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: history of present illness: the patient is a 36 year-old male who presented status post a high speed mvc where he was the unrestrained driver and was ejected from the vehicle approximately thirty feet with positive loss of consciousness. on arrival he was hemodynamically stable through the transfer as well. he presents with an obvious deformity of the right knee. he also presents and complains of left elbow pain and left chest pain. past medical history: depression. medications: celebrex. allergies: no known drug allergies. physical examination: temperature 95.0. heart rate 74. blood pressure 140/palp. respiratory rate 20. o2 saturation was 99%. he was alert and oriented times three and in moderate distress. pupils are equal, round and reactive to light 2 mm. the tympanic membranes were clear. the trachea was midline. there was a nasal and forehead laceration. the lungs were clear to auscultation bilaterally. cardiac examination revealed a regular rate and rhythm. abdominal examination revealed a soft, nontender abdomen with positive bowel sounds. the pelvis was stable. rectal examination revealed good tone. guaiac negative. extremity examination revealed posterior right knee dislocation with no palpable pulses. he also had left elbow tenderness on palpation with no deformity. laboratory: white blood cell count 17, hematocrit 37, platelets 369, sodium 139, potassium 3.6, chloride 106, bicarbonate 23, glucose 127, pt 12.0, ptt 23, inr 1.1. arterial blood gas 7.33 ph, co2 42, o2 89, bicarbonate 23, base excess -3. urinalysis was negative. serum ethanol was 163, tox screen otherwise negative. urine tox screen was positive for cocaine. chest x-ray revealed left rib fractures 7th, 8th and 9th initially. pelvis x-ray was negative. head ct showed a right temporal contusion. c spine ct was negative. abdominal ct was negative. left elbow films showed an olecranon fracture. right knee films revealed proper alignment to the femur with respect to the tibia following reduction of the dislocation. hospital course: immediately on arrival on transfer to the trauma bay bed, after doing the initial survey attention was turned to relocating the right knee. following reduction of the dislocation of dopplerable pulses, shortly thereafter there were palpable dorsalis pedis pulses and posterior tibial pulses present in the right foot. the patient was admitted to the trauma service and orthopedic consult was obtained. on further review of ct and further imaging it was evident that there were several vertebral fractures present, again including a t8 end plate fracture, t9 transverse process fracture and l4 anterior superior compression fracture. the orthopedic surgery consult and after evaluation recommended angiography of the right lower extremity, which had already been scheduled and recommended mri of the right knee. regarding the olecranon fracture they recommended open reduction and internal fixation of that fracture. angiography of the right lower extremity revealed no evidence of acute popliteal artery injury, also small anterior tibial artery with no visualization of the distal dorsalis pedis artery with an occluded posterior tibial artery proximally with reconstruction distally, likely representing either chronic changes or an anatomic variant. patent plantar branches are present. the patient was taken to the cicu for careful monitoring. the c collar was left in place. cta of the chest was performed to rule out an aortic injury and that was negative for any aortic injury. neurosurgery consult was also called and neurosurgery felt that the patient was neurologically intact with no further intervention required. an oral surgery consult was called for what was later found to be a left infraorbital floor fracture, which was nondisplaced. with no visual changes, they recommended nonsurgical management of this fracture. the patient was taken to the operating room on hospital day two for open reduction and internal fixation of the left olecranon fracture. postoperatively, he had a low grade temperature, but was otherwise stable. a chest tube was placed secondary to a pneumothorax, which developed intraoperatively. the patient was transferred back to the surgical intensive care unit postoperatively. on ophthalmology consult was obtained and their impression was again that there was a left orbital floor fracture with no signs of ruptured globes. they recommended follow up as an outpatient with ophthamology for any floaters or any difficulty with vision. postoperatively, the patient had remained intubated with a chest tube in place. he continued to remain intubated on hospital day three. the pain service was consulted and placed an epidural since intravenous analgesia was not providing adequate pain control. on postoperative day four the patient remained intubated for support ventilation. the patient was started on ceftriaxone for sputum culture, which eventually grew out hemophilus. the patient also had blood cultures, which began growing coag negative staph. on hospital day four the patient remained intubated and haldol was started for aggitation. bronchoscopy was performed and showed increased secretions. on postoperative day five the patient continued to be intubated. fevers continued. the epidural was continued. on hospital day five the patient continued to be intubated. vancomycin was added to his antibiotics regimen for the gram positive cocci shown growing in the blood culture. tube feeds were started. by postoperative day six the patient was extubated and transferred to the floor. the chest tube remained in place and the epidural remained in place. antibiotics were continued. overall the patient's condition was improving. on hospital day seven antibiotics were continued. the patient was tolerating po. he had a right knee immobilizer placed and was working with physical therapy and occupational therapy. the orthopedic plan was to take the patient to the operating room likely in the following week for right knee reconstruction. the patient continued to run low grade temperature. on hospital day eight the chest tube was placed to water seal. antibiotics were continued for a course of seven days. the epidural remained in place. the patient continued to work with physical therapy. on hospital day nine the chest tube was removed. the epidural catheter was removed as well and the foley had been previously removed. the patient was transitioned over to po pain medication with good results on po dilaudid. the orthopedic service recommended starting a continuous passive motion device for the right knee and this was started. because of the patient's persistent foot pain left foot films were obtained, which showed a left second metatarsal fracture. the orthopedics service recommended placing a dressing on the left foot and a cast shoe would be provided for the patient on discharge. the patient's weight bearing status at this time is nonweight bearing on the right lower extremity and heel only weight bearing on the left lower extremity with no weight bearing of the left upper extremity, where the olecranon fracture had been repaired. on hospital day ten the patient continued to do well. he is tolerating po and had good analgesia with po pain medication and was otherwise doing well, afebrile and stable. he was deemed stable for discharge to rehab. the patient is to follow up with orthopedics for surgery of the right knee as well as to follow up in the trauma clinic. discharge status: discharged to rehabilitation facility. discharge condition: good. discharge diagnoses: 1. status post mvc. 2. status post right knee posterior dislocation. 3. status post right knee reduction. 4. status post left olecranon fracture. 5. status post left pneumothorax. 6. status post left rib fractures. 7. status post left distal clavicular fracture. 8. status post t8 end plate fracture, t9 transverse process fracture, l4 anterior/superior compression fracture. 9. status post left foot second metatarsal fracture. 10. status post left orbital floor fracture. 11. status post open reduction and internal fixation left olecranon fracture. 12. status post chest tube insertion. discharge medications: 1. nicotine patch 21 mg per 24 hours one patch to skin q.d. 2. albuterol 90 micrograms areosol solution one to two puffs q 6 hours prn. 3. ipratropium bromide inhaler two puffs q 4 to 6 hours as needed. 4. heparin 5000 units subq q 8 hours. 5. dilaudid 4 to 8 mg q 3 to 4 hours prn. 6. colace 100 mg po b.i.d. follow up: the patient was instructed to follow up with dr. of orthopedics. he was instructed to call the office at for scheduling of the right knee surgery, which should occur sometime in the following week after discharge. the patient was also to follow up with dr. in the trauma clinic and was instructed to call for scheduling of an appointment in approximately one to two weeks. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage arteriography of femoral and other lower extremity arteries closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus open reduction of fracture with internal fixation, radius and ulna closed reduction of dislocation of knee diagnoses: alcohol abuse, unspecified cocaine abuse, unspecified iatrogenic pneumothorax bacteremia closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury closed fracture of lumbar vertebra without mention of spinal cord injury closed fracture of orbital floor (blow-out) closed fracture of six ribs closed fracture of olecranon process of ulna 

Answer: The patient is high likely exposed to