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 the present illness: the patient is a 66-year-old with a complicated past medical history of sinonasal carcinoma complicated by osteomyelitis of the right mandible and recurrent squamous cell carcinoma at the skull base and a right facial orocutaneous fistula. he had been discharged recently from the with a picc line, iv antibiotics, and a peg with the plan to start tube feeds. he presented on for his planned procedure, resection and reconstruction, by plastic surgery. past medical history: 1. maxillary sinonasal carcinoma. 2. right mandible osteomyelitis. 3. prostate cancer. past surgical history: 1. status post picc, left arm. 2. status post peg. 3. status post total maxillectomy. 4. status post radiation therapy with ostial radial necrosis of the right mandible. allergies: the patient has no known drug allergies. medications from home: 1. colace. 2. duragesic patch 75 micrograms per hour. 3. neurontin 800 mg b.i.d. 4. multivitamin. 5. prozac 20 q.d. 6. erythromycin ointment to the right eye t.i.d. 7. ibuprofen p.r.n. 8. vancomycin 1.25 grams every day. 9. ceftriaxone 2 grams every day. 10. reglan 10 mg per peg. 11. roxicet p.r.n. 12. neomycin to the right ear. 13. iron. 14. oxycodone 40 mg p.o. b.i.d. physical examination on admission: vital signs: the patient was afebrile with vital signs stable. cranial nerves ii through xii were intact with exceptions including the right second nerve, right seventh nerve zygomatic buccal arch, the right maxillary sinus is gone, right mandible is exposed, right eyelid was swollen with erythema. lungs: clear on auscultation. heart: regular rate and rhythm. abdomen: nontender, nondistended, soft with positive bowel sounds. extremities: warm and well perfused with full motor and strength. admission laboratory data: white count 10.0, hematocrit 29, platelets 325,000. coagulations: inr 1.2, bun 24, creatinine 0.7. his chest x-ray showed no acute disease but bilateral apical thickening and emphysematous changes. ekg revealed sinus rhythm at 54, no change compared to . hospital course: the patient was evaluated by plastic surgery, dr. , and was taken to the operating room on . by ent he had (1) tracheostomy. (2) right modified radical neck dissection including levels . (3) orbital excision. (4) overlying facial defect removed. (5) mandibulectomy. findings were that the tumor did involve the orbit and there is a pathological fracture in the mandible. plastic surgery on did a right rectus abdominis myocutaneous transfer to the right hemifacial defect. total id was 6,200. urine output was 2,500. ebl 500 cc. he was taken to the icu with frequent flap checks. prior to this, he received 2 units of packed red blood cells for a crit of 29 prior to going for the operation. he tolerated the procedure well. he stayed in the icu for two days. he was taken off the ventilator without problems. was transferred to the floor. id was consulted regarding his antibiotics and they recommended for his history of osteomyelitis and radionecrosis, especially in the setting of a new myocutaneous flap, to continue his antibiotics, vancomycin, ceftriaxone, and flagyl, for a total of six weeks. he has a left picc line for this. his electrolytes were checked and repleted. potassium one day was found to be 2.9 and repleted to goal. gastrointestinal: he has had some difficulty with tube feeds. at first he had nausea and high residuals. he received two days of reglan. he now has continuing diarrhea. his c. difficile is negative. we have changed the tube feeds. we are starting lomotil today and had some improvement, but he is otherwise tolerating his tube feeds at goal. pain is well controlled. he does complain of a headache. a new finding is also of a left foot drop with some numbness on the dorsum of his foot anteriorly. this is new in the hospital, presumed to be due to operating room positioning during this long case and should resolve. physical therapy has seen him and will be following him at home. he has a foot brace that has been helping. he is independently ambulating and deemed safe for discharge with vna on . follow-up: the patient is to follow-up in ent with dr. , . he is to call for an appointment in one to two weeks. he is to follow-up with plastic surgery, dr. , . he is to call for an appointment in one to two weeks. he is also to follow-up with infectious disease, dr. . he has an appointment set up for at 11:00 a.m. in 11 riseman at the . he is also to follow-up with his primary care provider this week. discharge medications: 1. ceftriaxone 2 grams q. 12 hours iv for five more weeks. 2. fluoxetine 20 mg q.d. 3. gabapentin 800 mg b.i.d. 4. aspirin 81 mg q.d. 5. lorazepam milliliters every six hours as needed. 6. vancomycin 750 mg iv q. 12 for five more weeks. 7. metronidazole 500 mg t.i.d. for three weeks. 8. famotidine 20 mg per g tube twice a day. 9. tylenol elixir p.r.n. 10. oxycodone solution p.r.n. pain. 11. chlorhexidine gluconate solution 15 ml four times a day. discharge instructions: 1. concerning his diarrhea: c. difficile is negative. he is to continue his home tube feeds, seven cans a day of promod with fiber or nestle equivalent. in two days, if he has continued diarrhea, the vna is to check cbc and chemistries and sent results to his pcp or dr. . he was also started on lomotil in the hospital and can titrate this to effect at home. 2. physical therapy: for the left foot drop, he will be followed and evaluated. 3. he is to continue antibiotics for a total of five weeks. 4. jp drain management per plastics. they are to keep this jp drain in with recording of daily output and bring to the plastic surgery appointment. 5. wound check: there is a small orocutaneous fistula at the anterior side of the mouth. please check on this daily. his old tracheostomy site has been closed with steri-strips and covered with a dry sterile dressing. only change the dry sterile dressing. 6. he has a picc line in the left arm which should be flushed and kept patent. 7. peg tube for which he will have tube feeds and should be flushed to keep patency. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances temporary tracheostomy attachment of pedicle or flap graft to other sites radical neck dissection, unilateral partial mandibulectomy partial ostectomy of other facial bone other exenteration of orbit other excision or avulsion of cranial and peripheral nerves diagnoses: chronic airway obstruction, not elsewhere classified secondary malignant neoplasm of other specified sites secondary malignant neoplasm of bone and bone marrow radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure pathologic fracture of other specified site inflammatory conditions of jaw lesion of lateral popliteal nerve aseptic necrosis of bone, other malignant neoplasm of maxillary sinus 

Answer: The patient is high likely exposed to