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: status post-crush injury. major surgical or invasive procedure: 1. exploratory laparotomy. 2. oversewing of multiple mesenteric vessels. 3. oversewing of liver laceration. 4. small intestinal resection. 5. exploratory laparotomy and peritoneal irrigation. 6. small intestinal resection x3. 7. near enterectomy with right colectomy. history of present illness: mr. is a 46 m s/p crush injury at construction site. he was unfortunately pinned between two trucks and was brought in by ems, initially hemodynamically stable, complaining of inability to feel below his umbilicus. in the emergency department he was alert, oriented, and responsive. an initial fast exam was negative, however, mr. shortly began complaining of difficulty breathing and was noted to have an increasingly distended abdomen. repeat fast exam was equivocal and a subsequent dpl was grossly positive. he was taken emergently to the or for exploratory laparotomy. past medical history: cad, dm2, s/p cabg social history: supportive and involved family network. worked as a foreman in construction family history: noncontributory. physical exam: vs: gen: awake, alert, oriented x3. complaining of decreased sensation below the umbilicus intermittently heent: loss of l eye vision in all fields cv:rrr pulm: breath sounds equal bilaterally. good chest wall excursion. abd: soft nt/nd. nl rectal tone without induration. incision with good granulation tissue pelvis:stable. ext: no injuruy. min edema neuro: moves all extremities pertinent results: trauma #2 (ap cxr & pelvis por clip # impression: 1. no definite evidence of osseous injury. unusual appearance of the right proximal femur is most likely related to prominent osteophytes, although ct scan could be performed if there is clinical concern for a femoral neck fracture. chest radiograph is severely limited due to exclusion of the upper thorax. 2. severe degenerative changes of the hips bilaterally, slightly worse on the --------- chest (portable ap) clip # conclusion: endotracheal tube in position as described above. bilateral patchy pulmonary opacities consistent with pulmonary contusion and/or edema. --------- ct head w/o contrast clip # impression: probable mild cerebral edema without evidence of herniation. this may be secondary to generalized fluid overload status of the patient. close followup and clinical correlation is recommended. no evidence of hemorrhage or traumatic injury. --------- ct chest w/o contrast; ct abdomen w/o contrast clip # impression: 1. distraction injury of the lumbar spine at the level of l1/l2 with mild 3-4 mm retrolisthesis of l1 over l2. no definite osseous spinal canal narrowing is appreciated. however, ct does not provide good detail of the epidural or intradural spacea. mri could be considered to evaluate spine injury if indicated. 2. thickened remaining small bowel could represent bowel wall edema related to surgery and fluid overload, but residual bowel ischemia cannot be excluded. 3. left transverse process fractures of l1, l2 and l4 as described above. 4. bilateral large pleural effusions with associated atelectasis. 5. packing material within the abdominal cavity. --------- ct c-spine w/o contrast clip # impression: 1. preserved cervical spine alignment. tiny osseous focus visualized superior to the c7 spinous process, which may represent a chip fracture versus a dystrophic calcification. 2. lung effusions and consolidation, right greater than left. --------- ct t-spine w/o contrast clip # impression: 1. no evidence of traumatic injury to the thoracic spine. 2. large bilateral effusions with consolidations, right greater than left. l1 fracture. please refer to the lumbar spine report for further details. --------- ct l-spine w/o contrast clip # impression: avulsion fracture of the anterior portion of the inferior endplate of the l1 vertebra, with widened disc space consistent with a hyperextension injury. left l4 transverse process fracture with an equivocal left l2 transverse process fracture. --------- liver or gallbladder us (singl clip # impression: findings equivocal for cholecystitis. hida scan is recommended for further evalutaion. --------- mr head w/o contrast; mra brain w/o contrast clip # mri brain findings: no intracranial mass lesion, hydrocephalus, shift of normally midline structures, minor or major vascular territorial infarct impression: no findings to suggest brain swelling. subgaleal scalp fluid collection. opacification of the maxillary sinuses, right mastoid air cells, and ethmoid sinus. ---------- mr cervical spine w/o contrast; mr thoracic spine w/o contrast clip # impression: small amount of prevertebral fluid may indicate ligamentous injury, even in the absence of direct evidence of such. please note that the quality of study is compromised by motion artifact. ---------- mr cervical spine w/o contrast; mr thoracic spine w/o contrast clip # impression: small amount of prevertebral fluid may indicate ligamentous injury, even