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: history of present illness: the patient is a 33-year-old male admitted for wound infection of his right hand status post altercation with his old girlfriend's mother. the patient has a history of partial hand amputation on the right and presently has exposed hardware. on the patient had incision and drainage of the right hand with hardware removal. past medical history: 1. the patient give a history of substance abuse. 2. on the patient also had an arm injury with a wood cutter. 3. crush injury to the right hand two months prior status post revascularization. allergies: the patient has no known drug allergies. preadmission medications: 1. oxycontin 40 mg b.i.d. 2. percocet p.r.n. 3. keflex 500 mg p.o. q.i.d. 4. paxil 20 mg p.o. q.d. 5. gabapentin 1,200 mg p.o. t.i.d. 5. dilaudid 20 mg p.o. p.r.n. 6. oxycontin 30 mg p.o. t.i.d. 7. oxycodone p.r.n. 8. aspirin 81 mg p.o. q.d. physical examination: temperature 97.3, pulse 75, respiratory rate 24, o2 saturation 94% on room air, blood pressure 113/65. the patient was in no acute distress. heent: pupils equal, round and reactive to light and accommodation. neck: supple. chest: clear to auscultation bilaterally. heart: regular rate and rhythm. abdomen: nontender, nondistended. extremities: right hand slightly erythematous to base of thumb to first web space, partially exposed hardware noted with erythema and some whitish fluid in the area of the exposed hardware. the dressing was clean, dry and intact. hospital course: on the patient had a procedure with removal of hardware of right thumb metacarpal with irrigation. no complications were noted. the patient was stable postoperatively. on the patient was put on a pain regimen of oxycodone sustained release 30 mg b.i.d. as previously with the addition of dilaudid p.o. 2-8 mg q. 4 hours breakthrough pain as well as celebrex 200 mg p.o. q.d. it was planned to take the patient back to the operating room for skin grafting. on the patient had a picc line placed in the left arm for future iv antibiotic provision due to osteomyelitis treatment. on the patient was taken back to the operating room for the procedure to the radial forearm, reverse flap reconstruction along with vein graft from the right leg. he also had split-thickness skin graft. the patient had no complications during surgery and he was sent to the intensive care unit for periodic flap checks and overnight monitoring, without any complications. the patient also had a vacuum-assisted closure unit placed to the right arm. the patient was continued on a regimen of intravenous antibiotics consisting of kefzol 1 gram q. 8 hours. on the patient was transferred to the floor doing well, keeping the hand elevated. he had his diet advanced to clear fluids and his iv was heparin locked. the patient's foley catheter was discontinued. his diet was advanced to a regular diet. the patient was continued on antibiotics. it was noted that the flap and thumb sites were viable. the patient was doing well throughout the rest of the hospital stay. on the patient's v.a.c. unit was discontinued without any complications. the patient was discharged home with vna service, intravenous antibiotics therapy to be included for kefzol q. 8 hours, 1 gram, for a period of six weeks. condition on discharge: stable. discharge instructions: he was instructed to follow up with , m.d. in one week, phone number . discharge medications: 1. dilaudid p.o. 2-8 mg q. 3-4 hours p.r.n. pain. 2. celebrex 200 mg p.o. q.d. the patient was instructed in conjunction with vna services to have daily dressing changes consisting of xeroform applied to first layer with regards to hand and leg; second layer overlying with kerlix to hand and leg respectively, and finally an outer later of ace bandage. the patient may discontinue dressing changes on the right leg starting . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other skin graft to other sites repair of blood vessel with unspecified type of patch graft removal of implanted devices from bone, carpals and metacarpals attachment of pedicle or flap graft to hand diagnoses: infection and inflammatory reaction due to other internal orthopedic device, implant, and graft contracture of joint, hand 

Answer: The patient is high likely exposed to