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 70 year old female consulted by orthopedics on . this 70 year old female pedestrian was struck by motor vehicle with positive loss of consciousness at outside hospital emergency department, evaluation and diagnosed with colles fracture, right fibular fracture, left trimalleolar fracture and small left subarachnoid hemorrhage. the wrist and ankle were reduced, splinted. the patient complained of pain in legs now back and wrists. past medical history: diabetes, hypertension, coronary artery disease, and coronary artery bypass graft. allergies: aspirin causes edema. medications: plavix, lopressor, zocor. physical examination: vital signs revealed blood pressure of 83/48, pulse 96. head, eyes, ears, nose and throat: scalp abrasion, cervical collar in place, lungs clear to auscultation bilaterally. cardiovascular, regular rate and rhythm. abdomen, tenderness to palpation in the upper extremities. right arm splint in place. radial pulse 1+ bilaterally. sensation intact from fingers. good capillary refill distally bilaterally. neurovascularly intact. positive movement. sensation of radial, ulnar and median nerves, lower extremities. bilateral lower extremities, posterior splints in place, neurovascularly intact. sensation distally, knee examination. back, nontender, no step-offs noted. laboratory data: x-ray, right ankle trimalleolar fracture poorly reduced. right knee, tibial plateau fracture. left fibula orthopedic fracture. right wrist colles' fracture, intra-articular involvement, right comminuted proximal fibula neck fracture. displaced fracture of right knee. hospital course: plan at that time was likely open reduction and internal fixation of the right ankle. the patient was made npo and given 2 units of packed red blood cells. will need right wrist operated on at some point of fibula fracture. repair as tolerated with cam marker. will need thoracolumbosacral films to rule out spine fracture, computerized tomography scan. to evaluate plain films of right tibia/fibula will need better imaging. the patient was discussed with dr. , further recommendations to follow. on , the patient was brought to the operating room with dr. for open reduction and internal fixation of the right distal radius fracture. surgery went without incident. postoperative plan is to elevate the right upper extremity, stocking with intravenous pole, pain management, occupational therapy consult requested, deep vein thrombosis prophylaxis, vancomycin times 48 hours secondary to patient's penicillin allergy. on postoperative check the patient was doing well, right arm splinted to intravenous pole, neurovascularly intact to radial, ulnar and median nerves with recommendations to follow up with dr. in two weeks, . on , plastic discontinued the right upper extremity hemovac drain. on the patient was brought to the operating room with dr. for open reduction and internal fixation of a right trimalleolar fracture. surgery went without incident. on postoperative check the patient was complaining of mild right ankle pain, some mild itching and questionable kefzol reaction. denied shortness of breath, denied change in voice, positive p.o. fluids, denied nausea and vomiting. the patient was afebrile with vital signs stable. right lower extremity dressing was clean, dry and intact. soft. toes were warm and well perfused. positive sensation in movement and toes. kefzol was discontinued at that time secondary to questionable reaction to kefzol. the patient was put on clindamycin times for 48 hours, given benadryl for rash. we will monitor intravenous fluids until the patient taking p.o. elevate right lower extremity, advance diet as tolerated. right lower extremity, nonweightbearing. on postoperative day #1, the patient was comfortable, afebrile, vital signs stable. right ankle dressing was clean, dry and intact. right anterior cruciate ligament to be in brace. right ankle nonweightbearing. left ankle cam marker, weightbearing as tolerated. lovenox 40 mg subcutaneously q.d. times four weeks for anticoagulation. the patient was screened for rehabilitation with follow up plans with dr. in trauma clinic in two weeks, phone . the patient was also scheduled for an magnetic resonance imaging scan of the right knee to rule out ligamentous injury. the patient will be discharged to an extended care facility, will be right upper extremity nonweightbearing, left lower extremity weightbearing as tolerated with cam marker. right lower extremity nonweightbearing, splint in place, and knee immobilizer in place. lovenox 40 mg subcutaneously q.d. for a four week course of anticoagulation. final diagnosis: right distal radius fracture, right trimalleolar fracture, right proximal fibular fracture, left fibular b fracture, right tibial plateau motion fracture. follow up: follow up with dr. in two weeks, phone . follow up with dr. in trauma clinic in two weeks, phone . the patient is status post open reduction and internal fixation of the right distal radius fracture on as well as status post open reduction and internal fixation of the right trimalleolar fracture on . condition on discharge: good. medications on discharge: 1. tylenol 325 mg one to two tablets p.o. q. 4-6 hours prn 2. paneprazole 40 mg tablets, delayed release, one tablet p.o. q. 24 hours 3. metoprolol 50 mg tablets, .5 tablet p.o. b.i.d. 4. simvastatin 10 mg tablets one tablet p.o. q.d. 5. colace 100 mg capsules, one capsule p.o. b.i.d. 6. benadryl 25 mg tablets one to two tablets p.o. q. 6 hours prn 7. vicodin 1 to 2 tablets p.o. q. 4-6 hours prn 8. lovenox 40 mg subcutaneously q.d. for a four week course of anticoagulation 9. miconazole nitrate powder, one application b.i.d., prn 10. insulin sliding scale per insulin flow sheet discharge instructions: the patient will be on a cardiac heart-healthy 3 to 4 gm sodium diet. the patient will need continued physical therapy with follow up plans and weightbearing status as noted previously. , m.d. dictated by: medquist36 procedure: arterial catheterization open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, radius and ulna diagnoses: congestive heart failure, unspecified coronary atherosclerosis of unspecified type of vessel, native or graft motor vehicle traffic accident involving collision with pedestrian injuring pedestrian closed fracture of upper end of tibia alone subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness street and highway accidents closed colles' fracture bimalleolar fracture, closed closed fracture of unspecified part of fibula alone 

Answer: The patient is high likely exposed to