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: s/p mvc major surgical or invasive procedure: intubation at scene of accident. external fixation r femur closed treatment right femoral head fracture with manipulation. removal implant deep, right femur. removal external fixator under anesthesia. im nail, right femur. orif, right ulna. history of present illness: 47 yo m unrestrained driver, high speed collision with tree, passenger fatality. agitated and combative at scene. intubated at scene. past medical history: ex lap scar from prior mvc r femur plate from former fx. family history: noncontributory physical exam: t 97 p 96 bp 138/66 rr 10 sat 100% on vent gen: intubated, sedated heent: confirmed ett placement, abrasion forehead and nose. blood at nares and lips. perrl. neck in c collar. chest: no crepitus, ctab, rrr abd: s, nd, fast neg ext: no obvious deformity, wwp neuro: sedated pertinent results: 11:36pm blood wbc-10.6 rbc-4.82 hgb-15.4 hct-44.1 mcv-92 mch-32.0 mchc-35.0 rdw-12.5 plt ct-127* 01:23pm blood hct-33.0* 06:11pm blood hct-36.4* 10:35am blood wbc-5.4 rbc-2.56* hgb-8.2* hct-22.8* mcv-89 mch-31.9 mchc-35.9* rdw-12.7 plt ct-132*# 08:10pm blood wbc-5.4 rbc-2.78* hgb-8.6* hct-24.6* mcv-88 mch-30.9 mchc-35.0 rdw-13.7 plt ct-114* 11:36pm blood pt-12.4 ptt-22.4 inr(pt)-1.0 11:36pm blood plt ct-127* 10:35am blood pt-12.9 ptt-23.7 inr(pt)-1.1 04:50am blood plt ct-123* 11:36pm blood fibrino-164 03:45am blood glucose-100 urean-17 creat-0.8 na-140 k-5.5* cl-104 hco3-25 angap-17 05:25am blood glucose-123* urean-14 creat-0.7 na-136 k-4.1 cl-100 hco3-29 angap-11 10:35am blood alt-31 ast-60* alkphos-35* totbili-1.9* 11:36pm blood amylase-56 03:45am blood calcium-7.9* phos-4.1 mg-1.8 05:25am blood calcium-7.6* phos-2.5* mg-1.8 11:36pm blood asa-neg ethanol-276* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 11:35pm blood glucose-112* lactate-2.2* na-143 k-3.4* cl-102 08:34pm blood lactate-0.8 k-3.9 ct chest/abd/pelvis: impression: 1. large splenic laceration consistent with grade iii laceration, with evidence of intraparenchymal vascular injury. 2. posterior dislocation of the proximal right femur with fracture of the right femoral head and small acetabular chip fracture. 3. nondisplaced fracture of the left 7th and 8th ribs in the region of the costocondral junction. ct cspine: no evidence of acute fracture. note added at attending review: although it is true that there are no findings that appear to be results of trauma, there are several significant abnormalities: 1. there is assimilation of c1 into the occiput, with consequent axial migration of the odontoid. this produces narrowing of the foramen magnum and distortion of the cervicomedullarly junction. 2. there is developmental narrowing of the spinal canal with small disk protrusionas at c3-4 and indenting the spinal cord. 3. at c5 and below artifacts arising from the shoulders obscure intraspinal detail. however, an intervertebral osteophyte at c5-6 appears to narrow the spinal canal. ct head: no evidence of hemorrhage. note added at attending review: there is narrowing of the foramen magnum and assimilation of c1 into the occiput. full description in the report of the cervical spine ct. the right frontal and bilateral temporal calcifications are of uncertain signficance. they may represent old granulomas fluoroscopy rle: multiple fluoroscopic views from the operating suite show placement of a metallic fixation device about the fracture of the proximal shaft of the femur, just superior to the prior lateral fixation plate fixing an old fracture of the shaft. the posterior dislocation of the femoral head with respect to the acetabulum has been reduced. film r femur: there is a severely displaced fracture of the proximal right femoral shaft, with anterior angulation of the superior fragment, just superior to a lateral fixation plate fixing an old fracture of the mid right femoral shaft. the proximal femur is also dislocated posteriorly. a fracture fragment of the proximal femoral head also seen. r arm film: there is a slightly displaced transverse fracture of the distal cubitus, there is no angulation fluoroscopy r arm: a medial fracture plate has been placed alongside the transverse fracture at the junction of the middle and distal thirds of the ulnar diaphysis. the displacement has been reduced. intraoperative soft tissue air is seen. there is a dorsal calcific density along the operative approach. impression: orif of a ulnar fracture. a dorsal opacity might represent a small bony fragment. please see operative notes for full details. ct r femur: impression: 1. intra-articular fracture of right femoral head with inferior displacement of the femoral head fragment. 