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: the patient is a 79 year old woman who was involved in a high speed motor vehicle crash, unrestrained passenger, car versus wall, with a prolonged extrication time. was evidently alert at the scene, but became unstable and was intubated in the field. she had multiple facial lacerations, epistaxis and oral bleeding with displaced teeth. upon presentation to via med-flight transport, she had already been intubated. she was tachycardiac, heart rate 110 to 130, blood pressure 120/palp. she had an open left pretibial wound. she had palpable peripheral pulses. abdomen was softly distended and nontender. fast was negative. rectal was guaiac negative. chest x-ray was without pneumothorax. pelvis without fracture. hematocrit was 34.5. first gas was 7.36, 40, 204, 24, -2. lactate was 2.6. she had ua with large blood and then she had a dbl which was grossly positive for blood. she was emergently brought to the operating room, also en route receiving three units of packed cells and ffp. her injuries at this time were noted to be some type of abdominal process causing the bleeding, facial lacerations, open left tib/fib fractures. head ct showed a small contusion with a small subarachnoid hemorrhage in the left frontal lobe. incidentally she also had an ex-lap with findings of bleeding from the spleen, two splenic lacerations which were repaired and bleeding stopped with surgicel. note was made of a macronodular cirrhosis pattern of her liver. patient was closed and brought back to the icu for a very prolonged hospital course. she is italian speaking only. she was maintained in a hard collar. past medical history: hepatitis c. leukopenia. splenomegaly. depression. appendectomy. medications: fioricet, famvir, folate, alprazolam. allergies: no known drug allergies. hospital course: while in the operating room she had a washout procedure of her leg. hematocrit in the first 24 hours went down to 23.6 and she continued to be transfused aggressively. neurosurgery was called regarding the subarachnoid hemorrhage and followup studies showed that there was no worsening of the bleed and that there was no mass effect. patient was given dilantin. she was continued on mechanical ventilation. from a respiratory standpoint she was found to have ards. multiple attempts were tried to wean her from the vent which were unsuccessful and a tracheostomy was placed. the sutures on her face were removed and steri-strips were applied and they were eventually removed as well. from a gi perspective a dobbhoff feeding tube was placed and she was advanced on tube feeds. tpn was also given intermittently during her hospital stay. at times she had considerable amount of ascites which was tapped via ultrasound guidance. from a cardiovascular point of view, hemodynamically she had a varied course which included monitoring with a swan-ganz catheter intermittently and pvcs, pacs, bigeminy and intermittently thought to be fluid requiring or fluid overloaded. she was very carefully monitored in the icu the entire time. eventually, as she is now, she was started on lopressor which was converted to p.o. form given through her tube. for her blood sugars she was treated with sliding scale insulin intermittently. her infectious disease issues were multiple and included an enterobacter uti urosepsis as well as pseudomonas pneumonia. she was on long term, broad spectrum antibiotics which were stopped more than three days ago without return of fever or white count. she definitely had a depressed mental status which was thought to be secondary to the medicines that she was administered as well as the underlying brain which largely improved throughout the course of her hospital stay. currently she is interactive with her family who are frequently at the bedside. she was followed by multiple teams including neurology, neurosurgery, orthopaedics, general surgery, trauma surgery during this hospital stay. currently her vital signs are 98.1, heart rate 97, blood pressure 142/72, respiratory rate 22, sats 100%. she is on assist control 40%, 500 by 10, peep 7 . she only has peripheral access and a dobbhoff feeding tube. her total ins yesterday were 1855, total outs were 1225 of urine. white count was 5.6, hematocrit 34.5 which is stable, platelets 125. last chemistry sodium 135, k 4.4, chloride 103, bicarb 25, bun 28, creatinine 0.6, glucose 184. albumin 2.7, calcium 8.8, mag 1.7. she has had blood cultures which are negative to date. she has had sputum cultures which still show pseudomonas, but thought to be a contaminant at this point. she is afebrile with normal white count without any antibiotics. urine culture negative. cath tip which was removed now which showed staph epi. she is awake, alert and she follows commands. pupils react. her trach is in place and secure. heart sounds are regular rate and rhythm with no murmur. respiratory coarse rhonchi. abdomen is mildly tense, but no drainage anywhere. extremities have peripheral pitting edema. current medications: she is on lopressor 25 mg p.o. b.i.d., spironolactone 25 mg p.o. b.i.d., subcu heparin 5000 units subcu b.i.d., solu-medrol 40 mg iv q.six hours which was instituted on for treatment of the now prolonged ards that she has experienced, epogen 40,000 units subcu tuesday, thursday, saturday three times a week, dulcolax 10 mg p.r. q.d. p.r.n., milk of magnesia 30 cc q.six p.r.n., morphine 1 to 10 mg iv q.two to four hours p.r.n., albuterol one to two puffs q.four hours p.r.n., miconazole powder 2% p.r.n., tylenol 650 p.o. q.four p.r.n., nystatin ointment q.i.d. p.r.n. and swish and swallow. tube feeds are impact with fiber, goal rate of 70 cc an hour. condition on discharge: now stable. discharge diagnoses: 1. unrestrained passenger in mvc . 2. injuries including subarachnoid hemorrhage. 3. splenic lacerations. 4. sepsis. 5. ards. 6. pseudomonas pneumonia. 7. tracheostomy. 8. enterococcus uti. 9. status post exploratory laparotomy with repair of splenic laceration and macronodular cirrhosis. 10. known past medical history of hepatitis c, leukopenia, decreased platelet count, anemia, arthritis, depression, splenomegaly. followup: followup will include followup with her primary care physician in two weeks, also follow up with dr. in two weeks. patient will require nursing care, physical therapy, respiratory therapy as well as occupational therapy might be warranted and social work. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous abdominal drainage exploratory laparotomy exploratory laparotomy temporary tracheostomy closed [endoscopic] biopsy of bronchus application of external fixator device, tibia and fibula closure of skin and subcutaneous tissue of other sites repair and plastic operations on spleen open reduction of fracture without internal fixation, tibia and fibula diagnoses: other shock without mention of trauma other specified septicemias hepatic encephalopathy injury to spleen without mention of open wound into cavity, hematoma without rupture of capsule open wound of cheek, without mention of complication open fracture of unspecified part of fibula with tibia cerebellar or brain stem contusion without mention of open intracranial wound, with no loss of consciousness other motor vehicle nontraffic accident involving collision with stationary object injuring passenger in motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to