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: shrimp attending: chief complaint: polytrauma major surgical or invasive procedure: i&d r femur, r tibia; retrograde im nail r femur, im nail r tibia, closed reduction r hip and skeletal traction orif l radius, front r acetabulum orif r posterior acetabulum ivc filter i&d, partial closure tibial wound. start wtd history of present illness: the patient is a 47 y/o m s/p mvc, moped vs car. he was transferred from osh to the ed. imaging revealed multiple pelvic fractures, closed left diaphyseal radius fracture, and right midshaft tib/fib fracture. he was taken to the or, where he became acidotic and had elevated lactate. he recieved 8l crystalloids, 2u albumin and 2u prbc intraoperatively. total ebl was 600ml and urine output was about 3l intraop.he was brought to the icu for further management past medical history: htn/hld psh: oral surgery social history: lives in an apartment in with girlfriend, . in risk and pricing at jp & . he drinks 7-10 beers a week socially. he denies smoking or illicit drug use. he notes in the past 5 years he has travelled to the midwest, west coast (specifically ), (, , hiroshima, ), , , and . family history: non-contributory physical exam: admission physical exam temp: 97.5 hr: 103 bp: 98/53 resp: 22 o(2)sat: 100 normal constitutional: pain with movement heent: normocephalic, atraumatic, pupils equal, round and reactive to light, extraocular muscles intact, pupils 2mm bilaterally, midface stable, no ttp or stepoffs of mandible, mmm, oropharynx within normal limits, no blood in nares chest: clear to auscultation, airways intact, equal breath sounds bilaterally, tm's clear cardiovascular: regular rate and rhythm, normal first and second heart sounds, palpable radial pulse bilaterally abdominal: soft, nontender, nondistended gu/flank: no costovertebral angle tenderness extr/back: no tenderness or stepoffs of the spine, no cyanosis, clubbing or edema skin: abrasion over left thumb, good capillary refill bilaterally, abrasions over left thigh, deep lacerations on right knee and thigh with foreign body(glass), laceration of left shin with bleeding, no rash, warm and dry neuro: awake, alert and oriented, cms intact, speech fluent psych: normal mentation discharge physical exam v: 98.4f 96 141/81 18 100% ra gen: nad, aaox3 lue: splint in place; silt r/m/u +thumbs up +ok sign lle: brace in place; silt dp/sp/s/s; +/fhl/gs/ta; 2+ dp/pt, : wet-to-dry dsg in wounds; silt dp/sp/s/s; +/fhl/gs/ta; 2+ dp/pt, pertinent results: labs on admission 06:56pm blood wbc-27.6* rbc-4.25* hgb-13.2* hct-38.9* mcv-91 mch-31.0 mchc-33.9 rdw-13.1 plt ct-270 01:29am blood wbc-8.9# rbc-3.77* hgb-11.5* hct-33.6* mcv-89 mch-30.4 mchc-34.1 rdw-14.4 plt ct-184 01:29am blood glucose-214* urean-12 creat-0.9 na-142 k-5.1 cl-109* hco3-21* angap-17 05:52am blood glucose-182* urean-13 creat-0.9 na-143 k-4.8 cl-109* hco3-24 angap-15 01:29am blood ck(cpk)-* 08:16am blood ck(cpk)-* labs on discharge: 05:10am blood wbc-7.6 rbc-3.18* hgb-9.3* hct-28.4* mcv-89 mch-29.4 mchc-32.9 rdw-14.1 plt ct-581* 05:10am blood glucose-128* urean-6 creat-0.5 na-137 k-3.6 cl-101 hco3-29 angap-11 imaging: please see imaging on separate disk brief hospital course: mr. initially arrived to the ed from an osh; imaging revealed multiple pelvic fractures, closed left diaphyseal radius fracture, and right midshaft tib/fib fracture. he was taken to the operating room with orthopedics for im nail r tibia + femur and closed reduction of the right hip; for full details please see the dictated operative note. post-operatively he was taken to the trauma icu for continued monitoring. on , he was extubated in the icu and his c-spine was cleared clinically and radiographically. he was off all pressors. he took small amounts of po and pain was well controlled. a tertiary survey was performed and revealed no new injuries. he was transferred to the ortho trauma team on for continued management of his numerous fractures. on he was taken to the or for orif of his l radius, and anterior r acetabulum fractures. on his wounds were i&d'd in the or and he underwent orif for his r post acetabular fracture. on he had an ivc filter placed, and underwent further i&ds for his on and . the patient tolerated these procedure without complications and was transferred to the pacu in stable condition each time. please see the individual operative reports for details. post operatively pain was controlled with a pca with a transition to po pain meds once tolerating pos. the patient tolerated diet advancement without difficulty and made steady progress with