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: s/p plane crash multi traumatic injuries major surgical or invasive procedure: procedures: 1. irrigation and debridement right tibia wound (skin and subcutaneous tissue and muscle). 2. irrigation and debridement, left open humerus fracture (debridement through skin and subcutaneous tissue, muscle and bone). 3. application of external fixator right femur. 3. closed reduction left elbow dislocation. 4. insertion traction pin left femur. procedures: 1. removal of external fixator, right femur. 2. intramedullary nailing, segmental open reduction of the fracture with an 11 x 460 mm synthes antegrade nail. 3. intramedullary nailing of left femur subtrochanteric fracture with a tfn nail, 11 x 460 x 130 mm with a 110 mm lag length. 4. closed treatment of medial malleolar fracture. 5. removal of traction pin, left femur. procedures: 1. open reduction, internal fixation of radial head. 2. open reduction, internal fixation of radial shaft and neck. procedures: 1. open reduction internal fixation left acetabular fracture, transverse posterior wall. 2. open reduction internal fixation left medial malleolar fracture 3. irrigation and debridement left forearm fasciotomy wound. 4. vacuum change replacement more than 1000 sq. cm. procedures: 1. placement of ivc filter via right femoral route (bard g2 type). 2. fluoroscopic control of ivc filter placement. procedures: procedure: irrigation and debridement, left forearm wound and vacuum change. procedures: left elbow i+d, closure with bone graft history of present illness: 30 yo male s/p small plane crash, sustained multiple orthopedic injuries. patient was pilot and there were 2 dead at the scene. he was medflighted to for further management. hypotensive upon arrival but gcs 15. all extremities grossly deformed. intubated in ed given major injuries and hd instability. recieved 3u prbc & 6.25l ivf as well. past medical history: left foot surgery in past social history: lives with wife family history: noncontributory physical exam: hypotensive to sbp in 80s on arrival in ed, hr 100's prior to intubation: arousable perrla multiple facial lacerations +bs bilaterally rrr s/nt/nd/+bs fast negative ext: grossly deformed x4 full sensation feet and hands bilaterally; able to move fingers and thumbs bilaterally; spontaneous df/pf//fhl bilaterally. normal rectal tone. pertinent results: 02:54pm blood hct-30.0* 08:37am blood wbc-11.7* rbc-3.13* hgb-9.8* hct-29.2* mcv-94 mch-31.4 mchc-33.5 rdw-18.2* plt ct-668* 04:16am blood wbc-12.4* rbc-2.99* hgb-9.1* hct-27.2* mcv-91 mch-30.5 mchc-33.6 rdw-18.1* plt ct-511* 07:20am blood wbc-13.0* rbc-2.78* hgb-8.7* hct-26.8* mcv-96 mch-31.4 mchc-32.6 rdw-17.5* plt ct-502*# 05:45am blood hct-25.8* 08:00pm blood hct-26.4* 12:30am blood wbc-10.5 rbc-2.33* hgb-7.5* hct-21.6* mcv-93 mch-32.1* mchc-34.5 rdw-15.1 plt ct-290 08:00pm blood hct-21.8* 01:12pm blood wbc-11.4* rbc-2.46* hgb-7.9* hct-22.7* mcv-93 mch-32.2* mchc-34.8 rdw-15.0 plt ct-274 01:12pm blood wbc-11.4* rbc-2.46* hgb-7.9* hct-22.7* mcv-93 mch-32.2* mchc-34.8 rdw-15.0 plt ct-274 03:53am blood wbc-8.6 rbc-2.53* hgb-8.2* hct-23.3* mcv-92 mch-32.4* mchc-35.1* rdw-15.1 plt ct-237 03:08pm blood wbc-8.5 rbc-2.75* hgb-8.7* hct-24.1* mcv-88 mch-31.5 mchc-36.0* rdw-15.4 plt ct-205 02:12am blood wbc-6.7 rbc-2.74* hgb-8.6* hct-24.0* mcv-87 mch-31.4 mchc-36.0* rdw-15.1 plt ct-176 08:12pm blood hct-20.5* 05:34pm blood wbc-6.7 rbc-2.55* hgb-8.3* hct-22.9* mcv-90 mch-32.4* mchc-36.1* rdw-14.4 plt ct-186 02:16am blood wbc-6.8 rbc-2.44* hgb-7.7* hct-21.4* mcv-88 mch-31.6 mchc-36.0* rdw-14.3 plt ct-146* 02:16am blood wbc-6.8 rbc-2.44* hgb-7.7* hct-21.4* mcv-88 mch-31.6 mchc-36.0* rdw-14.3 plt ct-146* 03:49pm blood wbc-7.7 rbc-2.78* hgb-8.8* hct-24.0* mcv-86 mch-31.6 mchc-36.6* rdw-14.0 plt ct-135* 02:47am blood wbc-7.1 rbc-2.85* hgb-9.3* hct-25.4* mcv-89 mch-32.5* mchc-36.5* rdw-13.8 plt