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: pedestrian struck by a motor vehicle. major surgical or invasive procedure: plastic surgery: 1. right lower extremity debridement of skin, subcutaneous tissue and muscle. 2. tibialis anterior fascial turnover flap. 3. local advancement rotational flap. 4. full-thickness skin graft 1200 cm2. 5. vacuum-assisted closure dressing. 6. complex wound closure of stellate lacerations of the scalp. orthopedic surgery: 1. irrigation and debridement of significantly contaminated and degloved wound. 2. intramedullary nailing with a 8 x 240 mm synthes nail. 3. application of external fixation of the foot for supporting the extremity off the bed. 4. fasciotomies, anterior and lateral compartment. history of present illness: 71 year old female pedestrian with mental retardation who was struck by a motor vehicle. she was taken to an area hospital where she was found to have a subarachnoid hemorrhage and open comminuted distal tib fib fracture. she was then transported to via for continued trauma care. past medical history: mental retardation mandibular fx family history: noncontributory. physical exam: pe: vitals: t97.8 hr88 bp 170/p heent: lept parietal occipital laceration with currant oozing and underlying hematoma, no depression noted neck: c-collar in place, unable to evaluate due to decreased mental status chest: breaht sounds bilaterally, no evidence of flail chest abd: fast negative, no gross eccymosis, guaiac negative, decreased rectal tone gu: foley passed with urine (no gross blood) ext: open, grossly degloved rle tib/fib fracture by visualization with palpable distal pulses; muslce and bone exposed from knee to ankle, no other gross deformity noted neuro: patient intuabted and unresponsive gcs: ptp pertinent results: ap chest, 2:14 p.m. history: trauma. rule out pneumothorax. impression: ap chest read in conjunction with a chest ct performed 20 minutes later and dictated separately. mild mediastinal widening in the right lower paratracheal region, evaluated by ct scanning, is not pathologic. dependent atelectasis seen on the ct scan is only suggested on this study. there is no pneumothorax or pleural effusion. the heart is normal size. thoracic aorta is tortuous but not dilated. et tube in standard placement. nasogastric tube passes into the stomach and out of view. technique: non-contrast head ct. head ct without intravenous contrast: small amount of blood is demonstrated within the sulci of the right frontal lobe towards the vertex consistent with a tiny subarachnoid hemorrhage. no other intra- or extra-axial hemorrhage, mass effect, or shift of midline structures is demonstrated. scattered areas of low attenuation are seen within the white matter of both cerebral hemispheres, likely representing chronic microvascular infarction. differentiation of the and white matter is otherwise preserved. prominence of the sulci and ventricles bilaterally consistent with age appropriate involutional change. the basal cisterns are unremarkable. a large left parietal scalp hematoma is present. no fractures noted. polypoid mucosal thickening is seen involving the right-sided ethmoid air cells, and moderate circumferential mucosal thickening is present within the right maxillary sinus. there is complete opacification of the right frontal sinus. remaining visualized paranasal sinuses and mastoid air cells are clear. impression: 1. small subarachnoid hemorrhage and large left parietal scalp hematoma. 2. chronic microvascular infarction involving the subcortical white matter of both cerebral hemispheres. 3. chronic sinus disease involving the right frontal, ethmoid, and maxillary sinuses. ct abdomen/pelvis indication: hematoma status post pedestrian versus automotive collision. evaluate for intra-abdominal or thoracic pathology. comparison: none. technique: axial mdct images were obtained from the lung apices to the pubic symphysis following the administration of 130 cc intravenous optiray. additionally, coronal and sagittal reformatted images are provided. contrast: intravenous non-ionic contrast was administered due to the rapid rate of bolus injection required for this examination. ct of the chest with intravenous contrast: the heart, pericardium, and great vessels appear within normal limits. there is no evidence of mediastinal hematoma. an endotracheal tube is in place. the central airways are patent. there is no pathologic appearing mediastinal, hilar, or axillary