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 mcc major surgical or invasive procedure: exploratory laparotomy, left chest tube placement, splenectomy history of present illness: this patient is a 46 year old male who was in a motorcycle crash. he was in a high-speed motorcycle accident on 128 point loss of consciousness and he complains of diffuse pain on side of his body past medical history: pmh: none psh: ventral hernia repair social history: tobacco none etoh occasional family history: non contributory physical exam: hr:120 bp:110 o(2)sat:98 normal constitutional: comfortable heent: abrasions, pupils equal, round and reactive to light, extraocular muscles intact oropharynx within normal limits chest: clear to auscultation cardiovascular: regular rate and rhythm abdominal: soft diffuse tenderness on the left side at gu/flank: no costovertebral angle tenderness extr/back: no cyanosis, clubbing or edema left wrist pain pelvis stable skin: no rash neuro: speech fluent psych: normal mood heme//: no petechiae pertinent results: ct c spine : 1. no fracture or traumatic malalignment involving the cervical spine. no prevertebral soft tissue swelling. 2. mild spondylosis without critical canal stenosis. 3. posterior pulmonary opacities and nondisplaced fracture of the posterior aspect of the left third rib, better characterized on concurrent ct torso. head ct : 1. no acute intracranial process. 2. essentially nondisplaced fractures involving the lateral wall of the left maxillary sinus, with hyperdense hemorrhage seen layering within the sinus. no further facial fractures are identified. ct torso : 1. extensive splenic laceration involving the upper pole, grade iv, with large perisplenic hematoma. there are foci of high attenuation concerning for active extravasation, confirmed by delayed accumulation of contrast within the perisplenic hematoma. 2. no further solid organ injury in the abdomen or pelvis. high-attenuation perihepatic and pelvic fluid likely reflects sequelae of splenic injury. 3. small left upper lobe pulmonary contusion. 4. tiny left pneumothorax. no large effusion or hemothorax is noted. 5. non-displaced left third through fifth posterior rib fractures and minimally displaced left third through fifth anterolateral rib fractures. no pelvic or spinal structures are identified. left wrist : comminuted intra-articular fracture of the distal radius with no angulation; however, there is a level of impaction resulting in ulnar positive variance. left wrist : there is a highly comminuted intra-articular fracture of the distal radius as seen on the ct from . there is no significant change in fracture fragment position. there is some medial displacement of medial fragments towards the ulna as seen previously. the carpal bones are normally aligned. ct abd/pelvis : 1. small bowel loops are mildly dilated without obvious transition point particularly within the right upper quadrant. findings are most compatible with ileus however early obstruction cannot be completely excluded. recommend clinical correlation. 2. small left-sided pleural effusion, trace right-sided pleural effusion with probable adjacent compressive atelectasis, however aspiration cannot be completely excluded in the correct clinical setting. 3. fluid within the surgical splenectomy bed does not appear loculated or high density. free fluid with hounsfield unit up to 16 units is noted throughout the abdomen and pelvis. no focal fluid collection is identified. 4. dystrophic calcification adjacent to right hip joint. 03:20pm wbc-10.1 rbc-4.77 hgb-13.6* hct-38.1* mcv-80* mch-28.4 mchc-35.6* rdw-14.5 03:20pm pt-12.1 ptt-22.6 inr(pt)-1.0 03:20pm plt count-250 03:20pm asa-neg ethanol-49* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:22pm glucose-107* lactate-2.6* na+-144 k+-3.7 cl--105 tco2-22 brief hospital course: mr. was evaluated in the emergency room and plans were made for embolization of his grade iv splenic laceration in interventional radiology after reviewing his abdominal ct. however, he became unstable with hypotension and tachycardia and was taken to the operating room emergently for an exploratory laparotomy. he underwent a left chest tube thoracostomy and splenectomy and was resuscitated with multiple units of packed red blood cells. he tolerated the procedure well and returned to the icu in stable condition. he maintained stable hemodynamics and his hematocrit remained stable in the range of 32. his pain was controlled with a dilaudid pca but he needed much encouragement to use his incentive spirometer. he was also evaluated by the ortho spine service to assess his left distal radial fracture and his arm was splinted and he was non weight bearing on that side. his chest tube was removed on post op day # 2 as there was minimal drainage and no pneumothorax. following transfer to the surgical floor he was slow to progress. he was reluctant to take pain medication early on which made it difficult for him to use his incentive spirometer and increase his activity. despite minimal pain medication he developed an ileus on post op day #4 requiring gastric decompression with a nasogastric tube for 4 days. due to the fact that he was slow to recover tpn was instituted while he had bowel rest. his abdomen was distended but he was having bowel movements. he was up and walking frequently and in time his ileus resolved. after his nasogastric tube was removed his diet was gradually advanced slowly to regular and he tolerated it well. his tpn was discontinued and his picc line was removed. his pain was controlled with tylenol and an occasional percocet. his abdominal wound was healing well and his left arm was re-splinted on . he will have more xrays next week and will be evaluated by the hand surgeons as an out patient for further treatment of his distal radial fracture. after marked improvement he was discharged to home on . his staples were removed prior to discharge and he will follow up in the clinic in 2 weeks. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: for pain unrelieved by tylenol alone. disp:*60 tablet(s)* refills:*0* 3. tylenol 325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. discharge disposition: home with service discharge diagnosis: s/p motor cycle crash 1. left rib fractures 2. left upper lobe pulmonary contusion 3. left pneumothorax ( small ) 4. left distal radial fracture 5. large splenic laceration 6. acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: * you were admitted to the hospital with multiple injuries from your motor cycle crash including left rib fractures, a left pulmonary contusion, left radial fracture and a large splenic laceration requiring surgery. * your abdominal incision is healing well. * your injury caused left rib fractures which can cause severe pain and subsequently cause you to take shallow breaths because of the pain. * you should take your pain medication as directed to stay ahead of the pain otherwise you won't be able to take deep breaths. if the pain medication is too sedating take half the dose and notify your physician. * pneumonia is a complication of rib fractures. in order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. this will help expand the small airways in your lungs and assist in coughing up secretions that pool in the lungs. * you will be more comfortable if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep breathing. * symptomatic relief with ice packs or heating pads for short periods may ease the pain. * narcotic pain medication can cause constipation therefore you should take a stool softener twice daily and increase your fluid and fiber intake if possible. * do not smoke * your left wrist will be xrayed next week and further treatment will be determined by the hand service. in the meantime non weight bearing left hand/arm. keep splint clean and dry. * return to the emergency room right away for any acute shortness of breath, increased pain or crackling sensation around your ribs ( crepitus ). or if you have any nausea or vomiting. followup instructions: call the clinic at for a follow up appointment in weeks call the plastics hand clinic at for an appointment in weeks with xrays of your left wrist procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other incision of pleura total splenectomy diagnoses: paralytic ileus traumatic pneumothorax without mention of open wound into thorax removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation contusion of lung without mention of open wound into thorax closed colles' fracture injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum closed fracture of three ribs motor vehicle traffic accident of unspecified nature injuring motorcyclist injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma 

Answer: The patient is high likely exposed to