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: traumatic complete amputation l forearm major surgical or invasive procedure: 1. repair of traumatic amputation of forearm with revascularization. 2. orif of the radius and ulna, with shortening and placement of allograft bone graft. 3. repair of median, ulnar and radial nerves. 4. repair of radial and ulnar arteries. 5. repair of anterior interosseus vein times 2, ulnar vena comitantes vein times one, superficial dorsal vein times one, and cephalic vein with placement of vein graft, with vein graft harvest from upper extremity 6. repair of flexor tendons fcr, fcu, fdp 2345, fds 2345, fpl and brachial radialis. 7. repair of extensor tendons ecrl, ecrb, edc, epb, epl, ecu, edm, apl. 8. decompressive hand fasciotomy of dorsum thenar/hypothenar. 9. carpal tunnel release. 10. forearm fasciotomy. 11. local advancement flap closure. 12.left forearm debridement with a split-thickness skin graft from left upper thigh history of present illness: this is a 32 yo man who was medflighted to after a traumatic complete amputation of the left forearm by a saw at work. the amputated limp was wrapped in guaze, on ice. he arrived at ~20 minutes afte the injury. plastic surgery was notified and arrived on the past medical history: none. social history: married. works as lathe operator. smoker. family history: nc physical exam: in ed: 98.2 80 141/79 100% nrb nad rrr, normal s1/s2 ctab abd soft nt/nd l forearm wrapped in ace/sterile gauze; amputated l hand wrapped in towels, on ice gcs 15 pertinent results: admission laboratory results: 05:43pm blood wbc-7.4 rbc-3.90* hgb-11.9* hct-33.6* mcv-86 mch-30.5 mchc-35.4* rdw-14.1 plt ct-246 05:07am blood neuts-81.1* bands-0 lymphs-12.5* monos-5.9 eos-0.2 baso-0.4 05:43pm blood pt-13.1 ptt-26.1 inr(pt)-1.1 05:46pm blood glucose-106* lactate-1.5 na-143 k-3.8 cl-106 calhco3-25 05:43pm blood urean-13 creat-0.8 05:43pm blood amylase-36 05:43pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . forearm (ap & lat) left; ap wrist & hand left 5:43 pm the left forearm is amputated at the level of the mid radius/ulna. there is a sharp amputation line through both bones with no visible associated fracture fragments. the bony structures proximal and distal to the amputation site appear intact without visible fractures or dislocations. bony mineralization is normal and joint spaces are preserved. . upper extremity fluoro forearm (ap & lat) left in o.r study date of 8:48 pm four intraoperative views of the left hand were obtained without a radiologist present. these demonstrate a plate and screws fixating the amputated distal hand and distal radius and ulna to the more proximal radius and ulna. . 10:20am blood wbc-7.6 rbc-2.60* hgb-8.1* hct-22.6* mcv-87 mch-31.3 mchc-36.0* rdw-15.7* plt ct-324 10:20am blood plt ct-324 03:26am blood glucose-96 urean-7 creat-0.6 na-134 k-3.9 cl-101 hco3-28 angap-9 03:26am blood calcium-7.3* phos-4.2 mg-2.0 09:49am blood lactate-1.7 02:09am blood freeca-1.16 brief hospital course: mr. arrived at approximately 20 minutes after the amputation. he was promptly evaluated by plastic surgery and emergently taken to the or for limb replantation. surgical intervention included orif of radius and ulna, repair of median, ulnar, and radial nerves, repair of radial and ulnar arteries, and repair or extensor and flexor tendons. . postoperatively he was initially monitored in the icu with continuous pulse oximetry of the replanted forearm. he was called out from the icu on hd #6, pod #5. his replanted forearm continued to have good perfusion through the hospitalization. on pt. taken back to the operating room for placement of stsg. he was discharged to home on aspirin, dilaudid, with vna services. he will be followed in the hand clinic. . perioperatively, he received 9 units prbcs. in total he received 15 units prbcs. . stsg were placed on mr. l arm both anteriorly and medially with bolster dressings bilaterally. on bolsters were removed and the stsg exposed. the grafts had good take with no necrosis, seromas, hematoma. his stsg was then dressed with xeroform, dry dressing, and kerlex. medications on admission: none. discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for anxiety. disp:*30 tablet(s)* refills:*1* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for 10 days. disp:*120 tablet(s)* refills:*0* 5. keflex 250 mg capsule sig: one (1) capsule po three times a day for 7 days. disp:*21 capsule(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: complete traumatic amputation of left forearm replantation of left forearm discharge condition: stable, with good color, warmth, capillary refill of left forearm. discharge instructions: you were hospitalized at after a traumatic amputation of your left forearm. you underwent surgery to re-attach the forearm. . you should keep your left arm in the splint, elevated. you will have visiting nurses change the dressings daily and evaluate your arm. you can passively move your fingers (i.e. use your other hand to move the fingers) as you have been instructed. you will be having occupational therapy coming to your house to help you with your left hand motion . you should take all medications as prescribed. . you should follow-up as indicated below. . you should seek emergent medical care (be seen promptly by a doctor/go to the emergency department): -for blue color or coldness of the fingers/hand/arm on your left side -if the vna nurses difficulty in detecting the pulses in your left arm -if there are signs of infection of your left arm including redness, increased swelling, increased warmth -if you have a significant increase in the amount of pain you are having . you should contact your doctor/be seen by a physician : -high fevers (>102) -increased pain -increased stiffness/decreased mobility of the joint -chest pain/shortness of breath -persistant nausea/vomiting -other symptoms that concern you. followup instructions: you should be seen in the hand clinic this tuesday, . please call to make an appointment. procedure: other skin graft to other sites attachment of pedicle or flap graft to other sites suture of vein open reduction of fracture with internal fixation, radius and ulna transfusion of packed cells fasciotomy of hand suture of artery myotomy other suture of tendon computer assisted surgery with fluoroscopy forearm, wrist, or hand reattachment diagnoses: acidosis accidents caused by woodworking and forming machines traumatic amputation of arm and hand (complete) (partial), unilateral, below elbow, complicated 

Answer: The patient is high likely exposed to