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: traumatic injury major surgical or invasive procedure: 1. bilateral closed tube thoracostomies. 2. emergency cricothyroidotomy. 3. diagnostic laparoscopy. 4. exploratory laparotomy. 5. repair of diaphragmatic perforation. 6. formal tracheostomy. 7. left forearm fasciotomies. 1. washout of open abdomen with secondary closure. 2. placement of left chest tube. 3. repair of multiple abdominal wall wounds and thoracic wounds with placement of left anterior chest tube. percutaneous endoscopic gastrostomy placement history of present illness: the pt is a 57 year-old eritrean man who presents following multiple stab wounds to the chest, abdomen and left arm on , now not waking up off sedation. on the patient came home with multiple stab wounds to his chest, abdomen and arm, and his brother called 911 and brought him to the ed. in the ed he had 2 chest tubes placed, and intubation was attempted was attempted, but he was reportedly a difficult airway. an lma was initially placed, but the patient reportedly had sao2s in the 80s. an emergent criciotomy was performed in the ed, later converted to a trach. past medical history: pmh: none (per brother) : none : none soc: social etoh, 20pkyr smoking, no drugs social history: social hx: from . lives with his brother. ? of possible substance abuse history based on sw notes. and noted above family history: non contributory physical exam: physical exam upon admission: - limited, as patient had just recieved a bolus of fentanyl and was also on propofol vitals: t:101.2 p: 91 r: 18 bp: 109/48 (variable, ranges from 109-180 systolic) sao2: 100% general: cric in place, on ventilator, just received fentanyl bolus, also on propofol drip heent: nc/at, conjunctival injection, mmm neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: lungs cta bilaterally without r/r/w. bilateral chest tubes in place transmitting airway sounds cardiac: rapid, regular, no murmurs abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted, midline incision well healed. extremities: no c/c/e bilaterally, l arm bandaged. skin: no rashes or lesions noted. neurologic: -mental status: opens eyes briefly in response to voice, but does not follow commands, does not grimace or move in response to sternal rub or painful stimuli. -cranial nerves: pupils 2->3mm equal. disconjugate gaze, with mild l exotropia. dolls eyes, full on left, decreased abduction to right. corneal reflex on right, absent on left. intact gag reflex. -motor: normal bulk, tone throughout. does not retract from pain, does not hold limbs antigravity (per report, however, when less sedated he has been seen to move his legs and left arm spontaneously, but not his arm. -sensory: does not retract or grimace to pain (however had just received 100 of fentanyl) -dtrs: tri pat ach l 1 1 1 1 1 r 1 1 1 1 1 plantar response was flexor bilaterally. -coordination: unable to assess -gait: unable to assess pertinent results: 02:33am blood wbc-7.7 rbc-2.39* hgb-6.8* hct-21.4* mcv-90 mch-28.6 mchc-32.0 rdw-15.1 plt ct-393 02:02am blood wbc-14.1* rbc-2.66* hgb-7.6* hct-24.4* mcv-91 mch-28.7 mchc-31.3 rdw-15.2 plt ct-515* 01:54am blood wbc-17.6* rbc-3.34*# hgb-9.5* hct-30.1* mcv-90 mch-28.5 mchc-31.7 rdw-15.2 plt ct-759* 02:07am blood wbc-12.3* rbc-2.65* hgb-7.8* hct-24.1* mcv-91 mch-29.2 mchc-32.2 rdw-14.9 plt ct-552* 02:38am blood wbc-12.0* rbc-2.73* hgb-7.9* hct-24.8* mcv-91 mch-28.9 mchc-31.8 rdw-14.9 plt ct-570* 01:37am blood wbc-12.2* rbc-2.80*# hgb-8.0*# hct-25.7* mcv-92 mch-28.4 mchc-31.0 rdw-15.2 plt ct-586* 02:44pm blood hct-25.8* 01:12am blood wbc-13.1* rbc-2.20* hgb-6.3* hct-20.7* mcv-94 mch-28.7 mchc-30.5* rdw-14.5 plt ct-589* 01:16am blood wbc-19.7* rbc-2.63* hgb-7.8* hct-24.3* mcv-92 mch-29.7 mchc-32.2 