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 a 71 year old male with mild dementia who was a pedestrian hit by a truck at 40 miles an hour, thrown 20 feet away with loss of consciousness and laceration of the head. he was combative at the scene with worsening mental status. upon arrival of ems, he was intubated. his blood pressure remained in the 70s. he was found to have a flail chest on both sides and he was transported to for further management. in flight, the patient's chest was needle decompressed on both sides. upon arrival into the trauma bay, the patient was intubated and nonresponsive (the patient received a small amount of fentanyl and one dose of paralytic in flight). physical examination: he was intubated, moving bilateral upper and lower extremities minimally. the pupils were 2 mm and nonreactive. there was significant laceration on the patient's forehead and head down to the skull; however, no evidence of skull fracture on visual inspection. tms are clear bilaterally. mucous membranes seemed intact. he had a flail chest and crepitus on the right side. abdomen seems mildly distended. pelvis is visibly unstable. there is blood at the meatus. rectal exam - decreased tone and guaiac negative. there is visibly inverted and shortened right leg with unstable hip, unstable left knee, bruising over the left hand. the pulses are 2 plus bilaterally throughout. upon arrival, the patient had a heart rate of 110 with blood pressure of 70 systolic, sating around 90 percent. pertinent labs: upon arrival, the patient's white blood cell count was 12.5, hematocrit 30.2, pt 16.4, ptt 53.8, inr 1.7, fibrinogen 1.8. his toxscreen was negative. sodium was 143, potassium 3.9, chloride 110, bicarb 22, glucose 264, bun 13, creatinine 1.3, amylase 92, lactate of 7.5, calcium 8.8. his first gas was 7.13, 47, 115, 17, -13. past medical history: 1. mild mental retardation. 2. hypertension. allergies: no known drug allergies. past surgical history: none. outpatient medications: unknown. hospital course: upon arrival, the et tube positioning was confirmed with co2 indicator and bilateral chest tubes were placed for prophylaxis. the patient started receiving blood products, initially untyped blood followed by ffp, platelets and cryoprecipitate which improved his blood pressure to 120s- 140s and heart rate decreased down to 80s. because there was blood in the meatus, the urology service was consulted over the phone who recommended one pass at the foley. the foley was placed easily; however, only a minimal amount of urine was obtained, so the foley was left in place. however, balloon was not inflated. the patient's pelvis was fixed with a sheath. orthopedic service was consulted immediately and recommended external fixation of both pelvis and bilateral lower extremities. as we were finishing these procedures, the patient became again hypotensive down to 70s-80s and tachycardic. more blood products were given. given a very high possibility of bleeding into the pelvis from a pelvic fracture, interventional radiology consult was immediately obtained. at the same time, given distended abdomen, a dpl was performed which was essentially negative. at that time, the patient again improved his blood pressure to 120s-140s with normal heart rate. given seemingly hemodynamic stability, the interventional radiology attending wished to attempt a ct scan before proceeding to angio. the patient was brought into the ct suite. a quick scan of the chest and abdomen was performed that revealed still a pneumothorax on the left side. at that point, the patient started dropping his saturations down to 80s. another chest tube with a 6- french was placed in the ct suite. at the same time, the right chest tube which was still functional and was in place by way of ct scan, started putting out more bloody discharge which had then totalled about 1 liter in 6 hours. the ct scan revealed, as above, persistent pneumothorax on the left which was fixed with another chest tube, hemothorax on the right with significant bilateral contusions. there were multiple rib fractures on the right, some mesenteric stranding, partial rupture of the right kidney and the foley looked like it was in the bladder. no other abnormalities were noted. the bony abnormalities included, as above, rib fractures, bilateral acetabular fractures, pelvic fracture. at that point, the patient was brought into the angio suite where angio was performed (i forgot to mention that a left subclavian cordis as well as a left femoral cordis were placed emergently from the initial workup). the patient had an angio which revealed slight bleeding from the right lower pole of the kidney which was embolized. it also revealed a small aneurysm in the spleen which was unclear whether it was a new or old finding and it was embolized as well. no other significant abnormalities were found. throughout that, the patient remained intermittently hemodynamically unstable, requiring continuous amounts of blood products, fluids as well as pressor support with epinephrine. the patient was brought into intensive care unit where his temperature was found to be 88. his groin arterial and venous line were changed and av rewarming was initiated. a new set of labs was sent which showed continuous coagulopathy and anemia with a hematocrit of 20. the patient continued to receive red blood cells, platelets, ffp and fibrinogen. temperature was coming up with av rewarming, although it was getting continuously more difficult to ventilate the patient. he had desaturations in the mid 80s. in the meantime, the patient's abdomen was becoming bigger and more tense. the measured bladder pressure was 48. a chest x-ray done emergently revealed no significant pneumothorax, but significant bilateral contusions, edema as well as the fluid overload. throughout this process, continuous discussions with the family were undertaken and through these discussions as we were updating the family, they requested less and less of invasive support until finally, given the fatality of the situation, they decided to change the patient to cmo status until finally the patient expired at 3:24. condition on discharge: the patient expired. the coroner was contact and accepted the case. discharge diagnoses: 1. motor vehicle accident. 2. rib fractures. 3. bilateral pulmonary contusions. 4. bilateral pneumothoraces. 5. pelvic fracture. 6. right femur fracture. 7. bilateral acetabular fractures. 8. left knee fracture. 9. skull laceration. 10. history of hypertension. 11. history of mental retardation. 12. anemia due to bleeding into ? pelvis and right thigh. 13. hypomagnesemia. 14. hypocalcemia. 15. respiratory failure. 16. abdominal compartment syndrome. 17. acute lung injury. , procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified arteriography of femoral and other lower extremity arteries arterial catheterization insertion of other (naso-)gastric tube aortography application of external fixator device, tibia and fibula closure of skin and subcutaneous tissue of other sites other endovascular procedures on other vessels transfusion of packed cells transfusion of other serum peritoneal lavage transfusion of platelets diagnoses: unspecified essential hypertension acute posthemorrhagic anemia hemorrhage complicating a procedure traumatic pneumohemothorax without mention of open wound into thorax closed fracture of upper end of tibia alone contusion of lung without mention of open wound into thorax traumatic shock closed fracture of shaft of femur injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with brief [less than one hour] loss of consciousness other early complications of trauma multiple closed pelvic fractures with disruption of pelvic circle injury to multiple blood vessels of abdomen and pelvis motor vehicle traffic accident involving collision with pedestrian injuring passenger in motor vehicle other than motorcycle open unspecified fracture of pelvis closed fracture of sacrum and coccyx with unspecified spinal cord injury 

Answer: The patient is high likely exposed to