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: s/p pedestrian hit by automobile with multiple injuries major surgical or invasive procedure: maxillomandibular fixation for comminuted mandibular fracture history of present illness: 27 yo f pedestrian struck by an automobile, knocked up over car. sustained multiple injuries including right superior rami fracture, right acetabular fracture, grade ii splenic laceration, left superior and inferior pubic rami fractures, obturator artery bleed, hemi-sacral fracture, left medial lobe contusion, left occipital intraventricular hemorrhage, left frontal subgaleal hematoma, left temporal bone fracture, left hemitympany, comminuted mandibular symphyseal fracture, right proximal phalynx fracture of 1st toe, l3-l4 transverse process fractures, and pubic symphysis fracture. brief loss of consciousness at the scene. gcs 11 at scene, non-verbal, intubated on arrival due to deteriorating mental status past medical history: pmh: denies psh: c-section (') social history: married, one child, works as statistician at cancer institute family history: nc physical exam: hr 97 bp 129/62 rr 20 spo2 96 ra spontaneously opens eyes, drainage from left meatus, blood on chin from two lacerations, multiple abrasions, obvious mandibular fracture dre: no gross blood, normal sphincter tone pertinent results: ct torso : 1. bilateral tiny pneumothoraces, without shift of mediastinal structures. 2. grade ii splenic laceration. no significant surrounding hematoma or evidence of active extravasation. 3. acute comminuted mildly-displaced left superior and inferior pubic rami fractures, with small hematoma and evidence of active extravasation, likely from the obturator artery off the left internal iliac artery. recommend urgent ir consult. 4. minimally displaced right hemi-sacral fracture. 5. tiny non-displaced right superior pubic rami and acetabular fractures. 6. minimally displaced, left l3-l4 transverse process fractures. ct head : 1. tiny focal hyperdensity in the left medial temporal lobe, compatible with tiny parenchymal contusion. 2. tiny intraventricular hemorrhage layering in the left occipital . no evidence of hydrocephalus. 3. massive subgaleal hematoma in the left frontal region. 4. acute small left temporal bone fracture at the posterior margin of the left mandibular fossa. small bone fragment and blood in the auditory canal, concern is raised for middle ear injury. recommend ent consult. ct sinus/max/ : 1. acute comminuted displaced mandibular symphyseal fracture. 2. acute small left temporal bone fracture at the posterior margin of the mandibular fossa, with bony fragment into the auditory canal concerning for middle ear injury. recommend ent consult. ct cspine : no acute cervical fracture or malalignment. tiny left apical pneumothorax. incompletely imaged facial bone fractures, please refer to the concurrent ct sinus/mandibular study. hand xray: no hand fx bilaterally femur xray: 1. left superior and inferior pubic rami fractures. 2. pelvic hematoma displacing the bladder. 3. refer to concurrent ct torso for additional findings in right acetabulum and sacrum. tib/fib xray: no fracture in tibia/fibula/ankle bilateral foot xray: intra-articular proximal phalanx fracture of right first toe. mr : no evidence of quadriceps rupture. brief hospital course: mrs. admitted to the trauma surgery service after being hit by an automobile at approximately 35 miles an hour, sustaining the multiple injuries mentioned previously. she was intubated in the ed because of worsening mental status. because of the active extravasation seen on ct, the patient was taken emergently to ir, however no active bleeder could be found requiring intervention. thus, the patient was brought to the icu. by systems the rest of her stay can be summarized thus: neurological: because of her head injury, the patient was started on antiseizure medication with keppra which was continued for 7 days as seizure prophylaxis. she did not have any seizures during her hospital stay. she remained intubated and sedated during her earlier hospitalization as well as after her maxillomandibular fixation on where she was nasally intubated. after extubation, her mental status improved and she was clear and coherent, alert and oriented on discharge. she will follow up with cognitive neurology as an outpatient. respiratory: she was intubated at for deteriorating mental status and protection of airway. after the or on , she remained nasally intubated until . this was due to the extreme swelling after her surgery, requiring treatment with steroids to reduce swelling as well as diuresis. she underwent an uneventful extubation and remained stable respiratorily until discharge. heme: upon admission, she went to ir for attempted embolization of the bleeding artery seen on ct. in the icu, her hematocrit drifted down