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: cefazolin attending: chief complaint: s/p 40 fall major surgical or invasive procedure: irrigation and debridement, orif open humerus fracture left,irrigation and debridement and orif open elbow fracture left 1. orif sacral and pelvic fracture.2. application of pelvis ex-fix. 3. revision of left elbow orif history of present illness: 37 year old male who presents by ambulance after suffering 40 foot fall off cherry picker. positive loc. pt perseverating asking repeat questions. pt has gross deformity to left arm with open wound. pt also complains of pain to head, back, tingling in left leg, pain with deep breathing and abdominal pain. past medical history: denies social history: sh: denies smoking, alcohol or drugs. family history: noncontributory physical exam: upon presentation to : constitutional: pt on backboard in obvious pain heent: abrasion to left forehead with mild crepitus collar in place chest: decreased breath sounds due to pain with inspiration. abrasions to left chest cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, mild diffuse tenderness to abdomen. no rebound pelvic: pain to sacrum rectal: normal tone with no gross blood extr/back: left arm deformity with skin open wound. decreased sensation to left foot. dp palp bilaterally skin: multiple abrasions including head, left arm and lateral chest neuro: speech fluent psych: normal pertinent results: 06:00am blood wbc-7.2 rbc-3.11* hgb-9.3* hct-26.7* mcv-86 mch-29.9 mchc-34.8 rdw-14.5 plt ct-196 02:36am blood hct-26.7*# 04:00pm blood hct-21.0* 06:00am blood wbc-6.6 rbc-2.84* hgb-8.4* hct-23.8* mcv-84 mch-29.6 mchc-35.2* rdw-14.5 plt ct-147* 02:38am blood wbc-16.2* rbc-4.27* hgb-12.8* hct-36.6* mcv-86 mch-29.9 mchc-34.9 rdw-14.2 plt ct-174 09:39pm blood wbc-20.4* rbc-4.10* hgb-11.7* hct-35.6* mcv-87 mch-28.6 mchc-33.0 rdw-14.0 plt ct-210 06:40pm blood wbc-16.7* rbc-4.62 hgb-13.9* hct-39.4* mcv-85 mch-30.0 mchc-35.2* rdw-14.0 plt ct-277 06:00am blood plt ct-196 06:00am blood pt-12.2 inr(pt)-1.0 06:00am blood plt ct-147* 06:00am blood glucose-113* urean-11 creat-0.5 na-143 k-3.6 cl-104 hco3-32 angap-11 01:00pm blood glucose-102* urean-10 creat-0.6 na-141 k-3.8 cl-104 hco3-28 angap-13 01:50am blood glucose-107* urean-8 creat-0.7 na-142 k-3.6 cl-103 hco3-32 angap-11 06:00am blood calcium-7.6* phos-2.2* mg-2.1 01:00pm blood calcium-7.5* phos-3.3 mg-1.8 01:50am blood calcium-8.3* phos-2.2* mg-2.1 02:30am blood lactate-1.1 : chest x-ray: findings: single supine ap portable view of the chest was obtained. underlying trauma board partially obscures the view. there are relatively low lung volumes. left lateral pulmonary contusions seen on subsequent chest ct are better appreciated on that study, as are multiple left-sided rib fractures. the right lung is clear. no pleural effusion is seen. small loculated left pneumothorax is also not appreciated on the current study, but seen on subsequent ct, due to differences in modality. the superior mediastinum is slightly prominent. the cardiac silhouette is not enlarged. : c-spine: impression: no acute fracture or malalignment. : cat scan of the head: impression: 1. small left frontal scalp hematoma. however, no acute skull fracture. 2. no intracranial hemorrhage. : cat scan of abdomen and pelvis: impression: 1. comminuted fracture of the left superior and inferior pubic rami with mild pubic symphysis diastasis. 2. vertical fracture through the left sacrum involving multiple sacral neural foramina. 3. surrounding pelvic hematoma. 4. no evidence of bladder injury on ct cystogram. 5. small anterior mediastinal hematoma may be venous in origin. no traumatic aortic injury or sternal fracture. 6. multiple left-sided pulmonary contusions and possible laceration. 7. nondisplaced rib fractures involving bilateral 1st and left 3rd, 4th, 5th, and 12th ribs, as above. mildly displaced fractures of the left l1 through l5 tranverse processes 8. small amount of air in the pleural space. 9. spiral fracture of left humerus identified on scout image. : cta chest: impression: 1. comminuted fracture of the left superior and inferior pubic rami with mild pubic symphysis diastasis. 2. vertical fracture through the left sacrum involving multiple sacral neural foramina. 3. surrounding pelvic hematoma. 4. no evidence of bladder injury on ct cystogram. 5. small anterior mediastinal hematoma may be venous in origin. no traumatic aortic injury or sternal fracture. 6. multiple left-sided pulmonary contusions and possible laceration. 