pt. the patient was transfused 1 unit of blood on for acute blood loss anemia. weight bearing status: - nwb lue in splint - tdwb - wbat lle with brace in locked position. the patient received peri-operative antibiotics as well as lovenox for dvt prophylaxis. the incision was clean, dry, and intact without evidence of erythema or drainage; and the extremity was nvi distally throughout. the patient was discharged in stable condition with written instructions concerning precautionary instructions and the appropriate follow-up care. the patient will be continued on chemical dvt prophylaxis for 2 weeks post-operatively. all questions were answered prior to discharge and the patient expressed readiness for discharge. medications on admission: anti-hypertensives, specifics unknown remained of medication history undocumented discharge medications: 1. enoxaparin sodium 40 mg sc q24h duration: 2 weeks 2. acetaminophen 650 mg po q6h:prn temp, pain 3. tramadol (ultram) 50 mg po q6h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth every six (6) hours disp #*90 tablet refills:*0 4. docusate sodium (liquid) 100 mg po bid 5. senna 1 tab po bid constipation 6. lorazepam 0.5 mg po q4h:prn anxiety rx *lorazepam 0.5 mg 1 tablet by mouth every four (4) hours disp #*60 tablet refills:*0 7. moxifloxacin *nf* 400 mg oral q24h discharge disposition: extended care facility: discharge diagnosis: polytrauma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: ******wound care****** - do not remove splint before the follow-up appointment, and do not get it wet. - keep left leg brace locked in extension when standing/weight-bearing. it may be unlocked when laying down. - right leg: continue wet-to-dry dressings twice a day. - you can get wounds wet/take a shower starting from 3 days post-op. no baths or swimming for at least 4 weeks. ******weight-bearing****** - weight-bearing as tolerated right upper extremity - non-weight-bearing left upper extremity - touch-down weight-bearing right lower extremity - weight-bearing as tolerated left lower extremity with brace in locked position ******medications****** - resume your pre-hospital medications. - you have been given medication for your pain control. please do not operate heavy machinery or drink alcohol when taking this medication. as your pain improves please decrease the amount of pain medication. this medication can cause constipation, so you should drink eight 8-oz glasses of water daily and take a stool softener (colace) to prevent this side effect. - medication refills cannot be written after 12 noon on fridays. ******anticoagulation****** - take lovenox for dvt prophylaxis for 2 weeks post-operatively. physical therapy: ******weight-bearing****** - weight-bearing as tolerated right upper extremity - non-weight-bearing left upper extremity - touch-down weight-bearing right lower extremity - weight-bearing as tolerated left lower extremity with brace in locked position pt treatment daily treatments frequency: continue wet-to-dry dressings right lower extremity twice daily followup instructions: please follow up with an orthopedic surgeon in your area in 2 weeks. for questions about your orthopedic operations, please call dr. at . please follow up with your pcp regarding this admission and any new medications/refills. md, procedure: interruption of the vena cava debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, femur debridement of open fracture site, femur open reduction of fracture with internal fixation, radius and ulna open reduction of fracture with internal fixation, other specified bone open reduction of fracture with internal fixation, other specified bone other radiotherapeutic procedure closed reduction of fracture with internal fixation, other specified bone angiocardiography of venae cavae central venous catheter placement with guidance diagnoses: acidosis other postoperative infection unspecified essential hypertension acute posthemorrhagic anemia other and unspecified hyperlipidemia paralytic ileus surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation obesity, unspecified other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle systemic inflammatory response syndrome due to noninfectious process without acute organ dysfunction open fracture of shaft of femur closed fracture of pubis open fracture of shaft of fibula with tibia other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms closed fracture of acetabulum closed fracture of shaft of radius (alone) other digestive system complications body mass index 33.0-33.9, adult 

Answer: The patient is high likely exposed to