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: no known allergies / adverse drug reactions attending: chief complaint: progressive neck swelling and decreased po intake major surgical or invasive procedure: open incision and drainage of abscess history of present illness: mr. is a 58 m with 2 days of progressive neck swelling and decreased po intake. yesterday he had pain/difficulty swallowing food. today he states he forced self to drink minimal water w/am meds. he reports being afraid to sleep for fear his throat will close. he endorses nightsweats x 2-3 days. no fever/chills. no other pain or swelling. no sob. no stridor. the patient reports his voice has been getting progressively more muffled since this morning. he denies any previous issues with neck swelling in the past. shortly after presentation he was found to have a 2.7x2.4cm rim enhancing collection suggestive of an infected thyroglossal duct cyst on ct scan. on exam, there was significant supraglottic edema. past medical history: 1. cad, s/p mi 2. hypercholesterolemia 3. hypertension 4. s/p lacunar infarct 5. pulmonary nodules 6. obesity 7. cervical disc disease 8. impaired fasting glucose 9. h/o colon polyp 10. harmartoma, left hand social history: works as the chief engineer for a hotel. married, lives with wife and son. quit smoking almost a year ago, about 1 ppd previously. rarely drinks alcohol. family history: father had an mi at age 44 physical exam: vitals: 98.7 61 165/92 16 96-ra heent: normocephalic, atraumatic. eomi. perrl. nares clear. mucous membranes moist. neck supple without lymphadenopathy. neck incision without evidence of infection, nontender. cvs: regular rate and rhythm, without murmurs, rubs or gallops. s1 and s2. resp: clear to auscultation bilaterally. breathing comfortably. abd: soft, non-tender, non-distended, with normoactive bowel sounds. no masses or peritoneal signs. extr: no cyanosis, clubbing or edema, 2+ peripheral pulses. pertinent results: 03:45pm blood wbc-12.6* rbc-4.23* hgb-13.3* hct-36.9* mcv-87 mch-31.4 mchc-36.0* rdw-13.8 plt ct-205 04:40am blood wbc-9.7 rbc-3.85* hgb-11.8* hct-34.3* mcv-89 mch-30.6 mchc-34.3 rdw-13.1 plt ct-253 03:45pm blood glucose-97 urean-20 creat-1.2 na-145 k-3.3 cl-106 hco3-29 angap-13 04:40am blood glucose-109* urean-17 creat-1.0 na-142 k-3.4 cl-105 hco3-24 angap-16 ct neck w/contrast (eg:parotids) study date of 1. 2.7 cm rim-enhancing midline collection just superior to the hyoid bone, most compatible with thyroglossal duct cyst with probable superinfection. surrounding edema notably involving the epiglottis, likely reactive. 2. 1cm left thyroid nodule. ultrasound can be obtained if indicated. 11:21 pm swab site: neck gram stain (final ): this is a corrected report . 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram negative rod(s). 2+ (1-5 per 1000x field): gram positive cocci. in pairs and chains. previously reported as (). 4+ (>10 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram negative rod(s). reported to and read back by dr. . on at 0315. wound culture (preliminary): streptococcus anginosus (milleri) group. moderate growth. streptococcus anginosus (milleri) group. sparse growth. second morphology. anaerobic culture (preliminary): results pending. brief hospital course: it was decided to take the patient to the or for surgical management of his presumed infected thyroglossal duct cyst. after proper consent was received from the patient, he was admitted the orl service for open incision and drainage. the patient tolerated the procedure without intra-operative complications. please refer to dr. ??????s dictated operative note for complete details. post-operatively, the patient was transferred to the surgical icu, intubated and in stable condition. he was later extubated per sicu protocol and remained in the sicu for one additional night for monitoring before being transferred to the floor. on the floor the remainder of his postoperative course was without complication. his foley was removed, a penrose drain from the operation was removed from his incision, and his diet was advanced. * heent: pt's oc/op/nc clean with no active bleeding or oozing, moist mucosa, face symmetric without palsy or deficits & normal voice. the patient's neck incision remained clean, dry, & intact with sutures without hematoma or infection. his neck penrose drain was removed at bedside; he tolerated this well without complication. * n: the patient's pain was initially well controlled with iv pain medication, he was then transitioned to po liquid pain medication once extubated and his pain stayed well-controlled. when he was awake enough to follow