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: penicillins attending: chief complaint: s/p motor vehicle crash major surgical or invasive procedure: embolization of lower left renal pole artery orif tibia right; placement of ivc filter right grion; chest tube placement t12-l2 posterior spinal stabilization instrumetation history of present illness: 79 yo man w/ pmh of afib on pradaxa, was the restrained front seat passenger in a motor vehcile crash going ~45 mph. he presented initially to hospital and was intubated and a left chest tube placed. at presentation to he was hypotensive to 70's/palp, with osh ct demonstrating hemothorax with rib fractures to and bilateral pelvic fractures. past medical history: htn, afib social history: married and resides in with his wife family history: noncontributory physical exam: upon presentation to : constitutional: the patient does not grimace, wince, or exhibit other objective sign of distress heent: nc/at moist mucous membranes chest: cta cardiovascular: no murmur abdominal: no guarding, rigidity, or rebound rectal: no rectal tone gu/flank: no cvat extr/back: trace edema skin: no rash neuro: the patient shows no spontaneous movement psych: obtunded heme//: no petechiae pertinent results: 09:15pm glucose-138* urea n-14 creat-0.8 sodium-145 potassium-3.7 chloride-112* total co2-22 anion gap-15 09:15pm calcium-7.0* phosphate-5.0* magnesium-1.7 09:15pm wbc-5.5 rbc-3.36* hgb-10.6* hct-30.2* mcv-90 mch-31.6 mchc-35.1* rdw-15.9* 09:15pm plt count-66* 09:15pm pt-15.4* ptt-45.8* inr(pt)-1.4* imaging: mr : no ligamentous injury or signs of bony injury. mr : transverse fracture which appears to extend through pedicles (chance fracture). ct lumbar spine can help for better assessment as clinically indicated. edema in sacrum indicates a fracture. ct r knee/prox tibia: comminuted intraarticular fracture of the proximal tibia with fracture lines extending into the medial and lateral tibial plateaus (400, 45 and 50). the dominant fracture line is transverse through the metaphysis and likely involves the insertion of the patellar tendon. there is mild impaction and postero-lateral displacement of the distal fragment.minimally displaced fracture of the proximal fibula (401b, 19). hemorrhagic knee effusion. severe degenerative changes and diffuse osteopenia. am cxr: the assessment of the lung films reveals no interval development of new abnormalities besides the right middle lobe atelectasis that is apparently new. bilateral small pleural effusions are better appreciated on the ct torso. pm cxr: no change from . left basilar opacity is likely atelectasis, but supervening infection cannot be excluded. : pcxr no clear infiltrate : no pneumothorax is identified on the left. there are bilateral pleural effusions. there is increased pulmonary vascular redistribution and alveolar infiltrates, predominantly in the right lower lobe. there is dense retrocardiac opacity. the overall impression is that of worsened fluid status. cxr: no evidence of pneumothorax. there is evidence of elevated pulmonary venous pressure. mild haziness of the lower zones is consistent with small bilateral pleural effusions and compressive atelectasis at the bases. cxr: minimal left basal atelectasis. there is no evidence of pneumothorax. the subtle parenchymal changes at the right lung bases are constant. cxr: unchanged bilateral parenchymal opacities, combined to mild-to-moderate right pleural effusion and areas of bilateral basal atelectasis. brief hospital course: on presentation, the osh ct demonstrated a left retroperitoneal hematoma with evidence of active extravasation. he was actively resuscitated in the ed with 7u prbc, 4u ffp and several liters crystalloid and taken to ir for embolization. blush was seen at the inferior pole of the left kidney and was embolized at that time. he was transferred to the trauma icu afterwards for close monitoring. his icu course as follows: n: he was intubated and weaned off sedation. he was following commands and responding appropriately. his pain was controlled with narcotics. cv: he had short runs of ventricular tachycardia and on hd2 he went into afib w/ rvr. he was started on an amiodarone gtt and he converted to sinus on hd 3. during that time, he was on some neo, which was weaned off. pulm: he was intubated and sedated. he had a left chest tube in place to suction for him hemothorax. it was placed to water seal. he had multiple rib fractures gi: he was npo and on iv fluids. he had an ogt in place initially which was later removed, a dobbhoff was placed and tube feedings started. gu: his urine output was monitored closely with foley catheter in place. heme: he required intermittent blood transfusions with packed cells during his icu stay. on hd 2, he was transfused 1u prbc for a hct of 24, which had decreased from 33. he also received albumin and ffp. msk: he had multiple fractures in his ribs, spine, pelvis, and rle. his pelvic fractures were non-operative and he was weight bearing as tolerated. however, he was on log roll precautions for his l1 chance fracture. he underwent repair of his distal right lower extremity fractures on by orthopedics and his spine fracture was repaired by orthopedic spine surgery on . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________________________________________________________________ once stabilized in the icu he was transferred to the floor. he was noted with rapid afib with hypotension within the first 24 hours after leaving the icu. he was given several doses of iv lopressor which was effective. his daily scheduled beta blockers were subsequently adjusted. his afib was felt secondary to fluid volume overload for which he received diuresis with iv lasix for. since this initial episode of afib his heart rate has range in 70-80's. at home he takes metoprolol xl 100 mg twice a day - his home dose was restarted at a lower dose to determine if his blood pressure remains stable. once at rehab and with continued stable blood pressures his home regimen should be resumed. he underwent a swallow evaluation at bedside and passed allowing his diet to be upgraded to regular with thin liquids. the dobbhoff was removed and tube feedings stopped. supplements with ensure were initiated as well. his home medications were resumed. his foley was removed on hd#13 and he is voiding without any difficulties. he was evaluated by physical and occupational therapy and being recommended for rehab after his acute hospital stay. medications on admission: multivitamins 1 tab po daily colchicine 0.6 mg po daily dabigatran etexilate 150 mg po bid metoprolol succinate xl 100 mg po daily discharge medications: 1. acetaminophen mg po q6h pain 2. artificial tear ointment 1 appl both eyes tid:prn dry eye 3. heparin 5000 unit sc tid 4. bisacodyl 10 mg po/pr daily 5. multivitamins 1 tab po daily 6. senna 1 tab po bid:prn constipation 7. quetiapine fumarate 12.5 mg po q12h 8. colchicine 0.6 mg po daily 9. dabigatran etexilate 150 mg po bid 10. docusate sodium 100 mg po bid 11. metoprolol succinate xl 100 mg po daily hold for sbp <110; hr <60 discharge disposition: extended care facility: rehab hospital discharge diagnosis: s/p motor vehicle crash injuries: right sacral fracture bilateral pelvic fractures left hemothorax left retroperitoneal bleed left rib fractures l1 vertebral body racture sternal fracture right rib fracture right proximal tibia & distal fibula fracture left 5th metacarpal fracture acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital following a motor vehicle crash where you sustained multiple injuires inclusidng rib fractures; collapsed lung; broken bones in your pelvis, back and right leg. your spine and leg fractures required operation to repair the injuries. you were evaluated by the physical therapists and being recommended to go to a rehabilitation facility after you are discharged from the hospital. followup instructions: you will need to follow up with your primary care doctor after you are discharged from the rehabilitation facility. you will need to follow up with an orthopedic and orthopedic spine surgeon in the next 3-4 weeks. if you choose to follow up in please contact the following: dr. , orthopedics dr. , orthopedic spine md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours interruption of the vena cava enteral infusion of concentrated nutritional substances arterial catheterization arterial catheterization arterial catheterization aortography other incision of pleura open reduction of fracture with internal fixation, tibia and fibula other endovascular procedures on other vessels dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture angiocardiography of venae cavae fusion or refusion of 2-3 vertebrae central venous catheter placement with guidance diagnoses: thrombocytopenia, unspecified urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia gout, unspecified atrial fibrillation atrial flutter paroxysmal ventricular tachycardia closed fracture of sternum streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] 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 delirium due to conditions classified elsewhere closed fracture of upper end of tibia alone traumatic shock pneumonia due to klebsiella pneumoniae traumatic hemothorax without mention of open wound into thorax closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of five ribs injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum fracture of medial malleolus, closed closed fracture of metacarpal bone(s), site unspecified other fluid overload other unspecified back disorders injury to renal artery injury to other intra-abdominal organs without mention of open wound into cavity, adrenal gland closed unspecified fracture of pelvis 

Answer: The patient is high likely exposed to