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: motor vehicle collision major surgical or invasive procedure: 1. external fixation of right tibia/fibula fracture 2. external fixation of right proximal tibia & ankle 3. irrigation & debridement of open right foot & ankle 4. right lower extremity fasciotomy 5. right lower extremity open washout 6. tracheostomy 7. percutaneous endoscopic gastrostomy 8. right lower extremity washout and closure 9. right lower extremity washout and closure with vacuum history of present illness: the patient is a 49 year old male who presented to as a basic trauma via following a high speed motor vehicle collision versus telephone pole. he was intubated and transferred from osh with depressed skull fracture, svt, and obvious right tib/fib fractures. past medical history: alcoholism depression anxiety social history: significant for alcoholism---drinks wine and daily with history of multiple detox admissions. pt has suffered loss of employment and strained finances secondary to drinking. pt is single, never married, lives alone in own in . pt reportedley very depressed and on verge of losing . family history: noncontributory physical exam: vitals: afebrile, p 80s, bp 110/70, rr 16, 98% on room air general appearance: nad, thin man, deconditioned, appearing older than stated age cor: rrr, no mrg lung: clear throughout abd: soft nt, nd, nabs rle immobilized in brace. vacx2 intact to suction. no surrounding erythema or induration. lle min edema, wwp otherwise pertinent results: mra right le: . cxr: indication: feeding tube placement. feeding tube has been advanced into the body of the stomach. tracheostomy tube remains in standard position. bilateral poorly defined alveolar opacities in the upper and mid lung regions show slight interval improvement compared to the recent radiograph. . ct chest: impression: 1. multifocal bilateral ground-glass opacities with peribronchovascular and subpleural distribution. in the setting of fevers, this may be due to a diffuse infection, but other etiologies including cryptogenic organizing pneumonia and eosinophilic pneumonia should be considered as well. pulmonary hemorrhage is also possible in the appropriate clinical setting. 2. small bilateral pleural effusions. 3. incompletely imaged low attenuation left lobe hepatic lesion for which ultrasound may be considered for more complete assessment if warranted clinically. . ct head: impression: 1. acute comminuted and depressed fracture of the squamosal left temporal bone with associated temporal contusion, as described. 2. no other intra- or extra-axial hemorrhage, significant mass effect, or shift of the midline structures. 3. inflammatory changes involving the paranasal sinuses. . ct low ext: impression: 1. comminuted impacted fracture of proximal tibia involving medial and lateral tibial plateau. 2. fibular head fracture. 3. comminuted distal tibial fracture involving medial malleolus and tibial plafond. 4. comminuted distal fibular fracture. 5. fracture dislocation of talus. 6. fractures of cuboid and fourth metatarsal. . 10:05pm type-art po2-152* pco2-45 ph-7.36 total co2-26 base xs-0 10:05pm freeca-1.16 09:54pm glucose-137* urea n-6 creat-0.6 sodium-139 potassium-4.1 chloride-110* total co2-22 anion gap-11 09:54pm calcium-7.8* phosphate-4.2 magnesium-1.7 09:50pm wbc-9.5 rbc-3.18* hgb-10.0* hct-28.1* mcv-89 mch-31.5 mchc-35.6* rdw-15.5 09:50pm plt count-97* 09:50pm pt-13.3 ptt-30.6 inr(pt)-1.1 08:42pm hgb-8.2* calchct-25 04:46pm type-art po2-150* pco2-38 ph-7.35 total co2-22 base xs--3 04:46pm freeca-1.11* 04:46pm lactate-1.4 04:38pm wbc-8.3 rbc-2.72* hgb-8.2* hct-24.1* mcv-89 mch-30.1 mchc-34.0 rdw-15.8* 04:38pm plt count-87*# 04:38pm pt-15.9* ptt-35.9* inr(pt)-1.4* 03:40pm type-art po2-325* pco2-45 ph-7.29* total co2-23 base xs--4 03:40pm glucose-165* lactate-2.5* 03:40pm freeca-0.99* 03:30pm glucose-178* urea n-7 creat-0.6 sodium-138 potassium-4.2 chloride-113* total co2-18* anion gap-11 03:30pm calcium-6.2* phosphate-3.7 magnesium-1.6 03:30pm wbc-11.8* rbc-3.26* hgb-10.5* hct-30.0* mcv-92 mch-32.1* mchc-34.9 rdw-15.4 03:30pm plt count-52* 03:30pm pt-18.1* ptt-42.3* inr(pt)-1.7* 02:08pm po2-256* pco2-43 ph-7.20* total co2-18* base xs--10 comments-green top 02:08pm glucose-204* lactate-5.1* na+-133* k+-4.0 cl--111 01:59pm urea n-8 creat-0.5 01:59pm estgfr-using this 01:59pm amylase-55 01:59pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:59pm urine hours-random 01:59pm urine hours-random 01:59pm urine gr hold-hold 01:59pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:59pm wbc-13.5* hct-29.5* 01:59pm plt smr-low plt count-88* 01:59pm pt-18.6* ptt-43.6* inr(pt)-1.7* 01:59pm fibrinoge-105* 01:59pm urine color-yellow appear-clear sp -1.039* 01:59pm urine blood-lg nitrite-neg protein-tr glucose-250 ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 01:59pm urine rbc-* wbc-0-2 bacteria-rare yeast-none epi-0-2 brief hospital course: the patient is a 49 year old male who presented to as a basic trauma via following a high