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 pedestrian struck by auto major surgical or invasive procedure: 1. pelvic angiography and embolization of distal branch pseudoaneurysm site of active bleeding from left internal pudendal (coils and gelfoam). 2. open reduction and internal fixation, right sacroiliac joint. 3. open reduction and internal fixation, left sacroiliac joint. 4. open reduction and internal fixation, anterior column fracture, with retrograde columnar screw. 5. placement of right femoral filter (bard g2 type). history of present illness: 64 year old male pedestrian who was crushed under his car at low speed. no reported loc. he was transported from the scene directly to the emergency room. past medical history: 1. coronary artery disease 2. cabgx4 15 years ago 3. history of myocardial infarction 4. gout 5. hypercholesterolemia 6. s/p melanoma resection social history: married, lives with supportive wife, and has a daughter-in-law who is an internist at . non-smoker. occasional etoh. no drug use. family history: non-contributory physical exam: on discharge: gen: nad, resting comfortably heent: perrl, ioms intact chest: ctab cv: rrr, s1,s2, no murmurs abd: s/nd/nt, +bs, no masses extremities: wwp, no edema, 2+ pulses, incisions cdi, rom limited by pain in lower extremities, non-weight bearing. rue with splint in place. pertinent results: ct chest/abdomen/pelvis (): impression: 1. extensively comminuted displaced fractures of the left superior and inferior pubic rami. the fracture of the superior pubic ramus extends into the the acetabulum and is associated with small active extravasation and contrast pooling at this site, most likely related to injury of the external pudendal artery. 2. innumerable fractures of both sacral alae, extending into the sacroiliac joints, with marked diastasis and off-set on the left ("open book" fracture of the left hemipelvis), with associated moderate hematoma anterior to the right sacral ala, likely related to venous hemorrhage. 3. hematoma in the right psoas muscle, which may relate to lumbar transverse process fractures. 4. small amount of free fluid is noted within the pelvis, consistent with hematoma. small amount of fluid is also noted within the posterior pararenal spaces bilaterally. however, there is no evidence of visceral injury in the abdomen or pelvis. 5. fractures l5 bilateral and l4 right transverse processes. 6. small bilateral pleural effusion. 7. small axial hiatal hernia. . ap pelvis (): pelvis: single ap view of the pelvis demonstrates markedly displaced and extensively comminuted fractures of the left superior and inferior pubic rami, with apparent involvement of the ischium but no definite acetabular involvement in this limited view. there is a so-called "open book" fracture of the left hemipelvis with marked diastasis of the left sacroiliac joint with significant, roughly 15-mm superior offset of the left iliac . there is poor visualization of the known multiple bilateral sacral alar fractures. the right hemipelvis appears, otherwise, intact. . ct abdomen/pelvis (): impression: 1. slight interval increase in size of intra-abdominal and pelvic hematomas. it is unclear if this increase represents hemorrhage formed from the time of the prior ct until the embolization versus more acute hemorrhage. if the hematocrit continues to drop, a repeat ct angiogram could be performed using the current study has a new baseline post-embolization. 2. open-book fracture of the left hemipelvis with sacral alar and left inferior and superior pubic rami fractures. alignment appears relatively unchanged from the prior study. 3. fractures of l5 lateral and l4 right transverse processes. . 07:50am blood wbc-14.8* rbc-3.38* hgb-10.6* hct-31.3* mcv-92 mch-31.2 mchc-33.8 rdw-15.0 plt ct-405 07:50am blood plt ct-405 07:50am blood glucose-99 urean-26* creat-0.7 na-141 k-3.9 cl-106 hco3-28 angap-11 07:50am blood calcium-8.5 phos-3.6 mg-2.3 brief hospital course: pt is a 64 year old male pedestrian who was crushed under his car at low speed. no reported loc. he was transported from the scene directly to the emergency room. he was admitted to the trauma service. due to the mechanism of his injury and the fact that he began to have a decreasing blood pressure an emergent chest/abdomen/pelvis ct was performed which showed small active extravasation and contrast pooling at this site, most likely related to injury of the external pudendal artery. he was taken emergently to angiography where he underwent embolization of distal branch pseudoaneurysm site of active bleeding from left internal pudendal (coils and gelfoam). he tolerated this well. he had a total of 4 units of prbcs in before transfer to the icu in hemodynamically stable condition. his icu course was without significant events. on hospital day number four () he underwent open reduction, internal fixation of his pelvic fractures. this was complicated post-operatively