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: mvc major surgical or invasive procedure: left foot split thickness skin graft left orif tibial shaft fx left orif tibial malleollar fx left foot i/d of soft tissue injury left acetabular fracture left leg fasciotomies closure of left leg fasciotomies placement left traction pin removal of left traction pin serial vac changes and i&d of left foot open reduction internal fixation of left anterior acetabular fracture history of present illness: 49 y/o male transferred from hospital after mvc. patient restrained driver, who swerved to miss hitting a deer, went off the road into the and truck rolled over. past medical history: hard of hearing (uses hearing aids) social history: non-contributory family history: non-contributory physical exam: head pupils 3mm equal neck non tender trachea midline chest left tender bs clear abd nontender sft nondistended ext left tibial open fracture /fhl intact sensation intact pulses intact pertinent results: head and c-spine ct impression: 1) no acute intracranial hemorrhage or mass effect. no fracture. 2) well-circumscribed lucencies within c1 without evidence of cortical destruction, a finding that is of uncertain significance. ct torso impression: 1. small left pneumothorax adjacent to nondisplaced fractures of the left anterior third and fourth ribs and small foci of opacity within the anterior lingula and left lower lobe suggesting small areas of pulmonary contusion. 2. complex comminuted fracture of the left acetabulum with associated left pelvic hematoma. 3. fatty liver. pelvis impression: complex comminuted fracture of the left pelvis extending through the acetabulum with avulsed lateral fragment. consider ct scanning which may be helpful in further characterization and of aid in treatment planning. foot films findings: much detail is obscured by overlying casting material. the frontal view shows oblique fracture at the distal metatarsal of the second digit and slightly more proximally of the metatarsal bone of the fourth digit. no other fractures were seen. impression: fractures of the second and fourth metatarsal bones as described above; study markedly limited by overlying casting material. left foot, ap, lateral and oblique: comparison is made to . as before, evaluation is somewhat limited by the presence of overlying casting material. again seen are distal metadiaphyseal complete oblique fractures of the second and fourth metatarsal bones with slight displacement at both sites. there is also a dislocation of the fifth metatarsophalangeal joint, which was probably unchanged. in addition, a third fracture site is suspected at the base of the second phalanx along the medial base with probable intra-articular extension. the joint spaces preserved, however. impression: 1) oblique fractures through the second and fourth metatarsals. 2) suspected fracture at the base of the second proximal phalanx. 3) dislocation of the fifth mtp joint. 3:00 pm swab l foot wound. **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 3+ (5-10 per 1000x field): gram negative rod(s). wound culture (final ): due to mixed bacterial types ( >= 3 colony types) an abbreviated workup is performed appropriate to the isolates recovered from the site (including a screen for pseudomonas aeruginosa, staphylococcus aureus and beta streptococcus). pseudomonas aeruginosa. heavy growth. of two colonial morphologies. non-fermenter, not pseudomonas aeruginosa. moderate growth. staphylococcus, coagulase negative. rare growth. sensitivities: mic expressed in mcg/ml _________________________________________________________ pseudomonas aeruginosa | cefepime-------------- 4 s ceftazidime----------- 4 s ciprofloxacin---------<=0.25 s gentamicin------------ 2 s imipenem-------------- 2 s meropenem-------------<=0.25 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s anaerobic culture (final ): no anaerobes isolated. angiogram : impression: left lower extremity arteriography reveals patency of the common femoral, profunda, superficial femoral and popliteal arteries along with a three-vessel runoff to the level of the foot. no focal stenosis or occlusion was identified. at the foot, there is patency of the dp and pt, with a patent and complete plantar arch. discharge labs: wbc-6.5 rbc-3.96* hgb-11.3* hct-34.4* mcv-87 mch-28.4 mchc-32.7 rdw-14.5 plt ct-289 pt-12.9 ptt-29.0 inr(pt)-1.1 glucose-106* urean-7 creat-0.5 na-139 k-4.0 cl-102 hco3-28 angap-13 brief hospital course: he was seen in the ed by ortho on and emergently taken to the or for orif of left tibial shaft fx with im rodding, i/d debridement of left foot soft tissue injury , orif of left tibial malleolar fx, left leg fasciotomies and placement of lef leg traction pin for left acetabular fracture - see op note for details. he was transfered the pacu in stable conditon. post op. he was on the trauma service in the trauma sicu where he remained stable and was extubated. he was seen by dr who explained to the patient and his family what would be the plan he agreed to it and he was taken on to the or for removal of a traction pin and open reduction of the left posterior acetabular fracture and closure of left leg fasciotomies, i/d of left leg soft tissue injury and placement of a vac dsd. he was transfered to pacu stable. in the pacu he was hypotensive and required vassopressors. he was transfered to the tramua sicu for 24 hrs and then to the cc6 floor after being weaned off pressors. dr spoke with the family again about the need to do another vac change prior to plastic surgery doing a flap closure on he returned to the or for i&d and a pinning of his metatarsal fx on . he again returned to the or for i&d vac dressing change and orif of the left anterior acetabular fx dr felt