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: tape attending: chief complaint: left wrist crush injury major surgical or invasive procedure: 1. open reduction internal fixation of left distal radius fracture. 2. orif left long finger cmc joint. 3. orif left index to long finger metacarpal dislocation. 4. orif left ring finger and long finger cmc dislocation. 5. orif left small finger to ring finger cmc dislocation. 6. left proximal carpectomy. 7. excision of left wrist hamate bone. 8. excision of left wrist pisiform bone. 9. irrigation and debridement down to bone of the entire wrist, as well as the hand. 10. revascularization right hand ulnar and radial arterial systems with autogenous vein grafts (microvascular). 11. application of reconstruction plate left wrist. 12. tendon transfer for extensor indicis proprius to extensor pollicis longus 13. radical debridement all extensor tendons and nonviable tissue, left hand, forearm and wrist. 14. split-thickness skin graft, left forearm, hand and wrist 15. debridement left wrist, forearm and dorsum of hand. 16. distally based dorsal interosseous island flap coverage of dorsum of hand. 17. local forearm advancement flap to cover volar wrist region. 18. removal of three deep buried pins. 19. split-thickness skin graft to dorsal aspect of vascularized flap. history of present illness: 64 year-old right hand dominant house keeper s/p rollover mvc. patient was restrained driver during accident. she states that her left hand was on the steering wheel when her car ran off the road and struck a . she suffered a physiologic amputation of her left wrist with complete dislocation of her left wrist. past medical history: dm ii, htn, hypercholesterolemia social history: lives alone near . works two jobs - factory in evening, housecleaning in daytime. never smoked. does not drink, no drug use. family history: non-contributory physical exam: on admission: vs: 96.4 92 1 46/54 17 100% (on suppl. 02) gen: awake, alert oriented x 3, c-collar in place left hand has significant laxity at the wrist. there is degloving of the dorsal aspect of hand from wrist joint to mcp joint with significant tendon, muscle exposure. patient has intact sensation to level of wrist but no sensation in hand or fingers. capillary refil is noted in fingers at approx. 3-4 seconds. left 4th finger is partially avulsed at the dip joint. . on discharge: gen: well-appearing, no acute distress heent: nc/at, perrl, erythema and mild swelling below each eye chest: clear to auscultation bilaterally cv: regular rate and rhythm, no murmurs abd: obese, soft, non-distended, non-tender, +bowel sounds ext: warm well-perfused, 2+ distal pulses left wrist: general edema. numerous surgical incisions all clean, dry and intact without evidence of infection. hand warm and well-perfused. capillary refill about 3secs. minimal ability to flex and extend at all joints. severely decreased sensation to light touch - some mild sensation most prominently along volar side of middle finger and along ulnar side of small finger. pertinent results: 09:37pm glucose-233* urea n-22* creat-0.7 sodium-137 potassium-3.8 chloride-106 total co2-25 anion gap-10 09:37pm wbc-9.1 rbc-2.42* hgb-7.7* hct-22.6* mcv-93 mch-31.9 mchc-34.2 rdw-13.7 09:37pm plt count-222 brief hospital course: pt is a 64 year-old right hand dominant house keeper s/p rollover motor vehicle collision. she was the restrained driver during the accident. she states that her left hand was on the steering wheel when her car ran off the road and struck a . she suffered a physiologic amputation of her left wrist with complete dislocation of her left wrist. . the pt underwent numerous operations over the coures of her extended stay. these included the following (as well as numerous irrigation and debridement procedures and vacuum-assisted closure device placements): 1. open reduction internal fixation of left distal radius fracture. 2. orif left long finger cmc joint. 3. orif left index to long finger metacarpal dislocation. 4. orif left ring finger and long finger cmc dislocation. 5. orif left small finger to ring finger cmc dislocation. 6. left proximal carpectomy. 7. excision of left wrist hamate bone. 8. excision of left wrist pisiform bone. 9. irrigation and debridement down to bone of the entire wrist, as well as the hand. 10. revascularization right hand ulnar and radial arterial systems with autogenous vein grafts (microvascular). 11. application of reconstruction plate left wrist. 12. tendon transfer for extensor indicis proprius to extensor pollicis longus 13. radical debridement all extensor tendons and nonviable tissue, left hand, forearm and wrist. 14. split-thickness skin graft, left forearm, hand and wrist 15. debridement left wrist, forearm and dorsum of hand. 16. distally based dorsal interosseous island flap coverage of dorsum of hand. 17. local forearm advancement flap performed to cover volar wrist region. 18. removal of three deep buried pins. 19. split-thickness skin graft to dorsal aspect of vascularized flap. . the goal of these operations was to restore sensation and perfusion to the hand as much as possible to allow for the maximal amount of post-injury function. on hospital day 55 (), the patient was discharged to her home in stable condition with plans for follow-up in hand clinic and with visiting nursing services. medications on admission: glyburide, norvasc, lipitor, advair discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. cephalexin 500 mg capsule sig: one (1) capsule po four times a day for 7 days. disp:*28 capsule(s)* refills:*0* discharge disposition: home with service facility: tlc discharge diagnosis: 1) physiologic amputation of right hand at the wrist level. 2) completion dislocation of hand at wrist level 3) fracture dislocations involving radiocarpal, carpal, and proximal metacarpal bones/joints discharge condition: stable discharge instructions: please md or return to emergency department if you experience any of the following: fever >101.5 increased pain, redness, swelling from incision sites worsening of rash any other disturbing symptoms -please finish all of your antibiotics -please follow-up in our plastic surgery hand clinic next week; call to make an appointment () -do not perform any strenuous activity with your left arm or hand. -keep your hand protected from injury followup instructions: -please follow-up in our plastic surgery hand clinic next week; call to make an appointment () md procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified other skin graft to other sites attachment of pedicle or flap graft to other sites excisional debridement of wound, infection, or burn local excision of lesion or tissue of bone, other bones nonexcisional debridement of wound, infection or burn open reduction of fracture with internal fixation, radius and ulna open reduction of fracture with internal fixation, radius and ulna transfusion of packed cells debridement of open fracture site, radius and ulna excision of lesion of other soft tissue other skin graft to hand open reduction of fracture with internal fixation, carpals and metacarpals open reduction of fracture with internal fixation, carpals and metacarpals other immobilization, pressure, and attention to wound debridement of open fracture site, carpals and metacarpals other myectomy of hand attachment of pedicle or flap graft to hand attachment of pedicle or flap graft to hand other partial ostectomy, carpals and metacarpals other hand tendon transposition forearm, wrist, or hand reattachment diagnoses: pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled open wound of wrist, with tendon involvement injury to radial blood vessels motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle traumatic amputation of other finger(s) (complete) (partial), without mention of complication crushing injury of hand(s) other open fractures of distal end of radius (alone) injury to digital blood vessels crushing injury of forearm open fracture of multiple sites of metacarpus traumatic amputation of arm and hand (complete) (partial), unilateral, below elbow, without mention of complication open fracture of other bone of wrist open fracture of hamate [unciform] bone of wrist injury to palmar artery 

Answer: The patient is high likely exposed to