rdw-14.8 plt ct-593* 01:12am blood wbc-13.1* rbc-2.20* hgb-6.3* hct-20.7* mcv-94 mch-28.7 mchc-30.5* rdw-14.5 plt ct-589* 01:16am blood wbc-19.7* rbc-2.63* hgb-7.8* hct-24.3* mcv-92 mch-29.7 mchc-32.2 rdw-14.8 plt ct-593* 02:00am blood wbc-19.1* rbc-2.96* hgb-8.4* hct-27.3* mcv-92 mch-28.4 mchc-30.8* rdw-14.6 plt ct-680* 01:49am blood wbc-12.8* rbc-2.68* hgb-7.9* hct-25.0* mcv-93 mch-29.6 mchc-31.6 rdw-14.5 plt ct-690* 02:01am blood wbc-14.3* rbc-2.86* hgb-8.7* hct-26.6* mcv-93 mch-30.5 mchc-32.8 rdw-14.3 plt ct-712* 01:53am blood wbc-12.1* rbc-2.69* hgb-8.2* hct-25.1* mcv-93 mch-30.3 mchc-32.5 rdw-14.2 plt ct-641* 04:01pm blood wbc-11.1* rbc-2.74* hgb-8.0* hct-25.5* mcv-93 mch-29.4 mchc-31.5 rdw-14.6 plt ct-625* 02:17am blood wbc-10.0 rbc-2.71* hgb-8.1* hct-25.3* mcv-94 mch-30.0 mchc-32.1 rdw-13.9 plt ct-579* 01:54am blood wbc-8.6 rbc-2.68* hgb-8.0* hct-24.8* mcv-93 mch-29.8 mchc-32.2 rdw-14.4 plt ct-502* 01:00pm blood wbc-10.4# rbc-3.07* hgb-9.2* hct-26.4* mcv-86 mch-30.1 mchc-34.9 rdw-13.9 plt ct-135* 04:43am blood wbc-5.7# rbc-3.09* hgb-9.5* hct-27.4* mcv-89 mch-30.8 mchc-34.7 rdw-13.9 plt ct-133* 07:22pm blood wbc-3.0*# rbc-3.26* hgb-9.5* hct-29.0* mcv-89 mch-29.3 mchc-33.0 rdw-13.4 plt ct-128* 02:31pm blood wbc-1.7* rbc-3.59* hgb-10.5* hct-32.1* mcv-89 mch-29.4 mchc-32.8 rdw-13.3 plt ct-142* 09:15am blood wbc-2.2*# rbc-3.08*# hgb-9.2*# hct-28.1*# mcv-91 mch-29.8 mchc-32.7 rdw-13.6 plt ct-227 02:31am blood wbc-8.7 rbc-4.56* hgb-13.6* hct-39.8* mcv-87 mch-29.8 mchc-34.2 rdw-13.2 plt ct-278 01:03am blood neuts-77.1* lymphs-16.2* monos-5.2 eos-1.1 baso-0.3 01:00pm blood neuts-90.9* lymphs-7.3* monos-1.3* eos-0.1 baso-0.3 02:33am blood plt ct-393 02:02am blood plt ct-515* 01:54am blood plt ct-759* 02:07am blood plt ct-552* 01:37am blood plt ct-586* 01:12am blood plt ct-589* 01:16am blood plt ct-593* 02:00am blood plt ct-680* 01:49am blood plt ct-690* 01:53am blood plt ct-641* 04:01pm blood plt ct-625* 02:17am blood plt ct-579* 01:54am blood plt ct-502* 01:54am blood pt-13.3 ptt-30.6 inr(pt)-1.1 02:12am blood plt ct-234 01:45am blood pt-15.2* ptt-37.4* inr(pt)-1.3* 08:05pm blood plt ct-153 08:05pm blood pt-15.4* ptt-36.4* inr(pt)-1.3* 02:31pm blood pt-14.6* ptt-38.0* inr(pt)-1.3* 09:15am blood plt ct-227 09:15am blood pt-16.1* ptt-37.9* inr(pt)-1.4* 05:43am blood pt-14.3* ptt-28.7 inr(pt)-1.2* 02:31am blood pt-12.3 ptt-19.6* inr(pt)-1.0 04:43am blood fibrino-220 02:31pm blood fibrino-155# 02:31am blood fibrino-311 01:37am blood esr-112* 02:33am blood glucose-105 urean-11 creat-0.8 na-144 k-3.1* cl-101 hco3-39* angap-7* 01:54am blood glucose-208* urean-28* creat-1.0 na-144 k-4.3 cl-98 hco3-38* angap-12 02:07am blood glucose-18* urean-25* creat-0.8 na-146* k-4.0 cl-103 hco3-38* angap-9 02:38am blood glucose-134* urean-20 creat-0.8 na-145 k-4.9 cl-102 hco3-38* angap-10 01:12am blood glucose-125* urean-38* creat-1.1 na-143 k-4.5 cl-102 hco3-35* angap-11 01:16am blood glucose-202* urean-30* creat-0.9 na-148* k-4.0 cl-105 hco3-34* angap-13 02:00am blood glucose-150* urean-29* creat-1.0 na-147* k-4.5 cl-106 hco3-33* angap-13 04:01pm blood glucose-131* urean-22* creat-0.9 na-142 k-3.5 cl-106 hco3-30 angap-10 01:54am blood glucose-140* urean-23* creat-0.9 na-147* k-3.7 cl-109* hco3-32 angap-10 01:29am blood glucose-108* urean-24* creat-0.8 na-147* k-3.4 cl-107 hco3-32 angap-11 01:02am blood glucose-153* urean-24* creat-1.0 na-142 k-3.2* cl-106 hco3-29 angap-10 02:11am blood glucose-160* urean-23* creat-1.0 na-144 k-3.7 cl-109* hco3-28 angap-11 02:07am blood estgfr-using this 02:01am blood estgfr-using this 02:00am blood estgfr-using this 02:02am blood alt-31 ast-35 alkphos-100 amylase-106* totbili-0.3 01:29am blood alt-46* ast-46* ld(ldh)-416* alkphos-174* amylase-286* totbili-0.7 01:53am blood alt-64* ast-108* alkphos-110 totbili-0.6 