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: coumadin attending: chief complaint: fever, left lower extremity redness, dysuria, inability to urinate major surgical or invasive procedure: transesophageal echocardiogram history of present illness: 62 year-old status-post gastric bypass and laprascopic cholecystectomy 7 weeks prior to admission who presented with fever, chills, and left lower extemity redness. the patient has a history of multiple hospitalizations for lower extremity cellulitis and noted that his symptoms and the appearance of his left leg mirrored previous episodes. he denied recent trauma to the area or travel. review of systems was significant only for painful urination over the past few days and a reduction in urine output. he denied chest pain, shortness of breath, palpitations, abdominal pain, n/v, penile discharge. past medical history: 1. morbid obesity 2. frequent cellulitis 3. lymphedema. 4. cad s/p velocity stenting proximal lad 5. osteoarthritis of the knees 6. hypertension 7. hypercholesterolemia 8. obstructive sleep apnea 9. cva x2 with left-sided weakness 10. gastric bypass surgery 7 weeks pta 11. lap cholecystectomy 7 weeks pta physical exam: vs t 101.4 bp 85/50 hr 130 rr 20 o2 sat: 98% ra gen: obese male, aaox3 heent: mm dry, jvd cannot be assessed cv: irregularly irregular rhytmm, no m/r/g chest: ctab abd: obese, nt/nd, no rebound/guarding ext: 3+ bilateral edema, lle edema and erythema, no chords, + warmth, + chronic venous changes, negative homens pertinent results: 02:16pm wbc-6.3 rbc-4.90 hgb-14.1 hct-41.0 mcv-84 mch-28.7 mchc-34.4 rdw-15.0 02:16pm neuts-92* bands-4 lymphs-2* monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 02:16pm plt smr-normal plt count-143*# 02:16pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-sm 02:16pm calcium-9.6 phosphate-0.8*# magnesium-1.4* 02:16pm ck-mb-2 ctropnt-<0.01 02:16pm ck(cpk)-109 02:34pm lactate-2.4* 07:42pm pt-16.6* ptt-32.2 inr(pt)-1.7 07:42pm albumin-3.0* calcium-7.6* phosphate-1.6* magnesium-1.1* 07:42pm alt(sgpt)-28 ast(sgot)-27 ld(ldh)-191 ck(cpk)-58 alk phos-63 amylase-27 tot bili-0.9 08:19pm lactate-1.9 brief hospital course: this 62 year-old obese male was admitted with cellulitis and presumed bacteremia. in the ed, he was found to be in hypotensive atrial fibrillation. the patient was admitted to the medical icu where his hypotension was managed with ivf hydration and he was maintained on a diltiazam drip for atrial fibrillation. after his heart rate was controlled, he was transitioned to oral medications and transferred to the medicine service. 1. cellulitis/bacteremia review of the medical record revealed several previous admissions for cellulitis and bacteremia. blood cultures on this admission and were positive for beta streptococcus group b. the patient had previous episodes of the same infection, with lower extremity cellulitis the likely source. a left lower extremity ultrasound was negative for deep venous thrombosis. the patient was too large to have a cta. he was initially treated with vancomycin and zosyn while awaiting culture results. once the organism was identified, he was transitioned to a regimen of intravenous penicillin and oral levofloxacin, which had successfully treated the infection during his most recent admission 1 year prior. he completed 7 days of levofloxacin and had a picc line placed to facilitate a 2 week course of iv penicillin. 2. atrial fibrillation the patient's development of atrial fibrillation was believed to be secondary to infection and structural heart disease. it was initially managed with intravenous diltiazam, and it was later managed with metoprolol and anticoagulation. a transthoracic echocardiogram showed a mildly dilated and elongated left atrium, with a markedly dilated right atrium. he had occasional episodes of rapid atrial fibrillation that were controlled with responded to iv metoprolol. however, his rate proved difficult to control despite metoprolol and diltiazam. the ep service was consulted and recommended transesophageal echocardiogram and cardioversion. the tee was negative for thrombus and the patient was successfully cardioverted to normal sinus rhythm with ibutilide. he was subsequently started on amiodarone and is scheduled to complete a 10 week course. ekg before discharge showed mild qt prolongation and no effect from amiodarone. ekg and lfts should be monitored by his pcp, given the high dose of amiodarone he will receive. 3. fen he was followed by the nutrition team throughout his admission and their recommendations were followed. he demonstrated several asymptomatic electrolyte deficiecies; these were likely due to inadequate absorption following his surgery and he responded well to repletion. vitamin d and parathyroid tests were pending at the time of discharge. the patient was discharged to hospital in good condition. he was sent with of hearts monitor and scheduled for follow-up with cardiology and his primary care physician. discharge medications: 1. amiodarone hcl 400 mg tablet sig: one (1) tablet po one tid for 2 weeks, then 1 qd for 2 months for 2 months: please take 1 tablet 3 times per day for 2 weeks, then take 1 tablet per day for 2 months. disp:*105 tablet(s)* refills:*0* 2. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*1* 3. zolpidem tartrate 5 mg tablet sig: 1-2 tablets po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 4. potassium & sodium phosphates mg packet sig: one (1) packet po bid (2 times a day). disp:*60 packet(s)* refills:*2* 5. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 6. penicillin g pot in dextrose 2,000,000 unit/50 ml piggyback sig: one (1) intravenous q4h (every 4 hours). disp:*30 bags* refills:*0* 7. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 9. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). disp:*60 tablet, chewable(s)* refills:*2* discharge disposition: extended care facility: & rehab center - discharge diagnosis: atrial fibrillation, cellulitis, bacteremia discharge condition: good discharge instructions: please take all over your medications. please make a follow-up appointments with dr. dr. . return to the emergency department if you develop fevers, chills, chest pain, shortness of breath, palpitations, or lightheadedness. followup instructions: please keep your appointment with dr. on monday, at 11 am. please call dr. and make a follow-up appointment for 1 week, and discuss resuming your other outpatient medications at that time. procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart non-invasive mechanical ventilation injection or infusion of other therapeutic or prophylactic substance other conversion of cardiac rhythm diagnoses: congestive heart failure, unspecified atrial fibrillation paroxysmal ventricular tachycardia hypotension, unspecified cellulitis and abscess of leg, except foot unspecified sleep apnea streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group b 

Answer: The patient is high likely exposed to