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: no known allergies / adverse drug reactions attending: chief complaint: s/p mvc major surgical or invasive procedure: 1. open treatment, thoracic fracture-dislocation, t10-t11. 2. open treatment thoracic fracture-dislocation, t11-t12-3. 3. posterior fusion, t8-l1. 4. posterior instrumentation, t8-l1. 5. application of local autograft for fusion. 6. allograft for fusion. 1. open treatment, posterior wall acetabular fracture, with fragment excision. 2. treatment of femoral head fracture with total hip arthroplasty. history of present illness: mr. is a 69 year old male who was transferred to from s/p mva. patient was a restrained driver who was t-boned at 40mph, prolonged 20 minute extrication. by outside hospital reads he was found to have t. and l-spine process fractures a left hip fracture with dislocation so he was transferred to for further evaluation and management. past medical history: ckd psgn s/p av fistula htn arthritis gout paroxysmal afib bph social history: prior tobacco quit 30 years ago, social etoh, no illicit drug use family history: noncontributory physical exam: on arrival to : hr: 114 bp: 170 over palp resp: 20 o(2)sat: 96 normal constitutional: uncomfortable heent: normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact c. collar placed hematoma left neck chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender, nondistended extr/back: left lower extremity internally rotated and shortened +2 dp bilaterally no pain with range of motion right lower extremity or bilateral upper arms +2 radial pulse bilaterally skin: scattered abrasions on the left side contusion over the sternum with no crepitus neuro: speech fluent moving extremities heme//: normal pertinent results: osh films: 1. comminuted fracture-dislocation of the left hip. posterior left acetabular fracture. 2. t10 and t11 vertebral fractures as above with fracture line appearing to cross the central canal at least at t11. mri is recommended for further evaluation. possible nondisplaced fracture of the posterior right t9 vertebral body. fractures of the left l1 and l2 transverse processes. 3. left first rib fracture. 4. lingular and left lower lobe consolidations, may be due to contusions and/or aspiration. 5. trace pericardial fluid. 07:00pm wbc-10.6 rbc-2.86* hgb-9.6* hct-27.8* mcv-97 mch-33.4* mchc-34.5 rdw-14.4 07:00pm neuts-92.7* lymphs-4.5* monos-2.3 eos-0.4 basos-0.1 07:00pm plt count-175 07:00pm pt-12.5 ptt-26.4 inr(pt)-1.1 07:00pm asa-neg ethanol-neg acetmnphn-8* bnzodzpn-neg barbitrt-neg tricyclic-neg 07:00pm albumin-3.3* calcium-9.3 phosphate-6.0* magnesium-2.1 07:00pm lipase-33 07:00pm alt(sgpt)-28 ast(sgot)-52* alk phos-90 tot bili-0.5 07:00pm estgfr-using this 07:00pm glucose-115* urea n-93* creat-6.2* sodium-136 potassium-3.5 chloride-96 total co2-23 anion gap-21* brief hospital course: mr was admitted on after sustaining an mvc with loss of consciousness. his initial injuries were: left femoral neck fracture,left 1st rib fracture, t10,11 body fracture, left l1, l2 transverse process fracture. on hd2 he was taken to the operating room by orthopedic surgery for posterior fusion, t8-l1. the patient tolerated the procedure well and was transferred to the tsicu for further monitoring. postoperatively he was mildly hypotensive on/off low-dose phenylephrine gtt which was weaned off shorlty after. his uop decreased overnight,patient lasix-dependent at home, given lasix 20mg iv x1. he was kept intubated and the following day, hd3, underwent total hip arthroplasty. he was transfused 2u prbcs while still in the icu and 3u prbcs intra-operatively for a hct of 22.5. he required pressors postoperatively. his renal function deteriorated postoperatively with increasing scr and decreasing uop and a nephrology consult was obtained. it was determied that the patient has superimposed on ckd possibly caused by hypovolemia from fluid loss or rhabdomyolysis from trauma. currently fluid overloaded with increasing edema and pulmonary edema in the setting of atn and oliguria after aggressive fluid resuscitation. therefore, cvvh was started. this was transitioned to intermittent hd, which was performed on removing 4.5l of fluid. the patient was also in chronic afib while in the unit, which was temporarily managed with esmolol gtt, which was transitioned to lopressor and the patient was rate controlled on this regimen. tube feeds were started for nutrition via a dobhoff tube. on , the patient was transferred to the floor. at that time he was hds, rate controlled on lopressor. he still had c-collar in place per ortho, and was receiving tube feeds via dobhoff. he was receiving humidified air via face tent. neuro: the patient remained alert and oriented throughout the remainder of his hospitalization. his pain was well controlled with po narcotics prn. cardiac: on the patient was triggered for an a irregular rhythm that was conerning for afib on the monitor with a rate in the 140's. throughout the episdoe the patient was asymptomatic and maintained a bp within normal limits. cardiology