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: patient recorded as having no known allergies to drugs attending: chief complaint: fever, perineal pain, erythema and swelling major surgical or invasive procedure: i&d urethral abscess history of present illness: this is a 50m with type ii dm who was transferred to the following incisional and drainage of a urethral abscess by urology. the patient initially developed perineal pain and swelling on . patient also reports dysuria. on , he reports that he was febrile to 103. he was seen by a primary care phsyician who prescribed a 7 day course of cipro. the patient states that he continued to have fevers and worsening of his pain while taking this course of antibiotics. on , he presented to the ed at . he was admitted to urology and started on vanc and zosyn for perineal cellulitis. gentamicin was added on . initial u/s showed normal flow to testes and epididymus, no fluid collection, diffuse swelling, no sub q air. ct scan showed large 12 x 3-cm fluid collection within the perineal space extending posteriorly to the level of the external anal sphincter, concerning for abscess. patient was taken to the . patient's course has been complicated by poorly-controlled blood sugars. patient had been diagnosed with type ii diabetes 2 months ago. he reports a 50lb weight loss in the last month. he has been followed by the consult team while in-house and blood sugar management is on-going. . ros: + visual loss in association with diabetes being worked-up as outpt, mild suprapubic tenderness. past medical history: type ii diabetes severe burns 20 years ago requiring extensive skin grafts hyperlipidemia social history: married, lives with wife, , . 3 children. unemployed. quit smoking 20 days ago, had been smoking cigarettes per day for 35 years. drinks about 1-2 beers every other weekend, has not had any alcohol since diabetes diagnosis. family history: significant diabetes throughout family. father died of mi at age 66. pertinent results: ct pelvis : large 12 x 3-cm fluid collection within the perineal space extending posteriorly to the level of the external anal sphincter, concerning for abscess. . penile us : possible subcutaneous air in the region of the base of the penis. a ct is recommended to further assess this finding. otherwise unremarkable penile shaft. . scrotal us : 1. no evidence of abscess or focal fluid collection. 2. moderate degree of scrotal skin thickening and hyperemia. 3. incidental note is made of a left-sided varicocele. brief hospital course: 50m with dm and large perineal fluid collection requiring i&d in or by urology on . . abscess - large fluid perineal collection 12x3cm requiring i&d. on vanc, zosyn, and gent. no evidence of per urology but will need to be monitored closely. admitted to icu for conscious sedation for packing changes. - continue vanc (d6), zosyn (d6), and gent (d2). - being followed by urology while in icu - dressing/packing changes by urology with conscious sedation anticipated for tomorrow, will likely use fentanyl/midazolam - monitor for signs and symptoms of infection - cis - * course: patient was transferred to the icu for conscious sedation during wound care. urology was able to do multiple i&ds and wound checks on patient. the patient was continued on his antibiotics course and pain management was initiated with dilaudid pca. after two days the patient was able to tolerate dressing changes with minimal sedation, requiring fentanyl. the diabetes service continued to follow him and adjust his diabetes - currently on sips and hypoglycemic with bg of 83. being followed by while in the icu and adjusted his sliding scale accordingly. the patient was transferred to the medicine service once he was able to tolerate dressing changes with minimal sedation. tight blood sugar control has proven challenging thus far. - will start of clears tonight and dose glargine at bed time as appropriate. - appreciate rec's, will continue to titrate insulin sliding scale for optimal blood sugar control - continue daily baby asa for cardiac prevention . o2 requirement - new minimal o2 requirement post-op. former smoker. - wean as tolerated - will monitor fluid balance - incentive spirometry . hyperlipidemia - hold statin for now . fen - advance diet from sips to clears, iss, gentle fluids for now post-op . proph - heparin sc, is, bowel regimen . code status - full code . hcp - wife, , floor course: transferred to floor in stable condition. wtd dressing changes, iv abx, continued diabtetes and id service consults. pain control during dressing changes weaned as wound healed. at discharge, pt performing self insulin administration, wife performing dressing changes, pain controlled with oral anaglesics, po abx regimen in place. pt d/c'd to home with services to follow up with dr. and primary care physician for dm management. medications on admission: 81mg asa daily 500mg cipro 2.5mg glyburide 500mg metformin 20mg lovastatin qpm discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever, pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 20 days: over the counter. disp:*40 capsule(s)* refills:*0* 3. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain: can take 30 minutes before dressing changes. disp:*40 tablet(s)* refills:*0* 4. atorvastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). 5. senna 8.6 mg tablet sig: two (2) tablet po at bedtime for 7 days: over the counter. disp:*14 tablet(s)* refills:*0* 6. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily) for 15 days: over the counter. take with ascorbic acid pill. disp:*15 tablet(s)* refills:*0* 7. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day): over the counter. disp:*1 tube* refills:*2* 8. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. disp:*7 tablet(s)* refills:*0* 9. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 10. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*1* 11. lancets misc sig: one (1) month supply miscellaneous qachs for 1 months. disp:*1 month* refills:*1* 12. insulin syringe-needle u-100 1 ml 29 x syringe sig: one (1) syringe miscellaneous qachs for 1 months. disp:*1 month* refills:*1* 13. insulin glargine 100 unit/ml solution sig: twelve (12) units subcutaneous every morning before breakfast for 1 months. disp:*1 month* refills:*1* 14. insulin lispro 100 unit/ml solution sig: sliding scale units subcutaneous qachs for 1 months. disp:*1 month supply* refills:*1* 15. freestyle lite strips strip sig: one (1) strip in qachs for 1 months. disp:*1 month supply* refills:*1* discharge disposition: home with service facility: homecare discharge diagnosis: perineal cellulitis, epididymo-orchitis, prostatitis, uncontrolled diabetes mellitus type 2 discharge condition: stable discharge instructions: -you may shower but do not bathe, swim or immerse your incision. -do not eat constipating foods for 2-4 weeks, drink plenty of fluids. -do not lift anything heavier than a phone book (10 pounds) or drive until you are seen by your urologist in follow-up. -do not drive or drink alcohol while taking narcotics. -resume all of your home medications, except hold nsaid (aspirin, advil, motrin, ibuprofin) until you see your urologist in follow-up. -call your urologist's office today to schedule a follow-up appointment in weeks and if you have any questions. -if you have fevers > 101.5 f, vomiting, or increased redness, swelling, or discharge from your incision, call your doctor or go to the nearest er. followup instructions: - follow up with dr. in weeks. call for an appointment. - follow up with your primary care doctor clinis regarding your diabetes regimen. procedure: venous catheterization, not elsewhere classified dilation of urethra incision of periurethral tissue diagnoses: cellulitis and abscess of trunk other and unspecified hyperlipidemia iron deficiency anemia, unspecified diabetes with other specified manifestations, type ii or unspecified type, uncontrolled other specified bacterial infections in conditions classified elsewhere and of unspecified site, other anaerobes acute prostatitis orchitis, epididymitis, and epididymo-orchitis, with abscess urethral abscess urethral stricture due to unspecified infection 

Answer: The patient is high likely exposed to