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: dilaudid / contrast attending: chief complaint: s/p mvc, multiple traumatic injuries major surgical or invasive procedure: - acdf c2/3 history of present illness: mr. is a 63 year old man who was involved in an mvc in which he was t-boned by another driver going ~30-40mph. he was initially taken to hospital where he was stabilized and imaging revealed that he had a r posterior acetabular blowout fx and a l c2 pillar fx. he was transferred to our institution because of a question of involvement of the vertebral artery. past medical history: pmh: cad s/p mi w/ stenting x4, diabetes type ii, hyperlipidemia, htn, ?musculoskeletal disorder, l4-s1 backpain/?nerve damage, c2-c7 spinal stenosis s/p laminectomy/fusion social history: sochx: works in materials maintenance at hospital, no tobacco/etoh/illegal drugs family history: non-contributory physical exam: admission: afebrile, vss a&o x 3, nad bue skin clean and intact, no tenderness to palpation, no pain with passive rom arms and forearm compartments soft axillary, radial, median, ulnar silt epl fpl ei ed fdp fdi b t delts intact bilaterally 2+ radial pulses rle shortened and externally rotated, laceration over knee with eccymosis r knee ttp and pain with passive rom, stable to valgus/varus stress, negative anterior/posterior drawer thighs and leg compartments soft lle skin clean and intact, no ttp, no pain with passive rom saphenous, sural, deep peroneal, superficial peroneal, tibial silt rle: gc ta lle: fhl gc ta q h ip 2+ pt and dp pulses pertinent results: labs: imaging: cxr findings: portions of the chest and pelvis are obscured by the underlying trauma backboard. lung volumes are markedly diminished. evidence of cervical fusion hardware is noted at the superior edge of the radiograph incompletely evaluated. the superior mediastinum is wide but well defined. the cardiac silhouette is within normal limits for size. the costophrenic angles are difficult to assess due to overlying structures. no large effusion or pneumothorax is noted on the supine radiograph. the patient has undergone prior median sternotomy and cabg. no displaced fractures are evident. the iliac crests have been excluded from view. the right greater trochanter has been excluded from view as well. there is a displaced bony fragment corresponding to the posterior right acetabular wall. there is at least subluxation of the right femoral head as well. small bony fragments project also inferiorly in the joint space. however, the iliopectineal and ilioischial lines are intact. the sacrum likewise demonstrates no fracture. there is baseline bony deformity of both femoral heads due to significant underlying degenerative disease. the proximal left femur is grossly unremarkable. impression: wide mediastinum with well-defined margins. if there is concern for mediastinal vascular injury, cross-sectional imaging is advised. there is at least the posterior wall of the right acetabulum fracture with likely subluxation to possible dislocation of the right femoral head. judet views or cross-sectional imaging advised. brief hospital course: he was seen and evaluated by the acute care surgery team in the ed. orthopedics was consulted for the acetabular fracture and was able to reduce his dislocated hip and placed traction pins while the patient was in the ed. orthopedic spine was also consulted for the c2 pillar fracture. he was transferred to the trauma icu once stabilized in the ed. his hospital course is as follows by systems: neuro: there was concern for vertebral artery injury based on preliminary imaging. because of allergies to contrast and gadolinium he was unable to undergo a cta, instead a non-contrast mri/mra of the neck was obtained which showed no acute vertebral artery injuries or dissection. he was taken to the or with orthopedic spine the following day for acdf of c2/c3. post-op, he was left in a hard collar which should stay in place for 8-12 weeks per the spine team. he is awake, alert and oriented x3 and moving all 4 extremities. he will follow up in 2 weeks with orthopedic spine surgery. cv: he was restarted on his home antihypertensive and cardiac medications on admission. he remained hemodynamically stable. pulm: he was left intubated postop from his acdf due to the anesthesia team's concerns for laryngeal nerve damage and edema given the extensive instrumentation of his cervical spine. he was eventually weaned from the ventilator and successfully extubated. he is currently on room air with o2 saturations 98%. fen/gi: he was made npo and maintained on iv fluids when he was first admitted. he was restarted on his diabetic diet and is tolerating this. gu: a foley catheter was placed to monitor the patient's urine output; this has since been discontinued and he is voiding on his own. heme: his hct on admission was 39.5; at time of discharge his hct is 25.7 which is up from a hct of 21 postoperatively. he was transfused with 1 unit packed red cells. endo: his oral hyperglycemic medications were initially held while he was npo. his finger stick blood glucose levels were checked routinely and he was covered with a regular insulin sliding scale. his oral agents were eventually restarted. id: no active issues. musculoskeletal: he underwent orif acetabular fracture, transverse posterior wall without any complications on . postoperatively he is to remain touch down weight bearing. he will follow up in clinic in 2 weeks time. he is receiving heparin sq and compression boots for dvt prophylaxis. dispo: he was seen and evaluated by physical and occupational therapy and is being recommended for rehab after his acute hospital stay. medications on admission: glyburide 0.657mg qd, simcastatin 90mg qhs, isosorbide 60ml daily, isodorbide 30mg qhs, atenolol 25mg daily, asa 325, demerol 50mg prn, alium 5mg prn anxiety, zetia 10mg daily, citalopram 60mg daily discharge medications: 1. isosorbide mononitrate 60 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po qam (once a day (in the morning)). 2. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po hs (at bedtime). 3. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 6. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 7. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 8. glyburide 1.25 mg tablet sig: 0.5 tablet po daily (daily). 9. insulin regular human 100 unit/ml solution sig: one (1) dose injection every six (6) hours as needed for per sliding scale: see attached. 10. morphine 15 mg tablet extended release sig: one (1) tablet extended release po q12h (every 12 hours). 11. morphine 15 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. 12. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 13. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 14. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 15. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 16. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: extended care facility: - ( hospital of and islands) discharge diagnosis: s/p motor vehicle crash forehead laceration left c2 pillar fracture right posterior acetabular blowout fracture acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital following an auto crash where you sustained fractures of your cervical spine and your right leg. both injuries required operations to repair. you will be required to wear a hard cervical collar for at least the next 2 months. it is being recommended that you not put full weight on your right leg. followup instructions: follow up in 2 weeks with orthopedics, call for an appointment. follow up in 2 weeks with dr. , ortho spine, call for an appointment. procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc linear repair of laceration of eyelid or eyebrow open reduction of fracture with internal fixation, other specified bone repair of vertebral fracture fusion or refusion of 2-3 vertebrae closed reduction of fracture without internal fixation, other specified bone diagnoses: unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status open wound of scalp, without mention of complication open wound of forehead, without mention of complication old myocardial infarction epilepsy, unspecified, without mention of intractable epilepsy closed fracture of c1-c4 level with other specified spinal cord injury other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle delirium due to conditions classified elsewhere arthrodesis status closed fracture of acetabulum concussion, with loss of consciousness of 30 minutes or less 

Answer: The patient is high likely exposed to