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: the patient is a 37 year old male who was in a motorcycle accident versus car, helmeted with no loss of consciousness, going approximately 40 mph. the patient was complaining at the scene of left leg pain, left chest pain. the patient was med-flighted and on route had one episode of a systolic blood pressure in the 80s that responded to fluid. the patient was back-boarded and cervical collared at the scene. gcs was 15. past medical history: none. past surgical history: none. medications on admission: none. allergies: no known drug allergies. social history: the patient is married with two children, age 13 and 7. he is a construction worker and denies tobacco use and has occasional etoh use. physical examination: the patient's temperature in the trauma bay was 98.7, heart rate 96, blood pressure 110/palpable, respiratory rate 24, oxygen saturation 99% in room air. the pupils were 4.0 to 2.6 bilaterally. extraocular movements was intact. the face was stable. the tympanic membranes were clear. there were no lacerations of the head. the neck was in a cervical collar. the heart was regular rate and rhythm with s1 and s2. the chest was tender to palpation over the left chest wall. there were some abrasions over the midchest. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender to palpation with good bowel sounds. there was no ecchymosis. the left flank was tender to palpation. rectal examination was normal tone, guaiac negative. extremities were mildly cool. the upper extremities had no evidence of deformities, 2+ radial pulses. the left lower extremity was in a splint. there was a laceration without any bleeding in the lateral thigh. there was a small abrasion over the left elbow. there were 2+ femoral, popliteal, dorsalis pedis and posterior tibial pulses bilaterally. the back had no step-off, no tenderness, and neurologically he was alert and oriented times three and following commands. cranial nerves ii through xii are grossly intact. sensation and motor function were grossly intact. laboratory data: on admission, white blood cell count was 17.7, hematocrit 32.1, platelets 244,000. prothrombin time 13.3, partial thromboplastin time 24.2, inr 1.3, fibrinogen 144. urinalysis had greater than 50 red blood cells. blood urea nitrogen was 20, creatinine 1.2, amylase 63. serum toxicology screen was negative. urine toxicology screen showed positive for opiates and cocaine. initial arterial blood gases was ph 7.44/32/154/22.0. lactate was 2.0. radiology studies: the patient had a chest x-ray which showed left sixth rib fracture. the patient had pelvic ap which showed no pelvic fractures. femur films showed a left femur fracture through the midshaft with distal segment displacement medially and posteriorly. a ct of the cervical spine showed no dislocation or fractures. ct of the abdomen showed a grade v laceration of the left kidney without surrounding hematoma which extended into the retroperitoneum. there was active extravasation in the contrast from the collecting system of the left kidney, but there was contrast in the distal left ureter. there was a sixth rib fracture. hospital course: the patient was successfully resuscitated in the trauma bay and then taken to the operating room by the orthopedic staff, who performed a left humerus incision and drainage and a femoral rodding. the patient tolerated the procedure well and received one unit of packed red blood cells in the operating room, three liters of crystalloid, and was transferred extubated to the post anesthesia care unit in stable condition. due to the severity of the renal laceration, the patient was admitted to the surgical intensive care unit for close hemodynamic monitoring. the patient's serial hematocrit was followed which was found to drop to 23.9. the patient received two units of red blood cells which increased the hematocrit to 28.0. urology consultation was obtained and they recommended conservative treatment with serial hematocrit values for follow-up. in the intensive care unit, the patient was on bedrest, continued to remain hemodynamically stable. he was kept npo. he was on perioperative kefzol. he received a social work consultation which addressed the positive cocaine and opiate use in the urine. the patient says he had used some cocaine at a bachelor party and it was his fifth time using it. none had been used in four years. he will follow-up with social work as needed. the patient remained hemodynamically stable on hospital day four. postoperative day three, the patient was stable for transfer to the floor. on the floor, the patient's diet was advanced as tolerated. the patient was evaluated by physical therapy and was taught ambulating with crutches and transferring from bed. the patient's hematocrit continued to remain stable. the patient did have a temperature spike. the left thigh at the site of surgery was found to be erythematous and edematous. there was no purulent drainage. the patient's antibiotics were changed from ancef to vancomycin. this led to improvement of the site though it did remain edematous. the patient's white count though came down from 13.0 to 9.0. orthopedic attending, dr. , evaluated the wound site and recommended keflex and early follow-up in one week in his office. the patient continued to do well, tolerating a regular diet. the patient did have early pain issues, which was addressed by acute pain service with an epidural in his early hospital course. this was subsequently weaned down to pca and now to p.o. pain medication which allows him to tolerate ambulation. on hospital day number nine, the patient was found to have thrush and was started on nystatin swish and swallow. the patient also received a neurologic evaluation due to a ptosis of his right eye. neurology recommended head ct which was negative and on full neurologic evaluation deemed no neurologic deficit. only for follow-up if needed. at this point, the patient is stable and is now ready for discharge to home with home services. discharge diagnoses: status post motorcycle accident with the following injuries: 1. left open femur fracture, status post femoral rodding. 2. left grade v kidney laceration. 3. left sixth rib fracture. medications on discharge: 1. dilaudid 2 to 4 mg p.o. q4hours p.r.n. 2. colace 100 mg p.o. twice a day. 3. nystatin swish and swallow 5 cc p.o. four times a day. 4. keflex 500 mg p.o. three times a day times fourteen days. follow-up: 1. the patient will follow-up with trauma clinic in two weeks. 2. the patient will follow-up with dr. in one week, . condition on discharge: stable. , m.d. dictated by: medquist36 procedure: open reduction of fracture with internal fixation, femur diagnoses: cocaine abuse, unspecified other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist closed fracture of one rib opioid abuse, unspecified open fracture of shaft of femur injury to kidney without mention of open wound into cavity, laceration 

Answer: The patient is high likely exposed to