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 mvc major surgical or invasive procedure: : exploratory laparotomy, repair of ruptured diaphragm right femoral venous line placement, washout distal humerus on left with saline, left tube thoracostomy. : 1. irrigation and debridement down to bone. 2. open reduction internal fixation of humeral shaft fracture. 3. neurolysis of radial nerve in the arm. : 1. revision orif left humerus fracture. 2. exploration and neurolysis radial nerve, left arm. history of present illness: mr. is a 23 year old male who was an unrestrained driver t boned with ejection from his vehicle. he had no loss of consciousness. past medical history: none family history: nc physical exam: on dishcharge: avss gen: nad, a&o x3 cv: rrr, no m/r/g resp: ctab, chest tube site c/d/i abd: incision c/d/i with staples, soft, incisional tenderness, non-distended, +bs ext: no c/c/e. lue: in splint, c/d/i. motor/sensory intact distally, brisk capillary refill pertinent results: 08:40pm blood wbc-19.6* rbc-5.50 hgb-16.2 hct-50.3 mcv-92 mch-29.5 mchc-32.2 rdw-12.8 plt ct-223 10:10am blood hct-19.3* 09:35pm blood hct-26.3*# 08:05am blood wbc-15.9* rbc-3.30* hgb-9.7* hct-30.2* mcv-92 mch-29.3 mchc-32.0 rdw-15.1 plt ct-690* 12:37am blood pt-14.4* ptt-30.6 inr(pt)-1.3* 10:50pm blood pt-12.4 ptt-41.0* inr(pt)-1.0 08:40pm blood glucose-115* urean-23* creat-1.2 na-140 k-3.7 cl-105 hco3-18* angap-21* 06:40am blood glucose-99 urean-15 creat-0.7 na-135 k-4.2 cl-97 hco3-29 angap-13 12:37am blood calcium-8.5 phos-4.1 mg-1.2* 06:40am blood calcium-8.8 phos-3.4 mg-2.1 ct c-spine : impression: 1. no acute fracture or subluxation identified in the c-spine. 2. extensive opacification of the left lung apex, better assessed in the concurrent ct torso. ct head : impression: 1. no acute intracranial hemorrhage or fracture is detected. 2. multiple subcutaneous and left orbital foreign bodies ct chest/abdomen/pelvis : impression: 1. rupture of the left hemidiaphragm with intrathoracic herniation of the stomach through the diaphragmatic defect, with resultant rightward shift of the mediastinum is noted. 2. extensive volume loss and consolidation in the left lung likely is secondary to a combination of atelectasis and lung contusion. 3. no acute traumatic aortic or vascular injury is detected. 4. bilateral small pneumothoraces. 5. no acute intra-abdominal solid organ, mesenteric or bowel injury detected. 6. large left lateral wall pelvic hematoma without evidence of active extravasation, is seen adjacent to a comminuted left acetabular fracture. 7. multiple fractures including a partially displaced left lateral fourth and fifth rib fracture. comminuted fracture of the left sacral ala extending into the sacroiliac joint. fracture of the left iliac bone extending to the sacroiliac joint. nondisplaced fractures involving the left superior and inferior pubic rami. humerus xray: impression: comminuted, compound distal right humeral fracture with foreshortening, shaft-width displacement and apex anterior angulation. cxr: small left pneumothorax is unchanged. left lower lobe opacities are persistent, likely atelectasis. if any there is a small left pleural effusion. multiple left rib fractures are again noted. cardiomediastinal contours are normal. brief hospital course: mr. was brought to the emergency room in the trauma bay where a chest x-ray revealed the presence of stomach in the chest. ct scan confirmed this. he was also found to have a left humeral fracture which was open. he was admitted to the trauma surgery service and taken to the or. see operative report for details. postoperatively, the patient was transferred intubated to the tsicu. after his procedure on , he was extubated and transferred to the floor. neuro: the patient was intially sedated with fenanyl and propofol. after extubation, he was placed on a dilaudid pca with good effect. when tolerating oral intake, the patient was transitioned to oral pain medications. after his procedure on , he was placed on a morphine pca which was transitioned to oral meds on . cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was extuabed on pod1. left chest tube remained in place until . cxr was routinely monitored and his post-pull cxr showed a moderate pneumothorax. he nevertheless remained stable from a pulmonary standpoint; he was placed on 100% o2 and subsequent cxr showed resolution of his pneumothorax. vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate starting on , which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. he received perioperative cefazolin. endocrine: the patient's blood sugar was monitored throughout his icu stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely; he required a transfusion of 2 units of prbcs on for a hematocrit of 19.3. his hematocrit was stable thereafter. musculoskeletal: the patient's c-spine was cleared clinically on . orthopaedics was consulted for his fractures. he was made non-weight bearing on his lue and lle. he was taken to the or with orthopaedics on for i&d and orif of his open distal humerus fracture. they were unable to close the wound at this time due to swelling, and so he returned to the or with orthopaedics on for revision orif and closure. he tolerated these procedures well without complication. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. famotidine was given for ulcer prophylaxis. the patient worked with physical therapy and occupational therapy to improve his strength and mobility. social work was also consulted for patient and family coping. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: none discharge medications: 1. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p mvc left open distal humerus fracture diaphragmatic rupture bilateral pnuemothorax left acetabular fracture left rib fractures discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: continue to be non-weight bearing on you left upper extremity and your left lower extremity. keep your splint clean and dry. please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improved with pain medications. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please follow up with dr. in trauma clinic in 1 week. you can call ( to make that appointment. please call for a chest x-ray prior prior to your follow-up appointment within 1-2 weeks of leaving the hospital. please follow up with , orthopaedics np, in 2 weeks. you can call to make that appointment. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified open reduction of fracture with internal fixation, humerus open reduction of fracture with internal fixation, humerus debridement of open fracture site, humerus suture of laceration of diaphragm other peripheral nerve or ganglion decompression or lysis of adhesions other peripheral nerve or ganglion decompression or lysis of adhesions removal of superficial foreign body from eye without incision diagnoses: traumatic pneumothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of two ribs contusion of lung without mention of open wound into thorax closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis closed fracture of acetabulum closed fracture of ilium injury to diaphragm, without mention of open wound into cavity injury to radial nerve open fracture of shaft of humerus superficial injury of eyelids and periocular area 

Answer: The patient is high likely exposed to