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: perineal pain major surgical or invasive procedure: perineal i&d re-exploration of perineal abscess history of present illness: 60 y.o. male with h/o dm i s/p combined kidney and pancreas transplant in who c/o painful urination x3months. now c/o painful pernineal pain x 1 month. at er with gu sx. he had pyuria with negative cultures but was empirically treated with cipro. he returned to hospital with increasing gu sx of pain on void with retention. he had 800 cc residual urine in the bladder. a foley was placed. he was noted to have left buttock lump and perineal swelling. id was consulted. unasyn was started. on 10cc was aspirated and had 30,000 wbc, amylase was 889 and serum amylase was 90. he was transferred to sicu. normal creatinine is ~1.5. past medical history: kidney pancreas transplant , esophageal ca, dm i, gastroparesis, tia, cataracts, neuropathy, htn, old avf on right forearm, hypercholesterolemia, s/p appy, barretts s/p esoph resection, h/o right foot cellulitits, ?rheumatic fever (per pt) social history: (sister)is hcp family history: n/c physical exam: 99.3 68 133/46 15 96% a&o, anicteric sclerae neck supple chest clear cor no jvd, sys murmur at lusb abd soft nt/nd, nabs, uq graft-nt/no bruit gu + purulent drainage at meatus, erythema & induration in l>r scrotum & suprapubic area to l perineum. pertinent results: on admission: wbc-11.7* rbc-3.41*# hgb-9.4*# hct-29.4*# mcv-86 mch-27.6 mchc-32.0 rdw-17.1* plt ct-408 pt-12.6 ptt-23.1 inr(pt)-1.1 glucose-106* urean-15 creat-1.3* na-134 k-4.4 cl-100 hco3-22 angap-16 alt-11 ast-10 ld(ldh)-152 alkphos-138* amylase-64 totbili-0.2 lipase-41 albumin-3.2* calcium-9.0 phos-2.6* mg-2.0 psa-1.1 urine color-yellow appear-clear sp -1.009 blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-mod rbc-0-2 wbc- bacteri-few yeast-none epi-0-2 urine culture: no growth rt penile collection culture: gram stain: no polymorphonuclear leukocytes seen, no microorganisms seen. fluid culture no growth, anaerobic culture: no growth. acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (pending): fungal culture (preliminary): no fungus isolated. brief hospital course: vanco and zosyn were started on and urology was consulted. it was felt that he had bulbar urethral injury with extravasation and abscess. on ct with contrast showed multiple loculated fluid collections within the perineal region adjacent to the urethra. there was concern for urethral fistula from the pancreatic graft. peri-anal fistula was thought to be less likely given the location of the loculated collections. on a retro urogram revealed no evidence of bladder or urethral leak. irregularity along the membranous urethra extending to the prostatic urethra was suggestive of chronic inflammatory or edematous state. on he had incision and drainage of perineal abscess and exam under anesthesia for pernieal abscess. a swab revealed 2+ pmns and no growth. wound dressings consisted of packed with iodiform and external gauze. a foley catheter remained in place. on ct without contrast showed significant improvement. stable peripenile multiloculated fluid collections stable surrounding inflammatory change. new air within the renal pelvis of the left pelvic transplanted kidney. on he underwent re-exploration of perineum for perineal abscess on by dr. . on , he had successful ct fluoroscopic-guidance drainage of multiloculated fluid perineal collection. this aspirate has been negative to date including afb. fluid was sent for amylase and lipase of which both were high. nephrology followed him during this hospital stay. the plan was to send him to rehab for iv vanco and po augmentin for 2 weeks with left buttock dressing changes qd. the wound tract was ~8cm and was loosely packed with saline wet to dry kerlex ~5cm. a foley was left in place. ua was repeated on for wbc of 13.1. ua demonstrated wbc, lg rbc, mod leukocytes, 1 eosinophil and negative nitrites. a urine culture was also sent. the long term plan is to convert the pancreas transplant from bladder drainage to enteric drainage once the infection resolved and the wound healed. foley needs to remain in place until surgery. medications on admission: bicarb 325mg daily cellcept 1000mg po bid prograf 1mg po bid prednisone 5mg po daily atenolol 100mg po daily cardizem 240mg po daily ms contin 15mg po bid senokot 2 tab po bid asa 325 daily discharge medications: 1. picc line supplies heparin & saline flushes supply:2 weeks pump refill:x1 tubing dressing supplies 2. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) gram intravenous q 24h (every 24 hours). disp:*14 gram* refills:*1* 3. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day. disp:*28 tablet(s)* refills:*0* 4. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 5. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 6. atenolol 50 mg tablet sig: two (2) tablet po daily (daily): hold sbp <110 or hr <60. 7. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily): hold sbp <100 or hr <60. 8. tramadol 50 mg tablet sig: one (1) tablet po q8 prn (). 9. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 10. sodium bicarbonate 650 mg tablet sig: 0.5 tablet po daily (daily). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 12. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 13. tacrolimus 1 mg capsule sig: one (1) capsule po bid (2 times a day). 14. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: perineal abscess discharge condition: good discharge instructions: please call transplant office if fevers, chills, increased perineal/scrotal pain, increased drainage or any questions. resume previous lab schedule vanco/zosyn via picc x2 weeks followup instructions: provider: , md phone: date/time: 1:40 procedure: venous catheterization, not elsewhere classified percutaneous abdominal drainage other incision with drainage of skin and subcutaneous tissue other incision of perianal tissue diagnoses: cellulitis and abscess of trunk unspecified essential hypertension polyneuropathy in diabetes other specified diseases of pancreas diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant gastroparesis pancreas replaced by transplant personal history of malignant neoplasm of esophagus abscess of anal and rectal regions 

Answer: The patient is high likely exposed to