04:43am blood alt-31 ast-45* ld(ldh)-256* alkphos-26* amylase-168* totbili-0.4 02:31pm blood alt-25 ast-44* ld(ldh)-239 ck(cpk)-461* alkphos-29* totbili-0.7 09:15am blood alt-29 ast-38 ck(cpk)-319* alkphos-39 totbili-0.1 02:02am blood lipase-57 02:31am blood lipase-58 02:33am blood calcium-7.4* phos-2.5* mg-2.3 02:07am blood calcium-8.1* phos-3.8 mg-3.4* 02:38am blood calcium-8.6 phos-2.8 mg-2.7* 01:37am blood calcium-8.3* phos-3.8 mg-3.2* 02:00am blood calcium-8.5 phos-3.4 mg-3.1* 10:22am blood albumin-3.2* iron-9* 01:49am blood calcium-8.5 phos-3.6 mg-3.0* 02:01am blood calcium-8.3* phos-4.3 mg-2.9* 02:17am blood calcium-8.1* phos-3.6 mg-2.6 08:06pm blood calcium-7.9* phos-5.7*# mg-2.6 11:17am blood calcium-7.8* phos-3.5 mg-2.4 02:11am blood calcium-8.0* phos-3.0 mg-2.3 02:00am blood calcium-8.1* phos-3.1 mg-2.4 02:12am blood calcium-8.1* phos-3.1 mg-2.3 01:48am blood calcium-7.9* phos-7.1*# mg-1.9 01:45am blood calcium-8.4 phos-2.2*# mg-2.0 08:55pm blood calcium-8.1* phos-3.9 mg-1.9 08:55pm blood calcium-8.1* phos-3.9 mg-1.9 02:02am blood caltibc-185* ferritn-878* trf-142* 01:29am blood caltibc-147* ferritn-1539* trf-113* 01:53am blood caltibc-140* ferritn-739* trf-108* 09:52am blood type-art po2-125* pco2-58* ph-7.47* caltco2-43* base xs-16 12:50am blood type-art po2-94 pco2-64* ph-7.37 caltco2-38* base xs-8 04:22pm blood type-art rates-/22 tidal v-500 peep-5 fio2-50 po2-106* pco2-67* ph-7.35 caltco2-39* base xs-8 intubat-intubated 04:49am blood type-art rates-/20 fio2-40 o2 flow-10 po2-95 pco2-48* ph-7.46* caltco2-35* base xs-8 intubat-not intuba 02:23am blood type-art po2-108* pco2-48* ph-7.44 caltco2-34* base xs-6 05:34pm blood type-art ph-7.42 09:17am blood type-art po2-122* pco2-44 ph-7.40 caltco2-28 base xs-2 02:09am blood type-art po2-102 pco2-45 ph-7.42 caltco2-30 base xs-3 02:19am blood type-art po2-89 pco2-44 ph-7.47* caltco2-33* base xs-7 10:06am blood type-art po2-133* pco2-46* ph-7.45 caltco2-33* base xs-7 01:58am blood type-art po2-128* pco2-48* ph-7.47* caltco2-36* base xs-10 04:59am blood type-art po2-98 pco2-89* ph-7.01* caltco2-24 base xs--11 intubat-intubated 02:21am blood lactate-1.3 01:54pm blood k-3.5 02:05pm blood na-141 k-3.1* 02:00am blood glucose-100 01:10am blood glucose-153* 11:52am blood k-3.4* 05:34pm blood na-141 k-3.5 10:37am blood k-3.7 02:09am blood glucose-142* 01:53am blood glucose-95 lactate-1.6 09:10pm blood glucose-105 lactate-5.2* 01:08pm blood lactate-3.3* 03:17am blood glucose-182* lactate-9.8* na-143 k-3.0* cl-104 07:09am blood glucose-245* lactate-7.3* na-141 k-4.0 cl-111 calhco3-20* 06:23am blood glucose-184* lactate-4.1* na-140 k-4.5 cl-110 calhco3-22 04:59am blood glucose-183* lactate-4.0* na-139 k-3.8 cl-109 calhco3-22 04:40am blood glucose-172* lactate-6.9* na-137 k-4.0 calhco3-19* 03:17am blood hgb-9.7* calchct-29 02:17am blood hgb-9.2* calchct-28 12:50am blood hgb-10.8* calchct-32 o2 sat-100 06:23am blood hgb-12.8* calchct-38 05:37am blood hgb-12.1* calchct-36 04:59am blood hgb-11.5* calchct-35 o2 sat-93 brief hospital course: the pt is a 57 year-old eritrean man who presents following multiple stab wounds to the chest, abdomen and left arm on , now not waking up off sedation. on the patient came home with multiple stab wounds to his chest, abdomen and arm, and his brother called 911 and brought him to the ed. in the ed he had 2 chest tubes placed, and intubation was attempted was attempted, but he was reportedly a difficult airway. an lma was initially placed, but the patient reportedly had sao2s in the 80s. an emergent criciotomy was performed in the ed, later converted to a trach. the details of the initial interactions are in the operative note dictated on the first hospital night/day by the attending physician dr . this first set of operations included right