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: history of present illness: the patient is a 70 year-old male with multiple medical problems status post motor vehicle accident restrained driver auto versus tree with injuries of a right hemothorax, pneumomediastinum, right rib fractures 6th through 8th, t10 compression fracture and thoracic wedge deformity. on presentation the patient only complained of some rib pain, gcs of 15. past medical history: 1. atrial fibrillation. 2. congestive heart failure. 3. coronary artery disease. 4. benign prostatic hypertrophy. 5. gastroesophageal reflux disease. 6. insulin dependent diabetes mellitus. 7. chronic renal insufficiency. past surgical history: none. social history: denies etoh or tobacco. allergies: penicillin. medications at home: 1. aspirin 81 q day. 2. coumadin q.h.s. 3. diltiazem 240 q day. 4. terazosin two q day. 5. lasix 40 q day. 6. spironolactone 25 q day. 7. isosorbide 120 q day. 8. lopressor 25 q day. 9. quinine 225 q day. 10. nph 70 q.a.m., 80 q.p.m. and a regular insulin sliding scale. 11. gabapentin 600 q day. 12. loratadine 10 q day. 13. amitriptyline 25 q day. 14. finasteride 5 q day. 15. ________________ 250 microgram inhaler. 16. tylenol prn. 17. colace, senna and lactulose prn. physical examination: the patient had a temperature of 100.8. blood pressure 142/palp. heart rate 82. respirations 18. satting at 93 on 4 liters nasal cannula. white blood cell count was 8.8, hematocrit 33.3, platelets 254, sodium 133, potassium 4, chloride 97, co2 31, bun 52, creatinine 1.6, which is stable, glucose 242. inr 2.1, ptt 26.3, lactate 2.3, serum tox was negative. pupils are equal, round and reactive to light 3 to 2 bilaterally. extraocular movements intact. tympanic membranes clear. oropharynx is clear. the patient is chronic atrial fibrillation. regular rate. no rubs. clear to auscultation with decreased breath sounds at the bilateral bases. the patient is obese. nontender. positive distention, but soft. chest had no deformities or tenderness. pelvis si stable. flanks no deformities or costovertebral angle tenderness. c spine no deformities or step off. tls no deformities or step offs. rectal guaiac negative, good rectal tone. extremity examination was significant for chronic venostasis, 2+ edema and a right knee abrasion. chest x-ray showed a right pleural effusion versus hemothorax. chest examination was within normal limits. chest x-ray and pelvis were within normal limits. ct of the abdomen was negative. ct of the chest showed a small amount of pneumomediastinum, right pleural effusion versus hemothorax, but no pneumothorax. also showed anterolateral rib fractures on the right 6th through 8th. a gastrograph and upper gastrointestinal was obtained to rule out esophageal perforation and showed no extravasation and was within normal limits. hospital course: ct surgery was consulted regarding the pneumomediastinum and hemothorax. their recommendations were conservative management secondary to the negative upper gastrointestinal and their thoughts were that the rib fractures may have attributed to the pneumomediastinum. in the trauma bay there was difficulty obtaining access with the foley catheter. a urology consult was obtained and a large coude catheter was inserted by a senior urology resident. the patient was transferred to the unit for close monitoring and anticoagulation was reversed with fresh frozen platelets and vitamin k. ct also showed a t10 compression fracture in which orthopedics was consulted. log roll precautions were being followed until an adequate neurological examination could be performed. on transfer to the unit the patient developed respiratory distress with decrease in sats. the patient was intubated secondary to difficulty ventilating and a decrease in hematocrit. chest tube was also placed for the right hemothorax at this time. the patient's chest tube was placed on for respiratory distress and discontinued on without problems. the patient tolerated this well. during the patient's intensive care unit course the patient developed a metabolic alkalosis and was given diamox to correct this. the patient also had positive sputum and was treated with a course of levaquin for this region. the patient was extubated on and subsequently transferred to the floor in stable condition. the hospital course on the floor was remarkable for an episode of lethargy and transient desaturations. an