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: no known allergies / adverse drug reactions attending: chief complaint: trauma s/p mvc major surgical or invasive procedure: examination under anesthesia and closed treatment of pelvic ring fracture history of present illness: 51 f passenger side of jeep involved in mvc rollover confused at scene and intubated at osh for decreased mental status. past medical history: none social history: involved in accident with her husband, son and son's girlfriend patient's family drinks alcohol socially family history: non-contributory physical exam: on admission: hr: 114 bp: 104p resp: 20 o(2)sat: 100 normal heent: normocephalic, atraumatic, pupils equal, round and reactive to light midface stable c. collar placed chest: left-sided chest wall crepitus rhonchorous breath sounds bilaterally cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender, nondistended rectal: decreased rectal tone extr/back: +2 dp bilaterally +2 radial pulse bilaterally obvious degloving of the left proximal wrist elbow no active bleeding no obvious deformity of the right upper extremity or bilateral lower extremities skin: warm and dry, no rash neuro: sedated and not moving any extremities pertinent results: admission imaging ct head: no evidence of acute intracranial hemorrhage ct cspine: negative ct of the chest: patient is intubated with the endotracheal tube terminating approximately 4 cm above the carina. an ng tube is seen coursing through the esophagus with its tip terminating in the stomach. no mediastinal, axillary, or hilar lymphadenopathy. substantial subcutaneous emphysema is noted at the left chest tube insertion site. small left pneumothorax is seen. there are small bilateral pleural effusions. opacity in the left upper lobe measuring 1.7 x 1.0 cm is identified (2:11) which could be related to contusion. additional areas of ground-glass opacity (2:27) in the right lung as well as (2:22 and 2:25), potentially sequela of trauma. ct abdomen: liver, gallbladder, and spleen are unremarkable. bilateral kidneys enhance and excrete contrast symmetrically. cyst seen at the superior pole of the left kidney. there is an outpouching of the left renal vein inferiorly concerning for pseudoaneurysm (2:59). it measures 1.5 x 1.8 x 1.3 cm. there is also a small amount of retroperitoneal fluid tracking along the pararenal fat planes bilaterally concerning for hemorrhage. additionally, the right adrenal gland is enlarged measuring 3.0 x 3.6 cm. the small and large bowel are unremarkable. the pancreas is normal in appearance. ct of the pelvis: there is a trace amount of pelvic free fluid. bladder and uterus are normal in appearance. no pelvic or inguinal adenopathy is noted. bones: multiple fractures are noted including the left-sided superior and inferior pubic rami (2:112), right pubic symphysis. in addition, a fracture of the sacral ala is present on the left (2:89) as well as s1 on the right. fracture of the left l1, l2, bilateral l3, l4 and right l5 transverse processes identified. in addition, rib fractures of the left first, second, third, fourth, fifth, sixth, seventh, eighth and eleventh left ribs are present as well as the left scapula (2:13) and right second rib. there are posterior and anterolateral left rib fracures at 5 consecutive levels. impression: 1. left renal vein pseudoaneurysm, presumably acute. 2. enlargement of the right adrenal gland conpatible with hemorrhage in the trauma setting. 3. retroperitoneal hematoma seen bilaterally, likely due to combination of right adrenal hemorrhage, left renal vein pseudoaneurysm, transverse process fractures. 5. multiple fractures as described above, noting 5 consecutive levels of posterior and anterolateral fractures on the left raising possibility of flail chest. lumbar transverse process and left scapular fractures. 4. left-sided chest tube with small pneumothorax. 5. left upper lobe pulmonary contusion. 06:51pm wbc-13.3* rbc-2.54* hgb-8.4* hct-25.7* mcv-101* mch-33.2* mchc-32.7 rdw-13.7 06:51pm plt count-197 06:51pm pt-12.2 ptt-26.1 inr(pt)-1.1 06:51pm urine color-yellow appear-clear sp -1.007 06:51pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 06:51pm urine rbc-1 wbc-6* bacteria-few yeast-none epi-1 renal epi-<1 06:51pm urine hyaline-4* 06:51pm urine mucous-rare 06:51pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:51pm lipase-148* 06:51pm urea n-8 creat-0.8 07:08pm freeca-0.90* 07:08pm hgb-8.7* calchct-26 o2 sat-94 carboxyhb-3 met hgb-0 07:08pm glucose-126* lactate-1.2 na+-135 k+-3.1* cl--115* 07:08pm po2-104 pco2-46* ph-7.21* total co2-19* base xs--9 comments-green top 10:06pm type-art po2-510* pco2-38 ph-7.31* total co2-20* base xs--6 11:05pm plt count-148* 11:05pm wbc-10.6 rbc-3.76*# hgb-12.0# hct-36.0# mcv-96 mch-31.8 mchc-33.2 rdw-15.8* 11:05pm calcium-6.6* phosphate-2.5* magnesium-1.6 11:05pm glucose-138* urea n-9 creat-0.9 sodium-139 potassium-3.9 chloride-109* total co2-22 anion gap-12 labs on discharge: 