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: helmeted motocyclist who hit tree major surgical or invasive procedure: 1. irrigation and debridement down to and inclusive of bone, right open femur fracture. 2. retrograde intramedullary nailing with synthes 11 x 360 nail. 3. open reduction and internal fixation of patella fracture with k-wires and figure-of-8 tension band construct. tracheostomy ivc filter picc right bascilic vein history of present illness: 21 y.o. male helmeted moped rider who struck a tree with reported gcs of 6 on the scene. patient was transported to osh and noted to have a right sided open femur fracture. he received antibiotics and was intubated prior to transfer. patient was transported and had radiographic studies performed that showed right femur fracture, sah, grade ii liver lac, pulmonary contusions, and small ptx. patient reportedly received 1 unit of prbcs in the ed and was placed into a traction splint on rle. past medical history: none social history: tobacco none etoh none family history: non-contributory. physical exam: 96.9 130 150/97 20 100% intubated and sedated heent - l eye abrasions, pupils nonreactive bilaterally cta b/l rapid hr, regular rhythm sndnt pelvic fracture + palpable distal pulses pertinent results: 04:35am blood wbc-17.7* rbc-4.76 hgb-15.2 hct-45.5 mcv-96 mch-32.0 mchc-33.5 rdw-13.2 plt ct-314 12:50am blood wbc-7.6 rbc-2.73* hgb-9.0* hct-25.0* mcv-92 mch-32.8* mchc-35.9* rdw-13.5 plt ct-188 01:49am blood wbc-9.4 rbc-2.42* hgb-7.8* hct-21.7* mcv-89 mch-32.1* mchc-35.9* rdw-14.5 plt ct-148* 03:13am blood wbc-9.2 rbc-2.87* hgb-9.0* hct-25.6* mcv-90 mch-31.6 mchc-35.3* rdw-15.0 plt ct-128* 01:40am blood wbc-7.7 rbc-2.78* hgb-8.8* hct-24.6* mcv-88 mch-31.5 mchc-35.7* rdw-15.4 plt ct-164 12:53am blood wbc-8.9 rbc-2.94* hgb-9.3* hct-26.2* mcv-89 mch-31.8 mchc-35.6* rdw-15.7* plt ct-220 01:08am blood wbc-7.7 rbc-2.99* hgb-9.5* hct-27.3* mcv-91 mch-31.7 mchc-34.7 rdw-15.5 plt ct-313 02:32am blood wbc-8.4 rbc-2.91* hgb-9.0* hct-26.9* mcv-92 mch-30.9 mchc-33.5 rdw-15.6* plt ct-412 01:58am blood wbc-12.1* rbc-2.86* hgb-9.0* hct-26.5* mcv-93 mch-31.6 mchc-34.0 rdw-15.2 plt ct-418 02:12am blood wbc-14.4* rbc-3.00* hgb-9.3* hct-27.6* mcv-92 mch-30.9 mchc-33.7 rdw-14.7 plt ct-556* 01:59am blood wbc-14.7* rbc-3.25* hgb-10.0* hct-29.7* mcv-91 mch-30.6 mchc-33.6 rdw-14.5 plt ct-748* ct head - multiple foci of parenchymal hemorrhage as well as small amount of likely subarachnoid hemorrhage. the location of some of these foci at the -white matter interface is concerning for diffuse axonal injury ct cspine - no fracture or traumatic malalignment in the cervical spine ct torso - extensive pulmonary contusions, worse on the right than the left. hepatic lacerations with a small amount of abdominal and pelvic free fluid of intermittent density. bilateral rib fractures. right femur/knee xrays - there is a mid shaft femoral fracture with mild varus angulation of the distal fragment relative to the proximal. there is also medial subluxation by ~ 1 cortical width. mri cspine - edema in the interspinous ligaments from c3-c4 through c7-t1, without evidence of distraction. lobal central canal narrowing due to congenital short pedicles. this is slightly exacerbated by a disc bulge at c3-4. no cord signal abnormality. moderate right c4-5 neural foramen narrowing due to uncovertebral osteophytes. bilateral le lenis - no deep venous thrombosis involving the right or left lower extremity. lue leni - no deep venous thrombosis in the left upper extremity. ct abdomen/pelvis - right pleural effusion with associated compressive atelectasis. considerable improvement in the appearance of the right lobe of the liver laceration. small amount of free fluid in the pelvis. fractures of the left first and right fourth and fifth ribs. fracture of the right transverse process of t1. brief hospital course: the patient was admitted to the trauma icu. - patient was admittd to the icu. he was taken to the operation room with ortho for orif of his right femur (see operative report for full details). neurosurgery was consulted and an icp was placed. he was started on dilantin and q1 hour neurochecks. - the patient was transfused 4u prbc for a decreasing hct. he had a right femur hematoma which was expanding but his limb was soft and there was no fear of compartment symdrome. his hct stabilized. head ct was stable. - his icp was discontinued and neurosurgery signed off. head ct was stable. - mr of head and c-spine were performed. - bilateral le and lue lenis were performed which demonstrated no dvt. - the patient went the or with the acute care service for tracheostomy and ivc filter