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: mr. is an unfortunate 33-year-old male with a history of type 1 diabetes for 12 years with multiple complications including severe gastroparesis requiring recent jejunostomy tube placement on . the patient was sent to the emergency room by his primary care physician secondary to purulent drainage from the jejunostomy tube site and relative hypotension with a blood pressure of 93/80. of note, the patient's normal blood pressure ranges from 130 to 180 systolic. the patient had recently been admitted from to with complaints of nausea, vomiting, abdominal pain, and an increased blood pressure. initially, the patient had a gastroesophageal tube placed and then he had a gastrojejunostomy tube placed interventional radiology on . by discharge, the patient was tolerating liquids and toast. the patient noted discharge starting on . per the patient, the discharge has progressively become worse. he was on a course of oral antibiotics of an unknown name for eight days which finished two days ago with improvement. the discharge was yellow with some blood. there was notable pain around the jejunostomy tube site, but no abdominal pain. the patient denied nausea and vomiting, was tolerating thick liquids, and had a good appetite. he also denied fevers or chills. furthermore, the patient denied shortness of breath. no chest pain. he denied melena or bright red blood per rectum. in the emergency department, surgery removed the jejunostomy tube. blood cultures were sent, and a would culture was sent. in the emergency department, he was given normal saline, flagyl, levofloxacin, ancef, reglan, and insulin. past medical history: 1. type 1 diabetes for 12 years; complicated by autonomic dysfunction, gastroparesis, and nephropathy. 2. gastroparesis; of note, the patient had a gastric emptying study that showed that the patient's stomach had not emptied even two hours after the administration of contrast. 3. labile hypertension. 4. autonomic dysfunction with orthostatic blood pressure. 5. gastroesophageal reflux disease. 6. coronary artery disease; catheterization in demonstrated the patient had a 50% stenosis of the first diagonal. 7. an echocardiogram in showed an ejection fraction of 50% to 55% and 1+ mitral regurgitation. medications on admission: 1. hydrochlorothiazide 12.5 mg p.o. once per day 2. labetalol 400 mg p.o. twice per day. 3. lantus 20 units subcutaneously q.h.s. 4. regular insulin sliding-scale. 5. lisinopril 20 mg p.o. q.h.s. 6. clonidine 0.1-mg patch every five days. 7. xanax 0.5 mg p.o. as needed. 8. norvasc 10 mg p.o. once per day. 9. protonix 40 mg p.o. once per day. 10. reglan 10 mg p.o. four times per day. allergies: no known drug allergies. social history: the patient is a nonsmoker. he does not drink and does not use drugs. family history: father with diabetes. physical examination on presentation: physical examination on admission revealed temperature was 99.7, blood pressure was 100/58, heart rate was 91, respiratory rate was 16, and oxygen saturation was 98% on room air. in general, the patient appeared tired but in no acute distress. head, eyes, ears, nose, and throat examination revealed mucous membranes were dry. pupils were equal, round, and reactive to light and accommodation. extraocular muscles were intact. neck revealed right jejunostomy tube in place. no lymphadenopathy. cardiovascular examination revealed a regular rate and rhythm. a 2/6 systolic murmur at the right upper sternal border and the left upper sternal border. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, and nondistended. gauze on abdomen soaked with serosanguineous fluid. extremity examination revealed no edema. pedal pulses were 2+. pertinent laboratory values on presentation: laboratory data on admission revealed hematocrit was 24 (baseline of 23 to 26), white blood cell count was 7.3, and platelet count was 453,000. differential on the white count revealed 71% neutrophils, 19% lymphocytes, 8% monocytes, and 2% eosinophils. creatinine was 2.8 (baseline creatinine of 1.6) and blood urea nitrogen was 51. glucose was 610. pertinent radiology/imaging: a computed tomography of the abdomen showed a large phlegmon of the anterior abdominal tissue superficial to the external oblique aponeuroses with question an area of less than 1 cm of gas. hospital course by issue/system: 1. abscess around jejunostomy tube site: the patient was seen by the surgery service who removed the jejunostomy tube and felt that for initial management the patient would not require debridement. they did place drains within the wound and recommended that if the area drained appropriately the patient may not need debridement. the patient was started on vancomycin and zosyn, per surgery request, and a dry gauze was applied to the area. blood cultures showed no growth. wound cultures showed greater than three colony types. therefore, there was no further workup per the laboratory. the colony types included streptococcus and lactobacillus. the patient was continued on empiric antibiotic treatment with vancomycin and zosyn. he continued to improve clinically, and surgery continued to follow the patient. it was ultimately determined that he would not require a trip to the operating room for debridement. a peripherally inserted central catheter line was placed so that the patient could be discharged on intravenous antibiotics. however, by the time of discharge the patient was tolerating oral intake and was therefore discharged on oral levofloxacin and flagyl for a total of a 14-day course. the final wound culture was moderate growth of streptococcus milleri in addition to moderate growth of lactobacillus species. the patient was to have home for help with his three times per day nu-gauze dressing changes. he was to follow up with dr. from surgery in two weeks after discharge. the was going to help with twice per day dressing changes. 2. labile blood pressure issues: the patient continued to have his baseline labile blood pressure while in house. he was continued on norvasc, labetalol, and lisinopril. the clonidine was initially held but then added back just prior to discharge. the patient transiently required hydralazine 10 mg intravenously q.6h. for blood pressure control, but this was discontinued one day prior to discharge. 3. anemia issues: in anticipation of surgical debridement, the patient was given one unit of packed red blood cells to have him better prepared for the operating room and possible further blood loss. his hematocrit went to 29 after the blood transfusion and remained at 29 until discharge. 4. gastroparesis issues: the patient continued to have nausea and vomiting during his hospital course. however, with the help of reglan and antiemetics the patient was tolerating oral intake by the time of discharge. discharge diagnoses: 1. jejunostomy tube infection; status post jejunostomy tube removal. 2. type 1 diabetes with multiple complications. 3. gastroparesis. 4. labile hypertension. discharge instructions/followup: 1. the patient was to follow up with his primary care physician (dr. one week status post discharge. 2. the patient was to continue antibiotics for a full 2-week course. 3. he was also given a new prescription for paxil (an antidepressant). 4. he was instructed to eat multiple small meals per day and to avoid large meals to help with his gastroparesis. 5. the patient was also to follow up with dr. in two weeks after discharge. 6. the patient was to have home for dressing changes and for frequent blood pressure checks. medications on discharge: 1. protonix 40 mg p.o. once per day. 2. norvasc 10 mg p.o. once per day. 3. labetalol 400 mg p.o. twice per day. 4. lisinopril 10 mg p.o. once per day. 5. regular insulin sliding-scale. 6. paxil 20 mg p.o. once per day. 7. clonidine 0.1-mg patch one patch every five days. 8. reglan 10 mg p.o. four times per day (with meals). 9. flagyl 500 mg p.o. three times per day (for a 2-week course). 10. levofloxacin 500 mg p.o. once per day (for a 2-week course). , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension depressive disorder, not elsewhere classified unspecified disorder of kidney and ureter diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to