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 being struck by car major surgical or invasive procedure: closed reduction percutaneous pinning pelvis open reduction internal fixation right patella embolization gluteal artery intubation central line placement history of present illness: 46 y/o male who was struck by car. no loc. gcs 15. hemodynamically stable throughout transfer. patient complaining of left flank/abdominal pain and r hip pain. past medical history: mi hypercholesterolemia social history: mechanic no drugs no etoh 20 pack-year hx of tobacco family history: non-contributory physical exam: 99.2 hr 61 123/52 18 98% 3l gen: gcs 15, in pain heent: complex lac on superior forehead, perrl, nares patent, l tm clear, r tm obscured neck: c-collar chest: ctab, non-tender cv: rrr, no mgr abd: soft, mildly tender l flank, obese, fast neg back: non-tender, no deformity, no step offs ext: r hip hematoma, 8 cm r knee lac, 2+ dp bilaterally pelvis: r hip tenderness pertinent results: 08:16am blood wbc-15.6* rbc-4.60 hgb-14.6 hct-41.1 mcv-89 mch-31.8 mchc-35.6* rdw-12.8 plt ct-226 11:01pm blood wbc-9.5 rbc-3.24*# hgb-10.2* hct-28.6* mcv-88 mch-31.4 mchc-35.6* rdw-13.5 plt ct-109*# 06:00am blood wbc-10.5 rbc-3.37* hgb-10.4* hct-30.5* mcv-91 mch-30.9 mchc-34.1 rdw-14.2 plt ct-140* 09:59pm blood wbc-11.1* rbc-3.35* hgb-10.2* hct-30.2* mcv-90 mch-30.3 mchc-33.7 rdw-14.4 plt ct-143* 08:15pm blood alt-82* ast-71* alkphos-189* totbili-3.9* 09:59pm blood alt-98* ast-54* alkphos-217* amylase-44 totbili-2.9* 12:15pm blood alt-106* ast-52* alkphos-245* amylase-47 totbili-3.0* 08:15pm blood ck-mb-2 ctropnt-<0.01 08:15pm blood ammonia-45 inlet and outlet views of the pelvis: a displaced inferior pubic ramus fracture is evident on the right, and fracture through the base of the superior pubic ramus into the acetabulum is evident on the right. the left- sided interruption of the iliopectineal line is not as well appreciated on this exam. the diastasis of the right si joint is again noted, though the right iliac fracture is not well seen. the contrast filled bladder is elongated in a craniocaudad dimension and pushed leftward suggesting the presence of hematoma related to fractures, probably enlarged compared with the prior ct. in addition there is a cloud-like areas of density over the right mid to lower pelvis probably representing injected contrast material contained within the hematoma from previous active bleeding at this site. there is an angiographic coil present as well in this vicinity. impression: pelvic fractures as above. a large pelvic hematoma post-coiling with mass effect on the bladder. comments: two radiographs of the pelvis obtained in the o.r. are limited by technique. there has been interval placement of two screws across the right sacroiliac joint. again noted are fractures of the right acetabulum, superior and inferior pubic rami. a curvilinear metallic structure overlying the inferior aspect of the right pelvis is unchanged when compared with the previous radiographs obtained earlier the same day. ap and lateral radiographs of the right knee obtained in the o.r. demonstrate two screws across a patellar fracture. there are skin staples and a drain in place. a small amount of soft tissue air is present, consistent with the recent surgical procedure. impression: s/p internal fixation of a right patellar fracture and of the right si joint. fractures noted within the right acetabulum, right superior and inferior pubic rami as on the radiographs from earlier the same day. a foley catheter is again noted within the bladder. the study and the report were reviewed by the staff radiologist. impression: massive active extravasation from the right internal pudendal artery. this was successfully embolized with two 3 mm x 3 cm microcoils with good angiographic success. horseshoe kidney with a dilated right upper moiety.small size of the right renal artery is likely related to longstanding hydronephrosis of the upper right moiety. normal sized nonstenotic left renal artery. brief hospital course: the patient was admitted s/p pedestrian struck, no loc, gcs 15 & found to have the fractures listed above. he was hemodynamically stable in the emergency department. he was taken to the angio for embolization of bleeding vessels, and taken to the or by othropedics for closed reduction & percutaneous pinning of pelvis, open reduction internal fixation right patellar fracture. on hd 1, he had a decrease in hematocrit & was transfused 4 units packed red blood cells. he also developed hematuria, and on hd 2 clotted his foley catheter. urology was consulted & started continuous bladder irrigation. on hd 4, he was weaned off the ventilator & was extubated. he remained hemodynamically stable & on hd 5 was transferred to the floor. his cbi was weaned off & by hd 7, his foley was d/c'd & he was voiding spontaneously without difficulty. on hd 7, he was evaluated by the neurology service for change in ms (not following multi-step cpmmands, sl confused as per family). a repeat head ct was negative, and a metabolic w/u was negative, except for sl elevated lfts. a ruq ultrasound showed sludge, but no evidence of cholecystitis. by hd 10, he remained hemodynamically stable, but was having occasional (approx once daily) episodes of vomiting (usually in evening). his lfts remained stably slightly elevated, and the nausea & vomiting subsided by hd 11. he was evaluated by pt/ot who worked with him for passive rom exercises to his r knee. he was evaluated by the behavioral neurology team for decreased attention and difficulty following multi-step commands. they noted some mild cognitive difficulties most consistent with post-concussive changes and recommended full neuropsychiatric workup as an outpatient, especially if his deficits persisted. he was discharged to rehab on hd 11. medications on admission: imdur asa pravachol lopressor mdi discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4h (every 4 hours) as needed. 3. bisacodyl 10 mg suppository sig: one (1) suppository rectal qd (once a day) as needed. 4. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. lovenox 30 mg/0.3 ml syringe sig: thirty (30) mg subcutaneous twice a day. discharge disposition: extended care facility: hospital - discharge diagnosis: pelvis fracture right patella fracture pelvic arterial bleed s/p embolization discharge condition: good discharge instructions: nonweight bearing right lower extremity. passive range of motion exercises right knee as directed by physical therapy followup instructions: with your doctor (dr. as soon as possible with dr. (orthopedics) in 10 days. please call their office at as soon as possible to schedule an appointment. md, 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 open reduction of fracture with internal fixation, tibia and fibula other endovascular procedures on other vessels arteriography of other specified sites transfusion of packed cells closed reduction of fracture with internal fixation, other specified bone diagnoses: acidosis closed fracture of pubis closed fracture of acetabulum injury to unspecified pelvic organ, without mention of open wound into cavity closed fracture of ilium concussion, unspecified injury to other specified blood vessels of abdomen and pelvis open fracture of patella 

Answer: The patient is high likely exposed to