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: right facial swelling major surgical or invasive procedure: s/p extra-oral and intra-oral drainage of the right submandibular/sublingual/submental and lateral pharyngeal space abscesses, extraction of tooth #30. picc line placement right basilic vein history of present illness: history of presenting illness this patient is a 27 year old male who complains of right facial swelling. 5 days ago had slight right submandibular swelling. two days later noted pain right lower molar pain-did not go due to insurance concerns. over past 24 hours markedly more swollen. no dyspnea or sensation of airway closure. difficult swallowing due to pain but no trouble handling secretions. no fevers. timing: gradual severity: severe duration: 5 days location: right face associated signs/symptoms: odynophagia past medical history: pmh upper extremity abscess testicular varicose vein social history: social history: ivda, positive for drugs family history: nc physical exam: physical examination: upon admission temp: 98.8 hr: 116 bp: 120/74 resp: 18 o(2)sat: 99 normal constitutional: masses sign of the right lower cheek and submandibular region, severe trismus, unable to view oropharynx, unable to appreciate dentition 2 to limited mouth opening heent: no stridor, phonation full chest: normal cardiovascular: normal abdominal: normal skin: warm and dry pertinent results: 06:00am blood wbc-7.0# rbc-4.35* hgb-12.8* hct-36.1* mcv-83 mch-29.4 mchc-35.4* rdw-13.5 plt ct-440 06:00am blood wbc-4.4 rbc-4.62 hgb-13.3* hct-40.8 mcv-88 mch-28.8 mchc-32.7 rdw-13.4 plt ct-470* 10:30am blood wbc-21.0* rbc-4.80 hgb-13.7* hct-39.8* mcv-83 mch-28.6 mchc-34.5 rdw-13.0 plt ct-520* 10:30am blood neuts-81* bands-0 lymphs-10* monos-9 eos-0 baso-0 atyps-0 metas-0 myelos-0 06:00am blood plt ct-440 06:20am blood glucose-130* urean-6 creat-0.8 na-141 k-3.7 cl-102 hco3-31 angap-12 02:18am blood glucose-107* urean-8 creat-0.8 na-134 k-4.2 cl-101 hco3-26 angap-11 09:00pm blood alt-14 ast-24 alkphos-62 totbili-0.3 09:00pm blood albumin-3.3* 05:30pm blood hbsag-negative hbsab-positive hbcab-negative hav ab-positive 03:30pm blood hiv ab-negative 04:10pm blood vanco-7.1* : neck cat scan: . extensive soft tissue stranding and phlegmonous material/enlarged lymphnodes surrounding the right mandible, as described above. there is an associated defect in the medial cortex of the right body of the mandible, adjacent to the reported tooth #20 dental caries, likely representing the psuedopassage of infectious/inflammatory material. 2. mild leftward displacement of the airway by the adjacent inflammatory/infectious phlegmonous region without present obstruction of the airway : echo: conclusions the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. no vegetation seen. : chest x-ray: findings: a new right-approach picc tip terminates within the lower svc several centimeters beyond the wire position. the lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is not increased. impression: right picc in standard position within the low svc. cultures: 3:15 pm swab site: mandible right submandibular wound. **final report ** gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 4+ (>10 per 1000x field): gram negative rod(s). 3+ (5-10 per 1000x field): gram positive cocci. pairs and short chains. 1+ (<1 per 1000x field): gram positive rod(s). wound culture (final ): due to mixed bacterial types (>=3) an abbreviated workup is performed; p.aeruginosa, s.aureus and beta strep. are reported if present. susceptibility will be performed on p.aeruginosa and s.aureus if sparse growth or greater.. requested further workup. streptococcus anginosus (milleri) group. sparse growth. neisseria species. rare growth. pigmented, non-pathogenic. neisseria species. sparse growth. second morphology. presumptive streptococcus bovis. sparse growth. gram positive rods. rare growth. unable to futher identify. haemophilus sp. rare growth. beta lactamase negative. anaerobic culture (final ): mixed bacterial flora-culture screened for b. fragilis, c. perfringens, and c. septicum. none isolated. further workup requested by dr. . fusobacterium nucleatum. heavy growth. beta lactamase negative. prevotella species. moderate growth. beta lactamase negative. 10:20 am blood culture #1. **final report ** blood culture, routine (final ): no growth. 10:28 am blood culture #2. blood culture, routine (preliminary): beta streptococcus. non-typable. streptococcus anginosus (milleri) group. final sensitivities. sensitivity testing performed by sensititre. clindamycin <= 0.12 mcg/ml. susceptibility results were obtained by a procedure that has not been standardized for this organism results may not be reliable and must be interpreted with caution. sensitivities: mic expressed in mcg/ml _________________________________________________________ streptococcus anginosus (milleri) group | clindamycin----------- s erythromycin----------<=0.25 s penicillin g----------<=0.06 s vancomycin------------ <=1 s anaerobic bottle gram stain (final ): gram positive cocci in pairs. 