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: peri-anal abscess major surgical or invasive procedure: none history of present illness: 22yf with no pmh other than recent diagnosis of genital herpes started on acyclovir. presented to an outside hospital with perirectal pain x 1 week. ct scan of the pelvis there demonstrated some rectosigmoid stranding as well as some stranding in the left buttock. the ct scan did not image all the way through the buttock. she was taken to the or where she was found to have a necrotizing infection involving mostly the skin with some minimal soft tissue. a large area of skin was debrided on the left buttock near the anal verge, and smaller amount on the right buttock near the anal verge. she had some moderated hypotension and tachycardia responsive to fluids and was then transferred to for further management and evaluation for additional surgery. past medical history: genital herpes , chlamydia, bacterial vaginosis, chronic constipation psh: left buttock debridement family history: noncontributory physical exam: upon presentation: vs: 97.6 110 110/70 18 99ra gen: nad cv: tachy pulm: unlab, cta b/l abd: soft, nt, nd gu: debrided area on left buttock near anal verge approx 6x6cm in size, no residual necrotic tissue or purulence. there is a large area of indurated and tender tissue through the majority of the medial buttock lateral to the debrided area. no erythema. there is a smaller area on the right buttock near the anal verge about 2 x 3cm in size that has been debrided, mostly skin, that also appears healthy without necrosis or purulence. pertinent results: 09:59pm glucose-98 urea n-19 creat-0.7 sodium-139 potassium-3.6 chloride-107 total co2-19* anion gap-17 09:59pm alt(sgpt)-17 ast(sgot)-15 alk phos-112* tot bili-0.6 09:59pm calcium-8.6 phosphate-2.6* magnesium-1.7 09:59pm wbc-39.9* rbc-3.00* hgb-9.4* hct-27.0* mcv-90 mch-31.2 mchc-34.6 rdw-13.8 wbc rbc hgb hct 22.7* 3.64* 11.1* 33.1* ct abd/pelvis: impression: 1. heterogenous attenuation to the liver likely related to phase of contast enhancement. haemangioma segment viii with a further are of subtle enhancement and possible mass effect in segment 5. an underlying fnh/adenoma cannot be excluded, and ultrasound can be considered to evaluate this further. 2. perirectal debridement with perineal inflammatory change. no discernable perirectal abscess or extension in to the anal orifice / rectum. 3. pelvic left kidney. brief hospital course: she was admitted to the acs service from an outside hospital for further evaluation of her peri-anal wound. she was given antibiotics and twice daily dressing changes. her wbc was very high initially (39.9) and trended downward so that at time of discharge it was 22. she did have pain control issues requiring intravenous narcotics for dressing changes. her oral narcotics were increased which have been effective in controlling her pain. she was given a bowel regimen and started on bath. she consented to hiv testing which came back negative. she was seen by social work for coping and providing emotional support given her current illness. at time of discharge she was tolerating a regular diet, her pain adequately controlled on an oral pain regimen and ambulating independently. she was provided instruction for following up with her primary surgeon. medications on admission: valacyclovir 500mg daily discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 1 days. disp:*1 tablet(s)* refills:*0* 5. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 6. valacyclovir 500 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: all care vna of greater discharge diagnosis: peri-anal abscess 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 for evaluation of your wound. you were treated with intravenous antibiotics and pain medication. twice daily dressing changes were performed and will need to continue once discharged to home by the visiting nurses. it is importnat that you do the warm baths at least 2x/day after discharge. followup instructions: follow up with dr. within the next week for assessment of your wound. you will need to call for an appointment. procedure: arterial catheterization diagnoses: unspecified septicemia sepsis other constipation abscess of anal and rectal regions physical restraints status genital herpes, unspecified 

Answer: The patient is high likely exposed to