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: pedestrian struck by motor vehicle major surgical or invasive procedure: l lower extremity exfix, l tib/fib orif, r fibular orif, facial fx repair. history of present illness: 48 yo m pedestrian struck by vehicle at approx 40mph. no loc. etoh level 430 upon admission. past medical history: denies social history: etoh family history: noncontributory physical exam: vs: 108/73 104 13 (intubated) gen: (intubated) heent:no ttp c-spine. in collar. r forehead lac. chest: bs bilat, no palpable crepitus or eccymoses abd: s/nt ext: lle 7cm lac with protruding tibia prox anterior leg. rle deformity/crepitus r ankle. compartments swollen/somewhat firm, swelling r proximal fibula. 2+ dp pulse bilat. neuro: normal rectal tone, guiaic neg. motor strength all extrem. pertinent results: 09:00pm blood wbc-4.7 rbc-3.47* hgb-12.6* hct-35.8* mcv-103* mch-36.3* mchc-35.1* rdw-13.4 plt ct-157 07:47am blood hct-19.4*# 10:24am blood hct-24.1* 04:56am blood wbc-5.1 rbc-2.07* hgb-7.0* hct-20.2* mcv-97 mch-33.9* mchc-34.8 rdw-15.1 plt ct-220# 06:20am blood hct-23.2* 10:25am blood wbc-6.3 rbc-2.43* hgb-8.2* hct-24.7* mcv-101* mch-33.6* mchc-33.1 rdw-16.0* plt ct-591*# 06:15am blood wbc-6.7 rbc-2.29* hgb-7.7* hct-23.1* mcv-101* mch-33.7* mchc-33.3 rdw-15.7* plt ct-552* 09:00pm blood plt ct-157 12:40am blood plt ct-69* 10:25am blood plt ct-591*# 09:00pm blood fibrino-375 09:00pm blood glucose-134* urean-10 creat-0.8 na-139 k-4.0 cl-98 hco3-29 angap-16 06:15am blood glucose-101 urean-6 creat-0.5 na-134 k-4.1 cl-98 hco3-28 angap-12 09:00pm blood amylase-73 04:05pm blood alt-202* ast-327* ld(ldh)-288* alkphos-61 amylase-192* totbili-0.4 06:20am blood amylase-267* 06:15am blood amylase-206* 04:05pm blood lipase-473* 01:04am blood lipase-97* 06:15am blood lipase-273* 04:05pm blood albumin-2.7* 06:15am blood calcium-8.5 phos-3.0 mg-1.8 09:00pm blood asa-neg ethanol-430* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg ct lower extremities: impression: 1. right lower extremity: non-displaced medial and lateral tibial plateau fractures extending into tibial eminence with probable associated acl injury. lipohemarthrosis. bimalleolar fracture with extension into the tibiotalar joint and proximal and distal fibular diaphyseal fractures. 2. left lower extremity: open comminuted proximal tibial fracture with extension of fracture into the lateral tibial plateau articular surface and blood products/ gas in the joint space. comminuted proximal fibular diaphyseal fracture and extensive subcutaneous and intramuscular emphysema. 3. occult left talar neck fracture. dedicated left ankle ct may be helpful for further evaluation. r ankle film: distal fibular fracture. ct face: impression: 1. comminuted, mildly displaced nasal bone fractures. 2. minimal to nondisplaced fractures of the posterior and anterior walls of the left maxillary sinus with extension to the left inferior orbital rim. the inferior orbital wall on the left appears intact. ct chest/abd/pelvis: 1. inflammatory stranding and a small amount of abnormal low-density fluid within the retroperitoneum abutting the duodenum and right psoas and surrounding the ivc. findings are thought more likely secondary to a duodenal or possibly venous injury. ivc, right kidney, and pancreas appear intact. 2. coronary artery calcifications. ct c-spine: 1. non-displaced fracture of the left superior articulating facet of c4 with extension into the facet joint. 2. grade 1 anterolisthesis of c4 over c5 is age indeterminate but could be chronic and degenerative. if there is concern for ligamentous injury or to assess acuity of c4 superior facet abnormality, mr of the cervical spine could be performed. ct head: no intracranial hemorrhage or cerebral edema. r knee film:1. transversely oriented high fibular shaft fracture, distal fibular fracture just above the level of the ankle mortise, and transversely oriented medial malleolar fracture. widening of the medial ankle mortise is suggestive of ligamentous injury. anterior tibial plafond fracture. 2. additional faint lucency in the proximal tibia extending into the medial tibial plateau could reflect the site of an additional nondisplaced fracture; consider further evaluation with cross-sectional imaging such as ct to further evaluate. ill-defined lucency on the lateral radiograph projecting over the distal tibial metaphysis could reflect the overlying cast material, although nondisplaced fracture in this location is also difficult to exclude. this could also be further evaluated with ct. mri c-spine:1. no evidence of disruption of the ligamentous structures or signs of unstable cervical spine injury. 