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: no known allergies / adverse drug reactions attending: chief complaint: pedestrian struck with resulting l tibial plateau fx, b/l acetabular fx, l ulna fx major surgical or invasive procedure: 1. open reduction internal fixation left ulnar fracture with internal fixation. 2. washout and debridement open tibial shaft fracture down to and inclusive of bone. 3. open reduction internal fixation left tibial plateau fracture with internal fixation. 4. open reduction internal fixation left tibial tubercle fracture with internal fixation. 5. open reduction internal fixation left tibial shaft fracture with internal fixation. 6. monitor interstitial compartment pressures, left tibia. 7. four-compartment fasciotomy left tibia without debridement. 8. application vac sponge, left leg. 9. closed treatment left fibula fracture without manipulation. 1. repair dehiscence extensive, left lateral leg. 2. repair dehiscence, left medial leg. history of present illness: 54m ped struck by car while walking with gf at approx 30-40mph, + short loc, gcs 15, tx from osh for bilateral pelvic fx w/ hematoma, l tib/fib fx, l ulnar fx, l 8th rib fx, l heel hematoma. injuries: l 8th rib fx bilateral acetab fx l pelvic hematoma 7x5x2 cm l sacral fx l ulna fx l tib plateau fx l heel hematoma past medical history: pmh: basal cell ca psh: sternal basal cell ca excision, l frontal craniotomy social history: smokes 1 ppd. drinks ~3 beers per day. works in construction but currently not employed family history: non-con physical exam: on arrival: t 98.2 p 88 bp 130/72 rr 18 o2 96 ra aox3, gcs 15 airway intact, breathing stable, hd stable abrasion l apical scalp tender to palpation left hemithorax left wrist tender, neurovascular intact abdomen soft/nontender pelvis sheeted foley in place, no blood at meatus left leg in splint, neurovascular intact at discharge: avss nad, a&o x3 cv: rrr pulm: ctab msk: lue with incision clean/dry/intact no tenderness, deformity, erythema, edema, induration or ecchymosis arms and forearms are soft mild pain with passive motion at wrist r m u epl fpl eip edc fdp fdi fire 2+ radial pulses contralateral extremity examined with good range of motion, silt, motors intact and no pain or edema lle incisions clean/dry/intact with mild swelling and ecchymosis, no induration, fluctuance or drainage. thighs and legs are soft mild pain with passive motion at knee and ankle saph sural dpn spn mpn lpn fhl gs ta pp fire 1+ pt and dp pulses contralateral extremity examined with good range of motion, silt, motors intact and no pain or edema pertinent results: 06:20am blood wbc-4.7 rbc-3.86* hgb-11.8* hct-37.9* mcv-98 mch-30.6 mchc-31.1 rdw-14.4 plt ct-579* 06:20am blood glucose-97 urean-11 creat-0.9 na-139 k-4.5 cl-105 hco3-26 angap-13 brief hospital course: mr was admitted to the trauma icu from the ed following his transfer from outside hospital. he was taken to the operating room by orthopedic surgery that same day () for orif left tibia & ulna, as well as 4-compartment fasciotomy of left leg please see dr operative report for further details. he was extubated in the operating room and remained hd stable. he returned to the trauma icu post-op for monitoring. overnight, he was hd stable, had no respiratory issues, had a stable hematocrit and maintained adequate urine output. he was kept npo while in the icu. his pain was well controlled with a dilaudid pca. on post-op day 1 (24 hours post admission), he was transferred to the orthopedic service and out to the regular floor. he was taken back to the or on for repair of dehiscence of left medial and lateral leg fasciotomy wounds. he tolerated the procedure without complications and was transferred to the pacu in stable condition. please see operative report for details. post operatively pain was controlled with a pca with a transition to po pain meds once tolerating pos. the patient tolerated diet advancement without difficulty and made steady progress with pt. weight bearing status: left lower extremity: touch down weight bearing with brace locked in extension when oob, ok to unlock from 0-90 when in bed; no active extension, ok to do flexion exercises. left upper extremity: non-weight bearing; ok to platform crutch weight bear; sling when oob, no splint the patient received peri-operative antibiotics as well as lovenox for dvt prophylaxis. the incision was clean, dry, and intact without evidence of erythema or drainage; and the extremity was nvi distally throughout. the