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: right foot swelling with open wound major surgical or invasive procedure: right foot i&d history of present illness: 56 y/o male patient with significant pmh for dm(ii) presented to clinic with cc of right foot redness, swelling. patient states that his right foot has recently worsened the past 2-3 days. patient states a new opening to the right dorsal-lateral aspect. patient was recently admitted to hospital @ the for right le cellulitis. patient states he was sent home on po abx. consisting of pen vk. patient states painful right foot on dorsal-lateral aspect. patient currently denies any fevers, chills, vomiting, nausea or night-sweats. past medical history: chronic urticarial vasculitis hypocomplementemic vasculitis with chronic renal failure (baseline cr 1.9-2.4) h/o polymyositis t2dm hypertension social history: lives in with wife. w/ employment agency. tobacco: denies alcohol: denies family history: non-contributory physical exam: nad aox3 sitting comfortably ctab rrr soft nt/nd right foot with palpable pulses. (+)dorsal-lateral wound c minimal drainage, (+)erythema noted w/ (+) calor, (+) w/ guarding. no probe to bone. pertinent results: 09:30pm glucose-157* urea n-37* creat-2.4* sodium-138 potassium-4.8 chloride-106 total co2-25 anion gap-12 09:30pm calcium-8.5 phosphate-5.6* magnesium-1.8 09:30pm wbc-6.2 rbc-2.93* hgb-8.4* hct-25.9* mcv-89 mch-28.9 mchc-32.5 rdw-14.3 09:30pm neuts-70.3* lymphs-24.3 monos-2.4 eos-2.4 basos-0.6 09:30pm plt count-497* 09:30pm pt-14.0* ptt-25.8 inr(pt)-1.2* 2:01 pm tissue rt foot soft tissue. gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): no growth. anaerobic culture (preliminary): no growth. 5:12 pm swab source: right foot. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. wound culture (final ): no growth. anaerobic culture (preliminary): no growth. radiology preliminary report foot ap,lat & obl right 9:41 am foot ap,lat & obl right reason: assess bone on lateral aspect of foot medical condition: 55 year old man w/dm s/p right foot lateral aspect debridement packed open after finding tophi. reason for this examination: assess bone on lateral aspect of foot history: status post right foot lateral debridement, packed open after finding tophi. assess bone lateral aspect of foot. diabetes. right foot, three views. there is a soft tissue defect along the lateral aspect of the foot. there is an ovoid mixed lucent and sclerotic focus at the base of the fifth metatarsal, with some overlying bony irregularity - was this the site of prior debridement? in addition, a 9-mm lucent focus is present in the distal portion of the medial cuneiform. otherwise, bones are within normal limits in mineralization and morphology. there is soft tissue swelling and question small focus of subcutaneous emphysema along the dorsum of the foot. impression: cystic focus in medial cuneiform, nonaggressive in appearance. mixed lucent and sclerotic focus at base of the fifth metatarsal, which could represent a gouty erosion, but overall is nonspecific in appearance. dr. brief hospital course: right le cellulitis: patient was admitted to the podiatric surgery service and was worked up pre-operatively. patient was started on empiric antibiotic therapy consisting of vancomycin/levo/flagyl. patients wcx was negative and patient was switched over to unasyn. patient was brought to the operating room on hospital day# 1 for right foot i&d. it should be of note that tophaceous gout was found intra-operatively. patient tolerated procedure well and his initial surgical dressing was taken down on am rounds the following morning. the packing was pulled and it was noted that the wound appeared to have clean, viable edges and a red beefy base. the patient was brought back to the or on hospital day #5 for delayed primary wound closure. the patient tolerated the procedure well. please see operative report for full details. patient's foot wound is now closed and patient is doing well to go home. anemia: patient's hct level was checked daily. patient with a base-line hct of 24. after surgery patient's hct decreased to 23.8 patient was transfused 1u prbc's. patients hct was rechecked the next morning and came back up to 28.2 patient stable upon hospital d/c. medications on admission: cellcept 500mg qd calcitrol 25mg qd norvasc 10mg qd hctz 25mg qd benicar 10mg qd colchicine 0.6mg qd discharge medications: 1. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 4. colchicine 0.6 mg tablet sig: one (1) tablet po qod (). tablet(s) 5. augmentin 875-125 mg tablet sig: one (1) tablet po twice a day for 10 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: right foot infection. discharge condition: stable discharge instructions: please keep all follow-up appointments as scheduled. please make sure to follow-up with dr. in the clinic. please make sure you take the full-course of your antibiotics. please remain non-weight bearing to the right foot. please use your crutches and surgical shoe at all times. please seek medical attention if you experience any fevers, chills, nausea, night-sweats or vomiting. or if you notice any wound redness, swelling or drainage. followup instructions: please call to schedule an out-patient appointment with dr. in days upon hospital discharge. dpm 48-125 procedure: arthrocentesis diagnoses: acidosis diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified gout, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease bacteremia secondary hyperparathyroidism (of renal origin) dehydration cellulitis and abscess of foot, except toes other specified hypersensitivity angiitis streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group a 

Answer: The patient is high likely exposed to