that his foot looked better the swelling was going down he was now made non weight bearing but may be oob to chair on he returned to the or and underwent a vac change. the wound looked good and was starting to have some granulation tissue form he returnedto the or on had vac removed on he had dressing change and then on had vac dsd placed. plastic surgery was consulted and dr performed a multiple skin grafts to his open areas on his left foot. post-operatively, he was transferred to the plastic surgery sergice. patient was placed on stirct bed rest and had the vac in place until post op day 5 (). in the interim, the plastics team eventually weaned him off the iv pains medications to regular po pills. he appears to be well controlled on oxycontin 30bid and dialudid po for breakthrough. his foley was did on morning of the 11th and his donor skin graft site was kept open to air. his vac was removed on post-op day 5, which revealed that the foot had taken to the multiple skin graft sites. the thought was to place the patient in a afo splint with ortho's approval and prior to discharge to rehab. however, the patient failed to tolerate splint as the current pins in his left foot limited his flexion. after discussion with ortho, they recommended discharge with his foot as is with range of motion as tolerated. they intend to take the pins out of his left foot when he returns for a follow-up appointment a week after discharge. they are aware of the patients foot being in plantar flexion and will work on placing patient in splint after pins are removed. the patient was tolerating a regular diet, on po pain medication and iv antibiotics. he awaited for placement until at which time he was discharged to rehab with followup appointments at the . medications on admission: none discharge medications: 1. oxycodone 10 mg tablet sustained release 12hr sig: three (3) tablet sustained release 12hr po q12h (every 12 hours). disp:*180 tablet sustained release 12hr(s)* refills:*2* 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed. disp:*qs qs* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. enoxaparin sodium 40 mg/0.4ml syringe sig: one (1) subcutaneous qday (). disp:*qs qs* refills:*2* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h () as needed. disp:*qs tablet(s)* refills:*0* 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*qs tablet, delayed release (e.c.)(s)* refills:*0* 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed: do not exceed mg acetaminophen per day . disp:*45 tablet(s)* refills:*0* 9. cefazolin 10 g recon soln sig: one (1) gram injection q8h (every 8 hours). disp:*90 gram* refills:*2* 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. discharge disposition: extended care facility: & rehab center - discharge diagnosis: left third and fourth rib fractures left pneumothorax status post chest tube placement blood loss anemia requiring transfusion hypotension requiring pressor support post operative fever left foot split thickness skin graft left foot soft tissue injuries left acetabular fracture left tibial shaft fracture left tibial malleollar fracture left metatarsal fracture discharge condition: stable discharge instructions: ortho discharge instructions transfer to rehab sp open reduction internal fixation left tibial fracture with im rod open reduction internal fixation of left tibial malleolar fracture left leg fasicotomies placement of left traction pin i/d of left foot wood removal of traction pin i/d left foot wound with vac dressing closure of left leg fasciotomies open reduction internal fixation of left posterior /transveres acetabular fracture i&d vac change metatarsal pinning i&d vac change open reduction internal fixation of left anterior acetabular fracture i&d vac change call with spiking fevers, increased redness, swelling or discharge of the wounds or pin sites. please work on passive range of motion of left foot to increase range of motion (currently in plantar flexion, work on getting foot to neutral. daily dressing changes to wounds, including xeroform and dry sterile dressing. routine pin care non weight bearing lle followup instructions: follow up with ortho trauma clinic in 1 week, call for an appointment follow up with plastic surgery in 1 week, call for an appointment procedure: arteriography of femoral and other lower extremity arteries fasciotomy other skin graft to other sites other skin graft to other sites advancement of pedicle graft excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn excisional debridement of wound, infection, or burn debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, other specified bone open reduction of fracture with internal fixation, other specified bone open reduction of fracture with internal fixation, tarsals and metatarsals open reduction of fracture with internal fixation, tarsals and metatarsals internal fixation of bone without fracture reduction, tibia and fibula internal fixation of bone without fracture reduction, other bones debridement of open fracture site, tarsals and metatarsals debridement of open fracture site, tarsals and metatarsals diagnoses: traumatic pneumothorax without mention of open wound into thorax staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus closed fracture of two ribs contusion of lung without mention of open wound into thorax other chronic nonalcoholic liver disease pseudomonas infection in conditions classified elsewhere and of unspecified site street and highway accidents 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 acetabulum open fracture of shaft of tibia alone trimalleolar fracture, open open fracture of metatarsal bone(s) streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group b 

Answer: The patient is high likely exposed to