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: polytrauma s/p pedestrian struck by a vehicle major surgical or invasive procedure: rle exfix,tracheostomy,vac placement/im nailing, peg, s/p trach revision, orif mandible, attempted ivc filter, s/p ivc filter placement and removal of ci filter. history of present illness: 37m hit by car thrown 20 feet, found unresponsive, agonal breathing, intubated at scene. b/l cts placed in ed. r ptx initially needled, then ct placed; decreased bs noted on l and ct placed w/clinical suspicion of ptx. + etoh. past medical history: pmh: bipolar d/o, klinefelter's, raynaud's, systemic sclerosis (extent uncertain, recent dx), ^chol, prostatitis obesity social history: +etoh, +tob family history: nc physical exam: physical exam on admission: t: 98.5 bp:110 / 55 hr:123-133 r 30 o2sats 92% vented gen: intubated and sedated on propofol, patient examined when off of propofol for 5 min. heent: pupils: right 4.5 to 3.5, left 3 to 2.5 neck: trauma collar lungs: bilateral chest tubes cardiac: tachy abd: distended extrem: right open tib fib fracture, fingers and toes cyanotic neuro: mental status: no eye opening to voice and or painful stimuli. cranial nerves: positive corneals positive cough motor: moves bilaterl lower extremities to lightening of sedation, localizes to nox with left upper extremity pertinent results: micro: mrsa: positive r bal: coag + staph aureus ( to vanc) 12/28 l bal: coag + staph aureus blood cx: p blood cx: p urine cx: neg aline tip cx: neg epidural tip cx: neg bal rll: ng bal lll: sparse staph a sputum: sparse staph a blood cx: p bl cx x 2: p urine cx: p bal: ng bl cx x 2:p ucx:gpb < sputum: staph nasal swab: gpc, gnr- staph aureus coag + bal: staph aureus coag +. ~/ml. ucx:ng sputum: staph coag + sparse bl cx: klebsiella pna pan cath: coag neg staph cath: coag neg staph bl cx: ng c diff ng swab: ng bl cx x 2: p . imaging: ct head: 5-mm l frontal lobe parenchymal contusion. small linear r frontal sah w/possible parenchymal component. r frontal subgaleal hematoma and laceration . ct cspine: no acute cervical fx or malalignment. ct torso: multiple b/l displaced, comminuted rib fx(rt ant rib fx, lt ant rib fx). tiny residual -basilar ptx. lower lung collapse b/l. possible contusion. high density structures in rll segmental bronchus &in esophagus, most likely representing aspirated &swallowed teeth, respective. subtle ant mediastinal haziness=small hematoma, w/o acute aortic injury or sternal fx. no intra-abdominal or pelvic injury. ct face: multiple b/l mandibular fx w/dislocation of r tmj; rt neck fx/dislocation, b/l ramus fx, b/l symph fx. hyperdense structures in the soft tissue lat to l alveolar process of maxilla and w/in oral cavity ?dislodged teeth or tooth fragments. ct rle: comminuted, displaced mid tib fx. oblique fx of fib diaphysis. min displaced fibular head fx. possible peroneus tendon injury. ct head: very slight incr in visibility of a minimal degree of sah w/in multiple cerebral sulci cxr: improvement in multifocal pulmonary opacities tte: mild right ventricular cavity dilation with free wall hypokinesis ct head: no new hemorrhage. expected interval evolution sah. no sig change l frontal contusion. rue xrays: questionable malalignment radial head articulation w/ capitellum. no evid acute traumatic injury r shoulder/wrist. cxr: worsening bibasilar atelectasis cxr: increased r ptx cxr: unchanged cxr: bl pl eff, collapse of lung bases. effusions. cxr: tracheostomy has been advanced several centimeters with the distal tip now 2.5 cm above the carina cxr: unchanged cxr: unchanged, trach in place cxr: stable s/p ct removal lenis: clot in r greater saphenous, close to cfv. fever 102.2 o/n ruq u/s: limited study but likely neg for cholecystitis cxr: bilateral pleural effusions cxr: improved aeration of bases, stable r infrahilar consolidation. cxr: interval increase in pleural effusions and atelectasis. cxr: previous pleural effusions have decreased substantially, small if any on the right brief hospital course: events: : admit to tsicu. 