ct-132* 08:12pm blood hct-22.8* 02:26pm blood hct-24.6* 12:10pm blood wbc-19.6* rbc-3.29* hgb-10.6* hct-29.6* mcv-90 mch-32.2* mchc-35.8* rdw-13.3 plt ct-250 04:16am blood neuts-88* bands-3 lymphs-4* monos-4 eos-1 baso-0 atyps-0 metas-0 myelos-0 08:37am blood plt ct-668* 04:16am blood plt ct-511* 07:20am blood plt ct-502*# 12:30am blood plt ct-290 01:12pm blood plt ct-274 03:53am blood plt ct-237 03:08pm blood plt ct-205 05:34pm blood plt ct-186 02:16am blood plt ct-146* 02:16am blood pt-12.7 ptt-28.5 inr(pt)-1.1 03:49pm blood pt-12.6 inr(pt)-1.1 07:33pm blood plt ct-198 04:16am blood glucose-112* urean-10 creat-0.5 na-138 k-4.4 cl-103 hco3-31 angap-8 05:45am blood k-3.5 08:00pm blood glucose-104 urean-14 creat-0.5 na-135 k-3.7 cl-102 hco3-25 angap-12 03:53am blood glucose-119* urean-13 creat-0.6 na-137 k-3.8 cl-106 hco3-24 angap-11 01:40pm blood glucose-126* urean-11 creat-0.6 na-139 k-3.5 cl-103 hco3-31 angap-9 02:12am blood glucose-125* urean-11 creat-0.6 na-139 k-3.9 cl-105 hco3-31 angap-7* 05:34pm blood glucose-140* urean-9 creat-0.6 na-139 k-3.9 cl-105 hco3-30 angap-8 02:16am blood glucose-121* urean-10 creat-0.7 na-137 k-4.0 cl-104 hco3-29 angap-8 03:49pm blood glucose-125* urean-10 creat-0.7 na-136 k-4.0 cl-103 hco3-29 angap-8 01:55am blood glucose-127* urean-14 creat-0.8 na-139 k-4.7 cl-108 hco3-24 angap-12 12:10pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: he was admitted to the trauma service. a left chest thoracostomy was done for a left pneumothorax. he underwent head to toe ct imaging; there were no intracranial hemorrhages noted; no solid organ injuries identified. he had extensive orthopedic injuries and therefore orthopedics was consulted. he underwent multiple procedures to repair these injuries. the orthopedic spine service was consulted for his spine fractures.they were managed non operatively with an lso brace when hob>30 degrees. plastic surgery was consulted for closure of his facial lacerations. vascular surgery was also consulted for a decreased dp pulse on his right compared to left. he was followed closure with neurovascular exams. he went emergently to the operating room with orthopedics for right knee laceration i+d with closure, l femur ex-fix, lle traction pin; and lue reduction and splinting. he tolerated these well and was brought to the tsicu postoperatively. his pneumothorax resolved and his chest tube was removed. on he was transfused 2 units prbc's for blood loss anemia. on he returned to the or for right femur im nail and left femur cmn. on he was transfused 2 units prbc's for blood loss anemia. on he returned to or for orif left humerus/radial head. in the pm on he was transfused an additional 2 units prbc's for blood loss anemia. on he returned to or for orif left acetabulum + orif left ankle, vac change l radial wound. post operatively he was transferred from the tsicu to the floor. on the floor he did well. he was evaluated by physical therapy and progressed well. his left ankle was placed in a cam walker boot and his left knee was placed in brace, locked in extension, given his pcl injury. on he was transfused 2 units prbc's for blood loss anemia. on he returned to the or for i+d, partial closure of left arm wound, vac change. he also had an ivc filter placed. on he was brought to the operating room for i+d of his left arm wound, bmp (bone graft) to his radial head and closure of wound. he tolerated this well. he was extubated and brought to the recovery room in stable condition. post-operatively he was transferred from trauma to the orthopedic service. on the floor he continued to do well. he continued to work with physical therapy. social work provided emotional support. the remainder of his hospital course was without incident. his labs and vital signs remained stable. his pain was well controlled. he is being discharged today in stable condition. medications on admission: none discharge medications: 1. