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: l tibia and fibula fracture with exposed tissue major surgical or invasive procedure: 1. debridement of skin, subcutaneous tissue and muscle with repair of complex laceration of forehead approximately 15-cm. 1. irrigation and debridement, extensive, to bone of left lower extremity degloving injury and grade 3a open tibia- fibula fracture. 2. application and removal of multiplane external fixator to grade 3 open left tibia-fibula fracture. 3. intramedullary rod fixation of segmental, grade 3a open left tibia-fibula fracture. 4. primary repair of left peroneus longus tendon. 5. application of extensive vacuum-assisted closure dressing. 1. staged irrigation and debridement down to and inclusive of bone and then soft tissue debridement of heavily contaminated wound. operation performed: 1. puncture of right common femoral artery. 2. placement of catheter into the aorta. 3. abdominal aortogram with unilateral runoff. 4. second order catheterization of left common femoral artery. 1. staged irrigation and debridement of open tibia fracture down to inclusive of bone. 2. placement of large vacuum sponges. 1. irrigation and debridement of the open tibia fracture including skin, subcutaneous tissue, fascia, muscle and bone; large vacuum sponge placement. operation performed: 1. debridement of left lower extremity wound including skin, subcutaneous tissue and fascia as well as muscle. 2. placement of large vacuum assisted closure device. : 1. debridement of left leg wound including skin, soft tissue and muscle fascia. 2. right latissimus free flap reconstruction for coverage of left open, infected tibial fracture and achilles tendon. 3. coverage with split-thickness skin grafting greater than 400 cm2. history of present illness: 50 yo male with h/o cad, afib on coumadin who presents s/p motor vehicle crash. he was reportedly was standing at side at road when he was struck by a car. he was found lying on the road holding his left leg. he was transported to to for further care. past medical history: cad afib on coumadin stroke social history: per records: occasional etoh, hx of tobacco, ?crack and opioid use in past family history: noncontributory physical exam: upon admission: o: t: 95.6(ax) bp: 179/144 hr:108 rr:14 o2sats:97% gen: wd/wn, comfortable, nad. heent: normocephalic, large scalp laceration approximatley 6cm in length pupils: 3/2mm perrl eoms: intact extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t fe ff ip q at g l deferred secondary to open fracture; able to wiggle toes to command with intact sensation. lur intact with full sensation sensation: intact to light touch, propioception. reflexes: b pa right 2 2 left 2 2 rectal exam normal sphincter control pertinent results: 10:15pm glucose-128* urea n-20 creat-1.1 sodium-138 potassium-4.2 chloride-109* total co2-22 anion gap-11 10:15pm calcium-7.9* phosphate-2.8# magnesium-2.7* 10:15pm hct-27.1* 10:15pm pt-20.5* ptt-29.0 inr(pt)-1.9* 04:40pm ck(cpk)-2222* 04:40pm wbc-8.9 rbc-3.65* hgb-11.7*# hct-34.1* mcv-93 mch-31.9 mchc-34.1 rdw-14.4 04:40pm plt count-181 06:10am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg brief hospital course: he was admitted to the trauma service. neurosurgery, plastic surgery, vascular, orthopedics and behavioral neurology were consulted given his multiple injuries. there was initial concern for possible vascular injury of his left foot, but was found to be neurovascularly intact. he was later taken to for an angiogram of his left lower extremity which showed bilateral patent renal arteries, no evidence of aortoiliac atherosclerotic disease and no evidence of flow-limiting stenoses, patent left common femoral artery, patent superficial femoral artery, patent left profunda femoris arteries, patent profunda femoris artery and patent popliteal artery on the left. he was taken to the operating room by orthopedics and plastics for debridement of skin, subcutaneous tissue and muscle with repair of complex laceration of forehead approximately 15-cm; irrigation and debridement, extensive, to bone of left lower extremity degloving injury and grade 3a open tibia-fibula fracture; application and removal of multiplane external fixator to grade 3 open left tibia-fibula fracture; intramedullary rod fixation of segmental, grade 3a open left tibia-fibula fracture; primary repair of left peroneus longus tendon and application of extensive vacuum-assisted closure dressing. he would subsequently undergo further washout procedures and re-application of the vac dressing. plastics was consulted for evaluation for free flap and skin grafting. at the request of plastics a cardiology consult was placed for operative clearance. his medications were optimized and he was given clearance. patient was taken to the or on