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 present illness: the patient is a 48 year old female admitted to on from a rehabilitation facility. the patient had been healthy and in her usual state of health until late in when she developed a case of streptococcus pneumonia, complicated by disseminated intravascular coagulation, sepsis, acute renal failure, and two episodes of pneumothorax. during the course of the patient's sepsis the patient required vasopressor support but as a result of the low flow state, the patient developed ischemia and gangrene of the distal end of both of her feet. following discharge from hospital, the patient was transferred to a rehabilitation facility for further management. the patient was transferred to from this rehabilitation facility for further management of her gangrenous feet. past medical history: streptococcus pneumonia complicated by septic shock, dic, bilateral lower extremity ulcers with necrotic toes and feet, acute renal failure, pneumothorax. medications on admission: tylenol prn; colace 100 mg p.o. b.i.d.; heparin 5000 units b.i.d.; protonix 40 mg p.o. q.d.; duragesic patch; zyprexa. allergies: no known drug allergies. physical examination: on admission the patient was afebrile with stable vital signs. her physical examination was notable for dry gangrene of both feet from above the mid foot distally. hospital course: the patient was admitted to the as noted on . on the patient had bilateral lower extremity doppler studies to evaluate the blood flow to her feet. the results of the study were essentially normal except for the possibility of mild tibial artery occlusive disease. on the same day, the patient was taken to the operating room, had - 1. amputation of the right foot at the intermetatarsal level 2. amputation of the left foot at tarsometatarsal joint level with radical debridement of soft tissues. on the left a significant rectus flap was left and it appeared the patient's foot on that side could be closed primarily for longer on a vacuum-assisted closure dressing. on the right it appeared that the patient would need a free flap with possible split thickness skin graft. following that, the patient's surgical sites were dressed with vacuum-assisted closure dressings, and the patient thereafter transferred out to the floor with an epidural for pain control. the patient was returned to the operating room on for vacuum-assisted closure dressing change. at the time of the vacuum-assisted closure dressing change the patient's wound bed looked excellent with good viable tissue at both amputation stumps. minimal debridement was required. on , the patient was taken to surgery for definitive closure of her wounds. procedure performed on included - 1. free rectus abdominis muscle flap to the amputation stump of the right foot. 2. local flap coverage of the left foot amputation stump. 3. split thickness skin graft to the vascularized muscle on the right foot. 4. debridement of the soft tissue of both feet. following the procedure, the patient was transferred to the intensive care unit for further close monitoring of her free flap. the patient had an uneventful stay in the intensive care unit. her arterial doppler signal to the right foot, free flap remained stable throughout. appropriate adjustments to her pain medication were made as needed. the patient's hematocrit which had been noted to be 38.2 on admission decreased to a low of 19.3 on . the patient was started on epoetin, the patient was transferred from the intensive care unit to the regular surgical floor on postoperative day #6. the patient had been placed on dextran for anticoagulation following the surgery. dextran was discontinued on . the surgical dressings for the patient's feet were taken down on postoperative day #7 and the patient's flap and split thickness skin graft was found to have thickened well and was viable over greater than 95% of the area. the patient was seen by physical therapy following transfer to the floor and training initiated on bed to wheelchair transfers. the patient continued to have activity restrictions and the feet needed to be elevated at all times. it was expected that dangling would start approximately two weeks following the procedure. by postoperative day #12 which was , the patient appeared stable and ready for discharge to a rehabilitation facility. the dressing changes of the feet had been changed to simply dry gauze dressing on the right foot with no dressing needed on the left foot. the patient's rectus flap harvest site was healing well. the patient's right thigh split thickness skin graft donor site was also stable and healing well with xeroform dressing was applied. the patient continued to be seen by physical therapy. the patient remained on gentamicin and ancef, but it was expected that both of these antibiotics would be discontinued prior to the patient's discharge. the patient was to begin dangling on postoperative day #13. it is expected that the patient will initially start by dangling her feet for a minute and a half every hour during the day while awake and gradually increasing by three to five minutes a day. further instructions on the dangling protocol will be relayed to the patient and to her rehabilitation facility. it was expected that the patient's epoetin therapy will be discontinued prior to discharge. discharge condition: stable. discharge medications: 1. colace 100 mg p.o. b.i.d. 2. heparin 5000 units subcutaneously b.i.d. 3. ranitidine 150 mg p.o. b.i.d. 4. milk of magnesia prn 5. ambien 5 mg p.o. q.h.s. prn 6. elanzepine 5 mg p.o. q.d. 7. fentanyl patch 25 mcg per hour q. 3 days 8. gabapentin 300 mg p.o. t.i.d. 9. dilaudid 28 mg p.o. q. 4 hours prn 10. aspirin 325 mg p.o. q.d. 11. ferrous sulfate 325 mg p.o. q.d. 12. ascorbic acid 500 mg p.o. b.i.d. 13. multivitamin tablets 14. miconazole cream to perineum prn follow up: the patient is to contact dr. office for follow up appointment one to two weeks following discharge. miscellaneous: regarding management of the patient's surgical sites - the patient's abdominal incision is to be left open to air and is expected to heal without complications. the patient's right side donor site is to remain exposed to air with the xeroform in place. the patient's left foot transmetatarsal amputation site is to remain open to air and dressed only for protection and comfort. the sutures along her surgical incision will be discontinued at an appropriate time by dr. . the patient's right foot transmetatarsal site is to be dressed with a dry gauze dressing once or twice a day as needed. sutures and the small cotton plugs, ringing the patient's surgical incision on the right should be left untouched. instructions on the patient's dangling protocol will be relayed to care providers. discharge diagnosis: 1. bilateral foot gangrene 2. anemia 3. yeast infection of skin , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified amputation through foot amputation through foot other skin graft to other sites graft of muscle or fascia advancement of pedicle graft excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn repair of entropion or ectropion with wedge resection revision of amputation stump repair of entropion or ectropion with wedge resection revision of amputation stump application of other wound dressing application of other wound dressing diagnoses: anemia, unspecified atherosclerosis of native arteries of the extremities with gangrene candidiasis of skin and nails 

Answer: The patient is high likely exposed to