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: right chest tube placement exploratory lap, splenectomy orif right radial fracture history of present illness: 28 yo female unrestrained driver s/p high speed mvc vs tree; prolonged extrication medflighted from referring hospital with significant injuries. past medical history: ivda bipolar manic depression social history: h/o ivda family history: noncontributory physical exam: vs upon admission: hr 100 bp 118/112 t 98.6 o2 sat 95% gen: paralyzed; intubated heent: facial abrasions neck: cervical collar in place chest: ecchymosis, equal bs cor: tachy abd: soft, fast positive extr: right wrist deformity with 2+ radial pulse present; ecchymosis left hip pertinent results: 10:08pm type-art temp-37.3 po2-181* pco2-41 ph-7.42 total co2-28 base xs-2 10:08pm lactate-2.6* 07:41pm glucose-131* lactate-2.6* 07:22pm urine ucg-neg 07:09pm magnesium-1.9 07:09pm plt count-108* 07:09pm pt-12.5 ptt-24.7 inr(pt)-1.1 05:56pm glucose-135* na+-143 k+-4.3 03:06pm alt(sgpt)-178* ast(sgot)-353* ck(cpk)-3114* alk phos-65 amylase-29 tot bili-0.9 11:13am hgb-13.2 calchct-40 09:15am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg wrist, ap & lat views bilat port 5:49 pm wrist, ap & lat views bilat po reason: ?injury medical condition: 40 year old woman s/p mvc reason for this examination: ?injury exam order: bilateral wrists. history: trauma. right wrist: two views show distal radius fracture with approximately 4-mm stepoff at the articular surface of the radius. the articular surface of the radius appears to be dorsally tilted, however, the lateral view is suboptimal. there is also ulnar styloid fracture. left wrist: two views show no evidence of a distal radius fracture. ct head w/o contrast 9:15 am ct head w/o contrast reason: ?injury medical condition: 40 year old woman s/p high speed mvc reason for this examination: ?injury contraindications for iv contrast: none. indication: 40-year-old female status post high speed motor vehicle accident. no comparison studies. ct head non-contrast: no definite intracranial hemorrhage is seen. the -white differentiation is slightly less defined and normal. there is no evidence of mass effect. there is no evidence of hydrocephalus. along the right temporal and frontal aspect of the skull, there is a large extracranial soft tissue density likely representing hematoma and swelling. impression: no evidence of intracranial hemorrhage. slight blurring of the -white matter differentiation. large right extra-axial hematoma. ct abdomen w/contrast 9:16 am ct chest w/contrast; ct abdomen w/contrast reason: ?injury field of view: 40 contrast: optiray medical condition: 40 year old woman s/p high speed mvc reason for this examination: ?injury contraindications for iv contrast: none. indication: 40-year-old female status post high-speed motor vehicle accident. no comparison studies. technique: mdct acquired axial images of the chest, abdomen and pelvis were performed with iv contrast. delayed scan and thin-sliced reconstructions were performed. ct chest: the mediastinum and great vessels are unremarkable. lung windows demonstrate partial collapse of the right greater than left upper lobes. within the left middle lung field, there is a focal linear area of opacity, which may represent a small contusion. there is a moderate-sized right pleural effusion of high attenuation likely representing hematoma. there is no evidence of pneumothorax, or pericardial effusion. ct abdomen: the liver is surrounded by moderate hematoma. within the liver parenchyma, there is a moderate-sized area of low attenuation, likely representing laceration/contusion of predominantly segment 7 and segment 8. no active extravasation is seen within the liver--grade iii. within the spleen, there are multiple areas of low attenuation that are linear likely representing laceration. approximately 30% appears involved. adjacent to the spleen, there is a large hematoma with an area of high attenuation very concerning for active extravasation. on delayed images, this area is more diffusely spread consistent with active extravasation. on delayed images, there also appears to be increased volume of hematoma within the pericolic gutters. the kidneys and adrenal glands are unremarkable. no gross small or large bowel abnormalities are noted. there is a small amount of free fluid seen within the mesentery. no oral contrast was provided in this examination. the retroperitoneum is unremarkable. ct pelvis: free fluid likely representing blood is seen within the pelvis. the urinary bladder, uterus, rectum are unremarkable. bones: at the level of t7, there is a fracture through the the vertebral body extending through the pedicles, left and right lamina the right transverse process and the spinous process. included within this fracture plane are a fracture through the superior end plate of t8. there is also an avulsion fracture of the spinous process of t6. this distribution is unstable and is consistent with a hyperflexion injury. no fragments are seen within the spinal canal. there are also small right transverse process fractures seen in t8 and t9. impression: 1. moderate right hemothorax. small left middle lung field contusion. 2. right greater than left upper lobe partial collapse. 3. moderate-sized liver laceration in segment 7 and segment 8 with no evidence of active extravasation. grade iii. moderate perihepatic hematoma. 4. moderate-sized splenic laceration. moderate perisplenic hematoma with marked active extravasation. surgical team was notified of these findings immediately after conclusion of the exam and patient brought to the or for splenectomy. 