09:00am blood wbc-12.6* rbc-3.02* hgb-9.3* hct-29.2* mcv-97 mch-30.9 mchc-31.9 rdw-16.7* plt ct-431 06:00am blood glucose-96 urean-13 creat-0.4 na-141 k-3.9 cl-101 hco3-36* angap-8 06:00am blood calcium-8.4 phos-3.7 mg-2.0 06:30am urine color-yellow appear-hazy sp -1.012 06:30am urine rbc-1 wbc-12* bacteri-mod yeast-none epi-1 transe-<1 06:30am urine castgr-1* 06:30am urine amorphx-rare 06:30am urine mucous-rare brief hospital course: the patient was admitted to the trauma icu for close management of her multiple traumatic injuries. she remained intubated until hd#2 and required multiple blood transfusions initially. after extubation she required bipap for a short period of time as well as some diuresis and her respiratory status improved so she was transferred to the floor on . her hospital course is summarized by systems below: neuro: she had altered mental status upon arrival and was intubated for airway protection. she was extubated on hd2 and was initially delirious and agitated. she required antipsychotics and intermittent benzodiazepines for inital concern for alcohol withdrawal. however, her mental status began to improve and after further questioning of the patient and her family no significant alcohol history was found. benzos were discontinued at that time and she was started on seroquel which helped with her agitation. by the time of discharge she was alert with intermittent confusion and lethargy, but calm and cooperative. her cognitive function was evaluated by occupational therapy who recommended ongoing cognitive therapy after discharge for her traumatic brain injury/concussion. cv: she was initially hypotensive on admission likely due to traumatic shock. she required initially resuscitation with multiple units of rbc's and fluids. her hemodynamics stablized within 28 hours and she was extubated. while her blood pressure was stable after extubation, she was persistently tachycardia which was thoguht to be due to agitiation/delirium and given that her hematocrit was stable and she had no signs of infection. she was started on lopressor and clonidine and transferred to the floor. on the floor she remained hemodynamically stable and her clonidine was discontinued on . pulm: she had extensive bilat rib fractures, a l chest tube was placed for pneumothorax. it was kept to suction. she was initially ventilated and weaned to extubation on hd2. after extubation fluid overload was evident on chest xray and clinically and she was diuresed intermittently with lasix, to which she responded well. when alert, pulmonary toileting and incentive spirometry were encouraged. her supplemental oxygen was weaned as tolerated and she remained without respiratory compromise. on she had a chest xray which showed moderate left sided pleural effusion but decrease in size from prior xrays with no evidence of infiltrates or pneumothorax. gi: she was kept npo, with an og tube. tube feeds were started while in the icu. after extubation her diet was advanced as tolerated as her mental status improved. she was also started on a bowel regimen given the administration of narcotics for pain managment. gu: her uop was closely monitored as a foley catheter was inserted on admission. her uop responded appropriately to initial resuscitation and her foley catheter was removed on at which time she voided without difficulty. on a u/a was positive for infection and she was started on 5 days of cipro starting . msk: she had extensive pelvic fractures, for which orthopedic surgery took her to the operating room on to stress the pelvis and check the stability. her pelvis was determined to be stable (see operative note by dr. for details). she was then made weightbearing as tolerated on bilateral lower extremities and mobilized out of bed with physical therapy. she also had multiple spinous process fractures for which no intervention was needed aside from pain control. she had a large degloving injury to her l forearm. plastic surgery was consulted and did a bedside washout and closure. wet-to-dry dressing changes were performed thereafter, and f/u was scheduled for after discharge for future management of the injury and possible split thickness skin graft. prophylaxis: she was placed on pneumoboots and sc heparin for dvt prophylaxis. social work was involved with the patient's course and her family throughout her hospitalization given the circumstances around the accident. ms. is currently afebrile with stable vital signs. she is tolerating a regular diet and voiding adequate amounts of urine. she is without respiratory compromise. her mental status is improving and she remains alert and oriented, with intermittent confusion. she is being discharged to rehab to continue her recovery. medications on admission: none discharge medications: 1. acetaminophen 1000 mg po tid 2. heparin 5000 unit sc tid 3. oxycodone (immediate release) 5-10 mg po q4h:prn pain 4. quetiapine fumarate 12.5 mg po bid:prn agitiation 5. senna 1 tab po bid 6. docusate