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: this is a 32 year old male with no significant past medical history who was involved in a motor vehicle accident dated . by report the patient was restrained driver of a motor vehicle which hit a tree and rolled over several times. the patient had an extended extraction time of approximately 30 minutes and was noted to be awake at the scene with coma scale of 14. by report the patient spontaneously desaturated on route to emergency room requiring intubation in the field. physical examination: physical examination on arrival at the emergency room revealed pulse 106, blood pressure 150/70, respiratory rate 16, saturation of 97% on 100% oxygen. the patient was intubated and sedated and in a cervical collar. the patient was noted to have a right chest contusion with audible breathsounds bilaterally. cardiac examination was regular rate and rhythm. abdomen was soft, nondistended. the left upper extremity examination revealed a 2 cm wound over the dorsal distal radius, a large fifth digit laceration on the ulnar side with tendon visible, no crepitus. right upper extremity examination revealed a 1 cm laceration on the dorsum of the hand, a swollen and ecchymotic right forearm, no crepitus. right lower extremity examination was normal for motor, sensory and vascular examinations. left lower extremity examination revealed a 3 cm laceration infrapatellarly tracking superiorly and a 1 cm puncture wound over the anterior proximal one-half of the tibia. the patient's left lower extremity was noted to be shortened approximately 2 cm and externally rotated with a 1+ dorsalis pedis pulse and a 1+ posterior tibial pulse. laboratory data: laboratory studies on admission revealed white blood cell count of 16.6, hemoglobin 11.0, hematocrit 30.2, platelet count 90. pt 14.7 and inr of 1.5. sodium 134, potassium 4.7, chloride 102, bicarbonate 24, blood urea nitrogen 10, creatinine 0.6, glucose 133. radiographic studies of the chest demonstrated increased opacity in the mid and upper lung zones bilaterally representing parenchymal contusion. head computerized tomography scan was negative for intracranial hemorrhage or other traumatic injury to the brain. chest computerized tomography scan revealed mediastinal hematoma, anterior to the ascending aorta as well as further evidence of pulmonary consolidation consistent with pulmonary contusion. upper extremity radiographic studies revealed no evidence of fracture. radiographic studies of the left hip, knee, tibia and fibula demonstrated fracture to the superior and inferior pubic rami as well as the distal femur and the tibia. the distal femoral fracture was noted to be transverse, possibly comminuted with overlap of the distal fragment lateral to the proximal fracture fragments. the tibial fracture was noted to be mid shaft and comminuted with minimal anterior displacement of the distal fracture fragment. computerized tomography studies of the pelvis demonstrated minimally displaced fracture of the transverse process of l5 on the right, normal sacroiliac joint, cortical destruction of the anterior aspect of the right acetabulum, not extending into the joint, a vertical fracture of the anterior column of the left acetabulum extending into the left acetabular joint, fractures of the bilateral inferior pubic rami extending to the ischial tuberosity on the left. of note, no free fluid was noted in the pelvis and bladder and ureteral anatomy was noted to be intact. computerized tomography scan/cervical spine images were negative for any evidence of cervical spine fracture. thoracic angiograms revealed no evidence of any aortic or great vessel injury. the diagnostic peritoneal lavage conducted in the emergency room revealed no evidence of intra-abdominal bleeding. hospital course: on the morning of , the patient underwent placement of two intramedullary rods, one retrograde in the left femur, one antegrade in the left tibia and an irrigation/debridement of his left tibial wound for treatment of a left open tibia fracture and a left femur fracture. the patient tolerated the procedure well and requiring two units of packed red blood cells and 4 liters of crystalloid during the procedure. his postoperative hematocrit was noted to be 34.9. the patient was subsequently admitted to the trauma intensive care unit on under the direction of dr. . the patient's postoperative antibiotic regimen included gentamicin and kefzol. the patient remained intubated through postoperative day #1 and underwent another diagnostic peritoneal lavage which was also negative. while in the emergency room the patient was also evaluated by plastic surgery who evaluated his hand injuries. at that point the patient's left fifth finger and left dorsum forearm lacerations were washed out and closed primarily utilizing 4-0 prolene suture. in the emergency room the patient's left hand was also placed in an ulnar gutter splint due to a fifth digit proximal phalanx fracture noted on subsequent x-ray. on postoperative day #2 plastic surgery re-evaluated the patient's hand injuries and noted them to be healing well and signed off on the patient's plan of care. on the evening of postoperative day #2 the patient underwent a successful cpap trial and was extubated without complications. the patient was transferred to the orthopedic service under the direction of on postoperative day #3. at that point examination of his left lower extremity injuries demonstrated a clean, dry and intact incision sites with staples in place. no erythema or evidence of purulence was noted. the patient was noted to be able to wiggle his toes with sensation intact in the superficial peroneal, deep peroneal and tibial distributions. vascular examination revealed 2+ dorsalis pedis, posterior tibial and popliteal pulses. the patient was also evaluated by physical therapy and recommended for acute level rehabilitation care once medically stable. on postoperative day #3 the patient was also transfused 2 units of packed red blood cells for a hematocrit of 21.5. he tolerated the transfusion well with a transient bump in temperature to 100.8 and blood pressure to 142/62 with subsequent resolution and an appropriate bump in hematocrit to 24.2. on postoperative day #4 the patient's foley catheter was successfully discontinued in addition to his - drain and pca. the patient was transitioned to p.o. pain control via percocet and p.o. antibiotics, kefzol. that afternoon he was also transfused two additional packed red blood cells for a hematocrit of 24.4 with an appropriate bump. that evening he was noted to be independently productive of adequate amounts of urine, tolerating p.o. intake and comfortable in terms of pain coverage. the patient on postoperative day #5 was discharged to rehabilitation center. condition on discharge: the patient is to be discharged to rehabilitation center for acute rehabilitation care. discharge status: stable. discharge diagnosis: 1. left open tibia fracture. 2. left femur fracture. 3. anterior column pelvic bilateral rami fracture. 4. status post intramedullary rod placement times two and washout. discharge medications: 1. percocet 1 to 2 tablets p.o. q. 4-6 hours prn for pain 2. kefzol 500 mg q. 6 times seven days 3. aspirin 325 mg p.o. q.d. 4. docusate sodium 100 mg p.o. b.i.d. follow up: physical therapy for strength and endurance training. the patient is to keep his lower extremity wounds clean and dry with dry sterile dressing changes twice per day. lower extremity staples to be removed 14 days following discharge. the patient's left upper extremity splint is to remain in place until , and left upper extremity sutures are to be removed on . the patient is to remain on kefzol p.o. for seven days following discharge, percocet prn for pain, aspirin one per day for anticoagulation for three weeks. the patient is to follow up with dr. in orthopedic outpatient clinic two weeks following discharge. , m.d. dictated by: medquist36 procedure: debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, femur diagnoses: other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle closed fracture of lumbar vertebra without mention of spinal cord injury contusion of lung without mention of open wound into thorax closed fracture of shaft of femur closed fracture of pubis open fracture of shaft of tibia alone closed fracture of middle or proximal phalanx or phalanges of hand open wound of finger(s), with tendon involvement 

Answer: The patient is high likely exposed to