for a right latissiums flap, right thigh skin grafting to left lower extremity and did well following this procedure. given the presence of osteomyelitis culture positive for morganella and proteus from path specimen, he will be discharged on iv vancomycin and po ciprofloxacin for a course of six weeks beginning . his neurosurgical issues were managed non operatively as there was no intracranial hemorrhage identified. his head ct revealed a soft tissue hematoma and likely laceration involving the scalp overlying the right frontal bone. he was also evaluated by behavioral neurology for a cognitive evaluation and probable mild traumatic brain injury. it was recommended to minimize any medications that would alter his mental status. physical and occupational therapy were also consulted and have recommended rehab after his acute hospital stay. medications on admission: 1. coumadin 2. inderal 3. digoxin 4. captopril discharge medications: 1. vancomycin 1000 mg iv q 12h 2. ciprofloxacin 500 mg tablet sig: one (1) tablet po twice a day for 5 weeks: antibiotic start day beginning . disp:*70 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, chewable sig: 1.5 tablet, chewables po daily (daily). 4. digoxin 125 mcg tablet sig: 1.5 tablets po daily (daily): hold for sbp <90, hr <55. 5. captopril 25 mg tablet sig: two (2) tablet po tid (3 times a day). 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 13. insulin regular human 100 unit/ml solution sig: injection asdir (as directed): insulin sliding scale. 14. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). 15. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 16. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 17. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 18. haloperidol lactate 5 mg/ml solution sig: two (2) mg injection q4h (every 4 hours) as needed for breakthrough agitation. discharge disposition: extended care facility: - discharge diagnosis: s/p pedestrian struck by auto left open leg wound with exposed achilles tendon and open left tibia-fibula fracture with osteomyelitis. s/p right latissimus flap to left lower leg and skin graft harvest from right thigh discharge condition: hemodynamically stable, tolerating po intake, unable to bear weight on left lower extremity. discharge instructions: keep leg elevated at all times with the exception of dangling leg at side of bed for 5 minuteds three times per day. check the flap doppler signal before and after. patient may not bear weight on the left leg, but may get out of bed to chair. return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: you will need follow up with plastic surgery call in the next 1-2 weeks(dr. . follow up in 2 weeks with dr. , orthopedics, call for an appointment. follow up as an outpatient with dr. , behavioral neurology call for an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances arteriography of femoral and other lower extremity arteries other skin graft to other sites graft of muscle or fascia excisional debridement of wound, infection, or burn aortography debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula application of external fixator device, tibia and fibula application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula nonexcisional debridement of wound, infection or burn excision of lesion of other soft tissue excision of lesion of other soft tissue other myectomy other myectomy other myectomy other myectomy removal of implanted devices from bone, tibia and fibula other suture of tendon insertion or replacement of (cement) spacer insertion or replacement of (cement) spacer application of external fixator device, ring system removal of (cement) spacer biopsy of bone, tibia and fibula diagnoses: acidosis coronary atherosclerosis of native coronary artery other postoperative infection congestive heart failure, unspecified atrial fibrillation open wound of scalp, without mention of complication open wound of forehead, without mention of complication acute respiratory failure cellulitis and abscess of leg, except foot chronic systolic heart failure long-term (current) use of anticoagulants personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits closed fracture of seventh cervical vertebra nonunion of fracture motor vehicle traffic accident involving collision with other vehicle injuring pedal cyclist alcohol withdrawal delirium acute osteomyelitis, ankle and foot open fracture of shaft of fibula with tibia closed fracture of three ribs infection and inflammatory reaction due to other internal orthopedic device, implant, and graft open wound of knee, leg [except thigh], and ankle, with tendon involvement intracranial injury of other and unspecified nature without mention of open intracranial wound, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to