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: 41-year-old man who sustained a traumatic injury to the left hand using a wood shaver in , now with poor tissue coverage over left forearm. major surgical or invasive procedure: 1. microvascular transfer of right anterolateral thigh fascia cutaneous flap from the right thigh to the left forearm. 2. local wound rearrangement, left forearm. 3. preparation of left forearm recipient site. 4. neurorrhaphy for sensory input of flap using medial antebrachial cutaneous nerve of left forearm. 5. split-thickness skin grafting of right thigh donor site. history of present illness: mr. is a 42 year old male that sustained a mangling injury to his left forearm with a wood shaper approximately 2 years ago. he has had multiple reconstructive surgeries on left forearm/hand, and at this point, the primary issue appears to be thinning of skin graft right over the plate that is holding his ulna. because of impending plate exposure, the decision was made to take him to the operating room for removal of the old skin graft on this area and resurfacing with a full-thickness flap. the additional benefits of this would be subsequent ability to do tendon transfers and possibly to remove the plate and do bone grafting of the ulna. past medical history: none social history: pt is divorced. has a son. was working as a fence maker. admits to regular etoh use. family history: non-contributory to trauma physical exam: pre-procedure pe as documented on anesthesia record : general: nad mental/psych: a/o airway: as documented in detail on anesthesia record dental: good head/neck range of motion: free range of motion heart: rrr no m or bruits lungs: clear to auscultation extremities: no le edema, traumatic deformities l hand other: ruddy complex, anicteric, no thryomeg, no lad, tatooes entire upper body, 2+ l radial pulse, brisk cap refill, deformed left forearm. brief hospital course: the patient was admitted to the plastic surgery service on and had a free anterolat flap from right thigh to left forearm, skin grafting from left frearm to right thigh. the patient tolerated the procedure well. patient had a wound vac placed to his right thigh skin graft site x 5 days and this was removed on by the plastics team. right thigh flap donor site/skin graft site appeared clean, without drainage, dark, crimson red in color. left forearm flap recipient site was maintained in splint continuously s/p surgery and flap was monitored with doppler and manual flap checks per protocol. vioptix values were also monitored closely. flap checks and vioptix values remained stable during 5 days of monitoring. . neuro: post-operatively, the patient received morphine pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. . cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. . pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. . gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. his diet was advanced when appropriate, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement. foley was removed on pod#1. intake and output were closely monitored. . id: post-operatively, the patient was started on iv cefazolin, then switched to po cephalexin on . the patient's temperature was closely watched for signs of infection. . prophylaxis: the patient received subcutaneous heparin during this stay and aspirin as well, and was encouraged to get up and ambulate as early as possible. . at the time of discharge on pod# 7, the patient was doing well, afebrile with table vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: none discharge medications: 1. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for rash. disp:*1 bottle/tube* refills:*2* 2. aspirin 81 mg tablet, chewable sig: 1.5 tablet, chewables po daily (daily). disp:*45 tablet, chewable(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain: do not exceed 4000mg per day. 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain not controlled by acetaminophen for 7 days. disp:*84 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: traumatic injury to the left hand using a wood shaver in discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted on for a free flap from right thigh to left forearm and local tissue re-arrangement with skin grafting of right thigh & left forearm. please follow these discharge instructions. . followup instructions: -you should continue taking the antibiotics as prescribed. -elevate your left arm as much as possible and maintain it in a splint. -please keep your left arm dry - if your left arm begins to worsen after discharge home with an acute increase in swelling or pain, please call the hand clinic at the number given and ask to speak with a doctor. -your right thigh should have a dressing change daily: apply xeroform over graft site and then a sterile gauze with some tape to secure into place and then an ace wrap should be applied from top of your knee, over dressing, and up to groin. this maintains some gentle pressure over your skin graft. . medications: * resume your regular medications unless instructed otherwise. * you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so do not take these meds with additional tylenol. * take prescription pain medications for pain not relieved by tylenol. * take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication to prevent constipation. you may use a different over-the-counter stool softerner if you wish. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. . return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. followup instructions: hand clinic: ( , building, please follow up in the hand clinic on tuesday, . you must call ( to make an appointment so they know you are coming. the clinic is open from 8-12pm most tuesdays and you may show up at any time between those hours, despite your formal appointment time. the clinic is located on the , building, . please make sure that you obtain a referral from your insurance company prior to your clinic appointment. procedure: other skin graft to other sites graft of muscle or fascia excision of muscle or fascia for graft suture of cranial and peripheral nerves procedure on four or more vessels diagnoses: unspecified essential hypertension long-term (current) use of aspirin late effects of other accidents mechanical complication due to graft of other tissue, not elsewhere classified late effect of crushing other acquired deformity of other parts of limb 

Answer: The patient is high likely exposed to