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 with left hip dislocation/acetabular fracture and open right talus fracture major surgical or invasive procedure: : left traction pin placement : i&d right talus fracture, external fixator placement right talus fracture, closed reduction of subtalar joint : orif left acetabular fracture with removal traction pin history of present illness: mr. is a 27 year old male who was an unrestrained driver, car vs tree at moderate speed. there was +loc, driving wheel deformation and dashboard deformation. he was taken from the scene to . he was found to have an open right ankle fracture and l hip dislocation/acetabular fracture and was transferred to ed for further evaluation and treatment. past medical history: depression anxiety seizure disorder history of alcoholism ivdu social history: single, hx of opioid addiction, ivdu, now on methadone through clinic. lives with parents, not currently working family history: non-contributory physical exam: on discharge: afebrile, all vital signs stable general: alert and oriented, no acute distress right lower extremity: weight bearing: non weight bearing external fixator: pin sites clean/dry/intact extensor/flexor hallicus longus intact sensation intact to light touch neurovascular intact distally capillary refill brisk 2+ pulses left lower extremity: weight bearing: touch down weight bearing w/ posterior hip precautions incision: intact, no swelling/erythema/drainage dressing: clean/dry/intact extensor/flexor hallicus longus intact sensation intact to light touch neurovascular intact distally capillary refill brisk 2+ pulses pertinent results: 06:10am blood wbc-7.2 rbc-2.88* hgb-8.4* hct-24.9* mcv-86 mch-29.1 mchc-33.7 rdw-13.7 plt ct-347 07:55am blood wbc-9.0 rbc-3.13* hgb-9.2* hct-26.6* mcv-85 mch-29.4 mchc-34.7 rdw-13.3 plt ct-278 03:21am blood wbc-10.2 rbc-3.33* hgb-9.5* hct-28.2* mcv-85 mch-28.4 mchc-33.5 rdw-12.9 plt ct-215 12:24pm blood wbc-8.8 rbc-3.45* hgb-10.2* hct-29.0* mcv-84 mch-29.7 mchc-35.3* rdw-13.5 plt ct-218 02:34am blood wbc-10.1 rbc-3.87* hgb-10.8* hct-32.7* mcv-84 mch-27.8 mchc-33.0 rdw-13.0 plt ct-259 12:24am blood wbc-15.2* rbc-4.87 hgb-13.8* hct-41.6 mcv-85 mch-28.3 mchc-33.1 rdw-12.9 plt ct-325 09:24pm blood wbc-20.2* rbc-4.56* hgb-13.0* hct-37.7* mcv-83 mch-28.5 mchc-34.5 rdw-13.5 plt ct-347 06:10am blood plt ct-347 07:55am blood plt ct-278 09:41am blood pt-12.4 ptt-28.3 inr(pt)-1.0 03:21am blood plt ct-215 12:24pm blood plt ct-218 02:34am blood plt ct-259 12:24am blood pt-12.9 ptt-26.5 inr(pt)-1.1 12:24am blood plt ct-325 09:30pm blood pt-12.9 ptt-24.6 inr(pt)-1.1 09:24pm blood plt ct-347 07:55am blood glucose-112* urean-6 creat-0.7 na-140 k-3.7 cl-105 hco3-28 angap-11 09:41am blood glucose-118* urean-6 creat-0.6 na-138 k-3.8 cl-102 hco3-26 angap-14 03:21am blood glucose-105 urean-7 creat-0.7 na-138 k-3.4 cl-102 hco3-28 angap-11 12:24pm blood glucose-112* urean-7 creat-0.8 na-139 k-3.9 cl-105 hco3-28 angap-10 09:24pm blood urean-18 creat-1.0 09:24pm blood amylase-15 06:10am blood calcium-8.4 phos-3.8# mg-2.0 07:55am blood calcium-8.0* phos-2.1* mg-2.1 09:41am blood calcium-8.1* phos-1.9* mg-2.3 03:21am blood calcium-8.3* phos-2.0* mg-1.8 02:34am blood calcium-8.5 phos-2.9# mg-2.0 12:24am blood calcium-9.2 phos-4.7* mg-2.1 09:24pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 04:19am blood type-art po2-198* pco2-47* ph-7.38 caltco2-29 base xs-2 01:10am blood type- ph-7.31* 01:10am blood lactate-1.7 09:24pm blood glucose-160* lactate-2.6* na-137 k-4.7 cl-100 calhco3-23 09:00am blood hgb-10.1* calchct-30 01:10am blood freeca-1.12 brief hospital course: mr. to the on via transfer from . he was seen in the ed by orthopedics and trauma surgery. he was intubated and sedated in the ed for left hip relocation and traction pin insertion to maintain the reduction. he was admitted to the trauma icu by the trauma surgery service. he was taken to the operating