patient remained in the hospital for a prolonged period of time secondary to post-discharge placement difficulties as the patient was not insured and not a ma resident. he ultimately was found to be safe for discharge home with services. he was at that point discharged in stable condition with written instructions concerning precautionary instructions and the appropriate follow-up care. the patient will be continued on chemical dvt prophylaxis for 4 weeks post-operatively. all questions were answered prior to discharge and the patient expressed readiness for discharge. medications on admission: mvi discharge medications: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 2. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for indigestion . 3. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous daily (daily) for 4 weeks. disp:*28 syringe* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. oxycodone 5 mg tablet sig: 2-3 tablets po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 8. wheelchair with elevating leg rests , handrails on wheels 9. walker with left arm platform 10. bedside commode discharge disposition: home with service facility: healthcare discharge diagnosis: 1. open left tibial shaft fracture. 2. left lateral tibial plateau fracture. 3. impending compartment syndrome of the left leg. 4. left ulna fracture. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: ******signs of infection********** should experience severe pain, increased swelling, decreased sensation, difficulty with movement; fevers >101.5, chills, redness or drainage at the incision site; chest pain, shortness of breath or any other concerns. -wound care: you can get the wound wet/take a shower after discharge from the hospital. no baths or swimming permitted. no dressing is needed if wound continued to be non-draining. ******weight-bearing******* left lower extremity: touch down weight bearing with brace locked in extension when oob, ok to unlock from 0-90 when in bed; no active extension, ok to do flexion exercises left upper extremity: non-weight bearing; ok to platform crutch weight bear; sling when oob, no splint ******medications*********** - resume your pre-hospital medications. - you have been given medication for your pain control. please do not operate heavy machinery or drink alcohol when taking this medication. as your pain improves please decrease the amount of pain medication. this medication can cause constipation, so you should drink 8-8oz glasses of water daily and take a stool softener (colace) to prevent this side effect. -medication refills cannot be written after 12 noon on fridays. *****anticoagulation****** - take lovenox for dvt prophylaxis for 4 weeks post-operatively. ******follow-up********** please follow up with in 14 days post-hospital discharge for evaluation. call to schedule appointment upon discharge. please follow up with your pcp regarding this admission and any new medications/refills. physical therapy: left lower extremity: touch down weight bearing with brace locked in extension when oob, ok to unlock from 0-90 when in bed; no active extension, ok to do flexion exercises left upper extremity: non-weight bearing; ok to platform crutch weight bear; sling when oob, no splint treatment frequency: site: left forearm description: incision w/steri strips ota care: monitor for s/sx infection site: lle description: multiple incisions w/ steri strips care: ace wrap under brace followup instructions: please follow up with in 14 days post-hospital discharge for evaluation. call to schedule appointment upon discharge. please follow up with your pcp regarding this admission and any new medications/refills. procedure: fasciotomy 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, radius and ulna other suture of muscle or fascia diagnoses: tobacco use disorder motor vehicle traffic accident involving collision with pedestrian injuring pedestrian personal history of other malignant neoplasm of skin closed fracture of one rib traumatic compartment syndrome of lower extremity closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of upper end of fibula with tibia person awaiting admission to adequate facility elsewhere closed fracture of pubis open fracture of shaft of fibula with tibia closed fracture of acetabulum concussion, with loss of consciousness of 30 minutes or less closed fracture of shaft of ulna (alone) personal history of traumatic brain injury contusion of foot 

Answer: The patient is high likely exposed to