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: patient is a 42-year-old male who was involved in a high speed roll over motor vehicle crash. there was a question of whether the patient was restrained. on the scene he was combative and was intubated by the emts. he had obvious open left femur fracture, but remained hemodynamically stable in the field and on arrival to the emergency room at the . on arrival, pulse was 98, blood pressure 108/palp. past medical history: 1. low back pain. 2. anxiety. past surgical history: unknown. medications: unknown. allergies: penicillin. social history: patient has a wife and sister who are able to converse with physicians in the emergency room. physical examination: patient's heart rate was 88, blood pressure 108/palp, 99% saturation and patient was getting bag valve mask ventilated. gcs was 3t. there was a left orbital ecchymosis. left pupils are irregular and unresponsive. the right pupil was 3 mm to 2 mm reactive. there was no instability of the face. there was nasal blood bilaterally. the left tm was clear. the right tm is obscured by blood. patient's neck was in c collar. trachea is midline with no crepitus. chest was stable. chest sounds were clear to auscultation bilaterally. there were no deformities. heart was regular. abdomen was nondistended and soft. rectal is guaiac negative with normal tone. pelvis was stable. back had no stepoff or deformities. there is a left femur with obvious open fracture distal thigh. abi was 130/110 with palpable dorsalis pedis and posterior tibial artery pulse. right had no deformities with palpable distal pulses. left forearm lacerations were present. venous blood gas immediately upon entering the emergency trauma bay was 7.14, 28, 67, 24 minus 8. laboratory data on admission: white count 17.8, hematocrit 35, platelets of 277. pt 13.1, ptt 21.6, inr 1.1. sodium 141, potassium 3.6, chloride 104, bicarbonate 18, bun 12, creatinine 0.9, glucose 235. calcium 1.05, lactate 4.3, fibrinogen 186, amylase 219. urinalysis had large amounts of blood. tox screen showed etoh of 252. radiographic studies: chest x-ray was significant for a question of a widen mediastinum with good position of the et tube. pelvis was normal. head ct scan was significant for a large acute subdural hematoma with mass effect and shift to the right, extensive fascial fractures with pneumocephalus. the facial fractures included the lateral and superior portion of the left orbit, multiple fractures of the ethmoid ..............., small bony chip in close proximity to the left optic nerve, fracture of the left orbital floor and multiple fractures of the left maxillary sinuses. ct scan of the c spine showed no evidence of acute fracture or dislocation. cta of the chest showed no aortic injury, but did show bilateral pulmonary contusion. ct scan of the abdomen showed no intraabdominal injuries, or free fluid, or free air. left femur film showed fracture of the mid distal third of the femur which was a compound fracture. films of the left upper extremity was negative. film of the right hand showed a markedly comminuted spiral fracture of the proximal phalanx of the right second finger. hospital course: patient after resuscitation and evaluation in the trauma bay was taken to the operating room for emergent craniotomy and evacuation of left epidural hematoma. during the same procedure, orthopedics performed and i&d and im rodding of the left femur fracture. an echocardiogram was done, transesophageal echo was done intraoperatively which was normal. ophthalmologic consult was obtained. the patient underwent lateral ................... for ophtho. the patient was then transferred to the trauma intensive care unit for continued resuscitation and close observation. the patient remained hemodynamically stable in the trauma bay and in the operating room. in the intensive care unit, the patient was started on dilantin for seizure prophylaxis for one week. he remained seizure free throughout his hospital course. ............... was placed by neurosurgery during there procedure for icp measurements. this was discontinued on when patient remained stable. he underwent cerebral angiography on which demonstrated a left direct carotid cavernous sinus fistula mid direct inferior maxillary artery, superior ophthalmic vein fistula which is coiled. he subsequently underwent an angiography on which demonstrated stable cerebrovasculature. the patient has otherwise remained neurologically stable. follows commands and moves all four extremities. 1. ophthalmology: ophthalmology has followed the patient and has done two retinal examinations. the patient's exam has remained stable, though visual acuity has not been tested secondary to patient's altered mental status, but will be followed as an outpatient. 2. respiratory: patient's respiratory status was significant for remaining intubated for several sicu days post accident. the patient had a pulmonary artery arteriogram which showed a right middle lobe embolus and a inferior vena cava filter was placed. on , the patient had a left chest tube placed for increased effusion which was discontinued on . the patient has been extubated and has had pulmonary status which has been stable. 