room on with dr. of orthopedic surgery for i&d and external fixator placement of right talus fracture. he remained intubated and sedated post operatively and was transferred back to the icu. he was taken to the operating room on with dr. of orthopedic surgery for orif left acetabular fracture. he tolerated the procedures well and was extubated post operatively. he was seen by the pain service for assistance with post operative pain management. he was placed on a dilaudid pca and maintained on his home medications. after his c-spine was clinically cleared by the trauma team, he was transferred to the floor on under the care of the orthopedic service. on the floor, he remained hemodynamically stable and his pain was controlled. he progressed with physical therapy to improve his strength and mobility. he continued to make steady progress. he is being discharged today in stable condition. medications on admission: mirtazapine 30 mg po qhs, lamictal 200 mg po qd, methadone 170 mg po qd discharge medications: 1. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 2. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 3. methadone 40 mg tablet, soluble sig: one (1) tablet, soluble po qid (4 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 6. mirtazapine 15 mg tablet sig: two (2) tablet po hs (at bedtime). 7. lamotrigine 100 mg tablet sig: two (2) tablet po daily (daily). 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 10. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed for wheezing. 11. clonidine 0.1 mg tablet sig: one (1) tablet po daily (daily). 12. acetaminophen 325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for fever, pain. discharge disposition: extended care facility: hospital - discharge diagnosis: left acetabular fracture open right talus fracture left femur posterior dislocation s/p relocation discharge condition: stable discharge instructions: keep the incision/dressing/cast clean and dry. apply a dry sterile dressing as needed for drainage or comfort. if you experience any shortness of breath, chest pain, increased redness, swelling, pain, drainage from incision, temperature >101, numbness, tingling, or change in circulation to operative extremity, please call your doctor or go to the emergency room for evaluation. you may not bear weight on your right leg. touch down weight bearing on your left leg. you may resume all of the medications you took prior to your hospital admission and take them as prescribed by your doctor. * continue your lovenox injections as prescribed to help prevent blood clots. physical therapy: non-weightbearing to right lower extremity. touch down weight bearing to left lower extremity. posterior hip precautions. treatments frequency: apply a dry sterile dressing daily. keep incision clean and dry. your skin staples/sutures may be removed 2 weeks after your surgery or at the time of your follow up visit. * you need daily pin care for the external fixator on right lower extremity. keep right lower extremity elevated as much as possible. followup instructions: please call dr. office at to schedule a follow up appointment for next thursday. please follow up with your methadone clinic for your methadone dosing. orthopaedics will not prescribe any methadone. md, procedure: closed reduction of dislocation of hip transfusion of packed cells open reduction of fracture with internal fixation, other specified bone open reduction of fracture with internal fixation, tarsals and metatarsals application of external fixator device, tarsals and metatarsals debridement of open fracture site, tarsals and metatarsals application of external fixator device, ring system diagnoses: opioid type dependence, continuous dysthymic disorder dehydration motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of acetabulum closed posterior dislocation of hip open fracture of astragalus 

Answer: The patient is high likely exposed to