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 5. fentanyl 50 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed. 7. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 8. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous daily (daily). 9. hydromorphone 4 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 10. cefazolin 10 g recon soln sig: one (1) recon soln injection q8h (every 8 hours). 11. hydromorphone 2 mg/ml syringe sig: one (1) injection q4h (every 4 hours) as needed for breakthrough pain. discharge disposition: extended care facility: - , me discharge diagnosis: 1. l pneumothorax 2. linear fx through base l4 vertebral body on r 3. l transverse foramen fxs l4, l3, l1 4. fx anterosuper border of l3. 5. l acetabular fracture 6. l mid shaft femur fx (open with 3 cm lac) 7. l elbow fx/dislocation (radial head/neck fx; l midshaft humerus fx, l prox ulna fx) 8. l subtrochanteric femur fx 9. r distal shaft femur fx 10. l medial malleolus fx 11. r knee laceration 12: r ear/face lacerations 13: r knee torn popliteus tendon, torn posterior cruciate ligament, tear of the anterior aspect of the mcl 14: post operative blood loss anemia discharge condition: stable discharge instructions: please continue to take the lovenox injections for 4 weeks to prevent blood clots. you may resume any normal home medications. please keep incisions clean and dry. please remove splints/braces daily to change dressing. if you notice any increased redness, swelling, drainage, temperature >101.4, or room. please follow up as below. call with any questions or concerns. physical therapy: activity: right lower extremity: full weight bearing left lower extremity: touch down weight bearing right upper extremity: full weight bearing left upper extremity: full weight bearing with platform crutch activity: out of bed w/ assist when oob, lso brace must be worn treatments frequency: dry dressing daily to all wounds staples/sutures can be removed 14 days after surgery followup instructions: please follow up with dr. in 2 weeks. call to make that appointment. please follow up with trauma surgery on a as needed basis. call for appointment. please follow up with plastic surgery on a as needed basis. call for appointment. md, procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube interruption of the vena cava open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, femur open reduction of fracture with internal fixation, femur open reduction of fracture with internal fixation, radius and ulna open reduction of fracture with internal fixation, other specified bone debridement of open fracture site, radius and ulna debridement of open fracture site, radius and ulna debridement of open fracture site, radius and ulna closed reduction of fracture without internal fixation, tibia and fibula other myectomy open reduction of fracture with internal fixation, humerus debridement of open fracture site, humerus bone graft, radius and ulna application of external fixator device, femur application of external fixator device, femur removal of implanted devices from bone, femur removal of implanted devices from bone, femur closed reduction of dislocation of elbow diagnoses: acute posthemorrhagic anemia closed fracture of lumbar vertebra without mention of spinal cord injury closed fracture of subtrochanteric section of neck of femur open wound of knee, leg [except thigh], and ankle, without mention of complication closed fracture of shaft of femur open fracture of shaft of femur closed fracture of head of radius closed fracture of acetabulum fracture of medial malleolus, closed closed dislocation of elbow, unspecified accident to powered aircraft, other and unspecified, injuring occupant of other powered aircraft open fracture of unspecified part of humerus open fracture of unspecified part of radius (alone) 

Answer: The patient is high likely exposed to