lymphadenopathy. there is bilateral dependent atelectasis predominantly involving the lower lobes. no pneumothorax or pleural effusion. a 2-mm nodule is seen within the right middle lobe (series 2, image 28). ct of the abdomen with intravenous contrast: there is mild hypodensity within the periportal regions, consistent with periportal edema. the liver, spleen, gallbladder, pancreas, adrenal glands, and kidneys appear otherwise unremarkable without evidence of solid organ injury. the aorta is normal in caliber and contour. there is no free fluid and no free air within the abdomen. the large and small bowel loops are normal in caliber, and there is no abnormal bowel wall thickening. there is marked gastric distention, with nasogastric tube in place within the stomach. there is no mesenteric or retroperitoneal lymphadenopathy. ct of the pelvis with intravenous contrast: the bladder contains a foley catheter and air consistent with foley catheter insertion. the uterus demonstrates a lobulated, heterogeneous contour, likely indicating uterine fibroids. there is sigmoid diverticulosis without evidence of surrounding inflammation. the rectum appears unremarkable. there is no free fluid and no free air within the pelvis. no pathologic-appearing pelvic or inguinal lymph nodes are identified. bone windows: bone windows demonstrate no evidence of fracture. multiplanar reformats: coronal and sagittal reformations demonstrate no evidence of solid organ injury or fracture. impression: 1. no evidence of traumatic injury to the thorax or abdomen and pelvis. 2. bilateral atelectasis. 3. gastric distention with nasogastric tube in place. 4. 2-mm nodule within the right middle lobe. if there is no history of prior malignancy, one-year followup with ct is recommended to assess stability. if there is a history of prior malignancy, three-month ct followup is recommended. ct c-spine no fracture or subluxation is present. mild degenerative changes are noted at c5-6 with narrowing of the intervertebral disc space, endplate cystic changes, and osteophytic spurring. visualized outline of thecal sac is unremarkable. the soft tissues appear unremarkable. an endotracheal tube is seen within the trachea, and an orogastric tube is present within the esophagus. incidental note is made of small gas bubbles within both subclavian veins bilaterally. visualized lung apices are clear. periapical lucency is demonstrated around a right upper molar ( #2) with osseous erosion superiorly to involve the floor of the right maxillary sinus, as well as apparent defect within the bone medial to this molar which could represent focal thinning versus a possible fracture medial. impression: 1) no fracture or subluxation. 2) focal defect in the bone medial to a right upper molar ( #2) which may be secondary to focal thinning vs. a fracture. periapical lucency may be secondary to periapical granuloma, cyst, or abscess. technique: non-contrast head ct scan. comparison study: . head ct scan, interpreted by drs. and as revealing "stable small subarachnoid hemorrhage near the right vertex; stable left frontoparietal subgaleal hematoma; high attenuation fluid within the right nasal cavity is consistent with blood." findings: in the twelve hour interval between ct scans, there is little change in the extent of the small right vertex subarachnoid hemorrhage. the subgaleal hematoma appears to have reduced slightly in size, with some decrease in the gas within it. also, the opacification of the right nasal cavity is considerably less extensive. however, the right maxillary antral opacification still remains essentially complete. no other interval changes are appreciated. impression: mild interval improvement in some abnormalities, as noted above. 11:56pm lactate-3.1* 09:26pm glucose-225* urea n-12 creat-0.5 sodium-137 potassium-4.0 chloride-107 total co2-22 anion gap-12 09:26pm wbc-9.4# rbc-3.24* hgb-9.7* hct-26.5* mcv-82 mch-29.9 mchc-36.6* rdw-14.3 09:26pm plt count-183 09:26pm pt-14.7* ptt-33.9 inr(pt)-1.3* blood urine csf other fluid microbiology recent last day last week last 30 days all results hide comments from date to date hematology complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 04:54am 11.4* 3.19* 9.3* 27.4* 86 29.2 34.0 14.3 615*# basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 04:54am 615*# basic coagulation (fibrinogen, dd, tt, reptilase, bt) fibrino 02:04am 185 chemistry renal & glucose glucose urean creat na k cl hco3 