3. cardiovascular: the patient has remained hemodynamically stable and has required no further interventions. 4. gastrointestinal: issues included beginning starting tube feeds via nasogastric tube. patient has tolerated the tube feeds of goal. patient received an early swallow study which he failed secondary to altered mental status. the patient will receive a video swallow prior to discharge to determine p.o. status and will be weaned off of tube feeds as patient's caloric intake increases. 5. hematologic: significant issues included a transfusion of three units of packed red blood cells early in his hospital course. patient has not been on anticoagulation secondary to his cerebral bleed. patient has an ivc filter in place. 6. endocrinologic: significant issues, patient received a 72 hour course of solu-medrol and received insulin drip for blood glucose control from which he has subsequently been discontinued and has remained stable. 7. infectious disease: issues have included early course of vancomycin and gentamycin for the open femur fracture which were discontinued on postoperative day #5. later in his hospital course, the patient developed an increasing white count and low grade temperatures. he was found to have right knee cellulitis and he was started on kefzol for which he has completed a seven day course. currently his white count is normalized and he has remained afebrile. from the injury perspective, patient's femur fracture has been stable. he has received follow up imaging which shows a im rod in place and will follow up with orthopedics following discharge. 8. significant events: on hospital day #13, the patient went to the operating room with plastic surgery where they performed a zygoma bone open reduction internal fixation and a right index finger open reduction internal fixation. the patient tolerated this procedure well and was sent to the vascular intensive care unit for close monitoring. following that surgery, the next day, the patient became agitated and tachypneic. his blood gas at that time was 7.42, 38, 12, 62, 25, 99%. he was given a dose of lasix. chest x-ray showed a small left effusion, but no evidence of pulmonary edema. the patient was transferred to the intensive care unit for three days of close monitoring. he was never reintubated and he has subsequently been transferred to the floor where he has remained stable. second significant event on hospital day #17, the patient demonstrated hoarseness of breath. oral was consulted and determined that patient had good medullization of the vocal cords and suggested a temporal bone ct scan secondary to right hemotympanum which will be obtained prior to discharge. the patient is stable and ready for discharge to rehabilitation with the following discharge diagnosis. discharge diagnosis: 1. left epidural hematoma, subdural hematoma status post craniotomy and evacuation. 2. direct carotid cavernous sinus fistula and indirect inferior maxillary artery sub-ophthalmic vein fistula status post coiling of latter. 3. open left femur fracture status post im rodding. 4. left zygoma fracture status post open reduction internal fixation. 5. right second proximal phalanx fracture status post open reduction internal fixation. 6. right middle lobe pulmonary embolism status post ivc filter. 7. left knee cellulitis status post course of kefzol. discharge medications: 1. percocet elixir 5 to 10 mils p.o. q. four to six hours p.r.n. per ng tube. 2. heparin 5000 units subcutaneous b.i.d. 3. insulin sliding scale. 4. lacrilube ointment one ou p.r.n. 5. artificial tears one to two drops ou p.r.n. 6. timolol maleate 0.5% one drop ou b.i.d. 7. brimonidine tartrate 0.1% ophthalmic drop ou q. eight. 8. lantan oproste one drop ou h.s. 9. zyprexa 5 mg p.o. q.h.s. 10. dulcolax 10 mg p.r. b.i.d. p.r.n. 11. tylenol 650 mg p.r. q. six hours p.r.n. disposition: patient will follow up with dr. from orthopedics in two weeks following discharge. patient will follow up with dr. in one month from neurosurgery. patient will follow up with the trauma clinic in two weeks. patient will follow up with ophthalmology in two weeks. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more incision of cerebral meninges insertion of endotracheal tube interruption of the vena cava arteriography of cerebral arteries open reduction of fracture with internal fixation, femur debridement of open fracture site, femur other diagnostic procedures on brain and cerebral meninges open reduction of fracture with internal fixation, carpals and metacarpals endovascular (total) embolization or occlusion of head and neck vessels open reduction of malar and zygomatic fracture diagnoses: cellulitis and abscess of leg, except foot closed fracture of orbital floor (blow-out) other pulmonary embolism and infarction contusion of lung without mention of open wound into thorax rupture of artery closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration closed fracture of nasal bones injury to multiple blood vessels of head and neck open fracture of lower end of femur, unspecified part 

Answer: The patient is high likely exposed to