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: motor cycle collision major surgical or invasive procedure: intubated x 2 percutaneous tracheostomy right chest tube orif left humerus history of present illness: 33 year old male s/p mcc presented to -welleslwy and was transferred by med-flight to . the patient was driving at a high rate of speed, lost control of his motorcycle, was ejected, and rolled 30 feet. he was intubated and a right chest tube was placed at the osh prior to transfer. past medical history: hiv+ social history: married, lives in nh, no tob, h/o ivda on methadone family history: nc physical exam: 100.9f, 72, 120/p, 96% ambu bag pupils equal, sluggishly reactive. gcs 3t. midface unstable ?fx trachea midline, no jvd blood in mouth, no ear or nasal discharge ctab, r chest tube in place, chest wall stable abd soft, nd rectal decr tone, no high riding prostate ext palpable pulses, rue appear broken neck/back: no step offs pertinent results: 06:35pm urine bnzodzpn-pos barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-pos 10:23pm type-art po2-164* pco2-42 ph-7.39 total co2-26 base xs-0 10:23pm lactate-3.1* 08:24pm glucose-148* urea n-15 creat-0.9 sodium-138 potassium-3.9 chloride-106 total co2-26 anion gap-10 08:24pm wbc-20.6* rbc-4.01* hgb-12.2* hct-36.5* mcv-91 mch-30.4 mchc-33.4 rdw-12.7 08:24pm pt-14.3* ptt-23.6 inr(pt)-1.3 08:24pm plt smr-normal plt count-194 06:10pm amylase-50 06:10pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg . cxr/pxr: lll atelectasis/consolidation, r tension ptx, multi r rib fx ct head: mucosal sinus thickening ct c spine: mult r rib fxs, b thoracic vertebral transverse process fx, left c5-6 facet fx, r tension ptx, subq emphysema ct chest/abd/pelvis: large r tension ptx, collapse of rul/lul, atelectasis bilateral lower lobes, mult. r rib fractures, transverse processes fx t2/t3, ? small subcapsular hematoma ct face: neg cxr : worse lll atelectasis brief hospital course: trauma: the patient was admitted to the sicu on . he was initially loaded on dilantin and given ativan prn for seizure prophylaxis. his preliminary radiology studies revealed (1)multiple right rib fractures, (2)bilateral thoracic vertebral transverse process fractures t2/3, (3)left c5-6 facet fracture, and (4)right tension pneumothorax. his c-spine was cleared by mri which showed no fracture or ligamentous injuries. after a prolonged course of intubation (see below), swelling of the left shoulder was noted and an xray on revealed a l humeral head fracture. the patient was taken to the or with the orthopedic surgeons on for orif of the left humerus. id: the patient became febrile on hd#3 and was started on levoquin and vancomycin. his sputum culture from grew out mssa and the vanco was d/c'ed on while the levoquin was continued for a total of 12 days. despite a tooth extraction on , and multiple line changes the patient remained febrile. a sputum culture from grew mrsa and the vancomycin was re-started on . he was also started on bactim prophylaxis because he had thrush and there was a concern for pcp pneumonia, but cd4 count was 324 and the bactrim was d/c'ed. the possibility of starting haart was discussed with the id team, and they felt that the therapy should be started as an outpatient. the patient was given dicscharge instructions to follow up in the clinic. respiratory: the patient was brought from the osh intubated, and self extubated on hd# 6. he required re-intubation the following day due to excessive secretions. he had a few episodes of hypoxia and a worsening cxr. the decission was made to place a percutaneous tracheostomy on hd # 9. after the trach was placed he continued to have episodes of hypoxia and a cta was performed which was negative for pe. the patient was discharged to a tracheostomy care rehab facility and will finish his 10 day course of vancomycin and will take 3 more weeks of lovenox there. medications on admission: methadone 20" discharge medications: 1. acetaminophen 160 mg/5 ml elixir sig: 0.5-1 elixir po q4-6h (every 4 to 6 hours) as needed. 2. nystatin 100,000 unit/ml suspension sig: ten (10) ml po qid (4 times a day) as needed for thrush. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q4h (every 4 hours) as needed. 6. enoxaparin sodium 30 mg/0.3 ml syringe sig: thirty (30) mg subcutaneous q12h (every 12 hours) for 3 weeks. 7. methadone hcl 40 mg tablet, soluble sig: one (1) tablet, soluble po tid (3 times a day). 8. lorazepam 1 mg tablet sig: 2-4 tablets po q2-4h (every 2 to 4 hours) as needed. 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. heparin flush picc (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. 12. vancocin hcl 1,000 mg recon soln sig: one (1) gram intravenous twice a day for 4 days: last day . discharge disposition: extended care facility: & rehab center - discharge diagnosis: motor cycle collision left humerus fracture discharge condition: stable discharge instructions: take your medications as prescribed wear sling, left shoulder pendulum swings exercises, left elbow and wrist may move as comfortable. call your doctor to 101.4f, redness or pus around your wound, change in color or sensation of your hand, trouble breathing, chest pain, or any other concerns followup instructions: please follow up in the infectious disease clinic as soon as possible. please call for an appointment, . please follow up in the trauma clinic in 2 weeks. please call for an appointment, . please follow up with dr (orthopedics) in weeks. please call for an appointment, . procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization temporary tracheostomy closure of skin and subcutaneous tissue of other sites extraction of other tooth bronchoscopy through artificial stoma transfusion of packed cells open reduction of fracture with internal fixation, humerus diagnoses: hyposmolality and/or hyponatremia infection with microorganisms resistant to penicillins candidiasis of mouth pulmonary collapse opioid type dependence, continuous methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury open wound of jaw, without mention of complication abrasion or friction burn of trunk, without mention of infection traumatic pneumothorax without mention of open wound into thorax asymptomatic human immunodeficiency virus [hiv] infection status closed fracture of multiple ribs, unspecified closed fracture of fifth cervical vertebra motor vehicle traffic accident due to loss of control, without collision on the highway, injuring motorcyclist other specified disorders of the teeth and supporting structures injury to other specified intrathoracic organs without mention of open wound into cavity closed fracture of greater tuberosity of humerus 

Answer: The patient is high likely exposed to