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 hip pain major surgical or invasive procedure: s/p closed left hip reduction s/p orif left acetabular fx history of present illness: mr. is a 65 year-old gentleman who was involved in a motor vehicle accident, resulting in a comminuted posterior wall left acetabular fracture, c5-6 anterior body fracture and c7 facet and lamina fracture. he now presents for operative fixation. past medical history: menireres diseae congestive heart failure s/p l4-5 fusion social history: non-contributory family history: non-contributory physical exam: afebrile, all vital signs stable gen: alert and oriented, no acute distress lungs: cta bilaterally abd: benign spine: tenderness to palpation over cervical and thoraic regions extremities: left lower incision: no swelling/erythema/drainage dressing: clean/dry/intact +/fhl/at +silt 2+ pulse, moves toes pertinent results: operative report , k. **not reviewed by attending** name: , unit no: service: date: date of birth: sex: m surgeon: , preoperative diagnoses: acetabular fracture, posterior wall, significantly comminuted. postoperative diagnoses: acetabular fracture, posterior wall, significantly comminuted. procedure: open reduction internal fixation of left posterior wall acetabular fracture. indications for procedure: mr. is a 65 year- old gentleman who was involved in a motor vehicle accident, resulting in the above injury. he now presents for operative fixation. special considerations: this is an extremely difficult case. the posterior wall was comminuted in at least 5 major parts with significant amounts of moderate impaction requiring subchondral grafting. the case merits billing under modified 22 considerations. the case was made difficult given the amount of comminution and need for impaction grafting and the need for double plating of the posterior wall, in addition to placement of lag screws to secure fixation. procedure in detail: the patient was brought to the operating room and after successful induction of general anesthesia, he was placed in the supine position and then transferred to the lateral decubitus position with the left side up. after prepping and draping the gluteal region and leg, the fracture was exposed via a approach. the external rotators were identified, tagged and cut. the quadratus was preserved. the sciatic nerve was visualized and protected throughout the procedure by keeping the knee flexed and the hip extended. there were significant amounts of hematoma given the dislocated nature of the joint during the trauma. the fracture fragments of the posterior wall were identified and were found to be numerous. they were preserved with their attachments in order to preserve the vascularity. the amount of clot and interposed soft tissue was aggressively debrided and the wound was lavaged with pulsed irrigation. there were significant amounts of longitudinal impaction which was elevated with a and then grafted with 30 cc of cancellous chips. single layer of fracture fragments were reduced and held in position with k wires and then with lag screws of the 3.5 mm cortical variety. subsequently, two 3.5 mm reconstruction plates were contoured and applied to the posterior wall in a buttress manner. fluoroscopy in the ap as well as oblique and anteriorly were used to confirm that the fixation was appropriate. no screws were angled into the joint. the patient's range of motion and stability was acceptable. the wound was then copiously irrigated and closed in layers with vicryl sutures. ethibond sutures were used to repair the external rotators. staples were placed in the skin. the wound was covered with sterile dressings. the patient will be given postoperative precautions and touch-down weight bearing only. dr. was present for the entire procedure. , md dictated by: 09:50pm type-art po2-83* pco2-52* ph-7.34* total co2-29 base xs-0 intubated-not intuba 09:50pm lactate-4.5* 09:50pm hgb-12.4* calchct-37 09:50pm freeca-1.18 08:04pm glucose-248* urea n-21* creat-1.1 sodium-138 potassium-3.4 chloride-100 total co2-28 anion gap-13 08:04pm calcium-8.1* phosphate-2.4* magnesium-1.3* 08:04pm wbc-18.5* rbc-3.61* hgb-12.1* hct-32.8* mcv-91 mch-33.5* mchc-36.8* rdw-13.1 08:04pm plt count-223 05:40pm urine hours-random 05:40pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 05:40pm urine color-straw appear-clear sp -1.050* 05:40pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.0 leuk-neg 05:40pm urine rbc-* wbc-0-2 bacteria-none yeast-none epi-0 05:36pm ph-7.28* comments-green top 05:36pm glucose-196* lactate-3.1* na+-141 k+-3.5 cl--101 tco2-30 05:36pm hgb-12.4* calchct-37 o2 sat-97 carboxyhb-1.2 met hgb-0.6 05:36pm freeca-1.10* 05:25pm urea n-21* creat-1.1 05:25pm amylase-36 05:25pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:25pm wbc-18.3* rbc-3.65* hgb-12.1* hct-32.8* mcv-90 mch-33.1* mchc-36.9* rdw-12.7 05:25pm plt count-210 05:25pm pt-11.7 ptt-23.1 inr(pt)-1.0 05:25pm fibrinoge-251 brief hospital course: mr. presented to the emergency department from an outside hospital s/p mva as an unrestrained passenger. he was evaluated by the orthopaedics department and found to have a fracture to his left posterior acetabular wall, c6-6 vertebral body fx and c7 facet and lamina fxs. the hip was internally reduced in the ed. she was then admitted and consented for surgery. on , he was prepped and brought down to the operating room for surgery to his left lower extremity. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. post-operatively, he was extubated and transferred to the pacu for further stabilization and monitoring. he was then transferred to the floor for further recovery. on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve his strength and mobility. he continues to make steady progress without any incidents. he was discharged to a rehabilitation facility in stable condition. he was instructed to call drs. and offices at for a follow up appointments in 2 weeks. medications on admission: hctz discharge medications: 1. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous q 24h (every 24 hours) for 4 weeks. 2. insulin regular human 100 unit/ml solution sig: per riss injection asdir (as directed). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. dolasetron mesylate 12.5 mg iv q8h:prn nausea 7. lorazepam 0.5-1 mg iv q4-6h:prn discharge disposition: extended care facility: discharge diagnosis: left hip dislocation left acetabular fx c5-6 ant body fx c7 facet and lamina fx discharge condition: stable discharge instructions: keep the incision/dressing clean and dry. you may apply a dry sterile dressing as needed for drainage or comfort. if you have skin staples, they can be removed 2 weeks after surgery. if you are experiencing any redness, swelling, pain, or have a temperature >101.5, please call your doctor or go to the emergency room for evaluation. resume all of your home medication and take all medication as prescribed by your doctor. continue your lovenox injections as prescribed for anticoagulation. continue to wear your c-collar for 2 weeks until your follow up appointment with dr. , please call for an appointment. please call dr. office @ for a follow up appointment in 2 weeks. feel free to call our office with any questions or concerns. followup instructions: please call drs. and offices @ for follow up appointments in 2 weeks. procedure: closed reduction of dislocation of hip open reduction of fracture with internal fixation, other specified bone diagnoses: congestive heart failure, unspecified closed fracture of one rib other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle contusion of lung without mention of open wound into thorax street and highway accidents closed fracture of c5-c7 level with unspecified spinal cord injury closed fracture of acetabulum m?ni?re's disease, unspecified injury to spleen without mention of open wound into cavity, hematoma without rupture of capsule closed dislocation of hip, unspecified site 

Answer: The patient is high likely exposed to