commands, cn 2-12 remained grossly intact throughout admission without deficit. * cv: the patient's blood pressure was noted to be elevated at several points throughout the admission, with sbp as high as approximately 180. this was managed with his home medications and iv hydralazine. he is instructed to follow up with his pcp for this. * p: once extubated, the patient was gradually weaned to room air. at time of discharge he was ambulating independently without supplemental oxygen. * gi: the patient was initially npo. he was slowly advanced, but this was limited initially due to pain with swallowing; this resolved with the roxicet. at time of discharge he was tolerating his diet without nausea, vomiting, or diarrhea. * gu: the patient initially had a foley catheter. this was removed on and he subsequently voided without complications. * heme: the patient was offered sch and pneumoboots throughout admission for dvt prophylaxis. * id: the patient received perioperative antibiotics, and remained on iv unasyn while in the hospital. upon discharge, he was given po augmentin, which he will take until his follow up visit, at which point he can receive further instructions regarding length of treatment. the remainder of the hospital course was relatively unremarkable, and patient was discharged in stable condition, ambulating well independently, voiding regularly, and with adequate pain control. it was incidentally noted on his ct scan that he had a 1-cm thyroid nodule; he was instructed to follow up with his pcp for this. today, on pod#4, both the patient and staff feel that he is ready & stable for discharge home. the patient was given explicit instructions to call dr. for a follow-up appointment, and to follow-up with his pcp weeks. he was also given detailed discharge instructions outlining wound care, activity, diet, follow up care, and the appropriate medication prescriptions. medications on admission: , , lisinopril, metop, rosuvastatin discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 6. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain: no alcohol or driving. do not take additional tylenol when taking this drug. take an over the counter stool softener when taking this drug. disp:*300 ml(s)* refills:*0* 7. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day for 2 weeks. disp:*28 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: infected suspected thyroglossal duct cyst discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: - seek immediate medical attention if you experience difficulty breathing, increased trouble swallowing, fever (> 101.5) or chills, signs of wound infection (increasing redness, increasing swelling, draining pus, increased pain), throat swelling, chest pain, shortness of breath, abdominal pain, or anything else that is troubling you. - wound: tape called steri-strip is on your wound. these will fall off by themselves. you may get them wet. your sutures are dissolvable and do not need removal. - activity: walk as tolerated; do not vigorously exercise until after your follow-up appointment, at least. do not get wound wet for 48 hours after surgery or your last drain was removed. after 48 hours you may get wound wet during showers, however avoid soaking the incision site (no baths, swimming, hot tubs) for 2-4 weeks after surgery. - diet: you may consume a regular diet as previously tolerated. - medications: take medications as prescribed. you may resume home medications. do not drive or drink alcohol while taking narcotic pain medications. narcotic pain medications may cause constipation. if this occurs, take an over the counter stool softener. if you prefer you may take over the counter tylenol in place of your prescribed pain medication. do not take ibuprofen or aspirin for at least 3 days. - please call dr. office to schedule a follow-up visit, at . call your primary care provider to make follow up appointment in weeks. followup instructions: please call dr. office to schedule a follow-up visit, at . call your primary care provider to make follow up appointment in weeks. please discuss your blood pressure and your 1-cm left thyroid nodule seen on ct scan. procedure: other bronchoscopy other incision of thyroid field diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension percutaneous transluminal coronary angioplasty status old myocardial infarction other diseases of lung, not elsewhere classified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits obesity, unspecified other and unspecified disc disorder, cervical region nontoxic uninodular goiter anomalies of other endocrine glands 

Answer: The patient is high likely exposed to