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: no known allergies / adverse drug reactions attending: chief complaint: peri-rectal pain major surgical or invasive procedure: : incision/drainage/debridement of large perirectal abscess due to foreign body (toothpick) perforation of the rectum : incision and drainage of perirectal abscess with washout of wound, placement of drains, examination under anesthesia and rigid sigmoidoscopy history of present illness: 62m presented with worsening left buttocks pain and redness over 4 days. denied fevers or chills. endorsed malaise and fatigue. ct scan at osh showed significant amount of air in subcutaneous tissue overlying left gluteal muscles and tracking down to ischiorectal fossa. past medical history: pmh: diabetes, htn, hypercholesterolemia, depression psh: bilateral inguinal hernia repair, right knee surgery all: nkda social history: sh: occasional cigar smoker, occasional alcohol use. family history: fh: non-contributory physical exam: admission exam - t 99.5 p 112 bp 105/67 r 18 sao2 97% ra gen: no acute distress, appears lethargic heent: no scleral icterus lungs: clear heart: regular rate and rhythm abd: soft, nontender, nondistended rectal: left gluteal area with induration, erythema, and crepitus extrem: no edema discharge: 98.0 86 100/60 18 98%ra gen: a&o, nad cv: rrr pulm: ctab abd: soft, nontender, nondistended rectal: left gluteal area with decreased errythema and induration, malecot drain in place, no crepitis extr: no edema pertinent results: admission labs - na 126 cl 88 bun 27 glu 307 k 4.5 co2 10 cr 1.3 wbc 14.8 hgb 13.3 plt 275 hct 39.9 n:72 band:9 l:11 m:8 e:0 bas:0 pt: 12.6 ptt: 28.6 inr: 1.2 ct was performed at outside hospital. showed significant subcutaneous air overling the left gluteal muscles, tracking down to the ischiorectal fossa with concern for rectal perforation. ct scan with rectal contrast: left perirectal abscess status post i&d. no evidence of rectal fistula. most recent labs at discharge- 05:16am blood wbc-6.0 rbc-3.58* hgb-10.7* hct-33.2* mcv-93 mch-29.9 mchc-32.3 rdw-13.5 plt ct-270 05:16am blood glucose-202* urean-8 creat-0.6 na-139 k-3.9 cl-105 hco3-27 angap-11 05:16am blood calcium-7.8* phos-3.6 mg-2.4 brief hospital course: after evaluation in the ed, mr was taken urgently to the operating room for debridement, foreign body removal and packing of the open wound. postoperatively he was found to have significant hyperglycemia and multiple electrolytes abnormalities, thus prompting admission to the icu. he was stablized in the icu on and transferred to the floor. colorectal surgery consult () recommended no diversion unless he were to decompensate. he will follow-up with dr as an outpatient. his hospital course is further detailed below by organ system: - neurologic: pain was well controlled on standing tylenol and prn morphine. he was transitioned to oral pain medications when tolerating po's for pain control. - cardiovascular: his home hypertensive and cholesterol medications were held initially post-operatively. they were restarted when he was tolerating po's. his vital signs were routinely monitored and he remained hemodynamically stable. - pulmonary: no active issues. - gastrointestinal: the rectal perforation and subsequent abscess was presumed to be caused by a swallowed tootpick. he was taken to the operating room for an i&d and washout on . the wound was packed with the plan to remove packing in the or 48 hours post-op. he returned to the or on and had the wound unpacked, washed out and a malecot drain placed. he was covered empirically with cipro/flagyl starting on . flushing of the drain was performed. he was instructed on baths. on he had a ct scan with rectal contrast to assess for a connection between the colon and abscess, which was negative. at this time his antibiotics were discontinued. - gu/fen: he was found to be hypokalemic, hypophosphatemic and hyperglycemic post-op. the k and phos were repleted, and he was begun on an insulin drip pod 0 as his blood sugar was difficult to control on sliding scale. he was advanced to a regular diet pod 1 which he tolerated well. he was transitioned off the insulin drip to sliding scale insulin and restarted on his home metformin and lantus dose. his blood sugars initally were high in the 200s, but normalized in the 100's after restarting his home diabetes medications. his electrolytes were routinely monitored and repleted as needed. he had a foley placed pre-op which was kept in place until his second visit to the or to monitor urine output. it was removed postoperatively and he voided without difficulty. - hematology: no active issues. no significant blood loss in or. he was begun on hsq postoperatively for dvt prophylaxis. - musculoskeletal: physical therapy was consulted as the patient's mobility status was noted to have declined from baseline. he was encouraged to mobilize out of bed and ambulate as tolerated. he was discharged to an extended care facility to continue pt and wound care. medications on admission: -zoloft 40mg daily -atenolol 25mg daily -lisinopril 40mg daily -crestor 10mg daily -lantus 10 hs -metformin 1000mg -asa 81 discharge medications: 1. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 2. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous at bedtime. 3. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 4. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. polyethylene glycol 3350 17 gram powder in packet sig: one (1) powder in packet po daily (daily) as needed for constipation. 9. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 10. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 11. insulin regular human 100 unit/ml solution sig: one (1) inection injection four times a day as needed for per sliding scale. discharge disposition: extended care facility: life care center at discharge diagnosis: perirectal abscess discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital with a perirectal abscess. you were taken to the operating room twice and had an incision and drainage. the wound was washed out and a drain was placed. you are now being discharged with the drain in place. wound care: flush the drain twice a day with 20 cc of normal saline. change the packing around the drain site at least once/day and/or each time you have a bowel movement. after having a bowel movement soak the site in bath as instructed while in the hospital to keep the area clean. monitor your blood sugar after discharge and continue your regular home medications. you are being discharged on narcotic pain medication. take this medication as prescribed. it will work best if you take it 20-30 minutes prior to dressing changes. narcotics can cause constipation so it is important that you take an over-the-counter stool softener such as colace and miralax to keep your stool from becoming hard and making it difficult for you to have a bowel movement. narcotics can also cause sedation so you should not drink alcohol or drive while taking narcotics. please follow up with the colorectal surgeon at the appoitment scheduled for you below. followup instructions: department: surgical specialties when: thursday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: rigid proctosigmoidoscopy incision of perirectal tissue incision of perirectal tissue peripheral nerve injection, not otherwise specified proctotomy diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled perforation of intestine depressive disorder, not elsewhere classified hypopotassemia disorders of phosphorus metabolism long-term (current) use of insulin foreign body accidentally entering other orifice abscess of anal and rectal regions foreign body in anus and rectum 

Answer: The patient is high likely exposed to