7. nondisplaced rib fractures involving bilateral 1st and left 3rd, 4th, 5th, and 12th ribs, as above. mildly displaced fractures of the left l1 through l5 tranverse processes 8. small amount of air in the pleural space. 9. spiral fracture of left humerus identified on scout image. : ir: impression: initial pelvic angiography demonstrated a focus of hemorrhage in the territory of the internal iliac artery which was not seen onsubselective angiography and repeat angiography of the internal iliac. resolution of bleeding corresponded to improvement in patient's hemodynamics suggesting resolution of bleeding without intervention. : cat scan of upper extremity: impression: 1. comminuted fracture of the humeral midshaft, with medial angulation of the major distal fracture fragment and shortening of the limb with overriding of the fracture fragments. 2. highly comminuted fracture of the elbow, with comminuted fractures involving the lateral epicondyle extending to the capitellar articular surface, comminuted fracture of the olecranon, fracture of the trochlea, and radial head fracture. large joint effusion. see discussion above. : left foot x-ray: no acute fracture or dislocation is detected on these views. if clinical suspicion for foot fracture remains high, then further assessment on an oblique view would be recommended. : left ankle x-ray: left ankle no fracture or dislocation is detected about the left ankle. the mortise is grossly congruent. left foot, two views. no acute fracture or dislocation is detected on these views. if clinical suspicion for foot fracture remains high, then further assessment on an oblique view would be recommended. : left elbow x-ray: impression: 1. comminuted mid shaft humeral fracture with large butterfly fragments and overriding of the fracture fragments. 2. moderate medial angulation of the major distal fracture fragment. 3. additional fracture of the lateral epicondyle of the humerus extending to the articular surface. 4. suspected additional fractures of capitellum, trochlea, radial head, and ulna. see additional ct study for more complete evaluation. : x-ray of the pelvis: comminuted fractures of left superior and inferior pubic rami, pubic symphysis diastasis and vertical fracture throughout the left sacrum are again noted, probably unchanged when compared to prior study, ct, though comparison is difficult due to difference in technique. surgical clips project in the right lower quadrant : chest x-ray: cardiomediastinal contours are unchanged with cardiomegaly and widened mediastinum due to increased mediastinal fat. there are low lung volumes. there is no pneumothorax or large pleural effusions. there is mild vascular congestion. multiple left rib fractures with adjacent pleural and parenchymal abnormalities are unchanged from prior ct from . : cat scan of upper extremity: impression: status post orif of the left mid humerus, distal humerus, and olecranon, as above without definite hardware complication. : lower extremity fluro: 277 fluoroscopic spot radiographs demonstrate orif complex pelvic fracture. : x-ray of left arm: final report history: revision left elbow fracture. fluoroscopic assistance provided to surgeon in the or without the radiologist present. 17 spot views obtained. these demonstrate hardware in relation to the distal humerus and proximal ulna. fluoro time not recorded on the electronic requisition. correlation with real-time findings and when appropriate, conventional radiographs is recommended for full assessment. 9:30 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. brief hospital course: 37 year old gentleman admitted to the acute care service after a 40 foot fall with loss of consciousness. upon admission, he was made npo, given intravenous fluids and underwent radiographic imaging. he was hypotensive and tachycardic requiring packed red blood cells. his imaging showed a pelvic fracture, rib fractures, and a left humerus/elbow fracture. because of his injuries, he was evaluated by the orthopedic service. he was admitted to the trauma intensive care unit due to his hemodynamic instability. during his stay in the intensive care unit, he required additional blood cell products and pressor support to maintain his blood pressure. the source of his bleeding was not identified and he was taken to ir for angiography. initial pelvic angiography demonstrated a focus of hemorrhage in the territory of the internal iliac artery. the bleeding did resolve without intervention and the hematocrit stabilized. once his hemodynamic status stabilized, he