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: penicillins / sulfonamides / aspirin / cephalexin / wellbutrin / doxycycline / compazine / ciprofloxacin attending: chief complaint: thigh pain, sepsis major surgical or invasive procedure: : 1. incision and drainage of bilateral thighs. 2. cystoscopy, urethroscopy, removal of tension-free vaginal tape- obturator mesh sling. : 1. incision and drainage of right thigh with subcutaneous tissue and fascial biopsy. 2. incision and drainage of left thigh. : change of wound vac : split thickness skin graft, right thigh, 15 cm x 9 cm. history of present illness: 45f s/p patient status post tvt obturator procedure at states she began to have thigh pain 3 days after the surgery. she was sent to the ed by her pcp for failure to thrive and was found to be hypotensive in the 70s. after 6 liters of fluid and doses of vancomycin, imipenem, and clindamycin her blood pressure returned to her norm (sbp 90s). by report the patient also had fevers at home. past medical history: pmh: ibs, gerd, tbi, migraine, depression psh: r shoulder , bladder sling , nasal surgery nos social history: the patient does not work. she is on disability from her tbi. she was a special needs teacher and was hit in the temporal lobe. she smokes cigarettes. she does not drink alcohol. she has 1 son. she is single. she has good family support from her mother and father family history: non contributory physical exam: on admission: 98 121 76/55 16 100 nad no respiratory distress abdomen tender suprapubic and bilateral lower quadrants pelvic exam unremarkable by report from gyn extrensive blanching erythema extending from groin to mid thigh, incisions appear well-healed at discharged: 98.3 97.4 95 94/58 18 95ra nad, comfortable, frail woman looking older that stated age lungs: clear b/l cv: mild tachy, no m/r/g abd: soft, non-tender, non-distended ext: r inner thigh with skin graft with near 100% take, l inner thigh with wet-to-dry dressing, no induration or swelling edges healing well. posterior legs, skin sloughing areas healing well pertinent results: radiology: c/a/p ct with contrast:(prelim) moderate bilateral pleural effusions with septal thickening seen throughout the lungs compatible with pulmonary edema. diffuse bowel wall thickening and edema, involving both small and large bowel loops with marked mucosal hyperenhancement, suggestive of shock bowel. diffuse periportal edema with new moderate ascites. wedge shaped area of low attenuation in the right kidney (2:63), may reflect an infarct. heterogeneous enhancement pattern of the spleen, likely moire pattern from contrast timing. new locules of air in the right groin, with wound in the medial thighs bilaterally, likely reflect post-surgical changes following exploration. anasarca. ct a/p impression: 1. slight decrease in size of pleural effusion and ascites. 2. interlobular septal thickening and patchy consolidation at both lung bases. findings consistent with pulmonary edema and superimposed pneumonia. 3. foci of low attenuation in the spleen could represent small parenchymal infarcts. 4. fluid within the intermuscular fascia and muscles of the medial compartment of both thighs has slightly increased in comparison to the prior scan, but no new areas of gas are seen with the muscles or subcutaneous tissues. echocardiogram conclusions left ventricular wall thicknesses and cavity size are normal. there is moderate global left ventricular hypokinesis (lvef = 30%). right ventricular chamber size and free wall motion are normal. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. impression: moderate global left ventricular systolic dysfunction. compared with the prior study (images reviewed) of , the findings are similar. lv systolic function may have been slightly underestimated on the prior study. pathology: skin and soft tissue : diagnosis: i. right thigh, skin and subcutaneous tissue (a-b): skin with ulceration and subcutaneous tissue with acute inflammation, fat necrosis and focal abscess formation. ii. right thigh, fascia (c): gangrenous necrosis of soft tissue. micro: - implant - beta streptococcus group a - right thigh - albicans - yeast stool - cdiff negative labs: 03:53am blood wbc-34.8*# rbc-3.67* hgb-10.8* hct-32.0* mcv-87 mch-29.3 mchc-33.6 rdw-16.6* plt ct-163 08:37am blood wbc-42.0* rbc-3.62* hgb-10.5* hct-31.5* mcv-87 mch-29.1 mchc-33.4 rdw-16.4* plt ct-142* 12:41pm blood wbc-38.0* rbc-3.53* hgb-10.2* hct-30.1* mcv-86 mch-28.9 mchc-33.8 rdw-16.5* plt ct-101* 03:41am blood wbc-30.3* rbc-2.55* hgb-7.5* hct-22.0* mcv-86 mch-29.6 mchc-34.3 rdw-16.7* plt ct-38* 12:48pm blood wbc-16.9* rbc-3.33* hgb-9.5* hct-28.7* mcv-86 mch-28.7 mchc-33.2 rdw-16.7* plt ct-49* 02:47am blood wbc-15.2* rbc-2.68* hgb-7.7* hct-23.7* mcv-88 mch-28.8 mchc-32.7 rdw-16.5* plt ct-357 02:18am blood wbc-12.2* rbc-2.55* hgb-7.3* hct-22.4* mcv-88 mch-28.5 mchc-32.4 rdw-16.6* plt ct-422 05:45am blood wbc-11.6* rbc-2.55* hgb-7.4* hct-22.9* mcv-90 mch-29.1 mchc-32.5 rdw-17.0* plt ct-428 04:59am blood pt-13.6* ptt-31.6 inr(pt)-1.2* 11:55am blood glucose-71 urean-76* creat-5.9*# na-132* k-3.6 cl-94* hco3-14* angap-28* 03:53am blood glucose-198* urean-48* creat-2.6* na-135 k-3.0* cl-103 hco3-16* angap-19 12:41pm blood glucose-208* urean-34* creat-1.9* na-137 k-3.0* cl-98 hco3-20* angap-22* 08:57pm blood glucose-187* urean-28* creat-1.6* na-131* k-3.3 cl-94* hco3-24 angap-16 06:51am blood glucose-124* urean-22* creat-1.2* na-134 k-3.5 cl-96 hco3-26 angap-16 03:56am blood glucose-96 urean-25* creat-0.9 na-138 k-3.3 cl-105 hco3-26 angap-10 05:45am blood glucose-82 urean-9 creat-0.6 na-137 k-3.7 cl-112* hco3-19* angap-10 04:50am blood glucose-93 urean-8 creat-0.5 na-138 k-3.5 cl-107 hco3-25 angap-10 11:55am blood alt-39 ast-149* ck(cpk)-2620* alkphos-111* totbili-0.6 08:57pm blood alt-40 ast-148* ld(ldh)-358* ck(cpk)-2299* alkphos-80 totbili-0.6 03:30am blood alt-24 ast-39 ck(cpk)-163 alkphos-122* amylase-42 totbili-0.7 04:26am blood alt-4 ast-45* ck(cpk)-83 alkphos-168* totbili-0.6 04:26am blood albumin-1.7* calcium-8.6 phos-4.0 mg-1.6 brief hospital course: the patient presented to the emergency room on in septic shock. she was given 6 l ivf and 1 dose of vancomycin, clindamycin, and imipenem prophylactically for concern for septic shock with necrotizing fascitis. a central line was placed and both surgery and gyn were consulted. gyn noted nl pelvic exam with well healed tvt incision. ct imaging confirmed soft tissue infection to b/l thighs extending to femur and thus it was decided to take the pt to the or urgently for emergent exploration and removal of her tvt. in the or, it was discovered that pt had completely viable fascia and tissue with no necrosis. a minimal amount of pus was found in the r. inner thigh which was sent for culture. pt was continued on iv vancomycin, clindamycin, and meropenem. she was admitted to the icu where she was on 2 vasopressors and in acute renal failure and was initiated on cvvh. she received a repeat pan ct with contrast notable for shock liver, shock bowel, and r. kidney infarct. she remained intubated, sedated on midazolam and fentanyl. pod 1 continued on ventilatory support, cvvh, vasopressors, vanco/clinda/, ivig 50g given pod 2 25gm ivig given, continued on ventilatory support, cvvh, vasopressors, vanco/clinda/ pod 3 25gm ivig given, continued on ventilatory support, cvvh, vasopressors, vanco/clinda, transfused one unit rbc, tnp initiated, cefepime started, cefepime desensitization started for allergy history, meropenem stopped continued on ventilatory support, cvvh, vasopressors, vanco/clinda, tpn, levothyroxine started, ancef started, cefepime stopped - dobhoff tube placed, tube feeds started - flagyl started, continued ventilatory support, cvvh, vanco/clinda, vasopressors weaned off, one unit of rbc transfused, or for debridement - successfully extubated, continued vanco/clinda/flagyl, tube feeds - fluconazole added for yeast in urine, dobhoff removed, started regular diet - transferred to the floor, foley catheter removed, oob and ambulating with pt, continued fluc, - pateint taken back to or for vac change to r inner thigh, no complications - ambulating with pt on floor, progressed to regular diet, normalizing of labs. - taken to or for stsg to r thigh without complication. vac left on as bolster to the graft for 3 days - vac change, graft with