speed motor vehicle collision versus telephone pole. he was intubated and transferred from osh with depressed skull fracture, svt, and obvious right tib/fib fractures. . patient to or with ortho trauma team for the following: 1. irrigation and debridement of open foot and ankle wound 2. debridement of open fractures of the fibula, talus and distal tibia 3. closed reduction of proximal tibia fracture 4. external fixation of the proximal tibia and ankle fractures. . patient to or with ortho trauma team for four compartment fasciotomy of right lower extremity. . patient to or with trauma for closure of fasciotomy wounds in right lower leg; adjustment of external fixator around the plateau fracture; debridement of open fracture to bone, and application of black sponge vacuum dressing to right dorsal foot wound. no complications during the procedures and pt tolerated it well. transferred back to the tsicu post-operatively on ventilator support. . patient to or for tracheostomy with trauma team secondary to inability to wean from ventilator support for failure to clear secretions. there were no complications during the procedure and the patient tolerated the procedure well. transferred back to the tsicu post-operatively on ventilator support. . patient removed from ventilator support wean. confusion continues. . patient to or for percutaneous endoscopic gastrostomy with trauma team secondary to inability to feed from delerium, disorientation. no complications and patient tolerated the procedure well. pt extubated in the or and transferred to pacu for mointoring. ultimately transferred to floor cc6 for post-op care. . patient to or with ortho trauma team for the following: 1. irrigation and debridement right foot soft tissue defect down to tendon level. 2. irrigation debridement lateral wound down to the hardware. 3. vacuum dressing application to right foot. 4. vacuum dressing application to right leg wound. . patient to or with ortho trauma team for the following: 1. orif right bicondylar tibial plateau fracture. 2. washout and debridement open fracture wound to bone 3. application of vac sponge. . pt transferred to floor status on cc6a post-operatively with stable vital signs. . nutrition consult completed and tube feeds begun twenty-four hours from placement of feeding tube. feeds steadily advanced to goal with no residuals. patient self-decannulates with no complications and sats > 90 percent; trach replaced with #8 portex without complications. . patient decannulated by trauma team and tolerates procedure well. . to or with ortho trauma for removal of external fixation hardware and adjusting of right lower extremity screw alignment. doing well will be tx to plastic surgery for flap he is non-weight bearing on the rt leg at this time . neuro- head ct demonstrated acute comminuted and depressed skull fracture with underlying 9.4x9.7mm hemmorhage. pt received seizure prophylaxis with dilantin per neurosurgery for one week. pt maintained with benzos to protect against withdrawal seconary to patient's known history of extensive alcoholism. patient received pain control with iv narcotics and his withdrawal symptoms were treated with an ativan drip in the icu. overall neurologic status improved during the course of his icu stay, and upon transfer to the floor the patient was mentating clearly with good orientation and insight. . cvs: patient with stable, unremarkable cardiac exam during stay. however, he did require several transfusions of packed red cells during his tsicu stay secodary to bleeding from his right lower extremity fasciotomy. there were no transfusion reactions and patients hematocrit responded appropriately after each unit was given. . resp: as noted above, the patient required significant ventilatory support during his unit stay with noted difficulty clearing his secretions ultimately requiring a tracheostomy. he tolerated this procedure very well and was moved from the ventilator on post-trach day 2, and decannulated on post-trach day 8. he also suffered from a significant presumed pneumonia while in the tsicu that required a bronchoscopy and antibiotic therapy. on a 10 day course of azithromycin he deffervesced and showed noted improvement is his respiratory staus. his respiratory exam is currently unremarkable. . renal: stable creatining and renal function throughout his stay with excellent urine output. . gi: patient received prophylaxis with famotidine throughout stay. patient was initially given enteral nutrition via a dobhoff tube, however secondary to mental status he pulled the tube out. eventually a peg was placed on and g-tube feeds were commenced on the following morning and continued for one week. on , after a swallow evaluation, tube feeds were stopped and the pt was begun on a regular diet with nectar thickened liquids, which he continued to tolerated without problem throughout the remainder of his hospitalization. upon discharge he should continue this diet with supplemental ensures with each meal. general surgery was planning