angap 04:54am 113* 11 0.6 137 4.4 102 28 11 enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 02:20pm 43 moderately hemolyzed chemistry totprot albumin globuln calcium phos mg uricacd iron 04:54am 8.6 2.4 neuropsychiatric phenyto 04:43am 12.3 brief hospital course: patient admitted to the trauma service. she underwent a series of imaging, including a ct head with contrast, ct c-spine, ct chest/abdomen/pelvis, chest xray, and lower extremity films (see pertinent results section). orthopedics, plastics and neurosurgery were consulted because of her injuries. she was taken to the operating room by orthopedics for repair of her right leg injuries. an external fixator was placed; this was removed on hd #8. plastic surgery was involved because of the extent of the degloving injury to her right lower extremity; this was debrided and closed in the operating room during her im nail by orthopedics. her weight bearing status was upgraded on hd #10 to wbat, dependent position rle 15 minutes at a time 4 times/day. plastic surgery has recommended continuing po keflex for at least 1 more week. neurosurgery was consulted because of subarachnoid hemorrhage; she was loaded with dilantin, serial head ct imaging was done and icp bolt was not indicated. she will need to follow up with neurosurgery in 4 weeks for repeat head imaging. she was started on lopressor for elevated heart rate and blood pressure; she was not on any medication for her blood pressure prior to this hospitalization. once at rehab and if she remains stable, it is likely that this can be discontinued. vascular surgery was also consulted to assess for any vessel injury to her right lower extremity it was determined that her limb was not threatened. physical and occupational therapy were consulted and have recommended short rehab stay. social work was closely involved with patient for coping and emotional support. medications on admission: all: nkda discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: hold for loose stools. 4. oxycodone 5 mg tablet sig: 1-2 tablets po q 3-4 h prn as needed for pain. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 11. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 12. multivitamin capsule sig: one (1) cap po daily (daily). 13. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for hr <60 &/or sbp 110. 14. insulin regular human 100 unit/ml solution sig: one (1) injection four times a day as needed for per sliding scale. 15. keflex 500 mg capsule sig: one (1) capsule po four times a day for 7 days. discharge disposition: extended care facility: hospital discharge diagnosis: s/p pedestrian struck scalp laceration subarachnoid hemorrhage degloving injury right leg right tibial fibula fracture discharge condition: good discharge instructions: you may weight bear as tolerated on your right leg; only allowing your right leg to be in a dependent (down) position for 15 min at a time 4 times/day until you follow up with plastics next friday. followup instructions: follow up with plastic surgery next friday in clinic, call for an appointment. follow up with dr. , orthopedics, in 2 weeks. call for an appointment. follow up in trauma clinic in 2 weeks, call for an appointment. follow up with dr. , neurosurgery, in 4 weeks. call for an appointment. inform the office that you will need a repeat head ct scan for this appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours attachment of pedicle or flap graft to other sites debridement of open fracture site, tibia and fibula application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula closure of skin and subcutaneous tissue of other sites transfusion of packed cells other myectomy other irrigation of wound other incision of soft tissue removal of implanted devices from bone, tibia and fibula full-thickness skin graft to other sites diagnoses: mitral valve disorders motor vehicle traffic accident involving collision with pedestrian injuring pedestrian open wound of scalp, without mention of complication abrasion or friction burn of trunk, without mention of infection unspecified intellectual disabilities contusion of face, scalp, and neck except eye(s) subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness other early complications of trauma open fracture of unspecified part of fibula with tibia open fracture of condyle, femoral open wound of knee, leg [except thigh], and ankle, with tendon involvement 

Answer: The patient is high likely exposed to