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: in summary, in the emergency room this was a 30-year-old man, who sustained a motorcycle accident with a severe pelvic fracture and open perineum. his past medical history was unknown at the time. he was on no medications and he had no known drug allergies. he occasionally smoked. there was no evidence of alcohol use. given his injuries, a gu surgery consultation, as well as a orthopedic consultation was obtained. the patient was taken to the operating room immediately, where the following procedures were performed: external fixation of his pelvic fracture, after an exploratory laparotomy and loop transverse colostomy performed, as well as debridement and packing of the extensive perineal wound. a scrotoplasty was also performed with placement of a suprapubic tube. the patient was then transferred to the icu. hospital course: the patient had an extensive intensive care unit stay. he spent his initial 32 days at the in the intensive care unit. he also required blood transfusions and repeated operative debridements of his perineal wound. a brief summary of his intensive care unit stay is as follows: the patient was in the intensive care unit for 32 days and underwent five debridement and washouts of his perineal wound, as follows: he was taken to the operating room on , 19th, 21st, 22nd and 27th. the wound itself extended between the scrotum and anus. it transected the urethra at the level of the prostatic urethra and required deep packing. the patient did well from his initial surgery; however, developed high fevers postoperatively, within the first twenty-four hours postoperatively with a temperature maximum of 103 on the 3rd postoperative day. his fevers persisted and he was taken back for a debridement of his perineal wound, where hematoma, but no pus was found. however, subsequent operative cultures grew out e. coli from his perineal wound and he required several debridements of this perineal infection. he also initially grew out e. coli from his sputum and bronchoalveolar lavage fluid from his first several days in the intensive care unit for which he was treated. the patient received extensive antibiotic coverage with approximately 10 days of vancomycin, 10 days of fluconazole, and 37 days of gram-negative antibiotics, initially with gentamicin from to the 22nd, which was changed to ceftriaxone, which he has been on for the duration of his hospital stay as well as 21 days of flagyl. the repeated debridements were the reason why mr. was kept intubated for such a prolonged period of time, and for that reason he required a percutaneous tracheostomy on . he received tpn for nutritional support until , where a percutaneous jejunostomy tube was placed and parenteral feedings were begun. the orthopedic surgeons were hesitant to initially fix his open-book pelvic fracture. the patient was going to require sacral pins across his sacroiliac joint, and the orthopedist did not want to perform any internal fixation until it was felt that his perineal wound was clean without evidence of infection. by , the patient's wound seemed well enough that he was taken to the operating room by the orthopedist, where the replacement of the external fixator was performed and the patient had posterior iliosacral bolt fixation of his sacroiliac-joint disruption. he was slowly weaned from his ativan and dilaudid drips that he required for sedation while in the intensive care unit. by , after 32 days in the icu, he was well enough that he was ready for transferred to the floor. at that point, the patient had made remarkable progress. he was alert and conversant, tolerating his tube feeds, and eager to begin a rehabilitative course. he was tolerating a passy-muir valve, and he was speaking. he was transferred to the floor on , however, within 10 hours of being on the floor, the patient vomited after suctioning and had a change in his mental status with a decreased level of consciousness. the patient was having increased respiratory secretions requiring frequent pulmonary toilet and his white count, which had been in the low teens, rose to 30,000. he was transferred back to the intensive care unit; given a high suspicion for aspiration, and he was placed on levofloxacin and flagyl, in addition to the ceftriaxone, which he had been receiving. over the next couple of days the patient made a steady recovery and was transferred back to the floor on . of note, on , he had a dysphagia evaluated orl, which demonstrated signs and symptoms at the bedside, for which he continued to be npo with jejunostomy feedings. he did have urine cultures which were sent, which grew out vancomycin resistant enterococcus for which he was re-evaluated by infectious disease, who felt that no further treatment was indicated. his levofloxacin and flagyl were stopped and he was continued on ceftriaxone. by hospital day #40 on , the patient was doing very well. he remained afebrile. he was tolerating his tube feeds, making good urine output. his abdomen was soft. his ostomy was pink, patent, and productive. he was nontender. his pelvis had an external fixator in place. his peroneal wound was granulating well. his white count was 16,000; however, he demonstrated no signs of systemic infection, and this was felt to be an inflammatory response secondary to the extensive injuries he had sustained. he did have a slight elevation of his amylase and lipase, which were on the decline and not felt to be clinically significant at this time. he was tolerating physical therapy and able to stand. his medications, at that time, were lovenox 30 mg subcutaneously b.i.d.; albuterol and atrovent inhalers; zantac; and ativan, p.r.n. of note, he did have an ivc filter placed on , on his initial admission for dvt prophylaxis. review by systems of this patient at the time of discharge was as follows: neurologically, he had a behavioral neuropsychiatry consult pending. he was cognitively intact, requiring some ativan for sedation. from a respiratory standpoint, he was stable with a tracheostomy, tolerating a passy-muir valve for phonation. cardiovascularly, he was stable without any issues. gastrointestinal: he was tolerating his tube feeds of impact fiber at 95 cc per hour. genitourinary: he had a suprapubic catheter in place, as well as a foley catheter through his urethra bridging that transected the transection of the bulbous and prostatic urethra. he was instructed to followup with dr. , whose phone # was , for further gu intervention as would be needed. hematology: he had a leukocytosis, which was stable in nature. infectious disease: he was on ceftriaxone for a completion course until , given his pelvic fractures with open wounds. from a prophylaxis standpoint, he had an ivc filter in place, as well as lovenox. at this point, he was stable for discharge. discharge medications: 1. ativan 0.5 mg per j-tube q.i.d. 2. impact with fiber 95 cc per hour per j-tube. 3. tylenol 650 mg per j-tube q. 4-6h. p.r.n. 4. lovenox 30 mg subcutaneously b.i.d. 5. albuterol/atrovent two puffs q.i.d. p.r.n. 6. ceftriaxone 1 gram iv q.24h. until . 7. zantac 150 mg per j-tube b.i.d. in elixir form. he was also receiving t.i.d. wet-to-dry dressing changes to his perineum with kerlix. follow-up care: he was instructed to followup with trauma surgery. the trauma surgery clinic phone # was with orthopedic surgery, specifically with dr. and with dr. of gu surgery. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube interruption of the vena cava temporary tracheostomy application of external fixator device, other bones open reduction of fracture with internal fixation, other specified bone suture of laceration of rectum other suprapubic cystostomy exteriorization of large intestine diagnoses: urinary tract infection, site not specified acute respiratory failure pneumonitis due to inhalation of food or vomitus other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist open fracture of pubis open wound of other and unspecified parts of trunk, without mention of complication open wound of scrotum and testes, without mention of complication 

Answer: The patient is high likely exposed to