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 rollover mvc major surgical or invasive procedure: orif zygoma, orbital floor, maxilla right radial fracture orif tracheostomy and g tube placement chest tube placement bolt placement history of present illness: 25 yo male s/p mvc rollover, unresponsive at scene, +etoh. failed attempts to intubate on the scene. temporary airway placed and pt brought to ed. past medical history: none social history: + etoh family history: nc physical exam: 97.8 58 100/50 100% fast neg dpl neg gcs 3 multiple facial lacs, with full thickness lac on lower lip; fork shaped chin lac; unstable mid-face; epistaxis, facial swelling, ctab, deformity left clavicle rrr abd soft, bruising around abdomen pelvis stable ext cool, mottled, superficial lacs +lle pertinent results: ct abd/pel: 1) grade 4 aast liver laceration involving segments 5, 6, 7, and 8 of the liver, with evidence of active bleeding. 2) laceration of upper pole of right kidney. 3) large right-sided pneumothorax. 4) left apical pneumothorax. 5) right first posterior rib fractures. 6) bilateral medial clavicular fractures. 7) fracture through posterior acetabulum. ct head: multiple facial fractures in maxilla and orbit; complex numerous mandibular fractures right forearm fracture ct head: no cervical spine fracture or malalignment is evident. there is extensive soft tissue swelling in the neck, especially on the left. findings were discussed with dr. . at this time (8 a.m.), he reports that the patient has a right hemiparesis. no evidence of acute intracranial hemorrhage or edema; there are no skull fractures, but there are numerous facial fractures. 06:03pm lactate-3.1* 01:48pm urea n-11 creat-1.1 sodium-145 potassium-4.0 chloride-109* total co2-28 anion gap-12 01:48pm hct-40.6 01:48pm pt-13.6 ptt-25.7 inr(pt)-1.2 08:10am glucose-114* urea n-10 creat-1.1 sodium-147* potassium-3.7 chloride-107 total co2-26 anion gap-18 08:10am calcium-7.1* phosphate-4.3 magnesium-1.5* 08:10am osmolal-322* 08:10am urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 08:10am urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:20am alt(sgpt)-396* ast(sgot)-355* ck(cpk)-625* alk phos-57 amylase-231* tot bili-0.7 05:20am lipase-155* 05:20am ck-mb-21* mb indx-3.4 ctropnt-0.30* 05:20am ethanol-134* 04:00am wbc-21.7* rbc-3.93* hgb-12.1* hct-34.4* mcv-87 mch-30.8 mchc-35.2* rdw-13.6 02:29am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 02:29am urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 02:20am asa-neg ethanol-229* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg : sputum: 1+ gnr : sputum 1+ gnr : blood cx: gpc coag neg : csp 1+ pmns/coag neg staph : jp: 3+ pmns : cdiff neg : urine cx: neg : sputum: gnr 2+, gpc in prs 1+; resp cx gnr brief hospital course: pt arrived in trauma bay with gcs of 3. multiple attempts to intubate pt failed. lma placed until pt brought to or for trach. no scans were initially performed on patient due to hemodynamic instability. pt brought immediately to or for exploratory laparotomy, bolt, and trach. see results section for list of traumatic injuries. ct chest showed large ptx for which a chest tube was placed in the right apex. pt underwent multiple surgeries spanning 2 days. exploratory lap negative for significant findings. pt tolerated the surgeries well. however, the post operative course was complicated by o2 desaturation in the pacu down to the low 80's. xray did not show changes in pneumothorax. pt placed on nrb with adequate improvement of o2 sat. icu stay complicated by + sputum cultures for gnr and high fevers. started on 3 antibiotic regimen therapy x 7 days and improved. pt improved on the floor, satting well on trach mask. floor stay complicated by delirium/altered mental status from ?etiology. white count was elevated. patient remained afebrile, urine negative. sputum cultures positive for gpc and gnr on and started on zosyn and vanc. white count improved. mental status seemed to improve with decrease of ativan use and antibiotics for presumed pna (aspiration vs cap). pt was able to sit without sitter, and plans made to discharge to rehab for further care. medications on admission: none discharge medications: 1. bacitracin-polymyxin b 500-10,000 unit/g ointment sig: one (1) application to wounds topical every six (6) hours. disp:*2 months* refills:*0* 2. artificial tear ointment 0.1-0.1 % ointment sig: one (1) ophthalmic five times a day. disp:*2 months* refills:*0* 3. albuterol sulfate 0.083 % solution sig: one (1) inhalation every 4-6 hours as needed. