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: - motor vehicle accent - jaw pain - bilateral foot pain major surgical or invasive procedure: - right parasymphyseal fracture of the mandible, treatment open reduction internal fixation of mandibular fractures. - 1. irrigation of the left foot. 2. distraction and relocation of the 1st metatarsophalangeal joint of the left foot. 3. fixation of digits 1 through 3 of the left foot. - 1. lle external fixation; 2. rle orif. history of present illness: 23 m s/p restrained driver in car vs. tree, high speed, prolonged extrication, extensive damge to car, +loc, amnestic to event, c/o of l. foot pain, jaw pain, and right foot pain. past medical history: alcohol abuse depression social history: college student; +etoh, +tobacco, +thc, +cocaine family history: n/c physical exam: t 100.1 p 77 bp 106/p rr 16 sao2 99% ra . heent: perrla ( ou), l pinna avulsion, midface stable, 3 cm lac to l chin, r mandible open, swollen and tender (likely fractured) chest: = bil bs, ctab : s1/s2 abd: right flank ecchymosis, -fast rectal: good tone, heme-neg gu: stable pelvis, no meatal blood m/s: lac to r ankle, r shoulder lac 4 cm to bone, lue abrasion, l great toe lac w/ gross deformity/dislocation, l metatarsal open, l toe dusky w/ < 2 sec cr neuro: gcs 14 (3/5/6), aaox3 pertinent results: cbc 12:30am blood wbc-16.4* rbc-4.89 hgb-14.6 hct-41.5 mcv-85 mch-29.8 mchc-35.2* rdw-12.8 plt ct-308 05:40am blood wbc-7.8 rbc-3.81* hgb-11.2* hct-32.2* mcv-85 mch-29.5 mchc-34.9 rdw-12.8 plt ct-201 05:33am blood wbc-8.3 rbc-3.31* hgb-9.8* hct-28.2* mcv-85 mch-29.7 mchc-34.8 rdw-12.8 plt ct-172 06:45am blood wbc-5.7 rbc-3.27* hgb-9.6* hct-28.1* mcv-86 mch-29.4 mchc-34.2 rdw-13.0 plt ct-201 06:40am blood wbc-7.3 rbc-3.50* hgb-10.8* hct-29.8* mcv-85 mch-31.0 mchc-36.3* rdw-13.6 plt ct-383# 05:35am blood wbc-6.2 rbc-3.16* hgb-9.7* hct-27.3* mcv-87 mch-30.6 mchc-35.4* rdw-13.3 plt ct-326 . coags 12:30am blood pt-13.3* ptt-25.7 inr(pt)-1.2* 12:30am blood fibrino-207 05:40am blood pt-16.4* ptt-30.0 inr(pt)-1.5* 05:33am blood pt-14.1* ptt-24.8 inr(pt)-1.2* 06:40am blood pt-13.4* ptt-28.5 inr(pt)-1.2* . chemistry 12:30am blood urean-23* creat-1.3* 09:07am blood glucose-91 urean-14 creat-0.8 na-142 k-4.0 cl-109* hco3-22 angap-15 calcium-7.3* phos-4.3 mg-1.4* 05:40am blood glucose-102 urean-8 creat-1.0 na-137 k-3.6 cl-101 hco3-29 angap-11 calcium-8.5 phos-2.8 mg-2.1 07:09pm blood glucose-162* urean-8 creat-1.1 na-140 k-4.1 cl-107 hco3-25 angap-12 05:33am blood glucose-139* urean-9 creat-0.9 na-143 k-4.0 cl-107 hco3-28 angap-12 06:45am blood glucose-100 urean-13 creat-0.8 na-141 k-3.6 cl-105 hco3-28 angap-12 06:40am blood glucose-113* urean-17 creat-0.8 na-138 k-4.5 cl-100 hco3-27 angap-16 05:35am blood glucose-89 urean-16 creat-0.9 na-138 k-4.1 cl-100 hco3-30 angap-12 calcium-8.9 phos-4.3 mg-2.0 . urine 12:30am urine type-random color-straw appear-clear sp -1.005 12:30am urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 12:30am urine rbc-0-2 wbc-0 bacteri-none yeast-none epi-<1 renalep- . micro 10:29 am swab left foot. **final report ** gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. wound culture (final ): no growth. anaerobic culture (final ): no growth. . imaging 3:11 pm e161l hand (ap, lat & oblique): l 5th metacarpal closed boxer's fracture to the proximal third of the shaft w/o angulation, <10% lateral malalignment of the distal fragment. . 6:55 pm f62or right lower extremity fluoro without radiologist in o.r. three intraoperative films were acquired, showing sequences during the fixation of a fracture of the sustentaculum tali on the right. three intraoperative spot films of the left foot show sequences in the fixation of the first and second tmt as well as the fifth tmt joints, as well as the navicular fracture with k- wires. . 3:48 pm q61r ct right low ext w/o c there is a comminuted but minimally displaced fracture of the lateral process of the talus. there is a comminuted but minimally displaced fracture in the medial talus extending into the posterior facet of the subtalar joint. there is a comminuted fracture of the sustentaculum tali with slight medial and posterior displacement of the main fracture fragment. there are multiple fracture fragments in the sinus tarsi. while there is a fracture fragment adjacent to the anterior process of the calcaneus, the anterior process appears intact. there is a minimally displaced fracture of the lateral posterior superior corner of the cuboid, which probably extends into the calcaneocuboidal joint. . 4:58 pm u614 bilat lower ext veins: no dvt. . 10:49 am h41 mandible (pa, & both obls) approved: status post orif of right mandibular fracture with no evidence of hardware-related complication, acute fracture or dislocation. . 7:23 pm e261l foot ap,lat & obl left: status post orif of left foot fractures and dislocation, with good anatomic alignment. additional fractures as described. . 10:47 am e151r wrist(3 + views) right approved: intra-articular fracture of the base of the second metacarpal with slight dorsal and inferior displacement of the proximal fragment. . 