was taken to the operating room on hod #2 for an i+d/orif of left humerus and olecranon fracture. during his operative course, he had a 500cc blood loss and required pressor support. he was monitored in the intensive care unit after the procedure and was extubated within 24 hours. he returned to the operating room on hod #5 for orif left pelvis and external fixator. at the same time he also underwent an i+d of his left elbow and revision of implant. during this procedure, he had a 900cc blood loss. he was extubated in the operating room and monitored in the recovery room. he was transferred to the surgical floor on where he continued to progress. his iv narcotics were switched to oral with adequate response. his weight bearing status was upgraded to wbat on both right upper and right lower extremities while remaining nwb on the left upper and lower extremities. on hd #6 he was noted with a drop in his hematocrit to 20 without hemodynamic instability. he was transfused with 2 u prbc and his current hematocrit is 26.7. because of this acute drop, his anticoagulants were held. serial hematocrits were followed thereafter and once stable he was started on lovenox 40 mg daily as prophylaxis. he was evaluated by physical and occupational therapy and recommendations were made for his discharge to a rehabilitation facility because of his decreased mobility and physical limitations. medications on admission: none discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stool. 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po tid (3 times a day). 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 8. hydromorphone 2 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain: hold for increased sedation, resp. rate <12. disp:*30 tablet(s)* refills:*0* 9. enoxaparin 40 mg/0.4 ml syringe sig: forty (40) mg subcutaneous daily (daily). discharge disposition: extended care facility: house nursing & rehabilitation center - discharge diagnosis: s/p fall injuires: left open humeral shaft fracture left open elbow fracture left sacral fracture thru foramen/pubic diastasis left sup/inf pubic rami fracture mediastinal hematoma left 1st-3rd rib fracture right 1st rib fracture small pulmonary contussion acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hosptial after a 40 foot fall. you sustained a pelvic fracture, rib fractures, and a left arm fracture. you were taken to the operating room where you had your left arm and elbow repaired with plates and screws. you also had your pelvis repaired. you are now medically stable enough to be discharged to a rehabilitation facility wher3 you will have more intensive physical therapy to help re-build strength and endurance. you are prescribed a blood thinning injection called lovenox to prevent you from developing blood clots. once you are able to fully walk and put weight on your legs this medication can be stopped. this will be determined by the orthopedic and the at the rehab facility. followup instructions: please follow up with the acute care service in 2 weeks. you can schedule your appointment by calling # . please let them know that you will need a chest x-ray prior to your visit. you will also need to follow up with orthopedics, dr. /np in 2 weeks. the telephone number is # . please tell them you would like your appointment on a thursday so dr. will also be available. procedure: arteriography of femoral and other lower extremity arteries arterial catheterization open reduction of fracture with internal fixation, radius and ulna application of external fixator device, other bones open reduction of fracture with internal fixation, other specified bone debridement of open fracture site, radius and ulna open reduction of fracture with internal fixation, humerus debridement of open fracture site, humerus other skeletal traction internal fixation of bone without fracture reduction, radius and ulna application of external fixator device, ring system diagnoses: acute posthemorrhagic anemia traumatic pneumothorax without mention of open wound into thorax accidents occurring in unspecified place contusion of lung without mention of open wound into thorax closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis other accidental fall from one level to another injury to unspecified pelvic organ, without mention of open wound into cavity closed fracture of four ribs open fracture of unspecified part of lower end of humerus open fracture of olecranon process of ulna open fracture of shaft of humerus 

Answer: The patient is high likely exposed to