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed. 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. enoxaparin sodium 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 7. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 1-2 mls po q4h (every 4 hours) as needed. 8. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily) as needed. 9. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 10. morphine sulfate 8 mg/ml syringe sig: one (1) injection q4h (every 4 hours) as needed for breakthrough pain. 11. h2o2 sig: one (1) twice a day: please give h2o2 rinses for oral hygiene. 12. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 13. chlorhexidine gluconate 0.12 % liquid sig: one (1) ml mucous membrane (2 times a day). 14. haloperidol 5 mg tablet sig: one (1) tablet po twice a day. tablet(s) 15. fentanyl 100 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 16. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 17. medications regular insulin sc sliding scale breakfast lunch dinner bedtime glucose insulin dose insulin dose insulin dose insulin dose 0-50 amp d50 amp d50 amp d50 amp d50 51-120 0 0 0 0 121-140 2 2 2 2 141-160 4 4 4 4 161-180 6 6 6 6 181-200 8 8 8 8 201-220 10 10 10 10 221-240 12 12 12 12 241-260 14 14 14 14 261-280 16 16 16 16 18 18 > 301 notify m.d. 18. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift discharge disposition: extended care facility: - discharge diagnosis: 1) grade 4 aast liver laceration involving segments 5, 6, 7, and 8 of the liver, with evidence of active bleeding. 2) laceration of upper pole of right kidney. 3) large right-sided pneumothorax. 4) left apical pneumothorax. 5) right first posterior rib fractures. 6) bilateral medial clavicular fractures. 7) fracture through posterior acetabulum. 8) multiple facial fractures in maxilla and orbit; complex numerous mandibular fractures 9) right forearm fracture 10) there is extensive soft tissue swelling in the neck, especially on the left. discharge condition: stable discharge instructions: 1. take all the medications as directed 2. continue oral care with peridex and peroxide rinses 3. please take out the staples of head on , . 4. you need your antibiotics through your picc line daily. 5. continue with physical therapy at the rehab 6. continue using your eye drops followup instructions: 1. please follow up with oralmaxilofacial surgery clinic in 2.5-3 weeks by calling for an appointment. ask for the surgery resident on-call 2. please call the plastic surgery clinic by calling to schedule an appointment for any friday in the next 2-3 months if you have any cosmetic issues from your surgery 3. you also should follow up with your primary care doctor in the next few weeks. if you don't have one, you can call to schedule an appointment with physicians at the here at . 4. you should also call the trauma clinic to schedule an appointment by calling to schedule an appointment in the next 10-14 days. procedure: insertion of intercostal catheter for drainage spinal tap incision of lung interruption of the vena cava enteral infusion of concentrated nutritional substances exploratory laparotomy percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus suture of laceration of lip open reduction of maxillary fracture insertion of synthetic implant in facial bone open reduction of fracture with internal fixation, radius and ulna other diagnostic procedures on brain and cerebral meninges other open reduction of facial fracture open reduction of malar and zygomatic fracture diagnoses: pneumonia, organism unspecified acute posthemorrhagic anemia alcohol abuse, unspecified closed fracture of one rib traumatic pneumothorax without mention of open wound into thorax closed fracture of malar and maxillary bones contusion of lung without mention of open wound into thorax traumatic shock open wound of lip, without mention of complication other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle closed fracture of clavicle, unspecified part closed fracture of acetabulum injury to kidney without mention of open wound into cavity, laceration open fracture of orbital floor (blow-out) closed fracture of shaft of radius (alone) injury to liver without mention of open wound into cavity, laceration, moderate facial nerve disorder, unspecified 

Answer: The patient is high likely exposed to