10:46 am e261r foot ap,lat & obl right approved: right foot and ankle: there is irregularity and a fracture of the lateral process of the talus. there is soft tissue swelling seen about the ankle, lateral side greater than medial. the talar dome is preserved. the medial and lateral malleoli are unremarkable. dedicated images of the right foot show no acute fractures or dislocations. there is some debris in the third and second toenails. left ankle: the study is limited secondary to overlying cast. there is a fracture involving the anterior aspect of the calcaneus with a displaced triangular fragment seen inferiorly. fractures of the inferior aspect of the cuboid as well as of the navicular identified. there is irregularity seen in the region of the cuneiforms consistent with fracture. there is a fracture identified of the base of likely the second metatarsal. correlation with the ct scan is recommended. . 10:16 am q61l ct low ext w/o c left approved: lisfranc fracture dislocation with multiple associated fractures of the fore- mid- and hind-foot. k-wires through the first through third toes course primarily through the plantar soft tissues of the toes. . 1:16 am e231r knee (ap, lat & oblique) right approved: there is no evidence of fracture or dislocation. there is normal bone mineralization. there is no knee effusion. on these nonweightbearing views, the joint spaces of the knee are preserved. there is no demonstrable degenerative change. a soft tissue defect consistent with laceration is noted anterior to the mid tibial diaphysis. . 1:16 am e241r tib/fib (ap & lat) right approved: there is no evidence of fracture or dislocation. there is normal bone mineralization. there is no knee effusion. on these nonweightbearing views, the joint spaces of the knee are preserved. there is no demonstrable degenerative change. a soft tissue defect consistent with laceration is noted anterior to the mid tibial diaphysis. . 1:16 am e261l foot ap,lat & obl left approved: complete dislocation of the first metatarsophalangeal joint and multiple fractures as described. given the extent of injury, ct of the foot is recommended to evaluate for possible additional mid or hind foot fractures. . 12:45 am q412 ct chest w/contrast: nondisplaced fractures of the lateral eleventh and twelfth right ribs. small 2-cm area of pulmonary contusion of the anteromedial right lower lobe. no intra- abdominal traumatic injury. . 12:45 am q422 ct abdomen w/contrast approved: nondisplaced fractures of the lateral eleventh and twelfth right ribs. small 2-cm area of pulmonary contusion of the anteromedial right lower lobe. no intra- abdominal traumatic injury. . 12:45 am q432 ct pelvis w/contrast approved: nondisplaced fractures of the lateral eleventh and twelfth right ribs. small 2-cm area of pulmonary contusion of the anteromedial right lower lobe. no intra- abdominal traumatic injury. . 12:44 am q116 ct sinus/mandible/maxillofacial w/o contrast approved: minimally displaced fracture of the right mandible. equivocal fracture of the nasal bone. right maxillary sinus mucus retention cysts or polyps. . 12:44 am q311 ct c-spine w/o contrast approved: no fracture or malalignment of the cervical spine. . 12:43 am q111 ct head w/o contrast approved: no intracranial hemorrhage or mass effect. right maxillary sinus mucous retention cysts or polyps. . 12:38 am s19 trauma #2 (ap cxr & pelvis port): no evidence of traumatic injury. . brief hospital course: this patient was admitted to on . the patient was status post a motor vehicle crash vs a tree (high-speed) with extensive front end damage, +loc. the patient did not recall any events. he was complained of left foot pain, and was noted to have an open fracture. in the trauma bay at , the patient was given cafezolin and a tetanus shot - his various lacerations were dressed with dsd. he underwent a variety of imaging, including a ct head, ct c-spine, ct maxillofacial, cxr, pelvic xray, and films of his extremities. on the same day, the patient was seen by the podiatry service (the patient sustained a complete dislocation of his 1st mpj with the met head distracted and protruding out by the 1st interspace; fracture of the 3rd proximal phalanx with intact vascular status). it was decided the patient would require immediate irrigation and relocation of his injury in the or with podiatry, which was accomplished without complication. clindamycin to cover oral microbes, non-weightbearing status bilateral lower exts. . hd2 : the patient returned to the or for repair of the mandibular fracture. he underwent orif of the mandible without complication. clindamycin to cover oral microbes, to sicu for care, remained intubated, stable w/o issue sedated on propafol. pt/ot consultation. . hd3 : sicu, sedated and intubated; extubated w/o issue; u/s ble neg for dvt; lovenox for dvt prophylaxis. . hd4 : to floor, pain management, tolerating po intake, good urine output, passing flatus and