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: 24 m restrained driver mva multi-trauma patient rollover times med flighted to w/ open tibia/fib deformity and no distal pulse. major surgical or invasive procedure: 1. open reduction internal fixation with an external fixator of left knee dislocation 2. open reduction internal fixation of left ankle fracture dislocation with retrograde pinning. 3. open reduction internal fixation right knee dislocation. 1. exploratory laparotomy. 2. sigmoid colon resection. 3. repair of eyelid laceration (2 cm) 4. placement of bilateral thoracostomy tubes 1. abdominal arteriogram with left lower extremity runoff via a right common femoral artery approach, repair of a linear laceration of the left popliteal vein primarily, a left above-knee popliteal to posterior tibial artery bypass graft using reversed right greater saphenous vein completion arteriogram. 2. revision of the distal anastomosis. 3. thrombectomy of the bypass graft with patch angioplasty as a proximal anastomosis. 4. four-compartment fasciotomies. removal of external fixation of left ankle in preparation for the left leg amputation. placement of ivc filter and left above-knee amputation. 1. exploratory laparotomy. 2. descending colostomy. 3. mobilization of splenic flexure. 4. gastrostomy tube placement. 5. complex repair of abdominal wall fascial defect with prosthetic mesh. 1. t10-l3 fusion. 2. multiple lumbar laminotomies. 3. segmental instrumentation from t10-l3. 4. autograft. 5. epidural catheter placement. 1. closure of abdominal wall defect. 2. component separation. 1. external fixator stabilization of right pilon fracture. 2. adjustment of external fixator with the addition of pins. cystoscopy, left retrograde pyelogram, left primary ureteroureteral anastomosis and repair of transected left ureter, left ureteral stent placement. 1. removal of external fixator of the right knee and right pilon. 2. irrigation and debridement of medial wound at the level of knee. 3. open reduction and internal fixation of right tibia pilon fracture. history of present illness: 24 m restrained driver mva multi-trauma patient rollover times med flighted to w/ open tibia/fib deformity and no distal pulse. intubated by and brought in sedated. initial assessment revealed acceptable airway and ventilation but severe seat belt crush sign on abdomen and step-off in l-spine. ct scan revealed abdominal wall injury, free fluid in the abdomen, l2 fracture and infrarenal aortic transection. brought urgently to or for ex-lap where transiently pressure ~60 before induction. improved immediately with volume to ~90. exploration of abdomen revealed r rectus transection, devitalized area of sigmoid colon (black) and retroperitoneal hematoma l>r. sigmoid was resected and abdomen was initially closed with bag. past medical history: seasonal allergies asthma social history: +etoh family history: non-contributory physical exam: on arrival to ed 114/54 112 16 intubated/sedated ecchymosis ant neck, multiple abrasions, no crepitus lac above l lateral eyebrow abrasion l scapula, ? stepoff l2 chest w/ bilateral breath sounds, abrasions r chest wall tachy rr + seatbelt sign, circumferential hematoma around waist soft nd + fast, splenorenal; hematoma l hip/groin-> gross hematuria rectal normal tone, guiac negative palpable femoral pulse + hematuria in foley bag no palpable pedal pulses open l ankle fx w/ gross deformity brief hospital course: intubated by and brought into sedated. initial assessment revealed acceptable airway and ventilation but severe seat belt crush sign on abdomen and step-off in l-spine. ct scan revealed abdominal wall injury, free fluid in the abdomen, l2 fracture and infrarenal aortic transection. brought urgently to or for ex-lap where transiently pressure ~60 before induction. improved immediately with volume to ~90. exploration of abdomen revealed r rectus transection, devitalized area of sigmoid colon (black) and retroperitoneal hematoma l>r. sigmoid was resected and abdomen was initially closed with bag. imaging studies on arrival to are as follows: ct head no acute intracranial abnormality including hemorrhage or fracture. soft tissue injury overlying the left eye. ct c-spine no evidence for cervical spine fracture or malalignment. ct chest/abd/pelvis 1. traumatic infrarenal abdominal aortic tear associated with a fracture through the l2 vertebral body and l3 spinous process with associated large retroperitoneal hematoma. 2. two foci of contrast extravasation: one within a left abdominal /retroperitoneal hematoma which may be from bowel/mesenteric injury in this region. second focus of extraluminal contrast located adjacent to the l2 vertebral body on the left which may represent extravasation of contrast from a lumbar vessel or left ureteral injury. 3. herniation of bowel contents through tears of the muscular and fascial layers of the abdominal wall into the anterior and right lateral abdominal subcutaneous tissues. 4. diffuse left lung contusion. 5. comminuted fracture through the right lateral tenth rib with associated small region of subcutaneous air. 6. slight retrolisthesis of l1 on l2 and l5 on s1 which may be secondary to trauma, or more chronic in nature. 