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: no known allergies / adverse drug reactions attending: chief complaint: fall major surgical or invasive procedure: orif left si joint and anterior ring pelvis-krod posterior instrumentation fusion t11-t12, l1, l2, l3 revision pelvic fixation with additional sacroiliac , additional symphysial plate and reinforcement with anterior external fixator frame. history of present illness: 52 year old gentleman who is s/p fall off of a ladder today while working on a tree. he fell 25 feet striking the left side of his body. he was taken to an osh for evaluation and imaging there showed an l1 burst fx with retropulsion of fragments, l5 transverse process fx, as well as an open book pelvic fracture. he was transferred to for further care and evaluated as a trauma upon arrival. per report he had no bulbocavernous reflex and decreased rectal tone. given this spine was emergently consulted and we evaluated the patient. he denies sensory deficit or perceived weakness. other injuries include open book pelvic fx, l1 burst, l5 tp fx. past medical history: pmh: htn, hld psh: r hand tendon surgery @ 18yo family history: nc physical exam: at admission: gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms intact without nystagmus neck: hard c-collar in place supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: abrasions along left side of torso. soft, nt, bs+ extrem: abrasions to left lle as well as ecchymosis along left lateral thigh and anterior foot. warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t we wf ip q h at g sensation: intact to light touch, proprioception, pinprick and vibration bilaterally. proprioception intact toes downgoing bilaterally rectal exam slightly decreased at discharge: afebrile, vss nad a&ox3 ex-fix pin sites without erythema or drainage lle: wwp, +dp pulse +ta g/s silt saph sural dpn spn plantar nerves pertinent results: 11:54pm glucose-138* urea n-17 creat-0.9 sodium-140 potassium-3.7 chloride-106 total co2-25 anion gap-13 11:54pm calcium-7.9* phosphate-3.9 magnesium-1.8 11:54pm wbc-9.3 rbc-3.65* hgb-11.8* hct-34.8* mcv-96 mch-32.3* mchc-33.8 rdw-14.1 11:54pm plt count-184 06:10pm urine hours-random 06:10pm urine gr hold-hold 06:10pm urine color-yellow appear-clear sp -1.030 06:10pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 06:10pm urine rbc-98* wbc-4 bacteria-none yeast-none epi-0 06:10pm urine hyaline-1* 06:02pm comments-green top 06:02pm glucose-155* lactate-1.7 na+-140 k+-3.6 cl--101 tco2-25 06:02pm hgb-14.4 calchct-43 05:55pm urea n-16 creat-1.1 05:55pm estgfr-using this 05:55pm lipase-55 05:55pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:55pm wbc-18.5* rbc-4.32* hgb-13.8* hct-42.0 mcv-97 mch-32.0 mchc-33.0 rdw-14.2 05:55pm plt count-225 05:55pm pt-10.9 ptt-22.7* inr(pt)-1.0 05:55pm fibrinoge-175* imaging: ct c/a/p - l1 burst fracture. displaced fracture of superior portion of left hemisacrum with widening of left sacroiliac joint. fracture of l5 transverse process. diastasis of the pubic symphisis. 6cm x 4cm left retroperitoneal hematoma. lle xrays: impression: no evidence of left lower extremity fracture. pelvis xray: impression: pubic symphysis and left sacroiliac joint diastasis. an external fixation device has been placed in the distal lower extremity. to evaluate for fracture, consider ct. ct t and l spine: impression: 1. no evidence of hardware complications. the lumbar fusion hardware is better evaluated on the concurrent lumbar spine ct. there is no evidence of postoperative hematoma or fluid collection. 2. stable burst fracture of l1 with persistent retropulsion of the fragment fractures and associated mild-to-moderate spinal canal narrowing. 3. bilateral small pleural effusions and dependent atelectasis. cxr 2 view: impression: no acute cardiopulmonary process. brief hospital course: mr. was initially admitted to the trauma sicu on for further management of his spinal and pelvic fractures. his initial toxicology screen was negative. he required 4 units of prbcs. on , he was taken to or with the orthopaedic surgery service for orif pelvic fracture. he tolerated the procedure well and was taken to the pacu and then the floor in stable condition. he remained stable during his floor course. on , he was transferred to the neurosurgery service and underwent the above stated procedure. post-operatively, he was transferred to the icu for acute anemia as well as pain management. he was fitted for a tlso brace to be worn while out of bed. hemovac drain was removed on . on , he was started on aspirin and his tlso brace was re-fitted due to discomfort. he was seen by the orthopaedic surgery service on due to complaints of "clicking" in his hips as well as pelvic pain. an x-ray of the pelvis was performed that showed loss of reduction wo he went back to the or for revision orif and ex-fix placement. the patient tolerated the procedure without complications and was transferred to the pacu in stable condition. please see operative report for details. post operatively pain was controlled with a pca with a transition to po pain meds once tolerating pos. the patient tolerated diet advancement without difficulty and made steady progress with pt. the patient received peri-operative antibiotics as well as lovenox for dvt prophylaxis. the incision was clean, dry, and intact without evidence of erythema or drainage; and the extremity was nvi distally throughout. the patient was discharged in stable condition with written instructions concerning precautionary instructions and the appropriate follow-up care. the patient will be continued on chemical dvt prophylaxis for 4 weeks post-operatively. all questions were answered prior to discharge and the patient expressed readiness for discharge. medications on admission: asa, lipitor, fish oil discharge medications: 1. aspirin 325 mg po daily 2. atorvastatin 20 mg po daily 3. fish oil (omega 3) 1000 mg po daily 4. acetaminophen 650 mg po q6h 5. bisacodyl 10 mg po/pr daily 6. diazepam 2-5 mg po q8h:prn spasm 7. docusate sodium 100 mg po bid 8. enoxaparin sodium 40 mg sc daily 9. