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: mva major surgical or invasive procedure: left thoracostomy tube x3 history of present illness: this patient was transferred from an outside hospital following a motor scooter accident where she was driving a motor scooter and was struck by a car; there was positive loss of consciousness; she was taken to hospital where she was evaluated there in the emergency department; she had a ct of her head, chest, abdomen, neck, and was found to have an intracranial hemorrhage, multiple rib fractures on the left, left clavicle fracture, and a small left-sided pneumothorax; no chest tube was placed at the outside hospital due to concern for bleeding; she was given ffp as she is on coumadin; on arrival here in the emergency department her mental status was normal, her gcs was 15, she was complaining of pain in her chest and left arm; her o2 sat was in the low to mid 90s on l of nasal cannula at hospital, in the emergency department her o2 sat dropped to the high 70s and needed to be supplemented with nonrebreather facemask which brought her o2 sat up to 100%. past medical history: type 2 diabetes opiate dependent chronic pain syndrome on methadone maintenance hepatitis c history of embolic stroke x 2 on coumadin migraine headaches social history: - tobacco use: positive - alcohol use: unkown - recreational drug use: opiates family history: unkown physical exam: temp:98.6 hr:106 bp:182/90 resp:16 o(2)sat:94 constitutional: awake alert and oriented heent: multiple abrasions, pupils equal, round and reactive to light. extraocular muscles intact patient is protecting her own airway chest: clear to auscultation, tenderness to palpation over the left chest, breath sounds are slightly diminished on the left. cardiovascular: regular rate and rhythm abdominal: soft, nontender pelvic: pelvis is stable to palpation, there is a large hematoma over the left hip extr/back: she is moving her lower extremities equally and has normal sensation, capillary refill, and pulses distally neuro: speech fluent pertinent results: 02:55pm blood wbc-18.1* rbc-3.97* hgb-11.0* hct-33.3* mcv-84 mch-27.8 mchc-33.1 rdw-14.0 plt ct-308 03:52am blood wbc-13.8* rbc-3.75* hgb-10.5* hct-31.9* mcv-85 mch-27.8 mchc-32.7 rdw-14.0 plt ct-320 02:38am blood wbc-16.2* rbc-3.67* hgb-10.3* hct-30.7* mcv-84 mch-28.0 mchc-33.4 rdw-14.2 plt ct-282 06:38pm blood wbc-14.8* rbc-3.75* hgb-10.3* hct-31.3* mcv-83 mch-27.4 mchc-32.8 rdw-13.9 plt ct-250 04:55am blood wbc-12.9* rbc-3.56* hgb-10.1* hct-29.6* mcv-83 mch-28.4 mchc-34.2 rdw-14.0 plt ct-375 01:14am blood wbc-8.2 rbc-3.04* hgb-8.4* hct-25.2* mcv-83 mch-27.5 mchc-33.2 rdw-14.0 plt ct-336 12:50pm blood wbc-13.1*# rbc-3.13* hgb-8.6* hct-26.6* mcv-85 mch-27.6 mchc-32.5 rdw-14.2 plt ct-586*# 09:00am blood wbc-10.6 rbc-2.93* hgb-7.9* hct-25.4* mcv-87 mch-27.0 mchc-31.0 rdw-14.6 plt ct-578* 06:20am blood wbc-11.8* rbc-3.03* hgb-8.3* hct-26.9* mcv-89 mch-27.5 mchc-31.0 rdw-16.9* plt ct-856* 07:10am blood wbc-10.4 rbc-2.99* hgb-8.2* hct-26.5* mcv-89 mch-27.4 mchc-30.9* rdw-17.2* plt ct-824* 02:55pm blood pt-17.3* ptt-24.6 inr(pt)-1.6* 02:38am blood pt-12.1 ptt-21.7* inr(pt)-1.0 06:20am blood pt-12.7 ptt-23.1 inr(pt)-1.1 07:10am blood pt-13.8* ptt-24.7 inr(pt)-1.2* 07:25am blood pt-16.8* ptt-26.5 inr(pt)-1.5* 02:55pm blood glucose-217* urean-13 creat-0.7 na-137 k-3.6 cl-100 hco3-27 angap-14 03:52am blood glucose-223* urean-11 creat-0.6 na-133 k-3.4 cl-99 hco3-23 angap-14 06:38pm blood glucose-328* urean-15 creat-0.6 na-130* k-3.9 cl-94* hco3-23 angap-17 01:14am blood glucose-178* urean-19 creat-0.6 na-132* k-3.9 cl-97 hco3-27 angap-12 06:00am blood glucose-60* urean-14 creat-0.5 na-132* k-3.9 cl-96 hco3-29 angap-11 01:35pm blood glucose-190* urean-14 creat-0.7 na-134 k-4.3 cl-96 hco3-32 angap-10 ucx staphylococcus, coagulase negative | staphylococcus, coagulase negative | | gentamicin------------ <=0.5 s <=0.5 s levofloxacin----------<=0.12 s <=0.12 s nitrofurantoin-------- <=16 s <=16 s oxacillin-------------<=0.25 s <=0.25 s tetracycline---------- <=1 s <=1 s vancomycin------------ 1 s 2 s 10:00 am sputum source: expectorated. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): multiple organisms consistent with oropharyngeal flora. respiratory culture (final ): moderate growth commensal respiratory flora. legionella culture (final ): no legionella isolated. fungal culture (preliminary): yeast. acid fast smear (final ): no acid fast bacilli seen on direct smear. no acid fast bacilli seen on concentrated smear. mrsa screen: neg brief hospital course: 56 yo f transferred from an outside hospital following a motor scooter accident where she was driving a motor scooter and was struck by a car; there was positive loss of consciousness; she was taken to hospital where she was evaluated there in the emergency department; she had a ct of her head, chest, abdomen, neck, and was found to have an intracranial hemorrhage, multiple rib fractures on the left, left clavicle fracture, and a small left-sided pneumothorax; no chest tube was placed at the outside hospital due to concern for bleeding; she was given ffp as she is on coumadin also recieved vitamin k and factor 9 in ed here. injuries: punctate foci hem l ftl, suporb ftl l frontal sdh lt clavicular & scapular fx lt ribs 1-7fx tiny lt ptx (seen on ct only) ->ct placed in ticu imaging: admitted tsicu. home methadone use . ct head: mult punctate foci of hemorrhage in l superior frontal lobe. new 4 mm left frontal acute sdh. bilat occipital old infrcts. new small left ivh. new foci punctate hemorrgae in the supra orbital parts of the frontal lobes. reg diet. nsurg recs rpt ct head unchanged, sign-off, okay for hsq, f/u dr. 1 month. nph 10u qpm, insulin gtt. d/c pca, percocet. cxr: reexpansion of the left lung. l ct basal. ct head: tiny punctate hyperdensity in the right temporal lobe just medial to the temporal of the right lateral ventricle. stable appearance of intraparenchymal and intraventricular hemorrhages. stable appearance of bilateral occipital lobe infarcts. interval decrease in left frontal subdural hematoma. no ptx. lllatelectasis and rml and rll opacities unchanged. : left hip xray:no e/o fracture events: . cps consulted for pain regimen. started ocycontin 40 mg ( recs to inc to 60) and oxycodone 10 mg with methadone maintence. ot / pt consult. hyperglycemic to 400s immediatley before given nph. : neuro consult for hx cva's. ct waterseal, cxr post no expand ptx, placed back on suction. records from pcp . cps recs d/c oxycontin, inc methadone to home dose 60 . neurologic: neuro checks q: 4 hr, l frontal/supraorbital iph, l frontal sdh stable on repeat ct. f/u with dr. 1 month. chornic pain consulted re tranisitional pain regimen. pain control - methadone 40mg qd, oxycontin 40mg, oxycodone 10 prn.tylenol 1000 q6h. increase oxycontin and add gabapentin or tizanidine as adjuncts.no epidural for now per pain team asa 325 started . left hip xray:no e/o fracture cardiovascular: goal maintain sbp < 160. autoregulating.lopressor prn pulmonary: multiple rib fractures left side, left clavicle and scapula fracture. - sling to left arm - cont ct to suction gastrointestinal / abdomen: - bowel regimen nutrition: - regular diet.not eating much therefore iv fluids continued renal: foley, adequate uo, no active issues. hematology: stable hct. endocrine: type 2 dm. glucose control improved.on nph and sliding scale infectious disease: no active infectious issues. patient improved, was transferred to the floor. ot and pt started working with her, recommended rehabilitation services at the moment of discharge. patient was not able to get rehabilitation services due to insurance coverage, neurology was consulted we were asked to comment on the need for resumption of oac given her history of recurrent strokes and recent mva. we obtained records from her pcp in an attempt to clarify her previous work up and the cause(s) of her prior strokes. on neurological examination is mostly noted for a dense right field cut and a milder left field cut. testing muscle strength in the left arm is limited due to pain. toes appear upgoing bilaterally. she is in nsr. her head ct scan shows small scattered ichs and a small ivh in the left occipital , a left frontal sdh, and old bilateral occipital lobe infarcts (left > right). it is unclear from the faxed records why she was started on oac after her first stroke. however, she tolerated it well and had no recurrent strokes until she stopped taking coumadin. based on the available information , it is likely reasonable to resume oac in days. in the meantime, we will attempt to contact her neurologist to obtain further information and to discuss the issue of resuming oac with him since he has been primarily involved in her care. pain service was consulted for management of pain. we continue methadone, oxycodone and tylenol for management of her pain. chest x ray showed left apical pneumothorax with no interval change in spite left basilar and apical ct in place, on suction. anterior chest tube