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: past medical history: 1. history is significant for hypertension. 2. the patient gives a history of transient ischemic attacks. 3. the patient did not give a history of diabetes mellitus, chronic obstructive pulmonary disease, or coronary artery disease. past surgical history: 1. lumbar laminectomy. 2. pilonidal cyst excision. medications on admission: 1. atenolol. 2. baclofen. 3. effexor. 4. tylenol #3. 5. trazodone. allergies: the patient is allergic to penicillin. social history: the patient has one pack per day smoking history and rare alcohol use. physical examination: on examination on presentation to this hospital, the patient's temperature was 98.7, pulse 100, blood pressure 95/56, respiratory rate in the 30s and 95% saturation on two liters nasal cannula. general: the patient was a white female, alert and oriented and in no acute distress. cardiac: examination revealed regular, mildly tachycardia. lungs: lungs were clear bilaterally. abdomen: soft, nondistended. there was some tenderness in the left lower quadrant and flank, which was also erythematous. perineum was notable for erythema around the left labia and groin. there was induration. the erythema tracked along the left medial anterior thigh. there was no crepitus. pelvic examination was notable for some cervical motion tenderness, however, there was no purulent discharge. rectal: examination was unremarkable and guaiac negative. hospital course: the patient was admitted to the icu and taken to the operating room fairly urgently for debridement of necrotic tissue. the patient underwent an extensive debridement of the left labial area, left groin, left thigh, and left abdominal wall. necrotic subcutaneous fat and tissue was identified and resected. this tissue was sent for culture and pathological analysis. the patient was taken to the icu postoperatively, where she remained intubated. she was started on vancomycin, clindamycin, and ceftriaxone. infectious disease consultation was obtained to manage the antibiotic treatment. the patient remained hypotensive and required a pulmonary artery catheter placement for hemodynamic management and monitoring. she also required blood-pressure support with levophed during the first several postoperative days. the patient was returned to the operating room on hospital day #1, #2, #3, and #4, for serial debridements, which included the left labia, groin, left thigh, and abdominal wall. the patient was pancultured, initially. wound cultures were significant for staphylococcus epidermidis and group a beta-hemolytic streptococcus. antibiotics were changed to include just vancomycin and clindamycin. ceftriaxone was discontinued. the patient, for the first five or six hospital days, required a large amount of volume resuscitation to maintain her blood pressure. she was actually weaned off the levophed on postoperative day #3, again, just receiving volume resuscitation to support the blood pressure. she remained intubated with a question of ards on chest x-ray. the patient remained essentially hemodynamically stable by postoperative day #6 with blood pressure being adequately supported with volume resuscitation. at this time, the pa catheter was discontinued, changed to a triple-lumen catheter for cvp monitoring. she continued on antibiotics. it was attempted to wean her off ventilatory support. tpn was started for nutritional support at this time. over the next two weeks, the patient was essentially stable receiving nutritional support and general supportive care. she continued to require a large amount of volume resuscitation. she remained on vancomycin and clindamycin for antibiotic therapy. attempts to wean the patient from the ventilator were unsuccessful. on , the patient underwent percutaneous tracheostomy placement by dr. . the patient was transitioned from tpn to tube feedings with a post-pyloric dobbhoff to be placed. she advanced to goal tube feeds without difficulty. the patient's wounds remained clean and there was no evidence of any further extension of the infection. she did not require any further surgical debridement. the patient eventually was weaned off ventilatory support on her tracheostomy, maintaining saturations in the high 90s with a low respiratory rate on 40% tracheostomy collar. the tracheostomy was downsized from a #6 to a #4 and she was given -muir valve allowing her to speak. of note: the hospital course was complicated by an enterobacter line sepsis, treated initially with gentamicin and then later this was changed to levaquin. follow blood cultures after several days of treatment with antibiotics were negative for any further bacteremia. the patient was planned to be continued on two weeks of levaquin after the most recent set of negative blood cultures. the patient completed a long course of vancomycin to treat her group a strep necrotizing fasciitis. the patient remained hemodynamically stable and afebrile. she required less volume resuscitation and eventually was maintained only on tube feeds goal without any additional volume resuscitation. the department of physical therapy was consulted. they began working with the patient to begin to increase her mobility. she was weaned off sedatives in terms of ativan drip and was maintained only on p.r.n. sedation. at this point, vac dressing was applied to the larger of her groin and abdominal wounds and the wounds continued to look excellent with good granulation tissue and contraction of the wounds. she remained afebrile. there were no further positive blood cultures or sputum or urine cultures. at this point, the patient was felt to be ready for discharge to a rehabilitation facility. the patient had undergone swallow evaluation to determine if she was safe to begin oral feedings. it was felt, at this time, that she was a significant aspiration risk, therefore, tube feeds were continued. prior to discharge, the plastic surgery service was consulted for management of the wounds. they recommended at this time to continue treatment with vac dressing until the wounds had contracted somewhat more and they plan to see her in followup in the office for surgical closure of the wounds at that time. the patient was discharged in stable condition with the diagnosis group a strep, necrotizing fasciitis, with fournier's gangrene, status post multiple debridements in the operating room. she is also status post percutaneous tracheostomy placement with the postoperative course complicated by respiratory failure and enterobacter line sepsis. medications on discharge: 1. levaquin 500 mg po ng tube once a day to be discontinued on . 2. the patient was also on clonidine 0.1 mg po b.i.d. 3. oxycodone p.r.n. 4. effexor 150 mg po b.i.d. 5. vitamin c. 6. regular insulin sliding scale. 7. subcutaneous heparin 5000 units t.i.d. 8. zantac 150 mg po b.i.d. upon discharge, the patient has a pic line for venous access and iv antibiotic therapy on foley catheter, as well as tracheostomy. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances temporary tracheostomy excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn diagnoses: unspecified essential hypertension unspecified septicemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure infection and inflammatory reaction due to other vascular device, implant, and graft necrotizing fasciitis 

Answer: The patient is high likely exposed to