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: history of present illness: this is a 34-year-old man trauma transferred from hospital on 4 pm on the day of admission. the patient tripped in front of a dump truck and was dragged approximately 20 feet with no loss of consciousness. patient did have alcohol on board. coma score is 15, heart rate 114, blood pressure 130/70, and 91% on o2 sat. he had a head ct scan which showed no bleed and no fracture. a ct scan of lumbosacral spine which showed no fracture. chest x-ray with no pneumothorax and left second through eighth rib fractures posteriorly. his hematocrit was stable. his alcohol level was 129, and he had been given 1 gram of ancef. at that point, patient was deemed stable to be transferred to for management of his left shoulder laceration. patient had a past medical history significant for hepatitis b and c, iv drug abuse, no past surgical history, no medications, and no known drug allergies. he was single, and smoked one pack per day, and used alcohol occasionally. on presentation to our emergency department, physical examination was 36.5, heart rate 110, blood pressure 93/58, sating 90%. he was in mild distress. pupils are equal, round, and reactive to light and accommodation. extraocular muscles are intact. tympanic membranes are clear. oropharynx is clear. neck was placed in a c collar. chest was clear to auscultation. heart was tachycardic, but regular. abdomen was distended and firm. the fast examination was positive. dpl was also positive. patient also had a left shoulder laceration with 2+ dorsalis pedis pulses bilaterally, 2+ radial pulses, and no long bone deformities. his laboratories were white count 13.9, hematocrit of 39, inr of 1.3, fibrinogen of 241. urinalysis showed red blood cells, tox positive for opiates. sodium 138, potassium 4.3, chloride 109, bun 7, creatinine 0.9, and glucose 130. alcohol was 74 in our emergency department. based on this, the patient was sent to the operating room for an emergent exploratory laparotomy. in the operating room, the patient was found to have a splenic laceration and had a splenorrhaphy and his left shoulder laceration was closed. the patient was then admitted to the surgical intensive care unit. repeat chest x-ray showed a left pneumothorax. chest tube was placed on . on , patient was started on vancomycin and ceftriaxone for temperature spikes. chest x-ray showed infiltrates bilaterally and infectious disease was consulted. antibiotic coverage was changed from ceftriaxone to zosyn. the patient remained febrile for several days without identifiable source. the patient underwent incision and drainage of the left upper extremity on the 18th to the . the patient continued to spike on broad-spectrum antibiotic coverage. on , the decision was made to observe the patient off antibiotics. the patient did well, was stable, and was transferred to the floor. on the floor, the patient did well. pain was controlled with morphine pca. physical therapy was consulted for ambulation. on , the patient was taken to the operating room for a split thickness skin graft of the left upper extremity by dr. . on postoperative day five, the dressing was taken down with 100% take of the skin graft. pain control was changed from the morphine pca to oxycontin, and on postoperative day seven from the split thickness skin graft, the wound was again evaluated with good results on xeroform dry dressing change. please look for addendum to this dictation to follow. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other skin graft to other sites excisional debridement of wound, infection, or burn other incision with drainage of skin and subcutaneous tissue peritoneal lavage other myectomy repair and plastic operations on spleen diagnoses: other, mixed, or unspecified drug abuse, unspecified alcohol abuse, unspecified chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta traumatic shock injury to spleen without mention of open wound into cavity, hematoma without rupture of capsule closed fracture of seven ribs injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma open wound of multiple sites of shoulder and upper arm, complicated 

Answer: The patient is high likely exposed to