chest tube placement, development of pulseless electrical activity, formal tracheostomy creation, intraoperative consultation for hand ischemia and primary repair of the left radial artery. the patient was taken to the trauma icu of and resuscitated/recovered. given the patient's injuries and open abdomen from the first series of operations, he was taken back for fomral abdominal closure and placement of an additional chest tube for continued pneumothorax on the left side. small injuries of the initial trauma were then also repaired at that time (). since that time period the patient was maintained in the icu. given the intensive care of the patient's day-to-day life, the remaining hospital stay will be summarized by organ system in appropriate detail. neuro: the patient's metnal status has been slow to improve. notably, the patient makes nonpurposeful movements of all extremities; the patient sticks out his tongue to command. per our neurology consultation service, "his mri of the brain (even the most recent one) is not characteristic of anoxic brain injury, however, the imaging does not have to follow a set pattern for a patient to have this. eeg was negative for seizure activity, but showed a lot of slow activity which was consistent with encephalopathy. his stool is being cultured for c. diff, and his urine grew enterococcus. his lp was not suggestive of an infection (prelim csf gram stain negative, cytology pending). neurology has no further recs, and will be signing off (communicated to tsicu)." cardiovascularly: patient has been hemodynamically stable using a beta blocker and a clonidine patch pulmonary: respiratory insufficiency has pervaded the hospital course, notably weaning to cpap+ps, minimal settings; with trach mask trial for 5 mins, which he did not tolerate tachypnea; chest tubes were promptly removed and are no longer in the patient. gi/abdominal: peg tube placed based on mental status; tolerating tube feeds but notably at this time the patient appears severely constipated and is currently undergoing a strong bowel regimen and enemas to reduce constipation renal: urine output and electrolytes are being monitored accurately with a foley catheter in place and daily repletions provided for electrolytes heme: hct slowly trending down but notably hemodynamically stable without a pressor requirement endocrine: regular insulin sliding scale id: recently febrile (>38c); managed with an infectious disease consult who have made the following recommendations based on current culture data: stable, on 2 weeks of vanc for bacteremia, on 15 days of cefepime for pseudomonal pneumonia. lp notably negative; sputum with pseudomonas. additionally, thoracic surgery was consulted to rule out the need for a decortication; they felt that there was no such need given the radiographs and the small size of effusions seen therein. lines / tubes / drains: foley, g-tube, trach, picc glycemic control: regular insulin sliding scale, lantus (r) protocol lines: picc line prophylaxis: dvt: boots, sq uf heparin stress ulcer: h2 blocker vap bundle: hob elevation, mouth care, daily wake up, rsbi comments: communication: icu consent signed comments: code status: full code medications on admission: none discharge medications: 1. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 2. cefepime 2 g iv q12h 3. vancomycin 1000 mg iv q 12h 4. potassium chloride 20 meq / 50 ml sw iv sliding scale k < 3.5 hold for k > 4.5 5. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. 6. senna 8.8 mg/5 ml syrup sig: one (1) po bid (2 times a day) as needed for constipation. 7. lidocaine-prilocaine 2.5-2.5 % cream sig: one (1) appl topical asdir (as directed) as needed for rash. 8. zinc oxide-cod liver oil 40 % ointment sig: one (1) topical qid (4 times a day) as needed for rash. 9. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). 10. peg-electrolyte soln recon soln sig: four (4) cc po asdir (as directed). 11. methadone 10 mg tablet sig: one (1) tablet po bid (2 times a day). 12. docusate sodium 50 mg/5 ml liquid sig: two (2) units of 5 cc po bid (2 times a day). 13. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation qid (4 times a day). 14. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 15. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 16. quetiapine 25 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for agitation. 17. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 18. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 19. heparin (porcine) 5,000 unit/ml solution sig: one (1) 5000u injection tid (3 times a day). 20. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 10-15 puffs inhalation q2h (every 2 hours) as needed for wheeze. 21. chlorhexidine gluconate 0.12 % mouthwash sig: three (3) ml mucous membrane (2 times a day). 22. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for dry eyes. 23. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 24. acetaminophen 160 mg/5 ml solution sig: fifteen (15) cc po q6h (every 6 hours) as needed for pain/fever. 25. insulin regular human 100 unit/ml solution sig: one (1) as directed by sliding scale injection as directed by sliding scale from tsicu. discharge disposition: extended care facility: & rehab center - discharge diagnosis: multiple traumatic injuries including: b/l pneumothorax lue compartment syndrome left radial artery tear left diaphragm injury discharge condition: hemodynamically stable, with ventilatory dependence, tube feed dependence given continued change in mental status discharge instructions: you have suffered multiple traumatic injuries and are still in the process of recovery come to the emergency room if you have: * fever above 101.5f * nausea, vomiting or diarrhea that doesn't stop * chest pain or pressure * opening up or drainage from your wound * any other concerning symptoms difficulties with your tracheostomy, gastrostomy tube, wounds, or sudden new symptoms of concern should prompt your return to the er or a call to our offices. followup instructions: trauma/critical care/general care issues: you are to call the trauma surgery office at in one week for follow up of these issues and continued care concerns. please bring a representative with you who can help guide you in your care and work with us to best help you. plastic surgery: please call the plastic surgery department of hand surgery at to set up an appointment on or after for removal of fasciotomy sutures and for further evaluation of your upper extremity function after surgery md, procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy fasciotomy closed [endoscopic] biopsy of bronchus fasciotomy of hand suture of artery delayed closure of granulating abdominal wound other suture of abdominal wall suture of laceration of diaphragm suture of laceration of chest wall diagnoses: urinary tract infection, site not specified unspecified protein-calorie malnutrition cardiac complications, not elsewhere classified assault by cutting and piercing instrument pneumonia due to pseudomonas pneumonitis due to inhalation of food or vomitus cardiac arrest anoxic brain damage bacteremia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other constipation streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] traumatic pneumothorax without mention of open wound into thorax traumatic shock open wound of forearm, complicated injury to diaphragm, with open wound into cavity traumatic compartment syndrome of abdomen traumatic compartment syndrome of upper extremity 

Answer: The patient is high likely exposed to