4l resusitation in er plus 500 bolus. d50/insulin, kayexalate given for k 5.8. : bronch, retrieval of tooth in rll. bolused 1l ns for low urine output x2. ex fix, fasciotomies, omfs cleaned, debrided fx & removed loose teeth. t7-8 epidural (10/14 cm) placed in or, aps following. tte ordered. desats w/turning. fena prerenal, increased ivf and multiple boluses for uop <100 : desat with turning, pao2 66; increased fio2 to 50%, suctioned mucous plugs. combivent for wheeze. s/p trach. tte with dilated rv and hypokinesis. ophtho c/s rec'd -> e-mycin bilateral eyes and eyes taped shut at all times. acute hypoxia after returning from or -likely derecruitment. started empiric vap tx . : repeat head ct for decreased mvmt rue -> stable. cuff leak with movement. astromorph instilled through epidural, and d/c'd concern for abcess. started cisatt gtt. lasix 20 iv x1 @1500. 1prbc for hct 21.6. : transfused another untit of prbc for hct 21.7. lasix increased to tid. bronch and bal performed. vanc increased to 1.5 tid. peg placed at bedside. plan for omfs and ortho @ 0730 . ax a-line placed : or. revision of tracheostomy/multiple tooth extractions/ maxillary fixation/orif of symphysis/closure of chin wound. lasix diuresis. tfs started. : attempted to wean fi02. decr pao2, tried recruitment. re-bolused cis. diamox x3. started lovenox in place of heparin for dvt prophylaxis. cipro d/c. insulin gtt started. diuresed. hct down to 22.4. : dcd cefepime. transfused 1 unit. acute inability to ventilate pormptin trach repositioning under bronch. mild desats overnight. ct back to suction. diuresed overnight. diamoc for met alkalosis. continued paralysis given poor oxygenation. : transfused 1 unit, ct to water seal, wean fio2 : trasfused 2 units (22.1 -> 27.0), dilantin reloaded. off of cis, had acute episode of hypoxia likely mucous plug, placed back on cis and changed to pcv. cts back on suction. developed severe respiratory acidosis - switched back to cmv to achieve better mv (only 6.5-7.0 on pcv with high pressures). switched dilantin to iv from po poor absorption. : changed to pc ventilation. decreased peep to 16. esophageal balloon placment. removed r ct. dilantin dcd. 101.4 ax temp- pancultured. : bronch and bal. increased peep to 18. unasyn for sinusitis started. dcd cisatracuronium paralysis. : decreased peep to 15, decreased rr to 12, ti to 1.9 with improved o2. started vanc/zosyn for gram neg rods in blood cx. dc'd r axillary and r subclavian line (cultured). placed l axillary and l femoral lines. ruq u/s likely neg for cholecystitis (possible source of gram neg bacteremia), lfts nml. : placement of u/s guided ivc, placement of rij. decresed fio2 to 50%. acetazolamide for diuresis. : decreased peep from 15 to 12. not tolerated, returned to peep 15. fio2 decreased to 45% 1/10: continued acetazolamide and lasix diuresis. : increased lasix to 60mg , cont acetazolamide, decreased fio2 to 40% with peep 13, pins 23, it 1.6. : decreased peep 12 : did not go to the or. restarted tf at goal of 60cc because discontinued propofol. tachy and htn, thought agitation, trial of zyprexa with minimal results, continued to increase fentanyl gtt and give boluses of ativan : to or for removal of common iliac ivc and washout of rle with closure of lateral wound. new left cvl placed 16 cm wire. : changed vent to ps. : decreased repiratory drive s/p methadone. : decreased ps 8, peep to 5. decreased methadone dosing. decreased lasix to 10 . : on trach collar, lasix stopped, to or for stsg tomorrow : vac change in or : no acute events overnight. patient stable for discharge. medications on admission: : abilify 5mg', zoloft 250mg', trileptal 200mg, seroquel 750mg, zolpidem 1mg, lipitor, protonix, nifedipine, androderm soc: discharge medications: 1. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane qid (4 times a day). 2. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheeze. 