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 motor vehicle collision major surgical or invasive procedure: chest tube- right history of present illness: mr. is a 58 year-old man transferred from after a he was the restrained driver of a car that struck a telephone pole with significant damage to the front of the car, with airbag deployment. per report , he was reportedly ambulatory at the scene but disoriented and intoxicated. past medical history: hypertension s/p appendectomy social history: pt lives in with his wife. 2 children in the republic and 3 in us. pt works at . family history: non-contributory physical exam: physical exam on admission: . vitals: hr 90, bp 180/80, rr 18 o2: 96% heent: pupils 1 mm b/l. airway: intact chest: equal and bilateral breath sounds. left and right chest wall tenderness. abd: epigastric tenderness. reducible right ventral hernia. rectal: normal tone, no gross blood. msk: no long bone deformities. pelvis stable. spine: no tenderness, no step-offs. pertinent results: labs on admission: wbc 13.0, hgb 12.7, hct 36, platelets 246, sodium 138, potassium 3.6, chloride 102, bicarb 23 ethanol 153 hematocrit trend: 33.5 24.5 29.3 . chest x-ray : impression: 1. no evidence of pneumothorax. 2. interstitial pulmonary edema. 3. bilateral small pleural effusions, right greater than left. . ct abd/pelvis -impression: 1. hepatic lacerations/contusions which given the number of segments involved, and the depth of penetration would likely represent grade iii injury. there is associated hemoperitoneum. no active extravasation is noted. 2. grade i splenic laceration with a small amount of perisplenic hematoma. 3. fluid adjacent to the pancreas without evidence of pancreatic injury possibly representing blood tracking into this region from other injuries as described above. recommend attention to this area on followup imaging. 4. right anterior rib fractures in ribs four through six, with subcutaneous emphysema, tiny right pneumothorax and small right hemothorax. 5. patchy airspace opacity in the right lower lobe, likely a combination on atelectasis and aspiration. small foci of pulmonary contusions in the right middle lobe. . ct head -impression: no evidence of fracture, hemorrhage or mass effect. old right cerebellar infarct. . echo, transthoracic -the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef 70%). the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. trivial mitral regurgitation is seen. there is no pericardial effusion. . gallbladder scan -impression: nonvisualization of the gallbladder 30 minutes following morphine administration. . mrcp -impression: 1. segment viii liver laceration with some free fluid around the liver in patient status post mvc. 2. cholelithiasis with thickened edematous gallbladder wall and pericholecystic fluid which may be secondary to the recent trauma. 3. pericholecystic hepatic enhancement which may represent a perfusion abnormality. 4. right pleural effusion. . knee (ap, lat & oblique) left - no acute fracture, dislocation brief hospital course: mr. was admitted to the trauma intensive care unit with the following injuries: right-sided rib fractures, right hemothorax, grade iii hepatic laceration, and a grade i splenic laceration. . # respiratory distress- # hospital day 2, mr. was intubated for declining mental status and increased work of breathing. a right-sided chest tube was placed for right hemothorax and put out 600ml in the first 24 hours. he was extubated on hd3. chest tube was discontinued on hd4 and he was saturating well on room air prior to discharge. . # hepatic/splenic lacerations- serial hematocrits and abdominal exams were performed to monitor the evolution of hepatic and splenic lacerations. hematocrit dropped to 29 on hd1 from 36 on admission and reached a nadir of 24.6 on hd4. hematocrit was stable at 29 prior to discharge and his abdomen was soft and non-tender. repeat ct revealed decreased size of hepatic and splenic lacerations. . # tachycardia- mr. had tachycardia on hd2. cardiac enzymes were negative for ischemia. cardiology was consulted and recommended benzodiazepines for alcohol withdrawal as well as a beta-blockade. transthoracic echo was obtained and was normal with an ef > 55%. tachycardia improved by hospital day 3. . # acute cholecystitis- mr. developed a fever on hd3. he was started on vancomycin and zosyn. blood cultures were sent and revealed klebsiella in bottles. urine culture was negative. ct abdomen and pelvis revealed thickening of gallbladder wall. a hida scan was positive. pancreatic enzymes were elevated. an mrcp revealed no dilation of intra or extra-hepatic ducts. vancomycin was discontinued and he was started on levofloxacin. he was afebrile with soft, non-tender abdomen prior to discharge. he was discharged with oral levofloxacin to complete a 2 week course. he will follow-up with dr. in 2 weeks in trauma clinic. . left ankle pain- mr. reported left ankle pain. orthopedics was consulted and recommended plain films which were negative for fracture. he was given a cam boot for walking. he will follow-up with dr. in 4 weeks in orthopedics clinic. . # alcohol use- social work was consulted and discussed alcohol counseling and treatment programs which mr. . medications on admission: hydrochlorothiazide 25mg po daily discharge medications: 1. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 2. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day: take this medication as prescribed by your primary care doctor. 3. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours): do not take other medications containing tylenol (acetaminophen) at the same time. 4. hydromorphone 4 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed. disp:*30 tablet(s)* refills:*0* 5. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 11 days. disp:*11 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p motor vehicle collision right anterior rib fractures in ribs four through six right hemothorax grade iii hepatic lacerations grade i splenic laceration acute cholecystitis discharge condition: good discharge instructions: you were admitted to the hospital after a motor vehicle accident. you were found to have bleeding from your liver and your spleen. you were admitted to the intensive care unit and required a breathing tube. because you had fluid surrounding your right lung, a chest tube was placed and was later removed. you had tests done which showed possible gallbladder infection. for this reason you were started on antibiotics. you should continue taking the antibiotic levofloxacin until . you should see dr. in 2 weeks. you were seen by the orthopedic surgeon dr. for your left ankle pain. x-rays were ordered and did not show any fracture. you were given a boot for walking. you should follow-up with dr. in 4 weeks. you may take tylenol for pain but do not exceed 2 grams (2000mg) per day. you may take dilaudid (hydromorphone) for pain but it is important not to drive, drink alcohol or take sedative medications while taking dilaudid. dilaudid causes constipation- therefore it is important to take a stool softener (colace) while taking dilaudid. . please call your doctor or return to the hospital for: * fever (temp > 101), chills * abdominal pain * nausea or vomiting * chest pain * shortness of breath * worsening ankle pain * any other symptoms that concern you followup instructions: please follow-up with dr. in trauma clinic in 2 weeks. call ( to make an appointment. . please see dr. in orthopedics clinic in 4 weeks. call ( to make an appointment. . please see your primary care provider at your earliest convenience. 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 diagnoses: unspecified essential hypertension friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site traumatic pneumohemothorax without mention of open wound into thorax bacteremia acute cholecystitis injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum alcohol withdrawal motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of three ribs injury to spleen without mention of open wound into cavity, unspecified injury injury to liver without mention of open wound into cavity, laceration, moderate 

Answer: The patient is high likely exposed to