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: penicillins attending: chief complaint: left radius/ulnar fracture major surgical or invasive procedure: 1. open reduction/internal fixation of left radius/ulnar fracture 2. delayed primary closure right forearm. history of present illness: the pt is a 32 y/o male who was involved in a mva one month ago and had a fracture to his right radius and ulna. he presented to the ed and had a closed reduction of his fractures and had a splint placed. he continues to have pain with his forearm. follow-up x-rays 4 days prior to admission revealed malalignment. the patient presents for orif. past medical history: venous malformation right upper extremity being treated with sclerotherapy social history: he is a nonsmoker. family history: non-contributory physical exam: t 97.8 p 83 bp 125/64 r 16 sao2 97% gen - nad lungs - clear heart - rrr abd - soft, nt, nd, bs+ extrem - right upper extremity splinted, diffusely edematous, some numbness to light touch in right thumb, right upper extremity otherwise neurovascularly intact pertinent results: 11:15pm blood wbc-13.4*# rbc-3.87* hgb-11.7* hct-33.9* mcv-88 mch-30.3 mchc-34.6 rdw-13.5 plt ct-128* 11:15pm blood pt-18.2* ptt-58.7* inr(pt)-1.7* 11:15pm blood glucose-136* urean-15 creat-0.7 na-141 k-4.1 cl-107 hco3-25 angap-13 11:15pm blood calcium-7.9* phos-4.2 mg-1.7 iron-110 brief hospital course: the patient had an orif of his right forearm fractures which he tolerated well. the skin was not closed because of concern of compartment syndrome. the wound was packed with betadine impregnated kerlix and this was then covered with several layers of sterile towels held on with an ace wrap. 2 jp drains were placed in the wound. post-operatively, the patient was transfused 2 units of packed red blood cells for bleeding that he had in the or and was started on iv clindamycin because he had hardware in his arm with an open wound. in the evening following the surgery, the patient had active bleeding from his arm as the drains put out 1200cc of blood. a central line was placed and cvp was transduced. he was transfused one unit of fresh frozen plasma and one unit of cryoprecipitate because his ptt and inr were elevated at 58.7 and 1.7 respectively. the patient was transferred to the sicu for more intensive monitoring. on post-op day 1, he was transfused 2 units of packed red blood cells for a hct of 21.6. throughout this episode of bleeding, the pt remained normotensive with adequate urine output. on post-op day 2, his hct remained stable at 23 and he was transferred to the floor. on post-op day 3, he returned to the or for a delayed primary closure of his right forearm incisions which he tolerated well. he was transfused another 2 units of packed red blood cells post-operatively. the hospital course was also complicated by persistent post-op fever which started on post-op day 1. as his fevers persisted, blood cultures were sent, cvl was pulled and the tip was cultured, urinalysis, and urine culture were also sent. his cultures had no growth. we encouraged the pt to continue to use his incentive spirometer and he was continued on iv clindamycin. on post-op day 4, the pt complained of worsening pain from his right fingers and his dressing was taken down to evaluate for possible compartment syndrome. his arm was soft and he had good perfusion of his fingers. although he complained of some numbness/tingling in his right thumb, he was otherwise neurovascularly intact. his arm was redressed more loosely and the patient stated that this caused his pain to lessen. during the evening, the patient complained of feeling claustrophobic and depressed and also complained that he was not thinking clearly. these symptoms were attributed to the combination of neuroleptic medications he was taking. he was given 0.25mg of ativan with good effect. his neurontin dose was decreased and his dilaudid pca was discontinued. we continued to monitor his mental status closely. he remained free of the neurologic symptoms. at the time of discharge, the pt was able to ambulate independently and his pain was well controlled with po dilaudid and clindamycin. he was instructed to keep his dressing on and arm elevated. he will follow up with dr. on . medications on admission: none discharge medications: 1. gabapentin 400 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 2. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*25 capsule(s)* refills:*0* 3. dilaudid 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. clindamycin hcl 300 mg capsule sig: one (1) capsule po three times a day for 1 weeks. disp:*21 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: right radius/ulna fractures right upper extremity venous malformation discharge condition: stable discharge instructions: call your doctor or seek immediate medical attention if you experience increased swelling, numbness, or pain from right hand and arm, or increased drainage, redness, or bleeding from incisions. also call your doctor if you experience fever, chills, lightheadedness, dizziness, chest pain, shortness of breath, severe abdominal pain, or nausea/vomiting. no driving while taking pain meds. no tub baths or swimming. keep dressing around right arm and elevate right arm whenever possible. you may move your wrist and elbow. empty and strip jp drain daily and record output. no heavy lifting with right arm. followup instructions: please follow up with dr. on tuesday, . call for appointment. md procedure: closure of skin and subcutaneous tissue of other sites open reduction of fracture with internal fixation, radius and ulna transfusion of packed cells transfusion of other serum diagnoses: hemorrhage complicating a procedure other specified complications of procedures not elsewhere classified malunion of fracture late effects of motor vehicle accident upper limb vessel anomaly late effect of fracture of upper extremities 

Answer: The patient is high likely exposed to