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: codeine attending: chief complaint: unrestrained rollover mvc major surgical or invasive procedure: 1. intramedullary fixation l femur shaft 2. l globe exploration/repair 3. l 1st metatarsal percutaneous pinning 4. l metatarsal orif 5. l scalp avulsion repair 6. bilateral chest tube thoracostomy history of present illness: the patient is a 19 yo transferred to ed via from outside hospital after a ?speed rollover mvc. the patient was unrestrained, and found unresponsive in the back seat of his automobile. injuries noted at the scene included l scalp avulsion, left lower extremity deformity. at the scene needle decompression of l chest was performed, followed by l chest tube placement. upon arrival to the outside hospital, the patient was responsive. plain films showed l femoral shaft and l tib-fib fractures. prior to transfer, the patient became agitated and was intubated to facilitate transfer. of note, the patient had a blood alcohol level of 152 on arrival. past medical history: asthma social history: occasional etoh, denies tobacco/illicit substance family history: noncontributory physical exam: hr 110 bp 110/palp general: sedated, intubated heent - blown l pupil, r pupil 2mm and reactive. large l frontoparietal scalp avulsion with skull defotmity, 5 cm r scalp avulsion chest- cta bilateral, l chest tube in place cv - s1s2, rrr abdomen - soft, nondistended, normal rectal tone, heme negative extr - l anterior mid shin laceration, l leg deformity with pedal swelling back - no spinal stepoffs neuro - moves upper extremities bilaterally, r lower extremity pertinent results: 07:25am urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:25am fibrinoge-258 07:25am pt-13.9* ptt-23.7 inr(pt)-1.3 07:25am plt count-377 07:25am wbc-21.2* rbc-4.33* hgb-13.3* hct-37.2* mcv-86 mch-30.8 mchc-35.8* rdw-11.9 07:25am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:25am asa-neg ethanol-152* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:25am amylase-73 07:25am urea n-21* creat-1.2 07:42am glucose-128* lactate-4.6* na+-147 k+-3.8 cl--106 tco2-25 07:54am freeca-0.90* 07:54am hgb-10.4* calchct-31 o2 sat-99 carboxyhb-1 met hgb-1 07:54am glucose-118* lactate-4.7* na+-143 k+-3.2* cl--114* 07:54am type-art po2-454* pco2-42 ph-7.19* total co2-17* base xs--11 brief hospital course: with the patient's multiple traumatic injuries, he was managed by several consulting services. in general, the patient did well. he was extubated, transferred to the floor and tolerating a po diet on hd#3. l scalp avulsion : the patient's scalp avulsion was repaired by plastic surgery at the bedside in the icu, with vigorous debridement and washout prior to closure. the wound dressing was changed daily with xeroform, and the patient had a short course of prophylactic antibiotics while in the hospital. multiple l orbit/globe injuries- ophthomology was consulted to evaluate the patient's orbital trauma. the patient was deemed to have a poor prognosis of visual function in this eye. he was operated on by ophthomology on hd#1 during orthopedic repair of his femoral shaft fracture. exploration and repair of the globe was performed. repair of extensive orbital blow out fractures was deferred until patient is more medically stable and had decreased surrounding tissue edema, possibly as an outpatient. postoperatively, the patient was treated with iv antibiotics, topical erythromycin ointment, and an eyeshield. his vision in this eye had not changed as of discharge. enucleation of the l globe was considered and discussed with the family, with the goal of preventing sympathetic opthalmia. however, in consultation with the plastic surgery team, this was deferred as it would likely make orif of his facial bone fractures more difficult. he will follow up with ophthomology 1-2 weeks post discharge to evaluate for repair of bony fracture. bilateral pneumothorax/pulmonary contusions/pneumomediastinum - the patient arrived with a l chest tube in place, and a r chest tube was placed emergently in the t/sicu on hd#1. by hd#5, the pneumothoraces had resolved, and the chest tubes were discontinued. thoracic surgery was consulted re: the patient's pneumomediasinum, and per their reccomendations, fiberoptic bronchoscopy was performed, showing no airway disruption. the patient's respiratory status