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: s/p mvc with multiple injuries major surgical or invasive procedure: orif left tibial fx transfused 2 units rbcs history of present illness: 41-year-old female with a history of hcv and polysubstance abuse, status post mvc, unrestrained driver car vs. telephone pole. combative at scene despite gcs 15, intubated. transferred to from lgh, took 72mg morphine to sedate. + for etoh, cocaine, opiates. past medical history: 1. hepatitis c infection 2. poly-substance abuse 3. depression 4. ptsd social history: 1. hx of ivdu (heroin, cocaine), etoh and tobacco abuse 2. lives with partner family history: nc physical exam: 101.0 96.5 92/52 96 18 95%3l nad abdomen s/nt/nd ctab nasal splint in place right le has 1+ edema about the surgical site and the dsg are c/d/i with bloody strikethrough on internal dsg. no evidence of hematoma or dehiscence pertinent results: 12:00am glucose-102 lactate-0.8 k+-3.4* 12:00am freeca-1.11* 08:45pm glucose-95 urea n-6 creat-0.4 sodium-140 potassium-3.6 chloride-108 total co2-20* anion gap-16 08:45pm amylase-35 08:45pm asa-neg ethanol-39* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 08:45pm urine hours-random 08:45pm pt-12.8 ptt-22.2 inr(pt)-1.0 08:45pm fibrinoge-354 08:45pm urine rbc-* wbc-0-2 bacteria-occ yeast-none epi-0-2 12:47am blood pt-12.5 ptt-25.0 inr(pt)-1.0 12:47am blood plt ct-350 12:47am blood neuts-72.1* lymphs-23.3 monos-3.1 eos-1.3 baso-0.1 01:42am blood wbc-13.0*# rbc-3.43* hgb-10.8* hct-30.8* mcv-90 mch-31.4 mchc-34.9 rdw-13.5 plt ct-489* 12:47am blood wbc-7.6 rbc-2.76* hgb-8.6* hct-25.1* mcv-91 mch-31.1 mchc-34.1 rdw-13.3 plt ct-350 09:20am blood wbc-8.0 hct-35.9*# plt ct-358 08:45pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 08:45pm urine rbc-* wbc-0-2 bacteri-occ yeast-none epi-0-2 08:45pm urine bnzodzp-neg barbitr-neg opiates-pos cocaine-pos amphetm-neg mthdone-neg ## ct face : 1. bilateral nasal bone fractures. 2. sinus disease as described above. 3. there is soft tissue swelling in the left forehead. ## ct rle : comminuted bicondylar tibial plateau fracture, with considerable depression. additional oblique fracture involving proximal tibial diaphysis. ## tl spine : l1 nonacute vertebral compression fracture with anterior wedging and mild loss of t12-l1 intervertebral disk space height. brief hospital course: ortho: ms. was admitted to the trauma service for multiple injuries sustained after her motor vehicle collision. she underwent internal fixation of her right tibial plateau fracture on . the patient was placed in a knee brace and put on lovenox prophylaxis. recommendations were made to avoid weight-bearing on that extremity for 10 weeks. she was also found to have a compression fracture of l1 on her initial workup. the patient was placed in a tlso brace when she was able to sit up in bed. lumbar spine films were taken with the brace on and revealed a stable fracture. she thereafter was able to ambulate with the help of the physical therapist. the patient received two units of prcs for a drop in her hematcrit. the latter subsequently remained stable throughout her stay. her physical therapy sessions were interrupted by her decision to leave the hospital against medical advice. ## plastics: the patient's nasal fractures were seen by the plastic surgery team and recommendations were made to place her in a nasal splint. she remained stable in that aspect and did not require further management. ## neuro/psych: the patient was initially extremely drowsy and poorly responsive to our questioning. her home medications were obtained from her pcp and included seroquel, effexor and klonopin. once her medical regimen was readjusted, her mental status dramatically improved. the night prior to leaving against medical advice, the patient was agitated, requesting more pain medications. she was seen by our psychiatry team and was deemed competent to make her own decisions. ## disposition: the patient left against medical advice on with prescription for dilaudid and lovenox. we have explained that she needed additional sessions of physical therapy and was unsafe to return home at this moment. she has understood the risks. medications on admission: klonepin seroquel effexor discharge medications: 1. enoxaparin sodium 40 mg/0.4ml syringe sig: one (1) subcutaneous once a day for 2 weeks. disp:*14 * refills:*0* 2. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po every hours as needed for 4 days. disp:*20 tablet(s)* refills:*0* 3. venlafaxine hcl 75 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po daily (daily). 4. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 5. quetiapine fumarate 100 mg tablet sig: two (2) tablet po hs (at bedtime). discharge disposition: home with service facility: discharge diagnosis: 1. right tibial plateau fracture 2. bilateral nasal fractures discharge condition: fair ama discharge instructions: you were hospitalized in the trauma service for injuries you sustained after your motor vehicle crash. your right leg fracture was repaired by the orthopedic surgeons. you were placed on a blood thinner to prevent blood clots in your leg. you must take this daily injection for 2 weeks. please return to the orthopedic surgery clinic in 2 weeks . return to your regular doctor or the er to remove your sutures in 1 week. you have decided to leave the hospital against medical advice and have understood the risks of doing so. followup instructions: clinic in 2 weeks suture removal in 1 week procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula transfusion of packed cells closed reduction of nasal fracture diagnoses: unspecified viral hepatitis c without hepatic coma alcohol abuse, unspecified cocaine abuse, unspecified closed fracture of one rib closed fracture of lumbar vertebra without mention of spinal cord injury opioid abuse, unspecified closed fracture of upper end of tibia alone 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 nasal bones 

Answer: The patient is high likely exposed to