stool, no other issues. . hd5 : continued post-op pain managed with narcotics and acetaminophen. psychiatry consulted per parents' request given h/o depression and etoh abuse. . hd6 : pt continued to do well clinically; plastic surgery removed facial sutures w/o complication. psychiatric evaluation made, no signs of etoh withdrawal, pt denies si or depression, recommendation made for outpatient aa. d/c clindamycin (7 days of treatment). . hd7 : pre-op for podiatric surgery, otherwise uneventful. . hd8 : pt returned to the or with podiatry for percutaneous pinning of the right susentaculum tali and left foot/ankle ex fix with k wire pinning. . hd9 : pt did well clinically, but required significant pain management (accomplished by a combination of liquid and iv narcotic agents and ketorolac iv). pt had pain due to foley, removed catheter himself, and allowed replacement when unable to void at 1000 ml on bladder scan. . hd10 : pt's post-operative pain continued to subside, requiring less narcotic therapy to maintain comfort. . hd11 : pt noted that his l hand was bothering him, and an x-ray was performed which revealed a minimally displaced nonangulated fracture to the proximal left 5th metacarpal (a boxer's fracture); he was informed of his injury and minimally splinted by orthopedics. pt also received a below knee cast to r. le. foley cath removed, pt able to void appropriately. . hd12 : pt voiding w/o issue. at d/c, pt was in excellent condition, in good spirits, and ready to return to his family. medications on admission: none. discharge medications: 1. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for nasal congestion for 1 months. disp:*60 tablet(s)* refills:*2* 2. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous (2 times a day) for 1 months. disp:*60 qs* refills:*2* 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) for 2 weeks. disp:*qs ml(s)* refills:*0* 4. docusate sodium 150 mg/15 ml liquid sig: thirty (30) ml po bid (2 times a day) for 1 months. disp:*1800 ml* refills:*2* 5. morphine 10 mg/5 ml solution sig: twenty (20) ml po every hours as needed for breakthrough pain. disp:*qs ml* refills:*0* 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed for constipation. disp:*30 suppository(s)* refills:*2* 7. chlorhexidine gluconate 0.12 % mouthwash sig: thirty (30) ml mucous membrane qid (4 times a day). disp:*3600 ml(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: s/p motor vehicle crash right mandibular fracture, left chin laceration, left pinna avulsion, left metatarsal dislocation, third proximal metatarsal fracture, fracture of proximal third phalanx, fracture of base of right second metacarpal, fracture left calcaneous, cuboid and navicular bones; fracture right talar discharge condition: stable discharge instructions: do not touch or remove the brown betadine-covered pads from the pinnings on your left lower leg and foot. . you are being prescribed a narcotic pain medication. do not drive or operate heavy machinery while taking this medication. it make you drowsy. . contact a physician for fever >100.5, bleeding or increasing redness from incisions, difficulty swallowing or breathing, headache, nausea or vomiting, double or blurry vision, or any other concerns. . please continue all home medications and those given to you by your surgeon. followup instructions: please call for an appointment to be seen by dr. of oral and maxillary facial surgery for a follow-up appointment 1 week after discharge from hospital. please call dr. office of podiatry at ( for a follow-up appointment in days. please call dr. office of surgery at ( for a follow-up appointment. procedure: suture of laceration of lip closure of skin and subcutaneous tissue of other sites open reduction of mandibular fracture application of external fixator device, tarsals and metatarsals suture of laceration of tongue suture of laceration of external ear debridement of open fracture site, tarsals and metatarsals dental wiring closed reduction of fracture with internal fixation, tarsals and metatarsals open reduction of fracture with internal fixation, phalanges of foot open reduction of dislocation of foot and toe diagnoses: alcohol abuse, unspecified cocaine abuse, unspecified closed fracture of two ribs contusion of lung without mention of open wound into thorax open wound of lip, without mention of complication other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle open fracture of metatarsal bone(s) cannabis abuse, unspecified closed fracture of base of other metacarpal bone(s) adjustment disorder with mixed anxiety and depressed mood crushing injury of foot concussion, with loss of consciousness of 30 minutes or less closed fracture of one or more phalanges of foot open wound of tongue and floor of mouth, without mention of complication open wound of auricle, ear, without mention of complication open fracture of mandible, symphysis of body open wound of shoulder region, without mention of complication 

Answer: The patient is high likely exposed to