near 100% take, other wounds healing well with granulation tissue and wound care - vac taken down with continued 100% take of graft, xeroform dressing left in place. patient ambulatory with pt assistance, tolerating regular diet, voiding without assistance. still weak from prolonged hospital stay but doing significantly better and ready for d/c to rehab to in . pt, family, nursing and md staff all agree that pt is ready for d/c to rehab with f/u in 2 weeks. medications on admission: albuterol 90 mcg q3-6prn, alprazolam .125-.375 /hsprn, amantadine 100 mg syrup qd, abilify 2.5-5hs, azelastine 1 spray nasal qid prn, relpax 20-40 prn migraine, fluoxetine 60mg qd, flovent 110mcg x4 , atrovent 17mcg 2 or qid prn, synthroid 50 5days/week 100 2 days/week, pantoprazole 40'',topiramate 50qam 100qpm, trazodone 50-150 hs prn, nasacort 55 both nostrils daily, discharge medications: 1. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 2. aripiprazole 5 mg tablet sig: one (1) tablet po at bedtime as needed for anxiety/agitation. 3. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 5. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 6. fluoxetine 20 mg capsule sig: three (3) capsule po daily (daily). 7. topiramate 50 mg tablet sig: one (1) tablet po qam. 8. topiramate 100 mg tablet sig: one (1) tablet po at bedtime. 9. trazodone 100 mg tablet sig: one (1) tablet po at bedtime as needed for anxiety/agitation. 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 11. levothyroxine 100 mcg tablet sig: one (1) tablet po 2x/week (,sa). 12. levothyroxine 50 mcg tablet sig: one (1) tablet po 5x/week (mo,tu,we,th,fr). 13. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 14. aripiprazole 10 mg tablet sig: 0.5 tablet po qhs (once a day (at bedtime)) as needed for anxiety/agitation. 15. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 16. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 17. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 18. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 19. fluoxetine 20 mg capsule sig: three (3) capsule po daily (daily). 20. topiramate 25 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 21. topiramate 100 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 22. trazodone 50 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for anxiety/insomnia. 23. levothyroxine 100 mcg tablet sig: one (1) tablet po 2x/week (,sa). 24. levothyroxine 50 mcg tablet sig: one (1) tablet po 5x/week (mo,tu,we,th,fr). 25. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. discharge disposition: extended care facility: - discharge diagnosis: 1. toxic shock syndrome with myocardial depression 2. bilateral thigh cellulitis and epidermolysis 3. sepsis 4. acute renal failure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you vac and aquacel dressings will be changed in rehab as orderred followup instructions: provider: , md phone: date/time: 10:45 . , . provider: , md phone: date/time friday 1:30 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis other skin graft to other sites other incision with drainage of skin and subcutaneous tissue other incision with drainage of skin and subcutaneous tissue open biopsy of soft tissue closed biopsy of skin and subcutaneous tissue injection or infusion of immunoglobulin other immobilization, pressure, and attention to wound other urethroscopy other operations on urinary system diagnoses: acidosis thrombocytopenia, unspecified esophageal reflux acute kidney failure with lesion of tubular necrosis other postoperative infection acute and subacute necrosis of liver unspecified protein-calorie malnutrition severe sepsis candidiasis of other urogenital sites asthma, unspecified type, unspecified dysthymic disorder cellulitis and abscess of leg, except foot septic shock streptococcal septicemia migraine, unspecified, without mention of intractable migraine without mention of status migrainosus vascular disorders of kidney irritable bowel syndrome edema other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation toxic shock syndrome personal history of traumatic brain injury toxic epidermal necrolysis 

Answer: The patient is high likely exposed to