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: s/p fall from ladder left ankle fracture major surgical or invasive procedure: s/p left ankle orif history of present illness: 43 yo male s/p fall of -20 feet from ladder. pt states he slipped and fell on left ankle/foot. no loc, no head trauma, landed on feet. went to osh where xray showed shattered talus. pt transferred to for orthopedic follow up. past medical history: ocd social history: +etoh daily +tob ? drugs family history: nc physical exam: 98.6 106 142/92 14 96%ra general: a x o x3, gcs 15 heent: no e/o head trauma, no hemotymp., no cervical midline tenderness, in collar, perrla 3-->2 mm trachea midline ctab s1s2 rrr abd: obese, nt, nd le: swelling and ecchymosis around left ankle, good pulses, warm extremities, no loss of sensation pelvis: stable pertinent results: 05:50pm glucose-125* urea n-14 creat-1.0 sodium-144 potassium-3.8 chloride-108 total co2-23 anion gap-17 05:50pm wbc-14.1* rbc-4.50* hgb-14.3 hct-41.4 mcv-92 mch-31.7 mchc-34.4 rdw-13.3 05:50pm neuts-92.9* bands-0 lymphs-5.3* monos-1.6* eos-0 basos-0.2 05:50pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 05:50pm plt smr-normal plt count-294 05:50pm pt-13.1 ptt-22.8 inr(pt)-1.1 pelvis xr: neg cxr: right clavicular fracture (age undet) with mild ac joint widening left knee: neg left foot: neg tib/fib left: neg ankle: 1) comminuted, displaced fracture of the talus, with complete disruption of the ankle mortise. 2) probable subtle non-displaced fracture of the distal fibula. brief hospital course: on hd #1 the patient underwent successful orif of left ankle. the post operative course was complicated by low oxygen saturations to the 80%'s on fio2 of 100% and prevented extubation post or. the low o2 sats was likely from bronchospasm. the patient had respiratory acidosis and was started on atrovent mdi's and increased peep. his oxygenation improved, but he remained tachycardic and hypotensive. his blood pressure responded well to ns boluses. a cta chest was negative for pe. he was transferred to the ticu and sedated with dt precautions/cewa scale. while in the ticu he was successfully extubated, but then developed drowsiness & agitation, which required an ativan drip. on hd #6, he was weened off ativan drip, with significant improvement in mental status. he was transferred to floor on hd#7. . while on the floor he developed a pansensitive pseudomonas urinary tract infection and was treated for 7 days with antibiotics (ceftaz x 2 days, cipro x 5 days). he was also followed by the psychiatry team, social workers, case managers, and physical therapists who deemed him safe for discharge and with psychiatric follow up as an outpatient. he was discharged home on hd #17. medications on admission: none discharge medications: 1. enoxaparin sodium 40 mg/0.4ml syringe sig: forty (40) mg subcutaneous daily (daily) for 14 days: last day . disp:*14 syringes* refills:*0* 2. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* 3. citalopram hydrobromide 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: comminuted, displaced, fracture of the talus, with complete disruption of ankle mortise; probable subtle, non-displaced fracture of the distal fibula urinary tract infection, pansensitive pseudomonas discharge condition: stable discharge instructions: 1. take the pain medications as needed 2. practice your exercises per physical therapy as directed 3. do not place weight on your left foot until cleared by dr 4. call your doctor greater than 101f, change in color or sensation of your foot, persistent pain, nausea or vomiting, redness or pus from wound, or any other questions. also call your doctor if you are feeling unsafe or are concerned of hurting yourself of others. followup instructions: 1.please follow up with dr in 2 weeks. call for an appointment, . 2. follow up with wayside health clinic @ , , . you have an appointment with at 12:30pm on . the phone number to the clinic is . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances open reduction of fracture with internal fixation, tarsals and metatarsals open reduction of dislocation of ankle diagnoses: acidosis urinary tract infection, site not specified other and unspecified alcohol dependence, unspecified accidental fall from ladder pseudomonas infection in conditions classified elsewhere and of unspecified site alcohol withdrawal delirium closed fracture of clavicle, unspecified part closed fracture of astragalus sprain of tibiofibular (ligament), distal of ankle 

Answer: The patient is high likely exposed to