7. fullness of the superior mediastinum without particularly increased density to suggest hemorrhage. when this patient stabilizes, followup ct of the chest with contrast should be performed to exclude lymphadenopathy in this area. no thoracic arterial injuries seen. 8 . small filling defect within the right main stem bronchus, perhaps secondary to blood or respiratory secretions. bilateral tib/fib ap&lat 1. right lateral patellar dislocation and lateral subluxation left femorotibial joint. 2. probable nondisplaced fracture of the right fibular head. 3. intraarticular fracture of the distal right tibia. 4. fracture-dislocation of the left ankle. ap chest a single ap supine view at 8:30 a.m. shows a large right pneumothorax with complete collapse of the right lung, new since the previous exam earlier from the same day. the left lung shows diffuse aveolar opacities, compatible with contusion. there is a single chest tube on each side. note is also made of an ng tube with the tip below the diaphragm. note is made of a mildly displaced right tenth rib fracture. patient was brought urgently to or for ex-lap where transiently pressure ~60 before induction. improved immediately with volume to ~90. exploration of abdomen revealed r rectus transection, devitalized area of sigmoid colon (black) and retroperitoneal hematoma l>r. sigmoid was resected and abdomen was initially closed with bag. - l spanning knee external fixator, open reduction of ankle dislocation with pinning with trans-calcaneal and trans-tibiotalar pins. see operative report for full details. -increased peak airwary pressures and decreased air movement r side. r needle decompression in 2nd interspace. r chest tube placed. -abdominal arteriogram with left lower extremity runoff via a right common femoral artery approach, repair of a linear laceration of the left popliteal vein primarily, a left above-knee popliteal to posterior tibial artery bypass graft using reversed right greater saphenous vein completion arteriogram. revision of the distal anastomosis. thrombectomy of the bypass graft with patch angioplasty as a proximal anastomosis. see operative report for details. n:/ i&s, d/c'd vecuroniumk, fentanyl cv:/ levophed, wean as tolerated r:/ nebs, gi/abd: protonix, plan to or for diverting colostomy renal: uo maintained > 100ml/hr heme: transfused 1 unit(s) red cells over 4 hour(s). indication: hematocrit < 25% in a normovolemic patient and no medical complications endo: stable sugars id: vanc/levo/flagyl day #2 tld: chest tubes x 2 taken to the operating room for: -left above the knee amputation -percutaneous placement of ivc filter -diverting colostomy and gastrostomy tube placement -uretero-ureterostomy n:/ intubated and sedated in tsicu, nods to questions, moving upper extremities cv:/ nl s1 s2, well resuscitated r:/ ventilator dependenet gu:/ no issues gi:/ npo heme: transfused 4 unit(s) red cells over 4 hour(s). transfusion instructions: pt is pre-op. indication: other circumstances - specify: please set up 2 more units for a total of 6 units most recent hematocrit 27.0* of 2:13 am id:/ 101.3, wbc=6.3 on vanco/levo/flagyl ppx: filter : intubated and sedated, hemodynamically stable in icu transfused 2 unit(s) red cells over 4 hour(s). indication: falling hematocrit or acute blood loss in a patient with unstable blood volume to or for removal of bag and abdominal closure w/ wound vac to or for posterior fusion by orthopaedic spine service, see operative report for details. repeat ct abd showed no progression of infrarenal dissection: no definite aortic intimal flap can be seen on the axial images, although contrast bolus is suboptimal and of lesser quality compared to the previous exam. the two lumens, if still present, may moreover be isointense. there is a suggestion of a possible intimal flap at the same location of the aorta demonstrated on the previous exam on the sagittal images, although this area is degraded by artifact from the adjacent orthopedic metallic hardware. 2. status post bilateral chest tube placement with small bilateral pneumothoraces. 3. interval development of small bilateral pleural effusions. 4. interval development of dense lung parenchymal opacity in the posterior lower lobes bilaterally with air bronchograms that may represent atelectasis or consolidation with possible component of contusion. given the distribution, aspiration is also a consideration. 5. hypodensities in the right lobe of the liver of uncertain significance. 6. status post diverting colostomy and gastrostomy tube placement. 7. focus of air in the infrahepatic region that may represent sequela of the recent surgery. 8. status post ivc filter placement. 9. free intraperitoneal fluid density substance as well as interval increase in fluid density substance in the retroperitoneum surrounding the left ureter and adjacent to the aorta. 