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain hold for excess sedation or rr < 12. pls use iv as breakthrough rx *dilaudid 2 mg every four (4) hours disp #*80 tablet refills:*0 10. milk of magnesia 30 ml po q6h:prn constipation 11. senna 1 tab po qhs discharge disposition: extended care facility: discharge diagnosis: - left sacroiliac joint dissociation and symphysial disruption with vertical shear pelvic fracture - s/p orif anterior ring with plating and s/p orif left sacroiliac joint with sacroiliac . - l1 burst fracture s/p posterior approach for open reduction, instrumented fusion t10, t11, t12, l1, l2-l3, l4 using bilateral pedicle , posterior rods, cross-links, global system; autologous autograft using right sided iliac crest; allograft (morselized bone); open reduction. back pain post operative anemia constipation scrotal edema discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: as above discharge instructions: neurosurgery instructions: ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? dressing may be removed on day 2 after surgery. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? wear the tlso brace any time you are out of bed or chair. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine. ?????? any weakness, numbness, tingling in your extremities. ?????? any signs of infection at the wound site: redness, swelling, tenderness, and drainage. ?????? fever greater than or equal to 101?????? f. ?????? any change in your bowel or bladder habits (such as loss of bowl or urine control). orthopedic surgery instructions: ******signs of infection********** should experience severe pain, increased swelling, decreased sensation, difficulty with movement; fevers >101.5, chills, redness or drainage at the incision site; chest pain, shortness of breath or any other concerns. -wound care: you can get the wound wet/take a shower starting from 3 days post-op. no baths or swimming for at least 4 weeks. any stitches or staples that need to be removed will be taken out at your 2-week follow up appointment. no dressing is needed if wound continued to be non-draining. ******weight-bearing******* strict non-weight bearing in left lower extremity. touch down to full weight bearing in right lower extremity for transfers to chair or commode only. it is ok to go to cahir or commode, but no other activity. ******medications*********** - resume your pre-hospital medications. - you have been given medication for your pain control. please do not operate heavy machinery or drink alcohol when taking this medication. as your pain improves please decrease the amount of pain medication. this medication can cause constipation, so you should drink 8-8oz glasses of water daily and take a stool softener (colace) to prevent this side effect. -medication refills cannot be written after 12 noon on fridays. *****anticoagulation****** - take lovenox for dvt prophylaxis for 4 weeks post-operatively. physical therapy: strict non-weight bearing in left lower extremity. touch down to full weight bearing in right lower extremity for transfers to chair or commode only. it is ok to go to cahir or commode, but no other activity. treatments frequency: physical therapy wound care nursing followup instructions: follow up instructions/appointments for neurosurgery: ??????please return to the office in days (from date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. to be seen in 8 weeks. ??????you will need ct-scan of the lumbar spine prior to your appointment. this can be scheduled at the same time as your appointment. orthopedic surgery follow-up: ******follow-up********** please have your sutures/staples removed at your rehabilitation facility at post-operative day 14. please follow up with in days post-operation for evaluation. call to schedule appointment upon discharge. please follow up with your pcp regarding this admission and any new medications/refills. md, procedure: removal of implanted devices from bone, other bones excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique application of external fixator device, other bones open reduction of fracture with internal fixation, other specified bone open reduction of fracture with internal fixation, other specified bone repair of vertebral fracture repair of vertebral fracture repair of vertebral fracture unilateral repair of inguinal hernia, not otherwise specified other skeletal traction fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: unspecified essential hypertension acute posthemorrhagic anemia constipation, unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation closed fracture of lumbar vertebra without mention of spinal cord injury accidental fall from ladder closed fracture of sacrum and coccyx without mention of spinal cord injury inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) other mechanical complication of other internal orthopedic device, implant, and graft edema of male genital organs abrasion or friction burn of other, multiple, and unspecified sites, without mention of infection multiple open pelvic fractures with disruption of pelvic circle 

Answer: The patient is high likely exposed to