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: history of present illness: the patient is an 83-year-old pedestrian female struck by a car. the patient fell to the street. she had no loss of consciousness. the patient has a visible deformity in the left lower extremity and a laceration to the back of the head. her vital signs were stable throughout. past medical history: (past medical history is significant for) 1. transient ischemic attack and cerebrovascular accident times two in . 2. glutin intolerance. allergies: no known drug allergies. medications on admission: 1. fosamax. 2. coumadin. 3. calcitrate. social history: no tobacco, alcohol, smoking, or drugs. physical examination on presentation: on physical examination, the patient's temperature was 99.1 degrees fahrenheit, her blood pressure was 150/95, her heart rate was 80, her respiratory rate was 18, and her oxygen saturation was 100% on 2 liters via nasal cannula. in general, the patient was alert and oriented. in no acute distress. the patient had a 2-cm laceration on the back of the scalp. otherwise, the head examination was atraumatic. pupils were equal, round, and reactive to light bilaterally. the trachea was midline. cardiovascular examination revealed a regular rate and rhythm. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, and nondistended. extremity examination revealed a deformity on the left lower extremity. the pelvis was stable. ecchymosis noted on the right knee. there was a hematoma on the left leg. the patient was moving all extremities well. the patient was following commands. strength was throughout. pertinent laboratory values on presentation: laboratories on admission revealed the patient's white blood cell count was 7.2 and her hematocrit was 37. her prothrombin time was 25.9, her partial thromboplastin time was 42.5, and her inr was 4.4. her fibrinogen was 188. urinalysis showed large blood; otherwise was negative. serum toxicology screen and urine toxicology screen were negative. pertinent radiology/imaging: a chest x-ray showed no pneumothorax. the pelvis showed a left superoinferior pubic rami fracture. a head computed tomography showed no intracranial bleed. a computed tomography of her cervical spine showed chronic osteoporotic changes. a computed tomography of the abdomen and pelvis showed a left six rib fracture. an x-ray of the left hip showed a proximal tibia/fibula fracture. a thoracolumbosacral x-ray showed anterolisthesis of l5-s1 and t10-t11 with unknown chronicity. concise summary of hospital course: the patient was seen by the orthopaedic service. they reduced and splinted the left tibia/fibula in the trauma bay on conscious sedation using propofol. the patient was to be sent to the floor upstairs when she became transiently hypotensive with a systolic blood pressure to the 70s and with a heart rate in the 70s. the patient was alert and oriented. the patient's hematocrit level was repeated at that time and was stable. the patient's hypotension responded to fluids. her blood pressure returned to a systolic blood pressure in the 120s. several minutes later, the patient became hypotensive once again with a systolic blood pressure in the 60s and with bradycardia into the 40s. at this time, the patient had a chest x-ray done which was negative. an electrocardiogram was also done which was also negative. the patient was then admitted to the trauma surgical intensive care unit for close blood pressure monitoring. the patient received 2 units of fresh frozen plasma, 1 mg of intravenous vitamin k, and her hematocrit and coagulations were followed. staples were placed into the patient's scalp wound as well. the patient's hematocrit remained stable, and her inr had decreased to 1.9 and then subsequently to 1.1. the patient was to the operating room on post trauma day one for an open reduction/internal fixation of the left tibia/fibula. the patient was also seen by neurosurgery. a computed tomography of the lumbosacral spine with thin cuts through l5 and s1 was done which showed no acute fracture. the patient had flexion and extension views with a computed tomography of the cervical spine as well which showed no acute fracture but did show some possible anterolisthesis of c3-c4 and c4-c5. neurosurgery recommended that the patient remain in the hard collar for two weeks and follow up with them in two weeks for repeat evaluation. after the operation, the patient's coumadin was restarted. her inr at the time of discharge was 1.3. the patient was to continue coumadin and heparin for six weeks. after six weeks, the heparin can be discontinued for deep venous thrombosis prophylaxis. the patient was to be nonweightbearing on the left lower extremity and ambulate with crutches and a walker. the patient's goal inr is 1.5 to 2. the patient was seen by the physical therapy service and occupational therapy service here and determined to be in need of rehabilitation after this acute hospitalization. condition at discharge: the patient's condition on discharge was good. discharge disposition: the patient was to be discharged to a rehabilitation facility. discharge diagnoses: 1. pedestrian struck by car. 2. left rib fracture. 3. proximal left tibia/fibula fracture. 4. left superoinferior pubic rami fractures. 5. stop wound. medications on discharge: (discharge medications included) 1. coumadin 2.5 mg by mouth once per day. 2. heparin 5000 units subcutaneously q.12h. (for six weeks). 3. percocet one to two tablets by mouth q.4-6h. as needed (for pain). 4. acetaminophen one tablet by mouth q.4-6h. as needed (for pain). 5. fosamax. 6. coumadin. 7. calcitrate. discharge instructions/followup: 1. the patient was instructed to follow up with dr. (of orthopaedic service) in two weeks; (telephone number ). 2. the patient was instructed to follow up with dr. (of neurosurgery service) in two weeks; (telephone number ). 3. the patient was instructed to follow up in the trauma clinic next week for staple removal (telephone number ). 4. the patient was also instructed to follow up with her primary care physician. , m.d. dictated by: medquist36 procedure: closure of skin and subcutaneous tissue of other sites transfusion of packed cells transfusion of other serum open reduction of separated epiphysis, tibia and fibula diagnoses: open wound of scalp, without mention of complication osteoporosis, unspecified celiac disease closed fracture of two ribs closed fracture of upper end of fibula with tibia closed fracture of pubis nonspecific low blood pressure reading osteoarthrosis, unspecified whether generalized or localized, other specified sites other noncollision motor vehicle traffic accident injuring pedestrian 

Answer: The patient is high likely exposed to