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: codeine attending: chief complaint: swollen right third digit and hand. major surgical or invasive procedure: wide incision, drainage and debridement of right long finger, right hand, and right distal forearm. repeat irrigation and debridement of right hand wound. debridement dorsal aspect right forearm, wrist and long finger. delayed primary closure right forearm and wrist. application of vac dressing. debridement dorsal aspect right forearm, wrist and long . delayed primary closure right forearm and wrist. application of vac dressing. history of present illness: 26 yo right handed male who punctured the middle phalanx of the third digit while handling a catfish at work yesterday at 9am. he cleaned it out with warm soapy water, and wasn't concerned about the wound there after. 12 hours later, he noted increasing pain, erythema, and swelling that began to track up the dorsum of his right hand, in addition to feeling chills. at this point he felt that he should come into the hospital, and presented to the e.d. prs was consulted for optimal management of hand infection. no known sick contacts and no signs of infection aside from the hand: no dysuria or increased urinary frequency, no coughing, no other skin lesions, no sinus symptoms, no head ache, no n/v/d. past medical history: wisdom tooth extraction. social history: no tobacco history, occasional etoh, works at family history: no immune system conditions, o/w non-contributory. physical exam: on admission: vitals: 104.6/118//18/99% ra gen: nad heent: nc/at, cv: rrr, nl s1 and s2, no mrg pulm: cta-b abd: nt/nd, bs+, soft ext: puncture wound on middle right phalanx on the dorsal/ulnar side. the entire digit is has significant swelling that extends over the dorsal aspect of the hand to the base of the metacarpals. some tenderness to passive and active flexion and extension, limited due to pain and swelling. no erythema, sensation is intact. rom is limited and can only bend right 3rd digit to 90 degrees. no forearm tenderness to passive flexion and extension. right forearm is warmer to touch than left. pertinent results: 11:20am blood wbc-7.5 rbc-4.20* hgb-12.6* hct-35.3* mcv-84 mch-30.0 mchc-35.8* rdw-14.2 plt ct-427# brief hospital course: the patient was admitted to the plastic surgery service on and had several operations to control likely necrotizing fasciitis. the patient tolerated the procedures well. neuro: post-operatively, the patient received pca with good effect and adequate pain control. he was transitioned to oral pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. his diet was advanced when appropriate, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement. id: infectious disease services was consulted. the patient was treated with vancomycin, doxycycline, and zosyn. at the time discharge, the patient was discharged with continued doxycycline and zosyn. the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. wound: dressing changes were performed daily, and will be continued by vna on discharge. at the time of discharge, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: none discharge medications: 1. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) 4.5g/100ml intravenous q8h (every 8 hours) for 7 days. disp:*21 4.5g/100ml* refills:*0* 2. doxycycline hyclate 100 mg capsule sig: one (1) capsule po q12h (every 12 hours) for 7 days. disp:*14 capsule(s)* refills:*0* 3. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. disp:*10 ml(s)* refills:*10* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*60 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 6. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 7. bacitracin 500 unit/g ointment sig: one (1) topical once a day: apply daily to finger. disp:*1 tube* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: catfish barb penetration, right long finger, with suspected necrotizing fasciitis. discharge condition: stable discharge instructions: return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. please keep your hand dry. vna will assist you with daily dressing changes and iv antibiotics. followup instructions: please follow-up in hand clinic on tuesday, . call ( to schedule your appointment. please follow-up in the infectious disease clinic. you will be contact by dr. , for an appointment. call if you have questions. your appointment will be in mid . md procedure: venous catheterization, not elsewhere classified excisional debridement of wound, infection, or burn other suture of muscle or fascia other immobilization, pressure, and attention to wound suture of muscle or fascia of hand excision of other lesion of soft tissue of hand other incision of soft tissue of hand diagnoses: cellulitis and abscess of hand, except fingers and thumb necrotizing fasciitis other specified injury caused by animal open wound of finger(s), complicated 

Answer: The patient is high likely exposed to