post-extubation was uneventful. left lower extremity fractures: orthopedics took the patient to the or on hd#1, where he had intramedullary fixation of his l femur, debridement/washout of his l tibial fracture, and percutaneous pin fixation of his l lisfrank fracture. the patient tolerated these procedures well. definitive operative fixation of his metatarsal fractures was deferred for this hospitalization. the patient will follow up 5d post discharge with orthopedics for scheduling of repair. c7/t1 vertebral facet fractures - the spine service managed the patient's traumatic vertebral fractures. an spinal mri was performed which ruled out significant soft tissue injury to the spinal cord or surrounding structures. the patient was maintained on a cervical collar at all times for his fractures, and operative management was deferred. l scapular fracture, right clavicular/1st rib fracture - these nonoperative injuries were managed conservatively throughout the hospital stay. the patient has a sling on his r arm and will require outpatient follow up of these injuries. medications on admission: none discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*3* 2. 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* 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 4. docusate sodium 150 mg/15 ml liquid sig: one hundred (100) mg po bid (2 times a day). disp:*1 bottle* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 6. erythromycin 5 mg/g ointment sig: 0.5 inch ribbon ophthalmic q4h (every 4 hours): alternate with lacrilube q 2 hours. disp:*1 tube* refills:*2* 7. artificial tear ointment 0.1-0.1 % ointment sig: one (1) appl ophthalmic q2h (every 2 hours): apply to both eyes. . disp:*1 tube* refills:*2* discharge disposition: extended care facility: discharge diagnosis: s/p rollover mvc 1. l scalp avulsion, s/p operative repair 2. l globe rupture s/p operative repair 3. l retro-orbital and vitreous hemorrhage 4. l orbital blow out fracture (all walls) 5. l globe hyphema 6. l ocular lens subluxation 7. c7/t1 facet fracture 8. l scapular fracture 9. r distal clavicular fracture, displaced 10. r 1st rib fracture 11. l femoral shaft fracture, s/p orif 12. l tibial cortical defect 13. l metatarsal fractures (1,3,4,5) s/p repair 14. bilateral pneumothorax, s/p chest tube 15. pneumomediastinum 16. bilateral pulmonary contusions discharge condition: stable. discharge instructions: you may not bear weight on your left leg until you follow up with orthopedics. continue to apply xeroform dressing changes to your scalp wound 2x daily. keep your eye shield in place. apply topical ointments as directed by ophthomology. wear your sling as prescribed. follow pt reccomendations regarding range of motion excercises and strength training for your injuries. you must wear your cervical collar at all times. followup instructions: where: orthopedics phone: date/time: 8:20 provider: , md where: orthopedics phone: date/time: 8:40 you will need to follow up with ophthomology. call today (() to schedule a follow up appointment. you will need to follow up with dr. for your spinal fractures. call ( to arrange for follow up. md, procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other endoscopy of small intestine fiber-optic bronchoscopy arterial catheterization excisional debridement of wound, infection, or burn debridement of open fracture site, tibia and fibula transfusion of packed cells repair of rupture of eyeball closed reduction of fracture with internal fixation, femur internal fixation of bone without fracture reduction, tarsals and metatarsals diagnoses: anemia, unspecified open wound of scalp, without mention of complication open wound of forehead, without mention of complication traumatic pneumothorax without mention of open wound into thorax closed fracture of seventh cervical vertebra traumatic subcutaneous emphysema closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) closed fracture of shaft of femur motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of base of skull without mention of intra cranial injury, with brief [less than one hour] loss of consciousness closed fracture of metatarsal bone(s) contusion of eyeball rupture of eye with partial loss of intraocular tissue vitreous hemorrhage open fracture of unspecified part of tibia alone 

Answer: The patient is high likely exposed to