arterial blood gas was obtained, which was within normal limits and a chest x-ray showed mild heart failure. the patient was given his night dose of lasix and had aggressive pulmonary toilet, chest physical therapy and incentive spirometry. this improved the patient's saturations and the patient was alert and oriented times three with good breath sounds throughout. the patient also had positive blood cultures and catheterization tip of methicillin resistant staphylococcus epidermis in which five days of vancomycin were administered. infectious disease was consulted and agreed with this management. the patient's foley catheter was discontinued and the patient was able to void on his own although incontinent. physical therapy and occupational therapy had worked continuously with the patient and recommended a rehabilitation center upon discharge. respiratory care was also consulted for a cpap q.h.s. as the patient uses cpap at home. in conclusion upon discharge the patient was neurologically stable and in no acute distress, alert and oriented times three. the patient's cardiac status was stable with chronic rate control atrial fibrillation, congestive heart failure on multiple cardiac medications. gastrointestinal, the patient was tolerating a cardiac/diabetic healthy diet without problems. genitourinary wise the patient was voiding on his own with stable benign prostatic hypertrophy taking terazosin. electrolytes were within normal limits. the patient was stay in a tlso brace as per orthopedics times three months with follow up. respiratory wise the patient will continue to receive aggressive suctioning, chest physical therapy and incentive spirometry at rehab. infectious disease wise the patient was afebrile with a normal white count and will finish the course of vancomycin on the day of discharge. disposition: to a rehabilitation center with instructions to call a physician if he experiences fever, chills, shortness of breath, chest pain, lethargy, visual changes. the patient was instructed to use incentive spirometry and self suction. the patient was instructed to use tlso brace times three months. discharge diagnoses: 1. pneumomediastinum. 2. right hemothorax status post chest tube placement. 3. respiratory distress status post intubation. 4. t10 compression fracture/wedge deformity. 5. right rib fractures 6th through 8th. 6. chronic atrial fibrillation. 7. chronic obstructive pulmonary disease. 8. coronary artery disease. 9. congestive heart failure. 10. benign prostatic hypertrophy. 11. gastroesophageal reflux disease. 12. insulin dependent diabetes mellitus. 13. cri. the patient is to follow up in the trauma clinic in two to three weeks and to call the office for an appointment. the patient is to follow up with dr. times two weeks. the patient was asked to follow up with primary care physician regarding restarting coumadin and discontinuing the lovenox upon discharge from the rehab center. the patient was to continue on lovenox until otherwise instructed by primary care physician. patient is status post right chest tube placement and the patient is status post endotracheal intubation on . discharge condition: stable. discharge medications: 1. gabapentin 600 q day. 2. aspirin 325 q day. 3. isosorbide 20 b.i.d. 4. spironolactone 25 q day. 5. quinine sulfate 325 q.h.s. 6. diltiazem 60 q.i.d. 7. tylenol 325 prn. 8. lasix 40 q day. 9. lopressor 25 b.i.d. 10. terazosin two q.h.s. 11. lovenox 30 subq q 12. 12. percocet 5/325 one to two tabs po q 4 to 6 hours prn. 13. salmeterol discus ih q 12. 14. fluticasone aerosol two puffs b.i.d. 15. ipratropium aerosol two puffs q.i.d. 16. albuterol inhaler two puffs q 4 to 6. 17. insulin 70 q.a.m., 80 q.p.m., regular insulin sliding scale with finger sticks q.i.d. 18. amitriptyline 25 q day. 19. colace 100 b.i.d. prn. 20. lactulose prn. 21. senna prn. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances transfusion of packed cells transfusion of other serum transfusion of platelets other immobilization, pressure, and attention to wound diagnoses: pulmonary collapse traumatic pneumohemothorax without mention of open wound into thorax alkalosis closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury infection and inflammatory reaction due to other vascular device, implant, and graft motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of three ribs contusion of knee 

Answer: The patient is high likely exposed to