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: status-post high speed mva major surgical or invasive procedure: 1. orif l proximal humeral shaft fracture 2. open reduction and internal fixation of the left index metacarpal. 3. closed reduction and percutaneous pinning of the left thumb metacarpal. 4. closed reduction of percutaneous pinning of a trapezium,trapezoid, and capitate fractures. history of present illness: 34 yo woman was a passenger in a high speed mva on . driver was killed instantly. she was ejected 20' with +loc and gcs=13 at the scene. she was intubated in the field for airway protection and taken to er for further management. social history: +etoh boyfriend was driver of car, killed in accident family history: nc pertinent results: 10:55pm wbc-18.7 hgb-11.0 hct-32.5 plt count-202 11:17pm glucose-94 lactate-3.1 na+-144 k+-3.6 cl--111 tco2-23 urea n-12 creat-0.6 10:55pm pt-13.4 ptt-21.2 inr(pt)-1.2 fibrinoge-232 10:55pm asa-neg ethanol-169 acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:55pm amylase-183 10:55pm urine color-straw appear-clear sp -1.010 10:55pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 10:55pm urine rbc- wbc- bacteria-none yeast-none epi-0-2 10:55pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg brief hospital course: patient was examined and xrays/ct scans performed in the ed. she was found to have a large 7cmx3cm laceration to her scalp, a comminuted l proximal humeral shaft fx, fx of the base of the 1st and 2nd metacarpals of the l hand, and fx of the distal row carpal bones of her r hand. both hands were placed in volar splints and the l shoulder was placed in a sling. she remained intubated and was admitted to trauma surgery and admitted to the tsicu for observation and management. on the patient's mother was located who was able to provide consent for surgery. on she was taken to the operating room with dr. for orif of the l proximal humeral shaft fx. she tolerated the procedure well and was extubated in the or. postoperatively she recovered in the pacu and was transferred to the orthopaedic surgery floor. she received 24 hours of iv ancef postoperatively and was seen by physical therapy as well as psychiatry. on patient went to the operating room for hand surgery with dr. . procedures included 1. open reduction and internal fixation of the left index metacarpal. 2. closed reduction and percutaneous pinning of the left thumb metacarpal. 3. closed reduction of percutaneous pinning of a trapezium, trapezoid, and capitate fractures. she did well post-operatively, pain was well-controlled and the plan is for the patient to remain in her thumb spica splint until she returns for follow up in approximately one week. at that point, we will obtain a new set of x-rays and place her in a bilateral thumb spica cast. other relevant admission issues were mainly psychiatric. several code purples were called as the patient would become agitated and attempt to leave/threaten suicide. she was evaluated and followed by psych, whofelt she had h/o depression, psa, and possible organic brain damage s/p mva with labile, hostile, and irrational behavior. she was maintained with a 1:1 sitter throughout part of her hospitalization, however her behavior stabilized, she was no longer suicidal and she did well once the sitter was d/c'd. she is being discharged home with close psychiatric follow-up and family members at home who are going to take care of her. medications on admission: none discharge medications: 1. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*100 capsule(s)* refills:*2* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service discharge diagnosis: 1. left thumb metacarpal base fracture, icd-9 . 2. left index metacarpal fracture, icd-9 . 3. right trapezium, trapezoid, and capitate fractures, icd-9 817.0. 4. left proximal humerus metaphyseal fracture. discharge condition: stable discharge instructions: please leave your arm splints on until you follow-up with dr. in one week. please do not bear weight with your arms at all. motion within the range of the splints is okay. cal dr. or dr. (or return to er) if you have fever greater than 101.5/chills, your wounds become severaly painful or begin draining pus. please take all medications as prescribed and follow-up with both dr. and rozethal as described below. physical therapy: activity: ambulate right upper extremity: non weight bearing left upper extremity: non weight bearing treatments frequency: staples must be removed 2 weeks from humerus surgery. arm splints stay on until f/u with dr. in one week. non-weight bearing bilateral upper extremity. rom only within range of splint. followup instructions: please follow-up with dr. (hand surgeon) within 1 week. she needs to change the splints. call her office at ( to make an appointment. please also follow-up with dr. (arm surgery) in 2 weeks from the date of surgery to have staples removed. call his office at ( to make an appointment. please also be sure to keep you psychiatry appointment as scheduled ( at 10am at health and education services in ). the number is . md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours closure of skin and subcutaneous tissue of other sites transfusion of packed cells open reduction of fracture with internal fixation, humerus open reduction of fracture with internal fixation, carpals and metacarpals closed reduction of fracture with internal fixation, carpals and metacarpals diagnoses: depressive disorder, not elsewhere classified alcohol abuse, unspecified open wound of scalp, without mention of complication posttraumatic stress disorder closed fracture of base of other metacarpal bone(s) concussion, with loss of consciousness of 30 minutes or less other closed fracture of upper end of humerus other motor vehicle nontraffic accident of other and unspecified nature injuring passenger in motor vehicle other than motorcycle closed fracture of trapezium bone [larger multangular] of wrist closed fracture of base of thumb [first] metacarpal closed fracture of trapezoid bone [smaller multangular] of wrist closed fracture of capitate bone [os magnum] of wrist 

Answer: The patient is high likely exposed to