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: no allergies/adrs on file attending: chief complaint: polytrauma major surgical or invasive procedure: right frontal evd placement : application, uniplanar external fixator, left tibia. operative treatment, left tibia shaft fracture, with intermaxillary fixation. closed treatment, left fibula shaft fracture with manipulation.washout and debridement, open left humeral fracture down to and inclusive of bone. washout and debridement, open left supracondylar humeral fracture with debridement down to bone. closed treatment, left humeral shaft fracture with manipulation. closed treatment, left intra-articular distal humerus fracture with manipulation. application of negative pressure wound therapy sponge. : right frontal ventriculostomy : irrigation and debridement open humeral shaft fracture down to the level and inclusive of the bone. humeral shaft fracture fixation with plating. intra-articular distal humerus fracture fixation. ulnar shaft fracture fixation. exploration radial nerve and ulnar nerve. history of present illness: 67m with a history of dm and hypertension who presents to from hospital after he was a pedestrian struck. when ems arrived on scene he was unresponsive and reportedly moving all extremities. he was intubated, sedated and transferred to . in the trauma bay at he was transiently hypotensive to the 80's but improved with 1u prbc's. nchct from osh shows multiple bilateral sah's at vertex with left greater than right. moreover he has a lue fracture and comminuted left tib/fib fracture with loss of distal signals. given these findings, vascular surgery was consulted. past medical history: htn, hld, dm social history: unknown family history: unknown physical exam: vitals: hr 108, bp 109/71, rr 20, o2 98% on ventilator gen: intubated/sedated. gcs 6t. heent: blood in right ear canal. ett in position. c-collar in place. trachea midline. cv: rrr pulm: bilateral breath sounds abd: obese, distended with protruberant mass to left abdomen pelvis: stable ext: diffuse abrasions. open fracture to left humerus, closed deformity of left tib/fib pertinent results: eeg (): this is an abnormal continuous icu monitoring study because of severe diffuse background attenuation, with only low voltage discontinuous theta and delta activity present. these findings are indicative of severe diffuse cerebral dysfunction, which is etiologically nonspecific, but likely secondary to severe traumatic brain injury. there are multiple pushbuttons for episodes of jerking of the right arm. on video, these episodes are consistent with focal clonic seizures involving the right arm and hands, lasting 30-60 seconds. a total of 10 focal clonic seizures is recorded. there is no ictal eeg correlate to these episodes, but the majority of simple partial seizures are not detectable on scalp eeg. no seizures are seen after 22:00, but the events are not detectable on eeg, only by the nurses pushing the event button. compared to the prior day's recording, there is increase in frequency of focal clonic seizures. 12:35am blood wbc-25.4* rbc-3.47* hgb-9.5* hct-29.5* mcv-85 mch-27.4 mchc-32.2 rdw-15.3 plt ct-304 03:03am blood wbc-19.2* rbc-3.95* hgb-11.2* hct-34.2* mcv-87 mch-28.3 mchc-32.7 rdw-15.3 plt ct-221 03:13pm blood hct-25.4* 01:02am blood wbc-12.0* rbc-2.78* hgb-8.1* hct-23.6* mcv-85 mch-29.2 mchc-34.4 rdw-16.1* plt ct-176 02:00pm blood wbc-9.8 rbc-3.72*# hgb-10.6*# hct-31.7*# mcv-85 mch-28.4 mchc-33.3 rdw-16.1* plt ct-159 02:24am blood wbc-9.7 rbc-3.69* hgb-10.6* hct-31.7* mcv-86 mch-28.8 mchc-33.6 rdw-16.5* plt ct-146* 12:35am blood pt-12.3 ptt-24.2* inr(pt)-1.1 03:03am blood glucose-160* urean-29* creat-1.2 na-142 k-4.5 cl-114* hco3-19* angap-14 03:13pm blood glucose-164* urean-42* creat-2.2* na-141 k-4.8 cl-113* hco3-19* angap-14 02:24am blood glucose-160* urean-29* creat-1.2 na-144 k-4.7 cl-114* hco3-22 angap-13 04:35pm blood alt-65* ast-130* ck(cpk)-4805* alkphos-58 totbili-0.3 12:35am blood lipase-81* 01:34am blood ck-mb-31* mb indx-0.7 ctropnt-0.06* 02:24am blood calcium-7.8* phos-3.1 mg-2.0 brief hospital course: mr. was admitted to the trauma icu for management of his multiple injuries. his injuries include: sah/sdh/ivh, sternal fx, open l humerus fx, liver hematoma, l tib/fib fx, c7 lamina fx, l1 transverse process fx, r