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: past medical history: none. admission medications: none. allergies: the patient has no known drug allergies. physical examination on admission: vital signs: temperature 94.8, hr 110, bp 150/63, saturations 100% on the ventilator. gcs in the paralyzed state, intubated, and sedated. heent: the pupils were equal and sluggishly reactive. the tms were clear. the throat was clear. the ng tube was in place. the trachea was midline. there were good breath sounds on both sides. there was no bony crepitants. heart: regular rate. there were no murmurs. abdomen: soft, no distention. the pelvis was stable to . there were bilateral gross deformities of both lower legs, an open fracture of the tibia and fibula was seen on the left and the left ankle was unstable and apparently dislocated. rectal: heme-negative. the prostate was in normal position. laboratory/radiologic data: initial laboratories were significant for a hematocrit of 28.4, white count 19, platelets 166,000. lactate 3.8. the remainder of his chemistries were normal with the exception of a urine tox screen which is positive for opiates which the patient had previously received at the referring hospital for being intubated. his urine was negative for blood. outside the hospital, his films had showed a question of subarachnoid hemorrhage on the head ct. the neck ct had a question of a c5 fracture. the chest and abdomen ct were normal. the pelvic x-ray showed bilateral rami fractures. at , the patient had a negative chest x-ray. pelvic x-ray showed bilateral inferior pubic rami fractures and a left superior ramus fracture. a ct of the head was negative. a ct of the c spine could not rule out c1/c2 subluxation. facial bone reconstructions showed no bone fractures of the face. ct of the pelvis revealed a right sacral fracture in addition to the rami fracture seen in the pelvic x-ray. a tls was obtained which showed loss of height of the vertebral bodies that was curious in such a young male. however, subsequent cat scan at demonstrated only degenerative changes and no acute disease. due to the patient's abrupt mental status decline, normal head ct, and the observation of loss of movement of the lower extremities just prior to being intubated, an mra of the vertebral and carotid arteries were obtained which showed a mild, less than 20%, stenosis of the right vertebral artery that was not felt to be clinically significant. however, also demonstrated a cervical epidural hematoma. subsequent plain films of the lower extremities demonstrated bilateral tib-fib fractures on the left and right and a medial malleolus fracture on the left. hospital course: the patient was taken to the or and had intramedullary rodding of his bilateral lower leg fractures and had orif of his lateral malleolar fracture. his condition improved and he was extubated. he was felt to be at very high risk of dvt due to his lower extremity trauma and his projected inability due to his nonweightbearing status since he was not allowed to bear weight. the decision was made to insert a temporary filter as he could not be anticoagulated secondary to his cervical epidural hematoma. due to extreme anxiety, the patient had to be reintubated to achieve filter implantation which occurred without incident. he was later extubated. an mri later in his hospital course demonstrated the resolution of the epidural hematoma. at this time, the filter was removed by vascular and it was found to have contained embolic clot. the patient was then started on lovenox dosed at the appropriate level to treat a known dvt. the following day, he had a picc placed for the continuation of gentamicin that was initiated for his open extremity fracture. he will be discharged to a skilled nursing facility and then subsequently rehabilitation in his home state of on . here, he will need to be started on coumadin as the lovenox is tapered off. discharge diagnosis: 1. status post motorcycle accident. 2. bilateral tibial-fibular fractures, status post bilateral intramedullary rodding, status post left medial malleolus open reduction and internal fixation. 3. status post cervical epidural hematoma. 4. cervical spine ligamentous injury. 5. status post temporary filter. 6. bilateral inferior pubic rami fractures. 7. left superior pubic ramus fracture. 8. deep venous thrombosis. follow-up: the patient should follow-up with dr. in two weeks for reevaluation of his c-spine. until then, he should remain in his aspen cervical spine collar. he also should be following up with dr. in two weeks for reevaluation of his lower extremity fractures and the decision at that time should be made as to when weightbearing physical therapy can begin. his staples can come out on which can be performed at the skilled nursing facility. however, the sutures in his lower leg should remain intact and should be removed by dr. . discharge medications: 1. famotidine 20 mg p.o. b.i.d. 2. metoprolol 25 mg p.o. b.i.d. 3. oxycodone/acetaminophen 5/325 mg tablets one to two tablets p.o. q. six hours p.r.n. 4. docusate 100 mg p.o. b.i.d. 5. zolpidem 5 mg one to two tablets p.o. q.h.s. p.r.n. insomnia. 6. bisacodyl 10 mg p.o. b.i.d. 7. lactulose 20 grams p.o. b.i.d. p.r.n. such that the patient has a bowel movement q.o.d. 8. enoxaparin 80 mg subcutaneously q. 12 hours for dvt. 9. coumadin, dose to be determined at the skilled nursing facility as dictated to the patient's daily inrs. 10. gentamicin 100 mg q. eight hours iv until when they may be stopped. 11. keflex 500 mg p.o. q.i.d. until when it may be stopped. 12. ibuprofen 400 mg p.o. t.i.d. with food. 13. bisacodyl 5 mg suppository p.r. b.i.d., please give the patient since he is immobile and on chronic opioids and extremely prone to constipation. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube interruption of the vena cava arteriography of cerebral arteries arteriography of cerebral arteries 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, tibia and fibula angiocardiography of venae cavae angiocardiography of venae cavae other operations on vessels diagnoses: acidosis sprain of neck closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis open fracture of shaft of fibula with tibia fracture of medial malleolus, open extradural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness closed fracture of shaft of fibula with tibia 

Answer: The patient is high likely exposed to