by a sirs response in his lungs with desaturation to 85% spo2, and rr in the 30s, fever=102, pulmonary edema on cxr. he was reintubated. this was followed by supportive care and his respiratory status improved to baseline. . on hospital day 7, () the patient underwent percutaneous placement of an ivc filter to reduce his risk of pulmonary embolis. he tolerated this procedure well. . neurosurgery was consulted because of fractures of both transverse processes of l5 and l4. the neurosurgical service felt that no neurosurgical intervention was required, based on the physical examination and the images provided. it was recommended to have him fitted for a lumbar brace, provide adequate pain control and follow-up in weeks with new x-rays in the clinic. he was instructed to wear his tlso brace when he was >30 degrees upright. my feeling is that the of l4 and l5 transverse processes fractures are part of the pelvic fracture construct, and their treatment is that of the pelvic fracture. . of note, the patient had his troponin enzymes cycledx3 and were negative. it was not felt that he had any acute coronary event. . his pulmonary symptoms had resolved and he was discharged with spo2>95% without respiratory symptoms. the patient was felt to be at very high vte risk because he would likely be bed bound for >6 months. a removable ivc (bard g2) filter was placed. . on the days preceeding discharge, he was unable to urinate without a foley catheter and was discharged with a foley in place. . the patient suffered a brief post-operative ileus. an ng tube was placed briefly. on the day of discharge he was tolerated a regular diet and passing stool. of note, the patient reported frequent bowel movements on hospital days 9 and 10. his c-diff studies were negative but the clinical suspicion was high and thus he was started on a one-week course of oral flagyl. . the patient was discharged on hospital day 12 in stable condition. on the day of discharge his hct was 31.3 which was stable. he was provided with plans for follow-up with orthopaedic surgery and spine surgery. medications on admission: , , toprol, statin discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 2. senna 8.6 mg tablet sig: two (2) tablet po at bedtime. 3. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 4. enoxaparin 30 mg/0.3 ml syringe sig: 0.3 ml's subcutaneous q12h (every 12 hours). 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. simvastatin 10 mg tablet sig: one (1) tablet po at bedtime. 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 8. morphine 15 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 10. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 11. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for possible c-diff for 5 days. 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for indigestion. discharge disposition: extended care facility: discharge diagnosis: s/p pedestrian struck by auto 1.pelvic fracture - comminuted displaced fractures of the left superior and inferior pubic rami; innumerable fractures of both sacral alae, extending into the sacroiliac joints, with marked diastasis and off-set on the left ("open book" fracture of the left hemipelvis). 3. traumatic injury of the external pudendal artery. 4. hematoma in the right psoas muscle 5. fractures l5 bilateral 6. fracture of l4 right transverse processes 7. small bilateral pleural effusion 8. small axial hiatal hernia discharge condition: good discharge instructions: do not bear any weight on either lower extremity for the next 6-8 weeks. followup instructions: please follow-up with dr. in orthopaedic surgery. please call to make an appointment . please follow-up with dr. in trauma surgery. please call to make an appointment: please follow-up with dr. , in clinic. please call to make an appointment: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube interruption of the vena cava other endovascular procedures on other vessels arteriography of other specified sites transfusion of packed cells open reduction of fracture with internal fixation, other specified bone open reduction of fracture with internal fixation, other specified bone application of splint computer assisted surgery with fluoroscopy diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia acute posthemorrhagic anemia other pulmonary insufficiency, not elsewhere classified gout, unspecified aortocoronary bypass status motor vehicle traffic accident involving collision with pedestrian injuring pedestrian old myocardial infarction paralytic ileus systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction closed fracture of lumbar vertebra without mention of spinal cord injury traumatic shock multiple closed pelvic fractures with disruption of pelvic circle injury to other specified blood vessels of abdomen and pelvis closed fracture of unspecified part of ulna (alone) contusion of unspecified site 

Answer: The patient is high likely exposed to