to remove the g-tube prior to discharge, but if this did not happen, the pt may follow up with dr. in 1 week at his office for g-tube removal. . id: patient with intermittent high grade fevers during his tsicu stay to nearly 104f. these fevers were of unknown origin on preliminary workup. follow up contrast ct of the chest revealed multifocal bilateral ground-glass opacities with peribronchovascular and subpleural distribution. pt was treated initially with bactrim for presumed pcp pneumonia, but subsequent bal did not demonstrate active pcp. , pt was begun on coverage with azithromycin for atypical pna with defervescence and improvement in wbc count. pt's respiratory status made steady progress on antibiotic course and was afebrile and stable at time of transfer from tsicu to floor cc6. during his stay on the floor, the pt was begun on ancef to cover skin flora, given his multiple open wounds, hardware and vac dressings. on discharge, the pt remained afebrile on ancef, and he will be discharged on an indefinite course of po keflex. medications on admission: zoloft discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 4. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 8. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 10. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 11. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours). 12. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 13. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h () as needed for pain. 14. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous daily (daily). discharge disposition: extended care facility: - discharge diagnosis: 1. left comminuted depressed squamosal temporal bone fracture 2. right comminuted impacted proximal tibia fracture 3. right fibular head fracture 4. right comminuted distal tibia fracture 5. right comminuted distal fibula fracture 6. right dislocated talus fracture 7. right cuboid fracture 8. 4th metatarsal fracture 9. traumatic brain injury discharge condition: stable, to rehab discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. followup instructions: follow up with dr. , trauma surgery, in weeks after your discharge. please call ( to schedule an appointment. follow up with dr. , plastic surgery, in 2 weeks after your discharge. call the plastic surgery office to arrange an appointment. . follow up with dr. , general surgery, in 1 week for gastrostomy tube removal, or a follow up visit if the tube was removed before discharge. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy local excision of lesion or tissue of bone, tibia and fibula 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 debridement of open fracture site, tibia and fibula application of external fixator device, tibia and fibula application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula excision of lesion of other soft tissue application of external fixator device, tarsals and metatarsals closed reduction of fracture without internal fixation, tibia and fibula other suture of muscle or fascia other suture of muscle or fascia other suture of muscle or fascia other suture of muscle or fascia other incision of soft tissue other incision of soft tissue other incision of soft tissue other incision of soft tissue application of other wound dressing application of other wound dressing application of other wound dressing removal of implanted devices from bone, tibia and fibula debridement of open fracture site, tarsals and metatarsals debridement of open fracture site, tarsals and metatarsals debridement of open fracture site, tarsals and metatarsals closed reduction of fracture without internal fixation, tarsals and metatarsals other repair or plastic operations on bone, tibia and fibula diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified unspecified protein-calorie malnutrition atrial fibrillation hematoma complicating a procedure depressive disorder, not elsewhere classified anxiety state, unspecified acute respiratory failure other specified cardiac dysrhythmias hypotension, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle attention deficit disorder with hyperactivity closed fracture of lumbar vertebra without mention of spinal cord injury other and unspecified coagulation defects other and unspecified alcohol dependence, unspecified traumatic compartment syndrome of lower extremity closed fracture of upper end of fibula with tibia infection and inflammatory reaction due to other internal prosthetic device, implant, and graft unspecified fracture of ankle, closed fracture of medial malleolus, closed closed fracture of base of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness closed fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness closed fracture of metatarsal bone(s) hypoglycemia, unspecified open fracture of astragalus closed fracture of cuboid fracture of lateral malleolus, open open wound(s) (multiple) of unspecified site(s), without mention of complication 

Answer: The patient is high likely exposed to