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: zosyn attending: chief complaint: infected leg ulcer with abscess on the right. major surgical or invasive procedure: or i&d r calf: debridement of dead r gastrocnemius muscle, placement of l fem dialysis catheter or i&d r calf, partial closure, vac history of present illness: mr. is a 75 year-old gentleman transferred from to with a huge abscess in his right calf. he was found to be anuresis, bun of 118 and a creatinine of 5.8. past medical history: pmh: dm, copd, cad s/p stent ', s/p cabg ', htn, cva ', anemia, mild mental retardation, cri social history: non smoker no alcohol no illicit drugs use family history: not known physical exam: a/o x 3 / slight decrease in mental capability ncat perrl / eomi supple / farom neg lypmphanopathy cts rr benign sugical site - open wound / good granulation tissue palp l, dopp r dp/pt pertinent results: 05:30am blood wbc-6.6 rbc-3.02* hgb-9.2* hct-26.9* mcv-89 mch-30.4 mchc-34.2 rdw-16.3* plt ct-346 05:21am blood pt-31.3* ptt-38.7* inr(pt)-3.3* 05:30am blood glucose-136* urean-21* creat-1.1 na-141 k-3.9 cl-112* hco3-23 angap-10 08:10pm blood alt-17 ast-22 ld(ldh)-244 alkphos-101 amylase-56 totbili-0.7 05:30am blood calcium-6.7* phos-3.1 mg-1.8 cardiology report echo patient/test information: indication: left ventricular function. height: (in) 68 weight (lb): 212 bsa (m2): 2.10 m2 bp (mm hg): 132/41 hr (bpm): 61 status: inpatient date/time: at 09:39 test: portable tte (complete) doppler: full doppler and color doppler contrast: definity tape number: 2007w000-0:00 test location: west sicu/ctic/vicu technical quality: suboptimal measurements: left atrium - long axis dimension: *5.3 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.4 cm (nl <= 5.2 cm) right atrium - four chamber length: 4.9 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: *1.4 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: *1.3 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.1 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.1 cm left ventricle - fractional shortening: 0.39 (nl >= 0.29) left ventricle - ejection fraction: 55% (nl >=55%) aorta - valve level: 3.6 cm (nl <= 3.6 cm) aorta - ascending: 3.3 cm (nl <= 3.4 cm) aortic valve - peak velocity: 1.6 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 1.0 m/sec mitral valve - e/a ratio: 1.00 mitral valve - e wave deceleration time: 216 msec tr gradient (+ ra = pasp): *40 mm hg (nl <= 25 mm hg) interpretation: findings: left atrium: moderate la enlargement. right atrium/interatrial septum: normal ra size. left ventricle: mild symmetric lvh with normal cavity size. mild regional lv systolic dysfunction. no lv mass/thrombus. no resting lvot gradient. right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. moderate pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. conclusions: the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with focal hypokinesis of the basal inferior wall. the other segments contract normally, and overall lvef is preserved at 55%. no masses or thrombi are seen in the left ventricle. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction. mildly dilated right ventricle. mild aortic regurgitation. moderate pulmonary hypertension. 8:19 am renal u.s. port renal ultrasound: there is normal corticomedullary differentiation with normal cortical thickness bilaterally. the right kidney measures 12.1 cm. the left kidney measures 11.5 cm. there is no hydronephrosis, stones, or masses. the urinary bladder is catheterized and decompressed limiting detailed evaluation. impression: no evidence of hydronephrosis, stones, or masses. 3:42 am bilat lower ext veins findings: grayscale and doppler son of both common femoral, superficial femoral and popliteal veins were performed. normal flow, augmentation, compressibility and waveforms are demonstrated. intraluminal thrombus is not identified. impression: no evidence of dvt. brief hospital course: 75m transferred from to with a huge abscess in his right calf. pt started on broad spectrum antibiotics. cx's taken. ffp / vit k given for inr 5. pt with arf / femoral dialysis catheter placed for emergent dialysis. secondary to ischemic atn. cvvh performed on pt intermitantly during this hospital stay. on dc pt making urine / creat noormal at 1.1. procedure: 1. incision and drainage of right leg abscess. 