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: motorcycle accident major surgical or invasive procedure: washout r open tib/fib fracture history of present illness: 22yo male with no significant past medical history transferred from outside hospital after a motorcycle accident. by report, he was helmeted and was driving at moderate speed and slid under another car. he extricated himself from the wreckage. at the outside hospital, he was intubated for combativeness. on arrival to the ed he self-extubated, had an episode of vomitting and was reintubated. past medical history: no medical problems s/p appendectomy social history: + tobacco, + etoh, ? illicit drug use family history: noncontributory physical exam: 96.8 88 130/palp ventilated gcs 14, iv x2 paralyzed with vecuronium ncat, tms clear perrl 3->2mm midface stable +c-collar r anterior chest abrasion, cta bilaterally soft, nondistended, mild tenderness, no digns of injury, fast negative decreased rectal tone, guiac negative no spinal stepoffs, no abrasions avulsion to r knee pretibial area, r hand laceration. pertinent results: 11:00pm fibrinoge-195 11:00pm pt-12.5 ptt-24.4 inr(pt)-1.0 11:00pm plt count-287 11:00pm wbc-26.2* rbc-4.07* hgb-13.0* hct-35.9* mcv-88 mch-31.9 mchc-36.2* rdw-12.4 11:00pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 11:00pm asa-neg ethanol-81* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 11:00pm amylase-52 11:00pm urea n-14 creat-0.9 11:29pm hgb-12.3* calchct-37 11:29pm glucose-145* lactate-3.7* na+-143 k+-3.2* cl--112 11:29pm po2-363* pco2-39 ph-7.28* total co2-19* base xs--7 12:34am type-art po2-324* pco2-37 ph-7.32* total co2-20* base xs--6 intubated-intubated 04:18am pt-12.7 ptt-26.9 inr(pt)-1.1 trauma series - apparent asymmetry of the sternoclavicular joints. no obvious fracture identified. ct head - no evidence of hemorrhage or fracture. ct c-spine -fracture of the left occipital condyle. right neck hematoma. ct c/a/p - xr right tib-fib - tibia and fibula without fracture.intra-articular fracture and large metallic bullet fragment in the partially visualized distal femur brief hospital course: the patient was taken to the or by orthopedics for washout of the open fracture. postoperatively, he was transferred to the t/sicu paralyzed and sedated. pod1 pt was extubated. neurology was consulted for right arm numbness. mri on showed no evidence of nerve root disruption, and the visualized portions of the nerve appear normal. pod3 pt transferred to the floor w/ stable hct. pt/ot consulted as weakness of rue continued. pod6 pt discharged home in good condition, able to perform adl's independently. medications on admission: none discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 2. enoxaparin sodium 30 mg/0.3 ml syringe sig: thirty (30) mg subcutaneous q12h (every 12 hours). disp:*14 syringes* refills:*1* discharge disposition: home with service facility: capecod vna discharge diagnosis: 1. s/p mca 2. l occipital condylar fracture 3. r open tib-fib fracture, s/p washout 4. sternal fracture 5. mediastinal hematoma 6. r sternoclavicular joint subluxation 7. r lung contusion 8. abrasion 9. r upper extremity weakness, c5-c6 distribution discharge condition: stable discharge instructions: you must wear your cervical collar for 8 weeks. in three weeks, you should get a repeat x-ray of your neck. there will be a prescription for this in this packet. you need to get another mri of your brachial plexus in 6 weeks, before you follow up with neurology. see the prescription at the end of this packet. you should only bear slight (ie, <30%) weight on your right leg. continue to wear the brace. you may move the leg as tolerated. take lovenox, the blood thinning medication, for the next 2 weeks. take pain medication as prescribed. followup instructions: follow up with neurology in weeks. call for appointment. you must get another mri of your shoulder nerves first. there will be a prescription for this included in this packet. procedure: debridement of open fracture site, tibia and fibula diagnoses: closed fracture of sternum other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist contusion of lung without mention of open wound into thorax street and highway accidents closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness contusion of chest wall closed fracture of acromial end of clavicle open fracture of upper end of tibia alone brachial plexus lesions 

Answer: The patient is high likely exposed to