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 crash major surgical or invasive procedure: chest tube thoracostomy history of present illness: the patient is a 56 yo m non-restrained driver involved in a motor vehicle crash and transported by air to . there was a 20-40 minute extraction, and feet of intrusion into passenger compartment noted. a person in the other vehicle was killed. the patient was noted to have a gcs 15 on scene. he was evaluated and stabilized in the trauma bay and underwent imaging. a chest tube was placed for a right ptx. past medical history: knee arthritis diverticulitis social history: etoh family history: n/c physical exam: 97.2 r 105 118/64 24 94%ra odor of etoh noted perrl, eomi trachea midline ctab tachy, regular mae x 4 distal pulses: l dp palp, r dp nonpalp, r pt dopplerable normal rectal tone, guaiac neg back w/o step-off or deformity pertinent results: 08:18pm hct-36.9* 03:47pm hct-33.6* 10:27am hct-36.2* 06:38am glucose-363* urea n-10 creat-0.8 sodium-138 potassium-4.5 chloride-102 total co2-20* anion gap-21* 06:38am calcium-7.6* phosphate-3.4 magnesium-1.5* 06:38am wbc-21.1* rbc-4.35* hgb-13.5* hct-38.4* mcv-88 mch-30.9 mchc-35.0 rdw-13.1 06:38am plt count-162 06:38am pt-13.0 ptt-25.2 inr(pt)-1.1 03:05am type- ph-7.30* 03:05am glucose-369* lactate-5.9* na+-137 k+-3.6 cl--102 tco2-18* 03:05am hgb-14.2 calchct-43 o2 sat-92 carboxyhb-8* met hgb-0 03:05am freeca-1.01* 02:50am urea n-11 creat-0.8 02:50am amylase-33 02:50am asa-neg ethanol-250* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:50am urine hours-random 02:50am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 02:50am wbc-25.5* rbc-4.50* hgb-14.1 hct-39.5* mcv-88 mch-31.2 mchc-35.6* rdw-13.0 02:50am plt count-207 02:50am pt-13.0 ptt-26.4 inr(pt)-1.1 02:50am fibrinoge-226 02:50am urine color-yellow appear-clear sp -1.021 02:50am urine blood-lge nitrite-neg protein-500 glucose-1000 ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 02:50am urine rbc->50 wbc-* bacteria-mod yeast-none epi-0-2 renal epi- 02:50am urine granular-* . ct head: impression: no evidence of acute intracranial hemorrhage or shift of normally midline structures. . ct c-spine: impression: no evidence of acute fracture or spondylolisthesis. . ct torso: impression: 1. moderate-sized right pneumothorax. likely lung contusions. followup recommended. 2. non-displaced right eighth, ninth and 10th rib fractures. 3. hypodensity within the liver consistent with contusion. 4. right adrenal hemorrahge versus mass. follow-up imaging recommended for further evaluation. discussed with dr. at 10am . 5. possible small splenic laceration at the dome, with a tiny amount of fluid around the spleen. 6. no evidence of active extravasation. 7. 1.3-cm likely plaques seen in the aorta at approximately the level of the bifurcation. 8. spondylosis and degenerative change is seen within the lower lumbar spine. . cta chest: impression: 1. no evidence of acute aortic injury. 2. moderate-to-large right-sided pneumothorax, larger when compared to study performed half an hour earlier. 3. multiple right rib fractures. 4. likely lung contusions, follow-up recommended. 5. increased lung opacities consistent with edema or aspiration. 6. nondisplaced manubrium fracture. . shoulder xr: : no evidence of acute fracture or dislocation within the right shoulder. right rib fracture and right-sided chest tube seen. . brief hospital course: the patient was admitted to the trauma service to the t-sicu. a chest tube was placed for the r ptx. the acute pain service was consulted and an epidural catheter was placed for analgesia for the rib fractures. he was placed on a ciwa scale to monitor and treat any symptoms of withdrawal. his hematocrit remained stable. on hd 2 he spiked to 103.2 and cxr revealed pneumonia. he was started on levaquin. a sputum culture grew out strep pneumoniae. the epidural catheter was removed and he was transitioned to po pain meds. he was transferred to the floor, diet was advanced, and he worked with pt/ot. he continued to have an oxygen requirement with sao2 88% on ambulation. he was afebrile x 72 hours. prior to discharge he was ambulating without oxygen and maintaining an sao2>91%. he will return to the trauma clinic for follow up. he will be maintained on riss until he completes the course of levaquin, at which time transition to oral agents would be appropriate (interaction between levaquin and ohas can cause profound hypoglycemia). medications on admission: none discharge medications: 1. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 2. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 3. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 5. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. multivitamin capsule sig: one (1) cap po daily (daily). 8. lorazepam 0.5 mg tablet sig: one (1) tablet po three times a day: hold for sedation. 9. insulin regular human injection discharge disposition: extended care facility: discharge diagnosis: motor vehicle crash closed head injury grade ii splenic laceration grade ii intraparenchymal liver bleed rib fractures pneumothorax pneumonia glucose intolerance discharge condition: good discharge instructions: 1. take medications as prescribed. 2. follow up with trauma clinic in 2 weeks, call for appointment: . 3. call your doctor or go to the er for any of the following: uncontrollable pain, fever > 101.4, trouble breathing, abdominal pain, or other troubling concerns. 4. use the incentive spirometer at least 3 times an hour while awake. followup instructions: as above. procedure: insertion of intercostal catheter for drainage diagnoses: alcohol abuse, unspecified closed fracture of sternum pneumonitis due to inhalation of food or vomitus pneumococcal pneumonia [streptococcus pneumoniae pneumonia] traumatic pneumothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle injury to liver without mention of open wound into cavity, hematoma and contusion contusion of lung without mention of open wound into thorax injury to spleen without mention of open wound into cavity, unspecified injury 

Answer: The patient is high likely exposed to