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: history of present illness: the patient is a 20 year old male, status post high speed motor vehicle accident, unrestrained driver, who hit a pole, resulting in car fire, extraction time approximately 30 minutes, but the patient suffered no burns in the fire. the patient was intubated in the field, with a questionable unknown down time. the patient arrived intubated, sedated and paralyzed, hypotensive and tachycardiac. he had received two liters of crystalloid upon arrival. the patient had an open right femur fracture. he went to the oropharynx clear for repair. the patient was fully evaluated in the trauma bay, with a ct scan of the head showing a small subdural hematoma and frontoparietal hemorrhage. a ct scan of the abdomen showed a grade iv liver laceration with blood around the liver and in the pelvis. a ct scan of the neck was initially concerning for c1-2 injury, subsequently ruled out. a ct scan of the abdomen saw a left lower lobe infiltrate versus aspiration. past medical history: initially unknown but later revealed -parkinson-white syndrome with ablation. medications on admission: initially unknown but, upon talking with the family, the patient was on celexa. allergies: the patient has no known drug allergies. physical examination: on physical examination, the patient was sedated, intubated and paralyzed. head, eyes, ears, nose and throat: pupils 2 mm, equal and reactive, mid-face stable, endotracheal tube in place, left upper lip laceration, no head or scalp lacerations. neck: tracheal midline. chest: clear to auscultation bilaterally with chest wall intact. cardiovascular: regular rate and rhythm. abdomen: flat, firm, nondistended, pelvis stable. rectal: vault full of stool, heme negative, normal prostate. extremities: right lower extremity with open femur fracture and exposed bone, right foot mottled. neurologic: coma score of 3t, paralyzed, sedated. laboratory data: admission white blood cell count was 27.3, hematocrit 32.1, platelet count 281,000, prothrombin time 15.4, partial thromboplastin time 58, inr 1.6, fibrinogen 116.5, amylase 66, sodium 143, potassium 3.5, chloride 110, bicarbonate 18, bun 18, creatinine 1 and blood sugar 301 and lactate 5.7. alcohol level was 187. ct scan of the head showed a small right subdural hematoma. ct of the abdomen showed left lower lobe developing infiltrate, questionable aspiration, liver laceration grade iv with blood around the liver and pelvis, right back hematoma. ct of the neck could not rule out c1-2 atlantoaxial injury initially; further evaluated to be negative. hospital course: prior to going to the operating room, the patient received an additional liter of intravenous fluids, four units of unmatched packed red blood cells and a left femoral trauma line. a trauma ultrasound was performed and suggested fluid in pouch. the patient went for a ct scan to rule out intra-abdominal injury, at which point it was felt there was no injury and the patient could go to the operating room for fixation of the right femur. the patient was given kefzol for the right open leg and started on levaquin and flagyl for potential aspiration pneumonia. the patient went to the operating room by the orthopedic surgeons for an open reduction and internal fixation of the right femur and then the patient was admitted to the surgical intensive care unit for continued evaluation. the neurosurgeons saw the patient for the right frontoparietal temporal and subdural, with questionable slight, 1 to 2 mm, midline shift. nonoperative intervention was deemed appropriate. a systolic blood pressure of less than 140 was desirable. the patient was loaded on dilantin with a repeat head ct in 24 hours showing no progression of bleeds. it was also desirable to keep the inr below 1.7. on postoperative day number two, the patient was extubated within difficulty. the patient did spike a temperature to 101.5 with panculture. he received two units of blood for a hematocrit of 23. all antibiotics were stopped at this point. at this point, considering the dirty nature of the right femur fracture and fever spike, the patient was brought back to the operating room for a cleanout of the right leg. this was performed without complication. the patient was seen by the psychiatry service due to the patient's depression and polysubstance abuse. the patient was thought to be increasingly paranoid and that the nursing staff was invasive. he was pulling out his tubes saying that he wanted to die, "and i can make things easier for you, why don't you just kill me". the patient was maintained on a one-to-one observer with ciwa protocol. he was written for haldol 2 to 3 mg hourly until desired effect. liver function tests, tsh, t4, b12 and folate were all evaluated. on hospital day number four, postoperative days one the three, the patient was transferred to the floor for continued monitoring. the patient remained completely unaware of surrounding events, with perseveration regarding the accident and inappropriate questions about paying hospital bills. he was very anxious. he had no other complaints at this time, with stable vital signs. his short term memory was certainly impaired, with no recollection of previous visits by the team. this mental status slowly improved, with his diet being advanced and physical therapy started. the patient was seen by the neurology rehabilitation service on who felt that his behavior was consistent with a left frontal contusion. it was at this point that the patient was referred to an acute head injury program for rehabilitation. the patient remained stable from the standpoint of his liver laceration and femur fracture. by hospital day eight, his mental status had markedly improved, with behavior resolution. one-to-one sitter was removed without subsequent difficulties. the patient was started on physical therapy, bedside and with ambulation, without difficulty. on hospital day nine, the patient remained on a full diet and had no complaints. the patient was started on lovenox on hospital day eight after consultation with the neurosurgeons regarding the intraparenchymal bleeds. the patient remained on keflex for his right leg. at the time of discharge, the patient is partial weightbearing with his right leg and ambulating with a walker per physical therapy. at this point, it is felt that the patient is appropriate for continued rehabilitation. discharge medications: colace 100 mg p.o.b.i.d. lovenox 30 mg s.c.b.i.d. keflex 500 mg p.o.q.i.d. to continue until . celexa 20 mg p.o.q.d. ativan 1 mg p.o.q.6h.p.r.n. morphine 1 to 4 mg s.c./p.o.q.4h. percocet one to two tablets p.o.q.4-6h.p.r.n. discharge instructions: the patient will need to follow up with the orthopedic service at in one week. he will also need to follow up with the trauma clinic at in one week. discharge diagnosis: subdural hematoma, left frontal occipital parenchymal hemorrhage, grade iv. liver laceration. right femur fracture. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours open reduction of fracture with internal fixation, femur debridement of open fracture site, femur debridement of open fracture site, femur diagnoses: depressive disorder, not elsewhere classified other and unspecified coagulation defects other and unspecified alcohol dependence, unspecified open fracture of shaft of femur injury to liver without mention of open wound into cavity laceration, unspecified other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, unspecified state of consciousness other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to