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: sulfa (sulfonamides) attending: chief complaint: leg pain/swelling, fever and hypotenion major surgical or invasive procedure: central venous access history of present illness: ms. is a 36 year old woman with no past medical history who presented to an osh complaining of left leg pain. one day prior to admission, she was sitting up in bed watching television and thought she had been bitten by a spider. she didn't notice any changes until several hours later when she began feeling a sharp pain behind her knee, along with swelling. the pain and swelling progressed and she sought medical attention. at the osh, she was started on ceftriaxone and vancomycin, and a tetanus booster was administered. she was noted to be febrile to 104 and to have spreading erythema from her anterior shin and popliteal fossa. her wbc was 20 and had a left shift with 16 bands. . in the ed, she was seen by surgery for possible necrotizing fasciitis. they did not feel this was nec fasc and recommended following serial exams. while in the emergency department, she remained tachycardic and febrile. blood cultures were not drawn as antibiotics had already been given at the osh. her sbp dropped to 90 (t101.1,hr128) so a central line with cvo2 sat monitor was placed. 1mg ativan was also given during the procedure. . she was admitted to the micu for closer monitoring. she was given unasyn, vancomycin and ceftriaxone. as her hemodynamics have remained stable, she is now called out. . at the time of admission, she denied any symptoms and feels generally improved. she had a headache, but this resolved with getting her eyeglasses. she had no meningismus or photophobia at any time. she notes that the areas of redness have increased in size, but decreased in color intensity. she does feel diaphoretic, but notes that she has been febrile. other than the history of possible bite, she does not note any trauma to her leg. she denies dm, hiv, sexual activity outside of her marriage (of nine years) or ivda. she has not had any sick contacts and has not travelled or had contact with travellers. past medical history: s/p 2 caesarian sections social history: pt denies tobacco use for >2yrs family history: has "many medical problems" in her family. her father died at age 42 of rare form of prostate ca, her mother is alive with emphesyma. physical exam: vs: tm 104.1 tc 98.6 bp 114/46 hr 115 rr 18 sat 97% ra gen: pleasant, drowsy woman, in bed in no apparent distress. heent: perrl, sclerae anicteric, mmm, eomi. neck: supple. cv: normal s1/s2, rrr, no m/r/g pul: cta bilaterally abd: obese, soft, nt, nd, +bs ext: rle with spotty erythema, outlines drawn in ed, some erythema extending outside of border, some areas smaller. dp 2+, pt 2+ bilaterally, rp 2+ bilaterally. neuro: sleepy but easily arousable. a&ox3 pertinent results: 11:28pm type-mix po2-55* pco2-38 ph-7.53* total co2-33* base xs-8 comments-green top 11:28pm lactate-0.8 11:28pm o2 sat-84 08:50pm urine hours-random 08:50pm urine uhold-hold 08:50pm urine color-yellow appear-clear sp -1.026 08:50pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 07:54pm lactate-1.6 07:40pm glucose-117* urea n-9 creat-0.8 sodium-135 potassium-3.7 chloride-103 total co2-20* anion gap-16 07:40pm alt(sgpt)-21 ast(sgot)-15 ck(cpk)-58 amylase-27 tot bili-0.5 07:40pm lipase-16 07:40pm calcium-8.2* phosphate-3.2 magnesium-1.7 07:40pm wbc-14.0* rbc-4.58 hgb-13.0 hct-37.5 mcv-82 mch-28.3 mchc-34.6 rdw-15.1 07:40pm neuts-87.2* bands-0 lymphs-10.1* monos-1.9* eos-0.1 basos-0.7 07:40pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 07:40pm plt smr-normal plt count-296 07:40pm pt-14.1* ptt-26.2 inr(pt)-1.3* brief hospital course: micu course: the patient was admitted to the mci and remained hd stable the entire time. her tachycardia improved with iv fluids and pain control, although she remained persistently around hr 110s. surgery continued to follow the patient and felt that there was no evience of nec fasciitis or deeper infection. the patient was continued on vancomycin and unasyn. on hd 2 the central line was discontinued in preparation for transfer to the floor; however, the patient spiked to 104.2 and was kept in the micu overnight. there was development of new areas of erythema on the medial aspect of the r leg to the groin by hd 3. an u/s of the leg was negative for dvt. the pt was complaining of ha on hd 3, plans were made for lp, and the patient was started on ctx 2g q 12 h (meningitic dosing); however, the ha resolved spontaneously, there was no nuchal rigidity, and the pt appeared non-toxic, so lp was deferred. for the cellulitis, ceftriaxone was started at 1 g q 24h, vanco was continued for a concern of community acquired mrsa, and the unasyn was discontinued. the patient remained afebrile, hd stable with a persistent low-grade tachycardia, and was called out to the floor on hd 3. . on admission to the floor, her ceftriaxone was discontinued and she was changed to unasyn 3gm iv q8hrs and continued on the vancomycin 1000 mg iv q12hrs. she was also started on continuous fluids 150ml/hr due to her tachycardia and presumed decrease in fluid status, given her previous fevers and diaphoresis. on hd4, she noted that her leg edema was markedly improved, with decreased swelling and erythema. . on hd5, her vanco was dced and she was switched to po augmentin. there was a plan to observe the patient for 24 more hours to confirm clinical stability and continued improvement on augmentin. this was felt important because of the severity of illness, poor penetration of iv antibiotics, and possibility of mrsa. however, the patient was tearful in response to this plan and expressed difficulties with a ride home the following day, with child care, and with cost of hospitalization. after discussion of these concerns with the attending physician, patient was cleared for discharge. the following measures were taken to make said discharge as safe as possible: the patient was given warning signs that should prompt urgent return to the ed, the patient was given a two week course of augmentin, primary care followup was secured for the following day. additionally, the patient is believed to be reliable, and does not live alone. . of note, the patient's hematocrit was 35, with mcv of 83, but no evidence of blood loss. this will be followed up in primary care tommorow. medications on admission: none. discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 2. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cellulitis sepsis discharge condition: stable discharge instructions: the following represent signs of worstening cellulitis and should prompt immediate return to the emergency department: increased swelling, pain, area of redness, intensity of redness in your right leg, fevers, excessive sweating, or weakness. nausea, vomiting, lightheadedness or any symptoms of conern to you should also prompt immediate return to the ed. please take all of your medications as directed. followup instructions: please follow up with dr. on at 4:00pm. procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified unspecified septicemia sepsis cellulitis and abscess of leg, except foot fasciitis, unspecified 

Answer: The patient is high likely exposed to