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: penicillins attending: chief complaint: s/p motor vehicle crash major surgical or invasive procedure: orif of right femur history of present illness: 19 yo female s/p motor vehicle crash vs tree, reportedly at 25 mph, with loss of conciousness, right femur fracture, chin laceration and splenic laceration. she was taken to an area hospital where she was given 1 unit of blood in transit for a hct of 24 and heart rate of over 120 prior to transport to for definitive care. past medical history: none social history: lives with family denies etoh & tobacco family history: non-contributory physical exam: upon arrival to vitals 99.0 124 116/70 21 100 anxious but in no acute distress perrl eomi large complex laceration of chin and cheek- no bone exposed neck supple rrr cta b soft nt nd guiaic negative good rectal tone no cvat tenderness alert and oriented x 3 gcs 15 rle in -splint traction, 2+ distal pulses, warm ttp pertinent results: 07:07am hct-22.9* 06:27am hct-20.1* 03:25pm hct-22.3* 04:03am hct-21.0* 05:30pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 02:55pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg ct abdomen w/o contrast; ct pelvis w/o contrast reason: eval for change in splenic inj, other bleed medical condition: 19 year old woman with known splenic lac, dropping hct reason for this examination: eval for change in splenic inj, other bleed contraindications for iv contrast: none. examination: ct abdomen and pelvis without contrast . comparison: none available. indication: 19-year-old female with known splenic laceration, dropping hematocrit. evaluate for change in splenic injury, other bleed. technique: axial imaging was obtained through the abdomen and pelvis without iv contrast due to patient refusal of iv contrast. images were reformatted in the coronal, sagittal planes. ct abdomen without iv contrast: limited imaging of the lung bases demonstrates bibasilar atelectasis and tiny bilateral pleural effusions. there is no pericardial effusion. there is high density within the gallbladder, likely vicarious excretion of contrast from prior ct examinations. imaging of the intra-abdominal organs is limited due to lack of iv contrast. there are low density extending from the splenic hilum which measures 2.6 cm in length, and may represent a splenic laceration. there is no significant perisplenic fluid. there is no perihepatic fluid. the contours of the liver, pancreas, adrenal glands, and kidneys are unremarkable. there is no lymphadenopathy or free intraperitoneal gas. ct of the pelvis: there is a small amount of simple free fluid within the pelvis, which may be physiologic or related to splenic injury. the bladder is unremarkable in contour. a foley balloon catheter is demonstrated within the bladder which is decompressed. the bowel within the pelvis is normal in caliber. there is no lymphadenopathy or free intraperitoneal gas. there is loss of the fat planes involving the proximal right thigh and stranding of the fat in this region which may be secondary to acute hemorrhage into the thigh, clinical correlation is recommended. bone windows: there is no evidence of acute fracture. there are no suspicious lytic or blastic lesions. impression: 1. linear low density within the spleen as described above, which may represent splenic laceration, although evaluation for intraabdominal injury is limited due to lack of iv contrast. 2. tiny bilateral pleural effusions and bibasilar atelectasis. 3. loss of the fat planes involving the right proximal thigh musculature as well as stranding of the fat in the region which may be secondary to hemorrhage into the right thigh, clinical correlation is recommended. findings were discussed with the surgery team by dr. at completion of the examination. femur (ap & lat) right reason: eval hardware medical condition: 19 year old woman with femur fx s/p orif reason for this examination: eval hardware examination: right femur. indication: fracture. five views of the right femur are obtained and show fixation of a mid femoral fracture with an intramedullary rod and fixation screws. there is mild anterior angulation of the distal fragment. hardware appears intact. brief hospital course: she was admitted to the trauma service and was taken to the or by orthopedics on hd 1 for an orif of her right femur fracture. she tolerated the procedure well and was transferred to the floor on hd 3. she was prophylaxed with lovenox and this will need to continue following discharge for at least 4-6 weeks. she remained consistently tachycardic to 100-110 felt likely hypovolemia as cause. there was concern regarding her hematocrit drop from 29 to 22. she was observed with serial hcts that were stable from 22 to 22.9 over 4 days and she remained hemodynamically stable throughout her course. she reports a history of anemia of unknown cause. she will require further follow up of her anemia with her primary care provider after discharge. on the floor she was evaluated by physical therapy and taught to ambulate with crutches; outpatient pt is being recommended. for pain control she is being discharged on percocet which was effective in controlling her pain throughout her hospital stay. medications on admission: none discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*75 tablet(s)* refills:*0* 2. enoxaparin 30 mg/0.3 ml syringe sig: one (1) syringe subcutaneous q12h (every 12 hours). disp:*60 syringe* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. outpatient physical therapy dx: s/p motor vehicle crash. right femur fracture-s/p orif . be wbat 5. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml's po twice a day as needed for constipation. discharge disposition: home discharge diagnosis: s/p motor vehicle crash right femur fracture s/p orif chin laceration grade 1 splenic laceration discharge condition: stable discharge instructions: you should return to the emergency room if you should experience any fever, chills, lightheadedness, faint feelings, dizziness, vomiting, abdominal pain, and/or any symptoms that are concerning to you. followup instructions: follow up with dr. , in clinic in the next 2 weeks by calling . anemia by calling within the next 2 weeks. procedure: open reduction of fracture with internal fixation, femur closure of skin and subcutaneous tissue of other sites transfusion of packed cells diagnoses: acute posthemorrhagic anemia pulmonary collapse other injury into spleen without mention of open wound into cavity open wound of jaw, without mention of complication accidents occurring in other specified places closed fracture of shaft of femur motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to