sodium 100 mg po bid 7. albuterol 0.083% neb soln 1 neb ih q6h:prn sob 8. ipratropium bromide neb 1 neb ih q6h 9. ciprofloxacin hcl 500 mg po q12h duration: 5 days 10. valsartan 320 mg po daily 11. rosuvastatin calcium 20 mg po daily 12. potassium chloride 40 meq po daily hold for k > 13. hydrochlorothiazide 25 mg po daily hold for sbp<100 14. fish oil (omega 3) 1000 mg po daily discharge disposition: extended care facility: - discharge diagnosis: s/p mvc: 1. concussion 2. stable pelvic fractures 3. multiple rib fractures (left , 11 rib fractures. posterior and anterior fractures at 5 levels, right 2nd rib fracture) 4. left upper lobe pulmonary hematoma 5. small left apical pneumothorax 6. l1-l5 transverse process fractures of the spine 7. left scapula fracture 8. left renal vein pseudo aneurysm 9. left forearm degloving injury 10. acute blood loss anemia 11. acute respiratory failure 12. traumatic shock 13. urinary tract infection discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital after being involved in a motor vehicle accident. you sustained multiple injuries including broken ribs, collapse in your lung, broken pelvis, broken left scapula, breaks in the bony prominences of your spine, and a left forearm "degloving injury". you also sustained a concussion from your accident. you were taken to the operating room by the orthopedic surgeons to evaluate your pelvic fractures which were determined to be stable. you may bear weight as tolerating on your legs. your left arm wound will require daily dressing changes with a wet to dry dressing. keep your left arm dry and do not get wound wet. please follow up with the plastic surgeons at the appointment scheduled for you regarding further treatment for you left arm wound. you sustained rib fractures which can cause severe pain and subsequently cause you to take shallow breaths because of the pain. you should take your pain medicine as as directed to stay ahead of the pain otherwise you won't be able to take deep breaths. if the pain medication is too sedating, take half the dose and notify your physician. is a complication of rib fractures. in order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. this will help expand the small airways in your lungs and assist in coughing up secretions that pool in the lungs. you will be more comfortable if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep breathing. symptomatic relief with ice packs or heating pads for short periods may ease the pain. do not smoke. return to the ed right away for any acute shortness of breath, increased pain or crackling sensation around your rips (crepitus). narcotic pain medication can cause constipation. thefore you should take a stool softener twice daily and increase your fluid and fiber intake if possible. if your doctor allows, non steriodal anti-inflammatory drugs are very effective in controlling pain (i.e. ibuprofen, motrin, advil, aleve, naprosyn) but they have their own set of side effects so make sure your doctor approves. followup instructions: department: spine center when: monday at 4:30 pm with: , md building: sc clinical ctr campus: east best parking: garage *you will need xrays prior to this visit so please arrive 15 mins early to center radiology department: general surgery/ when: thursday at 2:30 pm with; dr. with: acute care clinic building: lm bldg () campus: west best parking: garage *you will need a chest x-ray prior to this appointment. please go to , clinical center, radiology 30 minutes prior to your appointment. department: orthopedics when: tuesday at 9:20 am with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: tuesday at 9:40 am with: , np building: campus: east best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified closure of skin and subcutaneous tissue of other sites closed reduction of fracture without internal fixation, other specified bone diagnoses: urinary tract infection, site not specified acute posthemorrhagic anemia traumatic pneumothorax without mention of open wound into thorax closed fracture of lumbar vertebra without mention of spinal cord injury delirium due to conditions classified elsewhere contusion of lung without mention of open wound into thorax concussion with loss of consciousness of unspecified duration flail chest traumatic shock closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis closed fracture of eight or more ribs motor vehicle traffic accident due to loss of control, without collision on the highway, injuring passenger in motor vehicle other than motorcycle acute respiratory failure following trauma and surgery other fluid overload open wound of wrist, without mention of complication open wound of finger(s), without mention of complication injury to other intra-abdominal organs without mention of open wound into cavity, adrenal gland open wound of forearm, without mention of complication closed fracture of scapula, other injury to renal vein 

Answer: The patient is high likely exposed to