2. degenerative changes at multiple levels with bilateral mild-to-moderate foraminal narrowing at c5-6 level. 3. abnormal signal within the left articular processes and facet joint at c3-4 level could be due to degenerative change or due to trauma. however, in absence of associated soft tissue abnormality, this could be more likely to be degenerative in nature. repeat ct abd/pelvis: 1. atelectasis and effusions at the lung bases as described above. 2. the previously seen inflammatory change and free fluid in the upper abdomen has resolved. the upper abdominal viscera appear intact. there is no free fluid or free air in the abdomen or pelvis. bilat ankle films: findings: views from the operating suite show placement of metallic fixation device about fractures of the distal tibia and fibula. views of the left leg show extensive metallic fixation about a comminuted fracture of the proximal tibia with associated more distal fibular fracture. brief hospital course: patient was admitted as a trauma s/p ped struck on . intubated in ed. head lac stapled. nasal fx reduced. radiology demonstrated l comminuted, open tib/fib fx, r ankle bimalleolar fx and r tibial plateau fx, c4 superior facet fracture (? whether may be chronic by radiologist). initial etoh level was 430. patient was taken to the or with orthopedics for exfix of lle fractures. started on ancef/gent for multiple fractures. admitted to tsicu. follow up mri of c-spine revealed no unstable fracture and c-spine was cleared by ortho-spine attending. opthalmology ruled out entrapment/ocular injury given orbital injury. taken to or with ortho on for orif l tib/fib. extubated . return to or with ortho on for repair of r fibular fracture. return to or on with plastic surgery for repair of facial fractures. physical therapy followed with patient and recommended rehab. staples/sutures removed from forehead lac. sutures removed from facial repair by plastic surgery. brief delerium post-operatively resolved with haldol. ekg benign. stable for discharge to rehab facility with orthopedic/plastic surgery follow up. dvt precautions throughout stay. patient is to continue lovenox for 6 months following discharge. medications on admission: none discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day)hold for heart rate less than 60 or systolic bp less than 110. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 8. enoxaparin 30 mg/0.3 ml syringe sig: 0.3 ml subcutaneous q12h (every 12 hours) for 6 months. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 12. hydromorphone 4 mg tablet sig: 4-6 tablets po q4h (every 4 hours) as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: c4 superior facet fracture with anterolisthesis c4 on c5 nasal bone fracture minimally displaced fracture posterior and anterior walls of left maxillary sinus left inferior orbital rim fracture left comminuted fracture proximal tib/fib right ankle fibular fracture discharge condition: stable discharge instructions: you were treated in the hospital after being struck by a vehicle. you had operative repair of leg fractures and facial fractures and were also evaluated for a neck injury. take all medicines as directed. do not bear weight on either of your legs until follow up appointment with the orthopedics doctors. please be advised that your alcohol level was dangerously high at the time of your accident and that you should seek support in your effort to refrain from alcohol in the future. you should continue the lovenox for 6 months. followup instructions: please follow up with dr. in clinic in weeks please also follow up in plastic surgery clinic in 2 weeks by calling for an appointment. call to schedule appointment in trauma clinic in weeks with dr. . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube debridement of open fracture site, tibia and fibula application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula closure of skin and subcutaneous tissue of other sites closed reduction of nasal fracture open reduction of malar and zygomatic fracture diagnoses: motor vehicle traffic accident involving collision with pedestrian injuring pedestrian closed fracture of malar and maxillary bones closed fracture of other facial bones closed fracture of upper end of tibia alone other and unspecified open wound of head without mention of complication closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness closed fracture of nasal bones bimalleolar fracture, closed open fracture of upper end of fibula with tibia 

Answer: The patient is high likely exposed to