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 an 83 year old male status post motor vehicle crash with no loss of consciousness, coma scale 15, right femur fracture, subsplenic hematoma. past medical history: coronary artery disease, diabetes mellitus, hypertension, paroxysmal atrial fibrillation, congestive heart failure, ejection fraction of 35% with aortic stenosis 1 cm, 1+ aortic insufficiency plus mitral regurgitation and tricuspid regurgitation. past surgical history: coronary artery bypass graft, carotid endarterectomy in . medications on admission: lasix 20 mg q.d.; imdur 30 mg q.d.; accupril 10 mg t.i.d.; lipitor 40 mg q.d.; toprol xl 100 mg q.d.; amiodarone 200 mg q.d.; mirtazapine 15 mg q.d.; coumadin 2 mg q.d.; levoxyl 50 mg q.d.; aspirin 81 mg q.d.; oxycodone prn. laboratory data on admission: white blood cells 10.8, hemoglobin 11.9, hematocrit 36.8, platelet count 110. pt 17.3, ptt 35.6 and inr 2.0. fibrinogen 428, glucose 219, urea 36, creatinine 1.2, sodium 139, potassium 4.5, chloride 107, bicarbonate 24, anion gap of 13. cpk 96, amylase 67, calcium 8.2, phosphorus 4.2 and magnesium 1.8. toxicology screen was negative. there was no pertinent microbiology. radiology - trauma series performed without comparison showed a right femoral fracture, essentially subtrochanteric although a portion of the lesser trochanter appears to be attached to the distal fragment. radiographs of the right hand reviewed showed a fracture at the base of the right fifth metacarpal. computerized tomography scan of the abdomen revealed a right femoral fracture as described above, subcapsular splenic hematoma and contusion, slight enlargement of the right psoas with small areas of focal enhancement probably representing soft tissue injury associated with right femoral fracture, and chronic changes of the lungs at the bases. radiographs of the spine revealed cervical spine, minimal anterolisthesis of c4 on c5, degenerative changes and osteopenia, no fracture detected. thoracic spine with mild anterior wedge compression fractures of two upper thoracic vertebra bodies, questionable t4 and t5. these are of indeterminate acuity. lumbar spine, osteopenia, no fracture detected. the sacrum was obscured. a computerized tomography scan reconstruction was cone on the spine computerized tomography scan, and showed no evidence of fracture, grade 1 c4 on c5 anterolisthesis, degenerative changes most pronounced at c5-6 and c6-7 areas. the thyroid gland appears enlarged with multiple locations and a flexion, extension comparison of the cervical spine showed multilevel instability of the cervical spine with flexion, multilevel degenerative changes of the cervical spine. hospital course: on , an intramedullary rod was used to fixate the right subtrochanteric femur fracture by the orthopedic service without incident. the right fifth metacarpal fracture was splinted on . flexion and extension views of the cervical spine were viewed by dr. of the orthopedic team and it was decided that the collar may come off. the patient was also cleared clinically with removal of the cervical collar. discharge diagnosis: 1. right femoral fracture. 2. subcapsular splenic hematoma. 3. right fifth metacarpal fracture. 4. questionable compression fracture of t4-5. 5. coronary artery disease. 6. diabetes mellitus. 7. hypertension. 8. paroxysmal atrial fibrillation. 9. congestive heart failure. an addendum will be added upon discharge of the patient. , m.d. dictated by: medquist36 procedure: open reduction of fracture with internal fixation, femur transfusion of packed cells transfusion of other serum diagnoses: unspecified essential hypertension atrial fibrillation aortocoronary bypass status rheumatic heart failure (congestive) multiple involvement of mitral and aortic valves closed fracture of subtrochanteric section of neck of femur diseases of tricuspid valve motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle injury to spleen without mention of open wound into cavity, unspecified injury 

Answer: The patient is high likely exposed to