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: facial pain major surgical or invasive procedure: surgical tooth extracton # 2,3,5,6,8,9 history of present illness: 41 yo male with hx of diet controlled dmii, bipolar d/o and etoh abuse who was volunterily admitted to for etoh detox who now presents with rt sided facial pain. he reports over the last week days he had increasing erythema and pain over the bridge of his nose which he intially attributed to seasonal allergies. erythema then began extending over onto the right side of his face just below his eye. he denies any recent trauma to the region, fever, chills. he was voluntarily admitted to on and on the 26th was started on keflex 500mg qid for facial cellulitis he reported only mild frontal tooth pain and has been able to tolerate po's well. he never sees a dentist and just lets his teeth rot until they fall out. he denies sick contacts, recent travel, denies intranasal cocain use. of note he reports mild confusion and dt's at which are continuing to improve. he denies any le focal weakness or loss of sensation. . in the ed he was afebrile with elevated wbc to 15.1. ct face revealed preseptal cellulitis with cortical breakthrough around his right maxillary canine concerning for odontogenic source and no inovolvement of the orbit. he was given a dose of unasyn and vancomycin 1g iv and admitted for treatment of cellulitis and dental infection and morphine for pain control. . past medical history: 1. etoh abuse-w/hx of dt 2. depression/anxiety, requiring roughly 10 hospitalizations 3. dmii- diet controlled now on metformin and lantus in past 4. hcv 5. htn social history: currently homeless, homosexual male, not married and in b/w binges lives with his mother. mostly used etoh with hx of dt's but also used heroine, dilaudid, fentanyl patches. case manager from dmh is . very depressed since the death of his father 1 yr ago. family history: no signif hx of severe infections, no premature cad, cva or ca physical exam: t 96.0 hr 85 bp 124/83 rr 14 o2sat 98% gen-nad, a and o x3 heent-perrl, no exophthalmos, induration and erythemia under right eye without fluctuance, severe maxillary sinus tenderness to palpation on rt, op with poor dentition hrt-rrr, ns1s2 no mrg lungs-cta bilat abd-soft, nt, nd, no hsm, nabs extrem-2+ rad and dp pulses, no le edema neuro-cnii-xii intact but report some numbness in chin bilaterally skin-maculopapular rash above left axilla pertinent results: ct orbits, sella & iac: 1. right preseptal cellulitis, and extension along the soft tissues anterior to the right maxillary sinus. there is periapical lucency and cortical irregularity involving the root of the right maxillary canine ( #6), and likely reflects an odontogenic source. there is no evidence of orbital involvement. 2. scattered paranasal sinus opacification as described above. 3. soft tissue nodules in the subcutaneous tissues overlying the occipital region may represent sebaceous cysts - correlate to clinical exam. . ct head: no evidence of acute intracranial pathology, specifically no evidence of intracranial hemorrhage. . echo: the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. left ventricular systolic function is hyperdynamic (ef 80%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no masses or vegetations are seen on the aortic valve. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. no mass or vegetation is seen on the mitral valve. the estimated pulmonary artery systolic pressure is normal. no vegetation/mass is seen on the pulmonic valve. there is no pericardial effusion. if clinically suggested, the absence of a vegetation by 2d echocardiography does not exclude endocarditis. . cxr: diminished lung volumes with no clear radiographic findings to account for patient's hypoxia. . 08:01pm urine color-ltamb appear-clear sp -1.021 08:01pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 08:01pm urine rbc-3* wbc-8* bacteri-none yeast-none epi-<1 . 09:00pm blood wbc-15.1*# rbc-4.89 hgb-12.6* hct-38.7* mcv-79* mch-25.7*# mchc-32.6 rdw-18.8* plt ct-245 09:00pm blood neuts-71.8* lymphs-20.9 monos-5.3 eos-1.8 baso-0.1 09:00pm blood hypochr-2+ anisocy-2+ microcy-2+ 09:00pm blood plt ct-245 09:00pm blood glucose-128* urean-7 creat-0.8 na-137 k-4.0 cl-101 hco3-27 angap-13 09:00pm blood valproa-34* 09:12pm blood lactate-0.9 . 06:50am blood wbc-14.0* rbc-4.73 hgb-12.5* hct-38.4* mcv-81* mch-26.5* mchc-32.6 rdw-18.5* plt ct-248 03:06pm blood pt-12.0 ptt-30.2 inr(pt)-1.0 06:50am blood plt ct-248 06:50am blood glucose-124* urean-5* creat-0.7 na-138 k-4.0 cl-102 hco3-28 angap-12 06:50am blood alt-56* ast-39 alkphos-69 totbili-0.4 06:50am blood albumin-4.1 calcium-9.0 phos-4.3 mg-2.2 . 05:20am blood wbc-10.8 rbc-4.43* hgb-11.5* hct-36.6* mcv-83 mch-25.9* mchc-31.4 rdw-18.1* plt ct-356 05:20am blood plt ct-356 05:20am blood glucose-139* urean-9 creat-0.8 na-140 k-4.4 cl-98 hco3-36* angap-10 05:20am blood calcium-9.2 phos-4.2 mg-2.1 . brief hospital course: 1. preseptal cellulits-seen by dental/oral surgery and sent for multiple teeth extractions. also seen by id, treated with unasyn in house and sent home to complete 14 day course of augmentin. should be referred to outpatient dentist for follow up. . 2. etoh-no clear signs of withdrawl, placed on ciwa scale but did not require significant benzos. . 3. respiratory failure- after dental extractions patient was hypersomnolent with abg showing co2 retention. likely has significant sleep apnea. after reducing sedating medications respiratory status improved. will need referral from pcp for outpatient sleep study to r/o osa. . 4. depression d/o-cont valproate, cymbalta, inderal, and seroquel dosing . 5. dmii-diet controlled and normal on current chem 7. check fs qid and cover with nonaggressive sliding scale until stable x4 medications on admission: homemeds- indural 20mg tid seroquel 50mg tid and 150mg cymbalta 20mg in addition to above at - keflex 500mg qid since valproic acid 250mg qam 500mg qpm tylenol 650mg q6h prn ibuprofen 600mg tid nicotine gum mvi/thiamine/folate ultram 50mg q4h prn mom 50mg discharge medications: 1. hexavitamin tablet sig: one (1) cap po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 5. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po (once a day (at bedtime)). disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 6. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 weeks. disp:*qs 2 weeks* refills:*0* 7. quetiapine 25 mg tablet sig: two (2) tablet po tid (3 times a day) as needed. 8. propranolol 10 mg tablet sig: one (1) tablet po tid (). 9. acetaminophen 500 mg tablet sig: two (2) tablet po every twelve (12) hours as needed. 10. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 10 days. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: preseptal cellulitis dental abscesses hypercapnic respiratory failure discharge condition: stable discharge instructions: please make sure you follow up with your new pcp as scheduled and discuss getting dental follow up at that time. please avoid alcohol and all narcotics. please call your doctor if you develop worsening pain, fever, or any other concerning symptom. followup instructions: requires sleep study. 1. you have been set-up with a new pcp appointment in the clinic. provider: , md phone: date/time: 2:30. location: , , building. please call them to update your contact information. please also discuss with your pcp arranging dental follow up. procedure: other surgical extraction of tooth diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified alcohol dependence, continuous bipolar i disorder, most recent episode (or current) depressed, unspecified combinations of opioid type drug with any other drug dependence, unspecified periapical abscess without sinus cellulitis and abscess of face 

Answer: The patient is high likely exposed to