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: perineal pain major surgical or invasive procedure: examination under anesthesia; extensive debridement of the right-sided perianal/perirectal perineum soft tissue and skin; mobilization and interrogation of the right testicle; anoscopy; condylomata excision. 1. excisional debridement of soft tissue necrotizing soft tissue infection of the perineum and scrotum, 2. extensive washout using a pulse irrigator. 3. excision of condylomata of the anus. 4. exploratory laparotomy and diverting colostomy/hartmann's procedure. 1. debridement of perineum. 2. resection of perianal condylomata (left). 3. placement of right testicle and cord structures in a right thigh subcutaneous pouch. history of present illness: 40ym with iddm presents with a "bump" on his buttock starting friday. since then worsening pain and drainage. was seen at osh today and thought to have necrotizing infection. started on broad spectrum antibiotics, received 4 liters of fluid and transfered for further care. past medical history: nephrolithiasis, iddm, hyperchol, htn family history: nc physical exam: on admission: physical exam: 103.1 100 130/60 20 95 ra gen: lethargic, diaphoretic heent: no scleral icterus, mucus membranes moist cv: rrr pulm: unlabored abd: soft, nondistended, nontender, no rebound or guarding, normoactive bowel sounds, no palbable masses gu/perineum: large area of necrotic tissue over right buttock extending towards anus (16x10cm), foul smelling, crepitus and erythema spreading to surronding skin and soft tissue. swollen scrotum mostly on the right, no appreciable crepitus. massive anal condylomata. ext: no le edema, le warm and well perfused brief hospital course: pt was emergently seen in the er and determined to have fournier's gangrene. he was immediately started on broad spectrum iv antibiotics and taken to the or expeditiously. urology was also consulted to see the patient intraoperatively regarding potential testicular involvement. the patient was taken to the or for debridement which is described in detail in his operative summary, but in short a large area of affected tissue was excised and left open, including the entirety of the right testicle and scrotum and affecting tissue from the rectum to the inguinal canal. postoperatively he was taken to the icu for further management. on pod 1 the patient returned to the or for: 1. excisional debridement of soft tissue necrotizing soft tissue infection of the perineum and scrotum, 2. extensive washout using a pulse irrigator. 3. excision of condylomata of the anus. 4. exploratory laparotomy and diverting colostomy/hartmann's procedure. on he returned to the or for: 1. debridement of perineum. 2. resection of perianal condylomata (left). 3. placement of right testicle and cord structures in a right thigh subcutaneous pouch. the patient was extubated and his diet was advanced after the colostomy was functioning. his antibiotics were continued with a goal of 10 days total (start date . dressing changes with dakin solution, moist to dry with a kerlex was performed in the icu. he was transferred to the floor with pca for pain, dressing changes and iv antibiotics. discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheeze. 2. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. metformin 500 mg tablet sig: one (1) tablet po tid (3 times a day). 5. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 8. ms contin 15 mg tablet sustained release sig: three (3) tablet sustained release po three times a day. disp:*270 tablet sustained release(s)* refills:*0* 9. acetaminophen 650 mg/20.3 ml solution sig: one (1) po q6h (every 6 hours) as needed for pain. 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for reflux. 11. ketorolac 10 mg tablet sig: two (2) tablet po three times a day for 5 days. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: fournier's gangrene discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you may resume activity as tolerated. please continue dressing changes twice a day with the solution. visting nursing services will help change your dressing and you can use the pain medication before changes. if you notice increasing pain or foul smelling discharge from the wound please contact your primary care doctor or the acs surgical team here at or go the emergency room. followup instructions: you should follow up withprovider: , md phone: date/time: 11:30 for your plastic surgery appointment. please call clinic at to schedule an appointment for 2 weeks. procedure: open and other left hemicolectomy colostomy, not otherwise specified excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excision of lesion of other soft tissue excision of lesion of other soft tissue orchiopexy other local excision or destruction of lesion or tissue of anus other local excision or destruction of lesion or tissue of anus other local excision or destruction of lesion or tissue of anus other diagnostic ultrasound other operations on testes other diagnostic procedures on spermatic cord, epididymis, and vas deferens diagnoses: tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia long-term (current) use of insulin vascular disorders of male genital organs gangrene cellulitis and abscess of buttock condyloma acuminatum 

Answer: The patient is high likely exposed to