5. unstable fractures of t7 and probably stable fracture of t8 vertebral bodies. also avulsion fracture of t6 spinous process. these likely were due to hyperflexion injury. additional t8 and t9 right transverse process fractures. c-spine trauma w/flex & ext 5 views 5:10 pm c-spine trauma w/flex & ext 5 reason: ligamentous injury? requested by ortho-spine. thank you. medical condition: 28 year old woman with mvc and difficulty clearing clinically. reason for this examination: ligamentous injury? requested by ortho-spine. thank you. indication: 28-year-old woman with status post mvc with difficulty clearing secretions, evaluate for ligamentous injury. cervical spine series: series consists of five radiographs consisting of neutral, flex, and extension views, ap and open mouth views. c1 through the superior endplate of c6 are visualized. there is no evidence of acute fracture. no evidence of reduced listhesis or instability on the flexion or extension views. orogastric feeding tube seen coursing anteriorly. thoracic paravertebral stabilization rods noted. impression: no evidence of ligamentous injury; c1 through the superior endplate of c6 evaluated. brief hospital course: patient admitted to the trauma service. fast exam was positive in the trauma bay; patient was immediately taken to the operating room for exploratory lap and splenectomy. her serial hct's were followed closely, her most recent hct was 30.4. plastic surgery consulted for chin/lip laceration which was sutured. orthopedic surgery consulted because of her wrist injuries, she was taken to the or on for orif of her wrist fracture. vascular surgery consulted to rule out any vascular injury to rue; angiogram not indicated given stable exam. orthopedic spine surgery consulted because of the thoracic fractures, no operative intervention. patient was custom fitted for a tlso brace which she will need to wear when ambulating. she was started on levofloxacin for a positive sputum culture with h. flu. total 21 day course; she has 9 more days to complete this course. pain control was an issue early during her hospital course, she was eventually transitioned from pca to oral dilaudid which has been effective in relieving her pain. physical and occupational therapy were consulted early during her hospitalization and have recommended short rehab stay. social work was consulted because of her psychiatric and substance abuse history, her home meds, seroquel and methadone were restarted. medications on admission: seroquel methadone medications: 1. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for dry eyes. 2. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed for constipation. 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 4. quetiapine 200 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. risperidone 2 mg tablet sig: one (1) tablet po twice a day. 6. methadone 10 mg tablet sig: five (5) tablet po bid (2 times a day). 7. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 8. metoclopramide 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. multivitamin capsule sig: one (1) cap po daily (daily). 12. hydromorphone 2 mg tablet sig: 2-3 tablets po q4h (every 4 hours) as needed for pain. 13. lorazepam 1 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for anxiety. 14. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 9 days. disposition: extended care facility: hospital of & islands - diagnosis: s/ motor vehicle crash t7 t8 fracture grade iii spleniclaceration grade iv liver laceration right radial fracture nasal bone fracture condition: stable instructions: you must wear your tlso brace when ambulating. follow up with orthopedics in 2 weeks. follow up with orthopedic spine in 4 weeks. follow up in trauma clinic in 2 weeks. follow up with your primary doctor from rehab. take all of your medications as prescribed. followup instructions: call for follow up appointment with orthopedics in 2 weeks. call for a follow up appointment with orthopedics in 4 weeks. call for an appointment with trauma clinic in 2 weeks. call your primary care doctor from rehab for an appointment. md, procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances exploratory laparotomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus total splenectomy closure of skin and subcutaneous tissue of other sites open reduction of fracture with internal fixation, radius and ulna excision of bone for graft, other bones transfusion of packed cells dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture transfusion of other serum other plastic repair of mouth perioperative autologous transfusion of whole blood or blood components fusion or refusion of 9 or more vertebrae diagnoses: tobacco use disorder opioid type dependence, continuous closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury open wound of jaw, without mention of complication obesity, unspecified bipolar disorder, unspecified injury to liver without mention of open wound into cavity, hematoma and contusion contusion of lung without mention of open wound into thorax open wound of lip, without mention of complication pneumonia due to hemophilus influenzae [h. influenzae] other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle closed fracture of nasal bones injury to spleen without mention of open wound into cavity, massive parenchymal disruption traumatic hemothorax with open wound into thorax closed fracture of lower end of radius with ulna 

Answer: The patient is high likely exposed to