was consulted, and upon further review of his ecg the rhythm was determined to be consistent with wondering atrial pacemaker (wap) / multifocal atrial tachycardia (mat). cardiology recommended aspirin 325mg daily given history of paf and metoprolol for rate control, which was ordered and administered. pulm: he was weaned off humidified face tent was his oxygen saturation was within normal limits on room air at the time of discharge. he was without complaints of dyspnea. gi: on , the patient self-d/c'd his dobhoff, but it was replaced. on the dobhoff was removed and he was placed on a regular diet, which he tolerated without any difficulty swallowing. on he began to have frequent loose stools. see heme/id section for details. gu: the patient continued to tolerate hd for the remainder of his hospitalization. given his ongoing leukocytosis (see heme/id), his hd catheter was removed and cultured on . dialysis was continued through his lue av fistula. his foley catheter was removed on . musk: physical therapy was consulted given the patient's injuries who recommended continued therapy at an extended care facilityupon discharge. heme/id: his wbc began to increase after transfer to the floor. on it reached 19.1. he was pancultured for this, including removal and culture of the tip of his hd catheter. on his leukocytosis was worsening, and he was started on iv vanco, cefepime and flagyl empirically. on , he began to have frequent loose bm's, and cultures were sent for c. diff. the vanco and cefepime were discontinued on , and he continued on iv flagyl for treatment of presumed c. diff. on the day of discharge on , his blood culture was pending but his stool culture grew out c. diff toxin. his electrolytes were continously monitored and repleted as needed. he developed a persistent hyopnatremia, as low as 127 on , at which time he remained asymptomatic with no neurological changes. he was placed on a 1.5 l fluid restriction for this. discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po tid (3 times a day). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 4. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. 5. sevelamer carbonate 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for afib/tachycardia/htn. 7. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 8. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 9. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 10. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). 11. aliskiren 150 mg tablet sig: one (1) tablet po daily (daily). 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 13. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 14. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 15. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 16. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 17. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed). 18. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 19. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: one (1) intravenous every eight (8) hours for 14 days. discharge disposition: extended care facility: discharge diagnosis: primary: s/p mvc injuries: 1. left femoral neck fracture 2. left 1st rib fracture 3. t10,11 body fracture 4. left l1, l2 transverse process fracture secondary: acute kidney injury on ckd discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair, patient is allowed to weight bear on both legs. discharge instructions: you were admitted to the hospital after a motor vehicle accident. you sustained multiple injuries including a left hip fracture, left 1st rib fracture, and fractures to mutiple vertebrae in your spine. you had left hip arthroplasty on and t8-t11 fusion on . your weight bearing status and follow-up appointments are listed below. followup instructions: please follow up with dr. in the orthopedic spine clinic in . call upon discharge to schedule an appointment. please follow up with dr. in the orthopedic clinic in . cal upon discharge to schedule an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis removal of external immobilization device dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture total hip replacement open reduction of fracture without internal fixation, other specified bone fusion or refusion of 4-8 vertebrae excision of bone for graft, unspecified site diagnoses: anemia, unspecified acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia unspecified disease of pericardium intestinal infection due to clostridium difficile closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury abrasion or friction burn of elbow, forearm, and wrist, without mention of infection closed fracture of one rib other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle contusion of lung without mention of open wound into thorax closed fracture of acetabulum arthropathy, unspecified, site unspecified other closed transcervical fracture of neck of femur renal agenesis and dysgenesis open wound of upper arm, without mention of complication contusion of abdominal wall 

Answer: The patient is high likely exposed to