placement. - patient dc'ed his dophoff tube twice. - a ct a/p was done because of persistent fevers and rising white count. no source for his fevers was identified. patient was put to trach collar. : awake, off-versed, following commands. passed s&s for regular diet and passy valve. bal cultures grew mrsa, kept only on vanc now. patient ready to be transferred to floor, waiting for a bed. ` following transfer to the surgical floor he continued to make slow progress. his trach tube was plugged with a pmv and he tolerated it well. after confirming no aspiration by video swallow he was tolerating a regular diet with thin liquids. the physical therapy and occupational therapy services followed him on a daily basis to increase his mobility and increase cognitive abilities. his memory is decreased and he occasionally has some confusion but is improving each day. he has a picc line placed on for iv antibiotics and will require vancomycin thru for mrsa pneumonia. he has minimal secretions but is undergoing nebulizer treatments. potentially his ivc filter can be removed but dr. will re evaluate in a few weeks therefore he will need to return to the clinic. he will also follow up in the neuro cognitive clinic with dr. following his discharge from rehab. after a lonfg hospitalization he was transferred to rehab on for further therapy with the goal to return home soon. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for temp > 101.5. 2. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 3. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 4. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day) as needed for abrasions. 5. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 6. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours). 7. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. vancomycin 1,000 mg recon soln sig: 1500 (1500) mg intravenous every eight (8) hours: thru . 10. morphine concentrate 20 mg/ml solution sig: fifteen (15) mg po q2h (every 2 hours) as needed for pain. 11. hydromorphone (dilaudid) 1-2 mg iv q2h:prn pain please use for breakthrough only after po/ng msir. 12. 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. discharge disposition: extended care facility: hospital - discharge diagnosis: s/p scooter v tree 1. left eye abrasion 2. rib fractures right , left 1 3. bilat pulmonary contusions 4. grade 2 liverlaceration 5. open right femur fracture 6. right thigh laceration 7. right patellar fracture 8. right metatarsal neck fracture 9. small sah 10.right tp fracture t1 11. 12.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 hospital with multiple injuries following your accident including head trauma, rib fractures, knee fracture and liver laceration. * you have made alot of progress but will need further rehabilitation before you can return home. * you are now breathing well on your own with your trach tube plugged and hopefully it will be removed as you improve. * continue to work with physical therapy to increase your mobility. followup instructions: please follow up with , np in orthopaedics in 1 month, please call to schedule that appointment. call the clinic at for a follow up appointment in weeks call the vascular surgery clinic at for an appointment in 2 weeks with dr. . call the clinic at for a follow up appointment in 6 weeks with dr. . you will need a head ct prior to your appointment. the secretary can book that for you. call dr. in the neuro cognitive clinic at for an appointment after your discharge from rehab procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances other bronchoscopy other bronchoscopy percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus open reduction of fracture with internal fixation, tibia and fibula debridement of open fracture site, femur closed reduction of fracture with internal fixation, femur intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: acute posthemorrhagic anemia cocaine abuse, unspecified closed fracture of patella closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury traumatic pneumothorax without mention of open wound into thorax contusion of lung without mention of open wound into thorax open fracture of shaft of femur closed fracture of three ribs subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration other motor vehicle traffic accident involving collision on the highway injuring motorcyclist open wound of hip and thigh, without mention of complication methicillin resistant pneumonia due to staphylococcus aureus closed fracture of metatarsal bone(s) injury to liver without mention of open wound into cavity, laceration, moderate 

Answer: The patient is high likely exposed to