2. posterolateral acetabular fracture with multiple small bone fragments posterior to the acetabulum and evidence of an impacted fracture at the posterior acetabulum. brief hospital course: mr. was admitted to the tsicu on intubated. he went to the or with orthopedics on for ex-fix r femur and hip relocation. that same night, he was extubated and maintained on bipap with stable sats. he returned to the or with orthopedics in the evening of for orif of r femur and r ulna. regarding his splenic lac, he was admitted to icu for q4hr hcts. he remained hemodynamically stable, however, hcts trended slowly down until he was transfused one unit of prbc on . his hematocrit increased appropriately, however, again slowly drifted down until transfused one unit again on . on he was started on lovenox dvt precaution per orthopedics recommendation. physical therapy evaluated the patient and felt that he would be appropriate for rehabilitation facility placement. after transfusion on , his hematocrit corrected appropriately and he was medically stable for discharge to rehab facility. medications on admission: denies discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for sob. 2. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed for sob. 3. hexavitamin tablet sig: one (1) cap po daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily) for 3 days. 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 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). 11. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 12. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 13. hydromorphone (dilaudid) 0.5-1.0 mg iv q6h:prn breakthrough pain 14. lorazepam 1-2 mg iv q2h:prn ciwa per ciwa scale >10 15. enoxaparin 40 mg/0.4 ml syringe sig: 0.4 ml subcutaneous daily (daily). 16. insulin ss insulin ss as printed and included in paperwork. discharge disposition: extended care facility: - discharge diagnosis: r femur fracture r acetabular fracture r posterior hip dislocation r ulna fracture grade iii splenic lac discharge condition: stable discharge instructions: you were treated in the hospital after a motor vehicle accident. you broke your leg and your arm and both were surgically repaired. you also damaged your spleen which stabilized and did not necessitate removal of your spleen, however, you did require a blood transfusion and your blood counts should be monitored. you were initially given a breathing tube due to abnormal mental status, but you weaned off of the tube and were able to breath on your own. you were seen by physical therapy and are now medically stable to be discharged to a rehabilitation facility. please do not bear any weight on your r leg or r arm until your follow up appointment with the orthopedic doctors. also avoid any contact sports for 5-6 weeks. your staples will need to be removed on approximately . please take all medicines as directed and keep all follow up appointments. if you should experience fever, increased redness, swelling or drainage from your wound, chest pain, shortness of breath, please notify your doctor or return to the ed. followup instructions: please call to schedule an appointment in orthopedics clinic with dr. in weeks. please call to schedule a follow up appointment with dr. in weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours closed reduction of dislocation of hip open reduction of fracture with internal fixation, radius and ulna transfusion of packed cells closed reduction of fracture with internal fixation, femur application of external fixator device, femur removal of implanted devices from bone, femur diagnoses: acidosis tobacco use disorder iron deficiency anemia secondary to blood loss (chronic) alcohol abuse, unspecified head injury, unspecified closed fracture of two ribs closed fracture of shaft of femur other alteration of consciousness motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle injury to spleen without mention of open wound into cavity, unspecified injury other closed transcervical fracture of neck of femur closed dislocation of hip, unspecified site closed fracture of unspecified part of ulna (alone) 

Answer: The patient is high likely exposed to