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: no known allergies / adverse drug reactions attending: chief complaint: s/p mcc, rigid abdomen major surgical or invasive procedure: ex-lap, duodenal resection, billroth 1 reconstruction (distal gastrectomy-duodenostomy) history of present illness: 30 year-old male s/p a motorvehicle collision, helmeted, at 45 mph. the patient was riding his motorcycle, lost control of the vehicle, and fell off. he was initially unresponsive on the scene, but was awake and alert by time of evaluation in ed. he does not remember what happened. he was complaining of excrutiating abdominal pain and had a rigid abdomen on arrival to the ed. fast was positive. his ct torso showed complex free fluid in the pelvis and along the right paracolic gutter with tiny locules of pneumoperitoneum, highly concerning for acute bowel injury with perforation. past medical history: pmh: none psh: none social history: social history: denies drug abuse family history: nc physical exam: temp:98.4 hr:77 bp:122/80 resp:18 o(2)sat:98% normal constitutional: patient is awake but confused heent: no obvious head trauma, pupils are equal and reactive cervical collar in place chest: clear to auscultation bilaterally, no crepitus cardiovascular: normal s1-s2, no murmurs abdominal: tender in the right lower quadrant, no peritoneal signs pelvic: pelvis is stable rectal: normal prostate, heme negative gu/flank: no flank tenderness extr/back: no deformities skin: diffuse road rash neuro: speech fluent, moving all 4 extremities equally pertinent results: 05:10am blood wbc-7.6 rbc-3.57* hgb-10.8* hct-31.3* mcv-88 mch-30.1 mchc-34.4 rdw-12.7 plt ct-403 04:45am blood wbc-7.2 rbc-3.47* hgb-10.7* hct-30.5* mcv-88 mch-30.7 mchc-35.0 rdw-12.8 plt ct-339 01:57am blood wbc-8.8 rbc-3.03* hgb-9.2* hct-26.9* mcv-89 mch-30.4 mchc-34.2 rdw-12.9 plt ct-243 01:57pm blood hct-35.2* 07:21pm blood wbc-12.0* rbc-4.63 hgb-14.4 hct-40.7 mcv-88 mch-31.1 mchc-35.3* rdw-13.2 plt ct-326 01:36am blood neuts-89* bands-4 lymphs-4* monos-3 eos-0 baso-0 atyps-0 metas-0 myelos-0 05:10am blood plt ct-403 01:36am blood pt-13.7* ptt-21.6* inr(pt)-1.2* 07:21pm blood fibrino-189 01:39am blood ret aut-1.1* 04:45am blood glucose-110* urean-10 creat-0.6 na-139 k-4.2 cl-100 hco3-28 angap-15 01:57am blood glucose-106* urean-9 creat-0.8 na-139 k-3.3 cl-99 hco3-30 angap-13 01:39am blood alt-80* ast-84* ld(ldh)-263* alkphos-28* totbili-0.4 dirbili-0.1 indbili-0.3 01:36am blood lipase-431* 07:21pm blood lipase-514* 04:45am blood calcium-8.4 phos-3.1 mg-2.2 02:02am blood freeca-1.11* : cat scan abdomen and pelvis: impression: complex free fluid in the pelvis and along the right paracolic gutter with tiny locules of pneumoperitoneum. these findings are highly concerning for acute bowel injury with microperforation, although the exact site of injury cannot be identified. : c-spine: impression: no cervical spine injuries. findings were discussed with dr. and the trauma team in person at 9 p.m. on . : pathology report: duodenum and distal stomach: 1. small intestinal segment with diffuse submucosal hemorrhage and focal mucosal ischemic change and serositis; changes seen extending to distal end of specimen. 2. piece of stomach (predominantly antral-type mucosa) with mucosal changes of reactive-type gastropathy and submucosal hemorrhage. 3. no transmural necrosis or acute inflammation are identified. : wrist x-ray: there is a comminuted intra-articular fracture of the distal left radius together with a fracture of the ulnar styloid. compared with 11, a splint is now in place. there has been improvement in alignment on the lateral view, with change from dorsal angulation of the distal radial articular surface to mild volar angulation, and improvement in the degree of radial impaction. a large radial styloid fragment remains laterally displaced by approximately 20-30% of shaft width. the distal radioulnar joint is grossly congruent. detail is obscured by overlying splint. : cat scan of the head: impression: no acute intracranial abnormality. : chest x-ray: impression: consolidation involving the left lower lobe is essentially unchanged from the most recent study six hours earlier. no pneumothorax. : chest x-ray: left lower lobe consolidation is extensive, unchanged. right basal opacity is unchanged. bilateral pleural effusions are partially imaged. et tube is not clearly seen on the current study due to patient rotation, repeatedradiograph with symmetric projection is suggested. the ng tube passes below the diaphragm most likely terminating in the stomach. : ugi: impression: no evidence for anastomotic leak. brief hospital course: patient was immediately taken to the or as his clinical and ct findings demonstrated an acute abdomen with evidence of a bowel perforation. in the or a 2 cm long full-thickness defect of d1 was found inferiorly and associated gastroepiploic trunk bleeding and pancreatic hematoma, as well as auto kocherization secondary to trauma. a d1 resection with billroth i reconstruction and drainage of the pancreatic head was performed. he was also found to have a left distal radius fx, for which ortho was consulted with plans for a orif. he did well on pod1 and was transferred to the floor. he was admitted to the ticu after his surgery for pain management, transferrd to the surgical floor and readmitted to the ticu on after he became hypoxic. he required intubation and a bronchoscopy to improve his oxygenation. a cat scan of his chest was done and he was found to have a lll collapse. he was febrile and hypotensive and started on antibiotics. his blood cultures and urine cultures were reported as normal. his bal reported pmn's. he was extubated on pod #4. he continued to have temperature spikes and his antibiotic coverage was broadened. an upper gi was done to assess for an anastamotic leak and there was no leak reported. he was gradually introduced to clear liquids with advancement to a regular diet. he was evaluated by physical therapy and cleared for discharge home. his vital signs are stable and he is tolerating a regular diet. he is afebrile. he is voiding without difficulty. he will follow up with the acute care service in 2 weeks. medications on admission: none discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po every four (4) hours: as needed for pain. cause drowsiness, avoid driving while on this medication. disp:*25 tablet(s)* refills:*0* 2. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 3. colace 100 mg capsule sig: one (1) capsule po twice a day: hold for diarrhea. discharge disposition: home discharge diagnosis: trauma: l distal radius fx duodenal injury/perforation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after you fell off your motor-cycle. you sustained a fracture to your left arm and an injury to a part of your bowel. you are now preparing for discharge home with the following instructons: 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. *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 the acute care service in 2 weeks. you can schedule this appoinment by calling # procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other partial resection of small intestine insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus open reduction of fracture with internal fixation, radius and ulna closed reduction of fracture without internal fixation, radius and ulna other pancreatotomy partial gastrectomy with anastomosis to duodenum diagnoses: pulmonary collapse pneumonitis due to inhalation of food or vomitus accidents occurring in residential institution closed colles' fracture foreign body in larynx inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation motor vehicle traffic accident due to loss of control, without collision on the highway, injuring motorcyclist injury to other and multiple intra-abdominal organs without mention of open wound into cavity injury to pancreas, multiple and unspecified sites, without mention of open wound into cavity 

Answer: The patient is high likely exposed to