was place, apical pneumothorax discharge. cxr previously reported left pneumothorax is no longer evident. multiple contiguous rib fractures are again demonstrated throughout the left hemithorax, some of which are segmental. adjacent pleural opacity has apparently slightly worsened and could reflect areas of loculated pleural fluid and/or extrapleural hematoma. new subtle interstitial opacities have developed in the mid and lower lungs and may reflect interstitial edema superimposed upon known underlying emphysema. infectious etiology is also possible in the appropriate clinical setting. cxr 6/20multiple consecutive rib fractures are again visualized in the left hemithorax as well as left clavicular fracture. adjacent area of pleural or extrapleural opacity has decreased. band-like areas of linear atelectasis in the left mid and lower lung are not appreciably changed. no pneumothorax. physical therapy cleared her to go home due to improvement on ambulation. at the moment of discharge she was alert and oriented , ambulating with out assistant. coumadin was restarted on hd 10 as recommended for neurology service. patient schedule a follow up appointment with pcp the day after discharge for inr check. pcp was informed of hospitalization details. medications on admission: - methadine 60 mg po q 7am, 12 pm - levemir 20 mg sc daily - coumadin 10mg/1mg po daily - asa 325 mg po daily - percocet 5/325 mg 1-2 tabs po q6h - bupropion 150 mg po daily - lisinopril 5 mg po daily - vit d 5000 iu po daily - lovastatin 20 mg po daily - methadone 60 mg po daily - insulin discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 3. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation every six (6) hours. 5. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 9. calcium 500 mg tablet sig: two (2) tablet po three times a day. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. senna 8.6 mg tablet sig: two (2) tablet po daily (daily). 12. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 13. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 14. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 15. methadone 10 mg tablet sig: six (6) tablet po bid (2 times a day): on for chronic pain syndrome. 16. oxycodone 5 mg tablet sig: 2-3 tablets po q3h (every 3 hours) as needed for breakthrough pain. 17. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 18. warfarin 5 mg tablet sig: one (1) tablet po once (once): dose coumadin daily until goal range 2-3 reached. 19. nph insulin human recomb 100 unit/ml suspension sig: fifteen (15) units subcutaneous every morning at breakfast. 20. nph insulin human recomb 100 unit/ml suspension sig: ten (10) units subcutaneous at bedtime. 21. insulin regular human 100 unit/ml solution sig: one (1) dose injection four times a day as needed for per sliding scale: see attached scale. discharge disposition: home discharge diagnosis: s/p motorscooter crash vs auto left frontal subdural hemorrhage left comminuted left clavicle and scapula fractures multiple left sided rib fractures left pneumothorax discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you should not drive or operate any motorized vehicles per recommendation of neurology. you were hospitalized following a crash on your motorized scooter vs. a car. you sustained multiple injuries including a bleeding injury to your brain; a broken collar bone & shoulder blade; left sided rib fractures and a collapsed lung. your collapsed lung required that you have a chest tube that was placed x3. chest xrays were followed closely and once the collapsed area improved the chest tubes were removed. followup instructions: follow up in clinic in 2 weeks with np; call for an appointment. follow up in 4 weeks with dr. , neurosurgery with a repeat non contrast head ct scan; call for an appointment. md procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage diagnoses: urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified viral hepatitis c without hepatic coma long-term (current) use of anticoagulants other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits traumatic pneumothorax without mention of open wound into thorax migraine, unspecified, without mention of intractable migraine without mention of status migrainosus closed fracture of scapula, unspecified part closed fracture of seven ribs other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness homonymous bilateral field defects closed fracture of shaft of clavicle 

Answer: The patient is high likely exposed to