in the absence of direct evidence of such. please note that the quality of study is compromised by motion artifact. ---------- mr l spine w/o contrast clip # impression: three column ligamentous disruption, including torn anterior wedged in ligament, posterior longitudinal ligament and ligamentum flavum, as well as left facet capsule disruption. this constitutes an unstable injury. no hemorrhage or spinal cord compromise. ----------- brief hospital course: he was admitted to the trauma surgery service under the care of dr. . he was taken to the or on after positive dpl where he was found to have extensive damage to the sma, liver laceration, small bowel perforation and retroperitoneal bleed. artery, laceration and retroperitoneal bleed were repaired and a section of jejunum was resected, abodmen was packed and he was sent back to the tsicu. on he was taken back to the or where bowel was resected from the jejunum through of transverse colon. abdomen was packed and he was sent back to tsicu. he remained in the tsicu with steady improvement in his clinical status. a tracheostomy was performed, and a passy-muir valve was placed. tpn was administered via picc line for long-term nutrition. ophthalmology was consulted as pt complained of loss of vision in left eye; they feel this represents a traumatic optic neuropathy and that it is likely irreversible at this stage. he is pending an attending level evaluation medications on admission: none discharge medications: 1. lo-peramide 2 mg tablet sig: one (1) tablet po four times a day: please administer as a scheduled medication. 2. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 3. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). 4. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 5. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed. 6. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 7. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qtues (every tuesday). 8. acetaminophen 500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 9. ibuprofen 100 mg/5 ml suspension sig: one (1) po q8h (every 8 hours) as needed. 10. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 11. glutamine 10 g packet sig: one (1) packet po tid (3 times a day). 12. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 13. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours). 14. hydromorphone 2 mg tablet sig: one (1) tablet po q2h (every 2 hours). 15. meropenem 1 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 3 days: to complete a 14 day course. 16. heparin lock flush (porcine) 100 unit/ml syringe sig: ten (10) ml intravenous daily (daily) as needed. 17. dolasetron 12.5 mg/0.625 ml solution sig: 12.5 mg intravenous q8h (every 8 hours) as needed for nausea. 18. citrucel 2 g/19g powder sig: one (1) po three times a day. discharge disposition: extended care facility: - discharge diagnosis: status post-crush injury. small bowel mesenteric injury with small bowel resection traumatic right optic neuropathy discharge condition: good discharge instructions: 1. continue meropenem 1 gram iv q 8 until 2. continue tpn at goal 2150 cal 110g protein 3. please contact dr. for all questions regarding this patient ( followup instructions: with dr. in 2 weeks: call ( to schedule appointment. with dr. in 2 weeks: call ( to schedule appointment. with opthalmology, please call ( to schedule appointment. md, procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other partial resection of small intestine interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage lumbar and lumbosacral fusion of the anterior column, posterior technique temporary tracheostomy open and other right hemicolectomy other small-to-large intestinal anastomosis other repair of abdominal wall excision of bone for graft, other bones transfusion of packed cells suture of artery repair of vertebral fracture transfusion of other serum multiple segmental resection of small intestine closure of laceration of liver peritoneal lavage transfusion of platelets fusion or refusion of 2-3 vertebrae perioperative autologous transfusion of whole blood or blood components diagnoses: bacteremia pneumonia due to escherichia coli [e. coli] infection and inflammatory reaction due to other vascular device, implant, and graft acute vascular insufficiency of intestine closed fracture of lumbar vertebra without mention of spinal cord injury nontraffic accident involving other off-road motor vehicle injuring pedestrian traumatic shock injury to spleen without mention of open wound into cavity, unspecified injury other optic neuritis profound impairment, one eye, impairment level not further specified other injury to small intestine, without mention of open wound into cavity injury to liver without mention of open wound into cavity, laceration, moderate injury to primary branches of superior mesenteric artery crushing injury of other specified sites of trunk traumatic compartment syndrome of abdomen 

Answer: The patient is high likely exposed to