10:04 pm blood culture **final report ** blood culture, routine (final ): no growth. 10:03 pm blood culture **final report ** blood culture, routine (final ): no growth. 7:33 am urine source: cvs. **final report ** urine culture (final ): no growth. / 2:08 am stool consistency: loose source: stool. **final report ** clostridium difficile toxin a & b test (final ): feces negative for c.difficile toxin a & b by eia. (reference range-negative). 6:15 am immunology **final report ** hcv viral load (final ): hcv-rna not detected. performed using the cobas ampliprep / cobas taqman hcv test. linear range of quantification: 43 iu/ml - 69 million iu/ml. rare instances of underquantification of hcv genotype 4 samples by cobas ampliprep/cobas taqman hcv test method used in our laboratory may occur, generally in the range of 10 to 100 fold underquantitation. if your patient has hcv genotype 4 virus and if clinically appropriate, please contact the molecular diagnostics laboratory () so that results can be confirmed by an alternate methodology. limit of detection: 18 iu/ml. brief hospital course: 27 year old gentleman admitted to the acute care service with right sided facial swelling. upon admission, omfs was consulted and he was started on antibiotiocs. he was taken to the operating room where he was found to have a right mandibular abscess. he underwent an incision and drainage of the abscess with placment of three penrose drains. he also had an extraction of the right submandibular molar. during his immediate post-operative course, he remained intubated and was transferred to the intensive care unit for further monitoring. he was extubated on pod #1. his foley and -gastric tube were also discontinued. he was started on a soft diet. blood cultures drawn in the emergency room did grow gpc( beta strept) and polymicrobial gpc/gnrs from his wound culture. he initiallly was treated with vancomycin and zosyn. throughout his hosptial course, infectious disease continued to follow him and recommendations were made for a 4 week course of ertapenem upon discharge. during his hospital stay, he continued on zosyn. his penrose drains were discontinued on pod #4. he had a picc line placed into his right arm and was started on unasyn until his discharge with coversion over to ertapenem at discharge. because of his culture findings, he underwent a echocardiogram to assess for vegetation on the valves. the echo was normal with no signs of vegetation. his vital signs are stable and he is afebrile. his white blood cell count is normal. he is tolerating a regular diet and ambulating. he is preparing for discharge to a rehabilitation facility where he can complete his course of antbiotic and have his electroyltes monitored during this time. he will follow up with infectious disease and with omfs. of note: 1st dose of ertapenem was started prior to discharge on medications on admission: none discharge medications: 1. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) cc injection tid (3 times a day). 3. ertapenem 1 gram recon soln sig: one (1) gm injection once a day: thru . 4. oxycodone 5 mg/5 ml solution sig: 5-10 mg po q3h (every 3 hours) as needed for pain. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 6. colace 60 mg/15 ml syrup sig: twenty five (25) ml po twice a day. discharge disposition: extended care facility: - discharge diagnosis: right submandibular submental, sublingual and lateral pharyngeal space infections. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: * you were admitted to the hospital with an abscess on your right jaw which required drainage in the operating room by the maxillofacial surgeons. * you tolerated the procedure well and currently have been afebrile. * you are able to eat soft foods and should continue to do so. * the infectious disease doctors and recommended intravenous antibiotics for 4 weeks as you had a blood infection along with thejaw infection. * these antibiotics will need to be given thru your picc line. * you will need follow up with the infectious disease doctors along with the maxillofacial surgeons. ( see below ) followup instructions: please follow up with dr on at 10:00 am at , yawkey building acc 5(fifth floor)(#) provider: , md phone: date/time: 10:30 ( infectious disease clinic ) 09:00a id,, ( infectious disease) lm bldg (), basement id west (sb) ( # ) procedure: venous catheterization, not elsewhere classified other surgical extraction of tooth drainage of face and floor of mouth diagnoses: bacteremia other diseases of pharynx, not elsewhere classified streptococcus infection in conditions classified elsewhere and of unspecified site, other streptococcus dental caries, unspecified pseudomonas infection in conditions classified elsewhere and of unspecified site other diseases of trachea and bronchus cellulitis and abscess of face abnormal involuntary movements other specified drug dependence, continuous cellulitis and abscess of oral soft tissues 

Answer: The patient is high likely exposed to