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 with traumatic foot injury, + loss of consciousness major surgical or invasive procedure: debridement and washout of left foot, removal of foreign body history of present illness: 46 yr-old woman s/p mvc in which she was restrained passenger of car hit in rear end collision @60mph. husband was driver and is also pt at . husband pulled over to let pt drive the rest of the way home and they were struck from behind. pt +loc w/amnesia for event. injuries include 6 rib fxs, liver lac and left ankle injury past medical history: none social history: previous living situation: home w/ others previous level of functioning: independent previous or other hospital admissions: none past psychiatric history: none past addictions history: pt +etoh w/bal=39 at osh. employment status: employed. pt is office manager of dance/exercise studio. legal involvement: none known mandated reporting information: agency: n/a family history: husband was driver of vehicle and is hospitalized physical exam: physical examination: done on : hr:85 bp:140/60 o(2)sat:98 normal constitutional: comfortable heent: laceration on the head., pupils equal, round and reactive to light, extraocular muscles intact oropharynx within normal limits chest: clear to auscultation cardiovascular: regular rate and rhythm gu/flank: no costovertebral angle tenderness. left ankle laceration extr/back: no cyanosis, clubbing or edema skin: no rash neuro: speech fluent psych: normal mood heme//: no petechiae pertinent results: 01:12am urine blood-mod nitrite-neg protein-neg glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:12am fibrinoge-280 01:12am pt-11.5 ptt-21.4* inr(pt)-1.0 01:12am plt count-336 01:12am urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 01:22am freeca-1.08* 01:22am hgb-12.7 calchct-38 o2 sat-96 01:22am glucose-132* lactate-1.8 na+-141 k+-3.9 cl--102 tco2-23 12:19pm hct-31.6* lab work : wbc rbc hgb hct mcv mch mchc rdw plt ct 06:20 6.2 3.50* 11.0* 32.8* 94 31.4 33.6 13.9 272 basic coagulation (pt, ptt, plt, inr) pt ptt plt ct inr(pt) 06:20 272 basic coagulation (fibrinogen, dd, tt, reptilase, bt) fibrino 01:12 280 lab use only 06:20 chemistry renal & glucose glucose urean creat na k cl hco3 angap 07:00 901 7 0.5 136 4.1 102 31 7 impression: acute, mild to moderately displaced right lateral fourth and fifth rib fractures. please refer to ct for further details. right knee films:: impression: small joint effusion without fracture or dislocation left foot films: : 1. status post debridement of left lateral foot soft tissues, as above. 2. tiny well-corticated ossific fragment adjacent to the lateral aspect of the anterior calcaneus, possibly from recent trauma or more remote trauma cxr: : findings: in comparison with the earlier study of this date, the acute, mildly displaced fractures of the fourth and fifth ribs on the right are again seen. there is no evidence of acute pneumothorax. the lungs remain essentially clear without evidence of acute focal pneumonia, contusion, vascular congestion, or substantial pleural effusion. left ankle x-ray: : impression: large skin laceration at the lateral aspect of the foot with multiple radiopaque densities likely representing foreign bodies. no evidence of fracture or dislocation brief hospital course: 46 year old female who was admitted to acute care service after being involved in high speed car accident. she was a passenger in the vehicle. she was managed by the trauma service and podiatry. her head and c-spine were reported as negative from outside hospital. she also sustained a small right pneumothorax for which no chest tube was required. she was taken to the operating room for debridement of left foot and removal of foreign body. she also sustained right 4-5th rib fractures and was seen by the acute pain service for placement of thoracic epidural. the thoracic epidural catheter was discontinued on . she has been tolerating a regular diet and has been out of bed to the chair. she denies nausea. her pain has been managed with percocet. she did report right knee pain for which she had a knee x-ray which showed small joint effusion. she continues with daily dressing changes to her left foot and the dressing was changed today by podiatrist. she has been seen by physical therapy and started on crutch walking. she was noted to have weakness in her right leg and will be seen by orthopedics prior to discharge. she will discharge to home and follow-up with podiatry, dr. and acute care service in weeks. medications on admission: lexapro discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 3. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). disp:*1 adhesive patch, medicated(s)* refills:*1* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain/fever. discharge disposition: home with service facility: vna discharge diagnosis: s/p high speech mcv: : left foot open traumatic injury right rib fractures head laceration small right pneumpthorax pulmonary contusion liver contusion 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: you should take your pain medication as directed to stay ahead of the pain otherwise you won't be able to take deep breaths. if the pain medication is too sedating take half the dose and notify your physician. * pneumonia is a complication of rib fractures. in order to decrease your risk you must use your incentive spirometer 4 times every hour while awake. this will help expand the small airways in your lungs and assist in coughing up secretions that pool in the lungs. * you will be more comfortable if you use a cough pillow to hold against your chest and guard your rib cage while coughing and deep breathing. * symptomatic relief with ice packs or heating pads for short periods may ease the pain. * narcotic pain medication can cause constipation therefore you should take a stool softener twice daily and increase your fluid and fiber intake if possible. * do not smoke * if your doctor allows, non steroidal antiinflammatory drugs are very effective in controlling pain ( ie, ibuprofen, motrin, advil, aleve, naprosyn) but they have their own set of side effects so make sure your doctor approves. *report any increased pain, decreased sensation right foot and leg *return to the emergency room right away for any acute shortness of breath, increased pain or crackling sensation around your ribs ( crepitus ). followup instructions: follow up with acute care service in weeks. you can schedule this appointment. the telephnoe number is #. follow-up with dr. in . procedure: closure of skin and subcutaneous tissue of other sites nonexcisional debridement of wound, infection or burn diagnoses: tobacco use disorder open wound of forehead, without mention of complication traumatic pneumothorax without mention of open wound into thorax contusion of lung without mention of open wound into thorax flail chest other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle closed fracture of seven ribs open wound of foot except toe(s) alone, complicated injury to liver without mention of open wound into cavity, unspecified injury intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness sprain of medial collateral ligament of knee 

Answer: The patient is high likely exposed to