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: bactrim / iodine; iodine containing / aspirin / calcium attending: chief complaint: s/p unrestrained mvc major surgical or invasive procedure: 1. orif l tib-fib fracture 2. orif r femur fracture history of present illness: the patient is a yo female who was transferred from hospital after an unrestrained motor vehicle collision where she hit another car. + airbag deployment, no loc. gcs on scene was 15. at the outside hospital she was complaining of severe pain in both lower extremities. radiologic studies showed an open left bimalleolar tib-fib fracture and a closed r distal femur fracture. she was transported by ambulance, during which time she recieved 2u prbcs. past medical history: 1. copd/emphysema social history: lives alone, 3 children (live in , , north ) independent adls family history: noncontributory physical exam: vitals t=97.0 hr=97 bp 114/61 rr 16 sa02=90%ra/99%4l nc general: a+ox3, nad, pale, c-collar in place heent - nc/at, perrl, eomi lungs -cta bilateral heart -rrr no murmurs abdomen- soft, nontender, nondistended, + bowel sounds ext -r leg splinted, l leg open distal tib-fib, l forearm w/ 8cm laceration, dressed with gauze. pulses 2+ radial and dp bilaterally neuro - follows all commands, sensation equal to light touch bilaterally spine - no step offs, bruising or tenderness pertinent results: 10:25pm pt-13.7* ptt-31.8 inr(pt)-1.2 10:25pm plt count-166 10:25pm plt count-166 10:25pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:25pm amylase-117* 10:25pm glucose-191* urea n-11 creat-0.6 sodium-139 potassium-4.0 chloride-111* total co2-26 anion gap-6* 10:31pm urine rbc-0-2 wbc- bacteria-few yeast-none epi-0-2 10:31pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-sm 10:31pm urine color-straw appear-clear sp -1.010 10:31pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 10:31pm urine hours-random 10:35pm freeca-1.04* 10:35pm lactate-2.2* 10:35pm ph-7.25* comments-no green r trauma series - negative ct head/cspine - negative ct abd/pelvis - negative r lower extr - comminuted distal femur fracture w/ displacement l lower extr - comminuted patellar fracture, bimalleolar tib-fib fracture brief hospital course: the patient was emergently taken by orthopedics to the operating room for washout and repair of her l tib-fib fracture. the patient tolerated the procedure well and was transferred to the floor postoperatively. on hd#3 she returned to the or for operative fixation of her r distal femur fracture. she tolerated this procedure well, and was intubated on pod# and returned to the floor. the hospital course was complicated by a substantial drop in her hematocrit on hd#2, pod#1. this anemia was asymptomatic, and felt to be due to continued bleeding into her r lower extremity as well as dilution from fluid resuscitation. she was transfused 2u prbcs preoperatively, 1u intraoperatively, and 2u postoperatively. her hematocrit improved and remained stable after this, however, she was complaining of some chest pain and dyspnea postoperatively. cardiac enzymes were negative x 2 and an ekg showed no acute ischemic changes. she was diuresed with iv lasix x 2, and her symptoms resolved well. she was medically stable for discahrge to acute rehab by hospital day #6. patient currently being treated for wound cellulitis rle with 7 day course keflex 500mg po qid. she will follow up with orthopedics in 2 weeks. medications on admission: combivent albuterol discharge medications: 1. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*0* 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*0* 3. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* 5. enoxaparin sodium 40 mg/0.4ml syringe sig: one (1) syringe subcutaneous daily (daily). disp:*14 syringes* refills:*2* discharge disposition: extended care facility: country estates discharge diagnosis: 1. s/p mvc 2. l tib-fib bimalleolar fx s/p orif 3. l patellar fx 4. r femur fx 5. copd discharge condition: stable, improved. discharge instructions: do not bear weight on your legs until your orthopedic doctor tells you that you can. you may take tylenol with codeine for pain. try to be out of bed to a chair as much as possible during the daytime. this will help prevent pneumonia. take your lovenox injections every day until your primary doctor tells you you can stop. followup instructions: 1. follow up with the orthopedic doctor in 2 weeks. call ( for an appointment. 2. follow up with dr. within the next 2-4 weeks. call his office () for an appointment procedure: debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, femur transfusion of packed cells excision of lesion of other soft tissue local excision of lesion or tissue of bone, patella diagnoses: acute posthemorrhagic anemia cellulitis and abscess of leg, except foot closed fracture of patella other emphysema other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle open wound of knee, leg [except thigh], and ankle, without mention of complication disorder of bone and cartilage, unspecified multiple and unspecified open wound of upper limb, without mention of complication bimalleolar fracture, open closed fracture of lower end of femur, unspecified part 

Answer: The patient is high likely exposed to