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: t-bone motor vehicle crash major surgical or invasive procedure: s/p open reduction internal fixation of left sacrum fracture () history of present illness: 29m rear-passenger in t-bone collision at approximately 45-50 mph; asleep at the time, no memory of accident. c/o back pain in coccyx area and left hip. he was transported to for further care. past medical history: denies family history: noncontributory physical exam: pe at time of admission: vs: t 97.3, hr 104, bp 120/palp, spo2 99%ra, gcs 15 gen: awake, but in pain skin: scalp abrasion cv: tachycardic resp: ctab abd: fast exam negative; rectal exam with no gross bleeding gu: no blood at penile meatus ext: distal pulses palpable ms: l leg externally rotated spine: no spinal step-offs neuro: moving all extremities, normal patellar reflexes pertinent results: ct head: there is normal -white matter differentiation. there is no evidence of acute hemorrhage or shift of normally midline structures. the ventricles and sulci are unremarkable. there is no evidence of hydrocephalus. the basilar cisterns are patent. the visualized paranasal sinuses are clear. ct c-spine: there is a transverse fracture of the right occipital condyle with minimal displacement. the vertebral body heights and alignment are preserved. there is no prevertebral soft tissue swelling. degenerative changes including mild disc bulge at t1-t2 and ossification of the posterior longitudinal ligament is noted. tiny left apical pneumothorax. ct torso: the heart and great vessels are unremarkable. there is no pericardial or pleural effusion. incidental note is made of thymic remnant tissue. there is no axillary, hilar, or mediastinal lymphadenopathy. within the right upper lobe (2, 24) and right middle lobe (2, 29) and right lower lobe (2, 31) there are hazy ground-glass opacities in the periphery, which are concerning for area of lung contusion. there are tiny bilateral pneumothoraces, and tiny pneumomediastinum. the airways are patent to the subsegmental level. there is no focal consolidation identified. ct of the abdomen: the spleen, pancreas, adrenal glands, left kidney, liver, gallbladder are unremarkable. within the right kidney, there is a rounded hypodensity (2, 56), which likely represents a cyst, although possible renal laceration is not excluded. in addition, small amount of right perinephric fluid is identified (2, 53). small bowel loops are normal in caliber and without focal wall thickening. there is no free air identified. bone windows: there is no mesenteric or retroperitoneal lymphadenopathy identified. ct of the pelvis: the rectum, sigmoid colon, and bladder are unremarkable. there is no pelvic or inguinal lymphadenopathy. bone windows: there are fractures of the right posterior 11th rib, transverse processes of l2, l3, and l4. there appears to be a fracture of the left inferior articular process of l5. there is a minimally displaced left sacral fracture or (2, 94). a comminuted slightly displaced right superior pubic rami fracture, non-displaced left superior pubic ramus fracture and bilateral inferior rami fractures are identified. there is no significant pelvic hematoma identified. left leg xray: bilateral superior and inferior pubic rami fractures are redemonstrated, better seen on the recent ct. no other fracture or dislocation is present. no focal lytic or sclerotic osseous abnormality seen within the left femur. no radiopaque foreign bodies or soft tissue gas is noted. the left hip joint is preserved without significant degenerative changes. contrast is seen within the bladder which contains a foley catheter, with contrast also noted in the distal left ureter. mri spine: multiple traumatic sequelae throughout the cervical, thoracic and lumbar spine as detailed above. notably, the spinal cord appears well preserved with no definite spinal cord signal abnormalities. stir hyperintensities seen at multiple levels in the thoracic spine as detailed above with a superior endplate deformity at t5 consistent with fracture seen at that level on ct exam. also seen are signal abnormalities through the sacrum consistent with a fracture at that level. 06:17pm po2-37* pco2-56* ph-7.30* total co2-29 base xs--1 comments-green top 06:17pm glucose-129* lactate-2.3* na+-141 k+-3.4* cl--100 06:05pm urea n-13 creat-1.1 06:05pm lipase-172* 06:05pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:05pm wbc-14.4* rbc-4.91 hgb-13.5* hct-39.7* mcv-81* mch-27.5 mchc-33.9 rdw-12.9 06:05pm pt-13.6* ptt-26.3 inr(pt)-1.2* 06:05pm plt count-291 brief hospital course: patient came to the er s/p t-bone mvc sustaining multiple injuries. xray of chest and left leg and ct torso done. he was admitted to the trauma icu on the trauma surgery service with consults from ortho spine and orthopedics. he was kept npo/ivf, iv pain meds, foley to gravity, and bedrest/logroll precautions. mri of the cervical, thoracic and lumbar spine were done. hct remained stable at 35-36. he was transferred to floor, started pca for pain, and diet advanced as tolerated. he continued to have significant pain; he was switched to an oral pain regimen. he was then pre-op and consented for or by orthopedics. he was taken to the operating room for open reduction and internal fixation with percutaneous screw of left sacral fracture by orthopedics. his pca for pain control was restarted postoperatively. his diet was advanced; activity upgraded to touchdown weight bearing on left leg, and full weight bearing on right leg. oral pain medications were restarted. pt was consulted and have recommended rehab. he failed a voiding trial, the foley was replaced and flomax was started. he failed another voiding trial and the foley was yet again replaced. it is likely that due to his limited mobility and narcotics that he is having urinary retention. another voiding trail should be done in the next 4-5 days. plans underway for discharge to rehab. his cervical collar will need to remain on for at least 6 weeks, it may be eoved for showering as long as he keeps his head in proper alignment. medications on admission: none discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. enoxaparin 40 mg/0.4 ml syringe sig: one (1) injection subcutaneous daily (daily) for 4 weeks. 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal once a day as needed for constipation. 7. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml's po twice a day as needed for constipation. 8. flomax 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po at bedtime. discharge disposition: extended care facility: - discharge diagnosis: s/p motor vehicle crash right renal laceration with small perinephric hematoma right pulmonary contusions right l2-5 transverse process fractures left l5 transverse process fracture left sacral fracture right superior ramus fracture bilateral inferior ramus fracture right occipital and condylar fractures right t11 rib fracture small bilateral pneumothorax urinary retention discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. discharge instructions: * keep your collar on for 6 weeks. you may remove it when taking showers, but be sure to keep your head straight. followup instructions: *1. follow-up with orthopedic spine surgeon dr. in 2 weeks. call his office at ( to schedule an appointment. *2. follow-up with orthopedic nurse in 2 weeks. call the office at ( to schedule an appointment. 3. follow-up with trauma surgeon dr. in 2 weeks. call his office at ( to schedule an appointment. *please inquire with the orthopedic office re: scheduling the orthopedic spine and orthopedics follow up appointments on the same day. procedure: repair of vertebral fracture insertion of indwelling urinary catheter diagnoses: other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation retention of urine, unspecified closed fracture of one rib traumatic pneumothorax without mention of open wound into thorax urinary complications, not elsewhere classified closed fracture of lumbar vertebra without mention of spinal cord injury contusion of lung without mention of open wound into thorax closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness injury to kidney without mention of open wound into cavity, laceration other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to