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: brief summary of hospital course: mr. was admitted to the trauma intensive care unit. an orthopaedic surgery consultation was obtained for his open femur fracture. the patient was taken to the operating room the same morning for open reduction internal fixation and washout of the right femur. the following day, he had a repeat computer tomography of his head that showed stable punctate hemorrhages in the left frontoparietal and right frontal areas; concerning for the appearance of a diffuse axonal injury. given the abnormality of his cervical spine, he also had a magnetic resonance imaging of his cervical spine which showed normal alignment and no evidence for ligamentous injury. the patient was then observed in the trauma intensive care unit. plans were made to extubate him, and his sedation was lightened. however, he became extremely agitated and self- extubated. he remained stable after this with no respiratory distress and remained extubated for the remainder of his hospital course. he also remained hemodynamically stable for the remainder of his hospital course. of note, postoperatively, his hematocrit trended down to 25 and was stable at 25. however, on hospital day two his hematocrit further trended down to 21.8 on hospital day three. he was kept in the intensive care unit an additional day - on hospital day three - out of concern for some mental status changes. a repeat head computer tomography at the time showed no significant change in his intraparenchymal hemorrhage. of note, on admission he had been loaded with intravenous dilantin and was continued on dilantin for a course of one week with levels of around 11. his diet was advanced. his intravenous fluids were hep- locked. his foley catheter was removed. he received 48 hours of perioperatively kefzol and gentamicin. he was then transferred to the floor on hospital day three. the patient was seen by physical therapy with recommendations to be partial weightbearing to the right lower extremity. he tolerated ambulation in well in spite of a hematocrit that had - by that point - trended down to 20 to 21. on hospital day four, his hematocrit further trended down to 19. a repeat abdominal computer tomography showed a hematoma in the area of the right hip and right gluteal region. orthopaedic surgery was alerted, and a pressure dressing was placed. his hematocrit stabilized and was 20 at the time of this dictation. the patient was not orthostatic, was able to ambulate, and was minimally symptomatic. he was started on iron and colace to maintain a bowel regimen. the patient was seen by the neurobehavioral service given his head injury. they recommended that he avoid alcohol, sleep depravation, and avoid contact sports. was cleared from their standpoint for discharge to home when medically ready. given his long bone fracture, he was recommended to have lovenox anticoagulation for two weeks by orthopaedic surgery. neurosurgery cleared him to start this on fifth day after his injury - which was done. of note, he had been on subcutaneous heparin prior to that. discharge status: he was deemed stable for discharge. at the time of this dictation, he is awaiting final clearance by physical therapy after presumptively doing stairs. condition on discharge: good. discharge disposition: the patient will be discharged with home physical therapy. discharge instructions: lovenox 40 mg subcutaneously once per day for a course of four weeks. he was to complete one week of dilantin therapy. the patient was to be partial weightbearing on the right lower extremity and continue with outpatient physical therapy. discharge diagnoses: status post motor vehicle collision. closed head injury with bilateral frontal contusions. status post open reduction internal fixation and washout of an open right femur fracture. bilateral pulmonary contusions. right adrenal hemorrhage. blood loss anemia. discharge followup: the patient was instructed to follow up with the trauma clinic (telephone number ) in two weeks. the patient was instructed to follow up with dr. from orthopaedic surgery in two weeks. the patient was instructed to follow up dr. in two weeks with a head computer tomography at that time. the patient was instructed to follow up with dr. with behavioral neurology a few weeks before school starts or sooner if the patient and family deem necessary. medications on discharge: 1. lovenox 40 mg subcutaneously once per day (for four weeks). 2. percocet one to two tablets by mouth q.4-6h. as needed. 3. dilantin 100 mg by mouth three times per day (to complete three weeks). 4. iron sulfate 325 mg by mouth every day. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube open reduction of fracture with internal fixation, femur debridement of open fracture site, femur diagnoses: acute posthemorrhagic anemia hematoma complicating a procedure other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle contusion of lung without mention of open wound into thorax open fracture of shaft of femur other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with loss of consciousness of unspecified duration injury to other intra-abdominal organs without mention of open wound into cavity, adrenal gland 

Answer: The patient is high likely exposed to