3. acetaminophen 650 mg/20.3 ml solution sig: six y (650) mg po q6h (every 6 hours) as needed for fever. 4. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 6. sertraline 50 mg tablet sig: five (5) tablet po daily (daily). 7. aripiprazole 10 mg tablet sig: 0.5 tablet po daily (daily). 8. senna 8.8 mg/5 ml syrup sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. quetiapine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 10. oxcarbazepine 150 mg tablet sig: one (1) tablet po bid (2 times a day). 11. enoxaparin 100 mg/ml syringe sig: one hundred (100) mg subcutaneous q12h (every 12 hours). 12. oxycodone 5 mg/5 ml solution sig: 5-10 mg po q4h (every 4 hours) as needed for pain. 13. methadone 10 mg tablet sig: 1.5 tablets po bid (2 times a day). 14. olanzapine 5 mg tablet, rapid dissolve sig: two (2) tablet, rapid dissolve po daily (daily). 15. methadone 10 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). discharge disposition: extended care facility: - discharge diagnosis: acute respiratory distress syndrome bilateral frontal subarachnoid hemmorhages/contusions bilateral basilar lung collapse right mandibular neck, bilateral ramus, bilateral symph fxs right anterior rib fractures, left anterior rib fractures, and bilateral pneumothoraces right fibular head fracture, comminuted right tibial fracture right temporal laceration right talus fracture right lower extremity deep venous thrombosis right peroneus tendon injury. . discharge condition: activity status:out of bed with assistance to chair or wheelchair mental status:confused - always intermittently follows commands level of consciousness: arousable discharge instructions: please call if patient develops fevers to greater than 101.4 any worsening ventilator requirments or any redness or selling around wound sites. followup instructions: please call dr. , trauma surgery at for a follow up appointment in weeks. please call the orthopedic surgery clinic at for a follow up appointment in weeks. please call the vascular surgery clinic at for a follow up appointmment in 2 weeks. please call the plastic clinic at ffor a follow up appointment on friday . please call the clinic at for a follow up appointment with dr. on . procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy fasciotomy fasciotomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus 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 open reduction of fracture with internal fixation, tibia and fibula open reduction of mandibular fracture excision of lesion of other soft tissue other suture of muscle or fascia other surgical extraction of tooth other surgical extraction of tooth removal of implanted devices from bone, tibia and fibula angiocardiography of venae cavae partial excision of pituitary gland, transsphenoidal approach local excision or destruction of lesion of facial bone partial excision of pituitary gland, transsphenoidal approach local excision or destruction of lesion of facial bone phlebography of other intra-abdominal veins using contrast material other operations on vessels diagnoses: motor vehicle traffic accident involving collision with pedestrian injuring pedestrian open wound of scalp, without mention of complication acute respiratory failure bacteremia obesity, unspecified traumatic pneumothorax without mention of open wound into thorax staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus ventilator associated pneumonia bipolar disorder, unspecified closed fracture of mandible, multiple sites traumatic compartment syndrome of lower extremity flail chest rhabdomyolysis other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, unspecified state of consciousness open fracture of shaft of fibula with tibia acute sinusitis, unspecified closed fracture of astragalus venous embolism and thrombosis of superficial vessels of lower extremity foreign body in other specified parts bronchus and lung open fracture of mandible, symphysis of body 

Answer: The patient is high likely exposed to