2. debridement of right gastrocnemius muscle. tolerated the procedure well. no complications. transfered to the floor in stable condition, after recovering from anesthesia. heparin drip started. ptt monitered throughout the hospital stay. pt with rash / zosyn discontinued / levofloxacin started / vanco and flagyl continued. : creat sarting to improve / pt starts makong urine. procedure: incision and drainage, debridement of muscle, fascia and skin, partial closure and a vac dressing. tolerated the procedure well. no complications. transfered to the floor in stable condition, after recovering from anesthesia. heparin / coumadin bridge started hd line removed gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 1+ (<1 per 1000x field): budding yeast. enterococcus sp.. rare growth. parapsilosis. rare growth. sensitivities: mic expressed in mcg/ml enterococcus sp. | ampicillin------------ <=2 s penicillin------------ 4 s vancomycin------------ <=1 s ab adjusted according to sensitivities. vac changed / wound improve heparin dc'd / continue with coumadin. inr monitered. vac changed stable for dc on dc creat - inr - medications on admission: : levaquin 500' (for this infection), glyburide 5', gemfibrozil 600', prostat 30", asa 81', fe, combivent, flovent, cozaar 50', imdur 120', lipitor 10', protonix 40', primivil 20', coumadin (for dvt) discharge medications: 1. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed. 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 5. warfarin 3 mg tablet sig: one (1) tablet po hs (at bedtime): moniter inr goal is . 6. zinc sulfate 220 (50) mg capsule sig: one (1) capsule po daily (daily). 7. hexavitamin tablet sig: one (1) cap po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 weeks. 10. linezolid 600 mg tablet sig: one (1) tablet po twice a day for 3 weeks: check cbc and lft weekly. . 11. glyburide 5 mg tablet sig: one (1) tablet po daily (daily). 12. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day): prn 13. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 14. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 15. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 16. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 17. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: one (1) puff inhalation q6h (every 6 hours) as needed. 18. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 19. isosorbide mononitrate 120 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 20. insulin insulin sc, sliding scale fingerstick qachs insulin sc sliding scale breakfast lunch dinner bedtime regular glucose insulin dose 0-60 mg/dl 4 oz. juice and 15 gm crackers 61-120 mg/dl 0 units 0 units 0 units 0 units 121-160 mg/dl 4 units 4 units 4 units 4 units 161-200 mg/dl 6 units 6 units 6 units 6 units 201-240 mg/dl 8 units 8 units 8 units 8 units > 240 mg/dl notify m.d. discharge disposition: extended care facility: rehab & nursing center - discharge diagnosis: dm rle dvt infected r calf hematoma arf - resolved (creat 1.1) / high 4.9 discharge condition: stable discharge instructions: open wound: vac dressing patient's discharge instruction introduction: this will provide helpful information in caring for your wound. if you have any questions or concerns please talk with your doctor or nurse. you have an open wound, as opposed to a closed (sutured or stapled) wound. the skin over the wound is left open so the deep tissues may heal before the skin is allowed to heal. premature closure or healing of the skin can result in infection. your wound was left open to allow new tissue growth within the wound itself. the wound is covered with a vac dressing. this will be changed around every three days. the vac: helps keep the wound tissue clean absorbs drainage prevents premature healing of skin promotes healing when to call the doctor watch for the following signs and symptoms and notify your doctor if these occur: temperature over 101.5 f or chills foul-smelling drainage or fluid from the wound increased redness or swelling of the wound or skin around it increasing tenderness or pain in or around the wound followup instructions: call dr office at . this should be with in one week. procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis excisional debridement of wound, infection, or burn pulmonary artery wedge monitoring transfusion of packed cells transfusion of other serum other myectomy other myectomy other immobilization, pressure, and attention to wound diagnoses: acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified aortocoronary bypass status percutaneous transluminal coronary angioplasty status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cellulitis and abscess of leg, except foot long-term (current) use of anticoagulants dermatitis due to drugs and medicines taken internally personal history of venous thrombosis and embolism streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] rhabdomyolysis other disorders of muscle, ligament, and fascia mild intellectual disabilities ulcer of calf penicillins causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to