10. status post spinal fusion procedure. -transfused 1 unit(s) red cells over 1 hour(s). indication: falling hematocrit or acute blood loss in a patient with unstable blood volume. -transfused 2 unit(s) red cells over 4 hour(s). indication: hematocrit < 25% in a normovolemic patient and no medical complications abdominval wound vac changed, to or for r ankle fx open reduction internal fixation vs. closed fixation/external fixator. see operative report for details. intubated and sedated in tsicu. weaning sedation, ventilator weaned, antibiotics-> po. hemodynamically stable. sputum gram stain-final; respiratory culture-final {mold}; gram stain (final ): >25 pmns and <10 epithelial cells/100x field. no microorganisms seen. respiratory culture (final ): oropharyngeal flora absent. mold. 1 colony on 1 plate. extubated yesterday, spiking fevers. blood cultures negative. catheter tip-iv wound culture-no growth -final transfered to floor, agitated at night, occasionally confused a&0x2, hemodynamically stable, abdominal woundvac intact, g-tube + tube feeds, on tpn, wound vac intact, abdomen soft, gastrostomy tube in place, tube feeds cycled overnight, on tpn. d/c'd tpn, full liquid diet, working w/ pt/ot, tube feeds cycled. agitated at night, pulled out g-tube / vac dressing overnight, tube feeds discontinued. psychiatry consulted -recommended seroquel qhs patient maintained on 1:1 sitter/restraints at night for sedation. seroquel added to medication regimine. - patient with continued improvement on floor. abdominal wound were discontinued, right lower extremity and left leg aka staples were discontinued. wound vac changed. complaining of chest pain overnight+sob, ekg- no ischemic changes, vitals stable, improved respiration with inhalers. maintaining adequate po intake + boost supplements. pin care continued to right leg ex-fix. rle sensation intact to light touch, incisions c/d/i, warm and well perfused extremity. - wound vac changed, abdominal mesh granulating well w/ pink granulation tissue. no drainage or exudates. discontinued retention suture-abd at same time as wound vac change. to or with orthopaedic surgery for open reduction and internal fixation of right lower extremity, wound vac changed concomitantly. will require ligamentous reconstruction of right knee at some point. - patient did well postoperatively, hemodynamically stable, pain well controlled on iv mso4. - continued improvement on floor. afebrile, out of bed with pt to chair, pain well controlled, cardiovascularly stable, lungs clear and maintaining oxygen saturations, tolerating regular diet with boost supplement, abdominal wound vac intact, abdomen soft with abdominal binder for comfort, l leg aka incisions c/d/i with sutures still in place to be remove by vascular, r leg splint intact -bivalve cast and to be placed prior to transfer, extremity warm and well perfused, neurovascularly intact. medications on admission: none discharge disposition: extended care facility: - discharge diagnosis: s/p rollover motor vehicle crash -polytrauma s/p exploratory laparotomy, sigmoid resection, and diverting colostomy s/p spanning external fixator l leg s/p left leg above the knee amputation s/p external fixator r leg s/p open reduction internal fixation r leg -traumatic aortic injury with focal dissection flap, see above report -retroperitoneal hematoma -bowel herniation through abdominal wall -left uretral injury, repaired -fracture of l2 vertebral body, l3 spinous process, chance fracture -comminuted fx through the right lateral 10th rib, grade i retrolisthesis of l1 on l2 and l5 on s1 discharge condition: afebrile, pain well controlled, tolerating regular diet w/ boost supplement hemoydynamically stable wound vac to abdominal wound ostomy viable and intact non-weight bearing right lower extremity short leg cast to right leg, brace -hinged to right leg discharge instructions: m.d. for pain, fever, redness or drainage from abdominal or leg wounds, increase in pain, change in neurological status, chest pain, shortness of breath, abdominal pain or distension, or other questions or concerns. supplement diet with boost tid for adequeate po nutrition. do not bear any weight on your right lower extremity. out of bed with assistance, physical therapist. use condom catheter for convenience. followup instructions: follow up with dr. in trauma clinic in 1 week, please call for an appointment. follow-up with urology clinic in 1 week. please call clinic to schedule . follow-up with vascular surgery dr. in vascular clinic in 1 week, please call clinic to schedule . follow-up with orthopaedic surgery in 2 weeks. call for an appointment with dr. . follow-up with orthopaedic surgery dr. , please schedule appointment with mri of right knee prior to arrival. call to schedule. procedure: other revision of vascular procedure temporary colostomy interruption of the vena cava other (peripheral) vascular shunt or bypass other repair of abdominal wall other repair of abdominal wall open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, femur linear repair of laceration of eyelid or eyebrow amputation above knee dorsal and dorsolumbar fusion of the posterior column, posterior technique other immobilization, pressure, and attention to wound fusion or refusion of 4-8 vertebrae closed reduction of dislocation of knee other repair of ureter diagnoses: closed fracture of one rib closed fracture of lumbar vertebra without mention of spinal cord injury closed fracture of unspecified part of tibia alone motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle unspecified fracture of ankle, closed dissection of aorta, abdominal injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum other specified open wounds of ocular adnexa injury to ureter, without mention of open wound into cavity dislocation of knee, unspecified, closed sprain of thoracic injury to colon, unspecified site, without mention of open wound into cavity injury to popliteal vein sprain of lumbar 

Answer: The patient is high likely exposed to