rib fx. . # neuro: he was kept intubated, sedated, initially in the icu. once sedation was weaned, he was minimally responsive with no purposeful movements. neurosurgery was following for his sah/sdh/ivh. an evd was placed and icp monitored (icps wnl, drains clamped). eeg was placed for monitoring. keppra was started for prophylaxis. on hd #2 his eeg showed severe diffuse background attenuation with only low-voltage discontinous theta/delta activity, indicating severe diffuse cerebral dysfunction likely severe tbi; also small clinical seizures noted via jerking in right hand/arm. neurology was consulted for prognostication and felt his severely depressed state of arousal was unlikely due to reversible issues (his seizures, metabolic derangements, multiorgan failure) and more likely due to severe tbi and superimposed anoxia. family meeting was held to discuss prognosis and goals of care. it was decided that the patient would desire no further treatment and he was made cmo and was terminally extubated. he expired on . # cv: upon presentation, he was hemodynamically unstable, hypotensive. he had asymmetric pulses in lower extremities. he required multiple rbc transfusions and fluid boluses to maintain his cerebral perfusion pressor and he eventually stabilized and then required lopressor/labetolol to titrate his blood pressure within goal range. he did not require pressors or vasodilators to maintain adequate blood pressure range. . # pulmonary: the patient was intubated and sedated. ventilator settings were weaned as tolerated until he was terminally extubated. # ortho: patient suffered a left open humeral shaft fracture, left distal humerus intra-articular fracture, and left midshaft ulnar fracture. on hd#3 orthopedics performed the following procedures: irrigation/debridement of open humeral shaft fracture down to and inclusive of bone, humeral shaft fracture fixation with plating, intra-articular distal humerus fracture fixation, ulnar shaft fracture fixation, and exploration of radial and ulnar nerves. the procedures were uncomplicated. . # spine: patient suffered a c7 lateral mass fracture for which he was placed in c-collar. ortho spine followed and recommended continuing c-collar for 6 weeks, f/u in clinic in weeks for eval and ap/lat/flex/ext views of the cervical spine. . gi/gu: the patient remained npo. he was started on trophic tube feeds. his creatinine was monitored and electrolytes were repleted as needed. his creatinine increased to a peak of 2.2 prior to trending down. id: post-operatively, he was maintained on kefzol for his open fracture. his wbc was trended and his fever curve was monitored. the blood cultures returned as negative. his sputum culture eventually grew pseudomonas. prophylaxis: the patient was maintained on pneumatic boots and h2 blocker. medications on admission: lovastatin, toprol xl, glimeperide, janumet, lisinopril-hctz discharge medications: none discharge disposition: expired discharge diagnosis: polytrauma discharge condition: expired discharge instructions: expired followup instructions: expired md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, radius and ulna closed reduction of fracture without internal fixation, humerus open reduction of fracture with internal fixation, humerus debridement of open fracture site, humerus debridement of open fracture site, humerus closed reduction of fracture with internal fixation, tibia and fibula application of external fixator device, monoplanar system insertion or replacement of external ventricular drain [evd] diagnoses: acidosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified motor vehicle traffic accident involving collision with pedestrian injuring pedestrian compression of brain other and unspecified hyperlipidemia encounter for palliative care closed fracture of seventh cervical vertebra injury to liver without mention of open wound into cavity, hematoma and contusion unspecified fracture of ankle, closed other fluid overload subarachnoid hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level abrasion or friction burn of other, multiple, and unspecified sites, without mention of infection closed fracture of shaft of ulna (alone) open fracture of shaft of humerus open fracture of unspecified condyle(s) of humerus 

Answer: The patient is high likely exposed to