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: left leg pain major surgical or invasive procedure: 1. intramedullary rod fixation of left femur fracture. 2. irrigation and debridement of left knee traumatic arthrotomy, soft tissue and skin (no bony debridement). 3. examination under anesthesia of bilateral knees. history of present illness: is a 18-year-old gentlemanwho presented to as anactivated trauma following a motor vehicle accident in whichhe was a driver and his car struck a tree. he was evaluated by the trauma team. after their examination diagnosed with agrade 4 liver laceration, several transverse process fractures ,question of a c6 lamina fracture, a left closed femur fractureand after orthopedic evaluation atraumatic arthrotomy to his left knee. past medical history: none social history: lives with mother, works at stop and shop etoh in excess + tobacco family history: non contributory physical exam: temp 98 hr 106 bp 115/56 rr 30 heent 3 cm abrasion on forehead otherwise normal neck no tenderness c collar in place chest clear breath sounds bilat cor rrr abd soft,non tender,abrasion over abd ext left thigh hematoma, lac to left femur and left knee pulses 2+ throughout upper and lower extremities pertinent results: 06:08am pt-13.1 ptt-27.3 inr(pt)-1.1 06:08am plt count-348 06:08am wbc-15.7* rbc-4.65 hgb-14.1 hct-41.4 mcv-89 mch-30.3 mchc-34.1 rdw-13.3 06:08am asa-neg ethanol-127* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:10pm glucose-128* urea n-10 creat-0.7 sodium-142 potassium-5.4* chloride-114* total co2-19* anion gap-14 09:27pm hct-29.1* head ct : no acute intracranial process. specifically, no evidence of acute hemorrhage. multiple radiopaque tiny foreign bodies in the subcutaneous tissue mostly on the left facial frontoparietal area. ct abd and pelvis and chest : 1. grade iv/v liver laceration with perihepatic blood tracking along the right pericolic gutter into the pelvis and adjacent to the spleen. 2. bilateral airspace opacification at the lung bases, concerning for aspiration. 3. lateral nondisplaced right lower thoracic rib fractures, overlying the liver injury and nondisplaced l2 and l3 transverse process fractures ct c spine : no fracture or dislocation. subtle symmetrical lucency at the lamina, and facets at c6, could be due to motion. left femur : oblique angulated midshaft left femur fracture. brief hospital course: mr. was admitted to the hospital and evaluated by the trauma team as well as the ortho trauma service. he has a grade iv/v liver laceration on abd. ct but a stable hematocrit. he remained stable hemodynamically and was taken to the operating room by the orthopedic surgeons and underwent orif of left femur and debridement of left knee ( see formal op note for more details). he received 2 units of prbc's in the or for acute blood loss. he was transferred to the icu for further management. his hematocrit remained stable and his abdomen was soft. he was extubated the following day and his pain was controlled with a dilaudid pca. he remained in the icu for close monitoring of his hct and abdominal exam due to the liver laceration. from an orthopedic standpoint he was doing well. he received 3 units of blood on for a hct of 22 as he was dizzy when getting out of bed and also tachycardic at 100. this was attributed to anemia in the setting of acute blood loss. following traansfer to the surgical floor he continued to make good progress. his hematocrit was stable in the 25 range, he was tolerating a regular diet and he was working with physical therapy to progress on his ambulation. he was started on lovenox after it was demonstrated that his hematocrit was stable and he was instructed how to administer this by the nursing staff. he was discharged home on and will follow up with dr. and dr. . medications on admission: none discharge medications: 1. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day for 1 months. 5. outpatient physical therapy motor vehicle crash with orif left femur evaluation and treatment 6. enoxaparin 40 mg/0.4 ml syringe sig: forty (40) mg subcutaneous daily (daily) for 4 weeks. disp:*30 syringes* refills:*0* discharge disposition: home discharge diagnosis: 1. left femur fracture. 2. left knee traumatic arthrotomy. discharge condition: stable discharge instructions: do not participate in any contact sports or anything that would cause pressure or trauma to your abdomen return to the emergency room immediately if you have any dizziness or lightheadedness as this could be a sign that you are bleeding. please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. followup instructions: follow up with dr. in 2 weeks staples will be removed at that time. call dr. at for a follow up appointment in 2 weeks. procedure: arterial catheterization open reduction of fracture with internal fixation, femur transfusion of packed cells excision of lesion of other soft tissue diagnoses: alcohol abuse, unspecified hemorrhage complicating a procedure surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of lumbar vertebra without mention of spinal cord injury precipitous drop in hematocrit injury to liver without mention of open wound into cavity, hematoma and contusion closed fracture of shaft of femur injury to liver without mention of open wound into cavity laceration, unspecified injury to spleen without mention of open wound into cavity, hematoma without rupture of capsule open wound of knee, leg [except thigh], and ankle, complicated 

Answer: The patient is high likely exposed to