pod2) botox was injected into the proximal digit. on pod4 there was some darkened blood flow to the digit for which transient leech therapy was trialed. unfortunately, demarcation continued throughout this time period, perfusion dwindled, and by pod6 the digit was clearly non-viable. therefore, on pod6, the patient was brought back to the or for amputation of the transplanted digit and debridement of the foot wound. he tolerated this procedure well and was brought back to the general floor for wound care and pain control. medications on admission: metoprolol xr discharge medications: 1. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain, ha. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks. disp:*60 tablet(s)* refills:*0* 5. lorazepam 1 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety for 2 weeks. disp:*60 tablet(s)* refills:*0* 6. augmentin 500-125 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: failed free transfer of right 2nd toe to right index finger s/p transfered digit amputation. wound dehiscence, right foot. discharge condition: stable discharge instructions: you will have a visiting nurse to help you with your dressing changes. between changes, please keep the dressings clean and dry and try to keep both your arm and leg elevated as much as possible. please resume all regular home medications and take any new meds as ordered. do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * you have increasing pain, redness along your hand, arm, or leg, or blood that soaks your dressings. * any serious change in your symptoms, or any new symptoms that concern you. followup instructions: please call dr office at ( today to schedule a follow up appointment for next week. md procedure: amputation of toe other skin graft to other sites excisional debridement of wound, infection, or burn insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt repair of entropion or ectropion with wedge resection revision of amputation stump attachment of pedicle or flap graft to hand transfer of finger, except thumb diagnoses: unspecified essential hypertension surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation disruption of external operation (surgical) wound venous (peripheral) insufficiency, unspecified other finger(s) amputation status complications of reattached finger(s) cardiac dysrhythmia, unspecified late effect of crushing late effects of unspecified accident other acquired deformities of finger 

Answer: The patient is high likely exposed to