over the course of days and she was transfused three units in total during her stay. her hematocrit stabilized at 20 and then began rising again prior to discharge. at discharge she was hemodynamically normal, non-tachycardic and without orthostatic hypotension. ortho/mandible: on , she underwent reduction and fixation of her mandible fracture with maxillomandibular fixation. she was also seen by orthopaedics and treated nonoperatively for her various fractures. because of concern for quadriceps tendon rupture, she had mris of her legs which showed no rupture. she is full weight bearing on the left and touch down weight bearing on the right secondary to her right first toe proximal phalynx fracture. ent: she was seen by ent upon presentation and just prior to discharge for her left temporal bone fracture and concern for a middle ear injury. she was given cipro ear drops. she will follow up with dr. for an outpatient audiogram and follow up for the temporal bone fracture. nutrition: a dobhoff was placed at bedside for tube feeds on and this was used until she was extubated and able to tolerate thin liquid diet. tube feeds were stopped two days prior to discharge. at discharge, she had adequate po intake and will go home with boost plus supplements in addition to a full liquid diet. the dobhoff was removed prior to discharge. optho: because of blurry vision in her r eye, an opthalmology consult was obtained who did not find any gross pathology. she will follow up with them as an outpatient. medications on admission: none discharge medications: 1. ciprofloxacin 0.3 % drops sig: five (5) drop ophthalmic tid () for 4 days. disp:*1 bottle* refills:*0* 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) milliliters po bid (2 times a day): while taking narcotics. hold for loose stools. disp:*600 milliliters* refills:*2* 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*500 ml(s)* refills:*0* 4. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day) for 1 weeks: apply to affected area until rash resolves. disp:*1 tube* refills:*0* discharge disposition: home with service facility: caregroup home care discharge diagnosis: right superior rami fracture, right acetabular fracture, grade ii splenic laceration, left superior and inferior pubic rami fractures, obturator artery bleed, hemi-sacral fracture, left medial lobe contusion, left occipital intraventricular hemorrhage, left frontal subgaleal hematoma, left temporal bone fracture, left hemitympany, comminuted mandibular symphyseal fracture, right proximal phalynx fracture of 1st toe, l3-l4 transverse process fractures, pubic symphysis fracture. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: your jaw has been wired shut. you are being given a wire cutter to cut the wires in case of emergency, if you vomit, or if you are having trouble breathing. please carry these with you at all times! please call your doctor or return to the emergency department for the following: difficulty breathing fever, chills, nausea, or vomiting pain not controlled on oral pain medication inability to tolerate a liquid diet any other symptom that concerns you followup instructions: you have a follow up appointment with dr. , md phone: date/time: 1:45 in the medical office building, , you have a follow up appointment with dr. from ear, nose, and throat on at 8:30 am at , , , . you have a follow up appointment with dr. and his nurse in the clinic in the building, at 12:55pm on . please call the ophthalmology clinic at to schedule an outpatient follow up appointment for your blurry right vision. please call dr. of cognitive neurology at for follow up regarding your head trauma. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances other bronchoscopy aortography arteriography of other intra-abdominal arteries open reduction of mandibular fracture partial excision of pituitary gland, transsphenoidal approach local excision or destruction of lesion of facial bone diagnoses: other opiates and related narcotics causing adverse effects in therapeutic use motor vehicle traffic accident involving collision with pedestrian injuring pedestrian traumatic pneumothorax without mention of open wound into thorax drug-induced delirium intravenous anesthetics causing adverse effects in therapeutic use closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis candidiasis of skin and nails closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness closed fracture of acetabulum closed fracture of mandible, symphysis of body closed fracture of one or more phalanges of foot closed fracture of base of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness injury to spleen with open wound into cavity, capsular tears, without major disruption of parenchyma open fracture of lumbar vertebra without mention of spinal cord injury 

Answer: The patient is high likely exposed to