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: motor vehicle collision major surgical or invasive procedure: orif right knee - medial femoral condyle history of present illness: 21 year old woman restrained driver in a high speed motor vehicle collision. high speed collision with 15 minute extrication. positive for alcohol. no loss of consciousness. past medical history: none social history: positive for alcohol and tobacco. she is currently living with her older brother. mother lives in , but has come to support miss during her stay. family history: noncontributory physical exam: vitals: temp 97.2 hr 118 bp 114/62 rr 18 sat 100% ra general: alert and oriented, gcs 15, speaking clearly head/eyes: 0.5 cm laceration on top of head, perrl neck/spine: no step-offs, bakc nontender. chest: equal breath sounds bilaterally abdomen: soft pelvis: stable, with deformity on left rectal: normal tone, guiac positive upper extremities: atraumatic lower extremities: 2+ dp pulses bilaterally; holding left leg flexed at hip and internally rotated. bilateral knee abrasions. bilateral deep knee lacerations. visible patellar fracture. pertinent results: 07:21am blood wbc-20.0* rbc-3.88* hgb-10.9* hct-32.5* mcv-84 mch-28.0 mchc-33.4 rdw-13.1 plt ct-404 06:15am blood hct-32.1* ct right knee, without contrast: comminuted, intra-articular, open, fracture of the medial femoral condyle. ct abdomen/pelvis with iv contrast: 1. liver laceration involving predominantly segment seven and eight of the liver extends from the superior dome of the liver to the insertion of the right hepatic vein on the cava. at this location, there is an irregular contour of the right hepatic vein and hypodensity is seen within it. partial avulsion of the hepatic vein at this site cannot be excluded. 2. minimally displaced right sixth rib fracture. 3. moderate amount of blood within the pelvis likely secondary to the patient's liver laceration. 4. tiny curvilinear foci of free air anterior to the liver. a tiny right sided pneumothorax cannot be excluded. ct c-spine: no fracture or malalignment in the cervical spine, aside from minimal asymmetry of the dens relative to the lateral masses of c1. ap cxr & pelvis portable: left hip dislocation. no fractures identified ct pelvis: there is an impaction fracture of the superior medial surface of the left femoral head. there is 2-3 mm of depression. this is distinct from the normal fovea capitis. there is a small left hip joint effusion. there is a well corticated ossicle in the region of the left pubic symphysis, without diastasis. this likely represents sequelae of prior injury. the right hip is intact. there are no other osseous injuries. limited views of the pelvis demonstrate high attenuation fluid within the pelvis, consistent with hemorrhage. foley catheter is seen within the bladder. mri c-spine: no definite signs to support the diagnosis of ligamentous injury. nevertheless, a negative mri scan does not exclude this possibility. clinical correlation is obviously needed to further evaluate this patient's symptoms. 07:21am blood asa-neg ethanol-200* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 07:21am blood wbc-20.0* rbc-3.88* hgb-10.9* hct-32.5* mcv-84 mch-28.0 mchc-33.4 rdw-13.1 plt ct-404 12:43pm blood wbc-14.7* rbc-3.80* hgb-11.3* hct-31.5* mcv-83 mch-29.8 mchc-35.9* rdw-13.9 plt ct-204 03:43pm blood hct-33.3* 10:42pm blood hct-30.8* 02:01am blood wbc-10.4 rbc-3.91* hgb-11.4* hct-31.9* mcv-82 mch-29.0 mchc-35.6* rdw-14.1 plt ct-180 06:17am blood hct-31.0* 10:46am blood hct-32.4* 02:08pm blood hct-33.5* 06:11pm blood hct-32.5* 10:21pm blood hct-32.8* 03:29am blood wbc-13.6* rbc-3.90* hgb-11.5* hct-32.3* mcv-83 mch-29.6 mchc-35.8* rdw-13.8 plt ct-164 02:03pm blood hct-32.0* 09:38pm blood hct-29.8* 03:30am blood wbc-10.8 rbc-3.57* hgb-10.4* hct-29.1* mcv-82 mch-29.1 mchc-35.6* rdw-13.7 plt ct-155 01:10pm blood hct-29.6* 06:27am blood hct-29.9* 06:15am blood hct-32.1* preoperative diagnosis: 1. left native hip dislocation, status post reduction. 2. left open knee laceration, 5 cm. 3. right knee open medial femoral condyle fracture. assistant: , , m.d. anesthesia: general endotracheal. estimated blood loss: 50 cc. indications for procedure: the patient was involved in a motor vehicle crash and was med-flighted to the for evaluation. she was diagnosed with a hip dislocation. in the emergency , the hip dislocation was reduced. she had lacerations of her left knee as well as an open right distal femur fracture. we discussed the risks and benefits of debridement of her wounds and her fracture and internal fixation of her fracture. risks included but were not limited to bleeding, infection, nerve injury, blood vessel injury, need for further surgery, knee stiffness, knee osteoarthritis. she and her family elected to proceed. procedure in detail: after full informed consent was obtained, the patient was brought to the operating theater and placed in a supine position. general anesthetic was administered. care was taken to position her neck properly during the intubation and transfer of the patient was done with great care. both bilateral lower extremities were then prepped and draped in standard fashion. the laceration over the left knee was irrigated thoroughly and the laceration was debrided of any devitalized soft tissue including skin and subcutaneous tissue. the right knee was irrigated thoroughly and debrided of devitalized tissue including skin, subcutaneous tissue, muscle, and retinaculum. once the thorough irrigation and debridement was performed, we changed gowns and reprepped the legs and performed our procedure. the left knee laceration was transverse in nature and over the extensor mechanism of the knee just distal to the patella. this wound was thoroughly explored and the extensor mechanism was intact. there was no evidence of entry into the knee joint itself. prior to the case, the patient was able to actively extend her left knee. this wound was then closed using interrupted 3-0 nylon. the right knee wound was complex in nature and stellate over the anteromedial aspect of the knee. an open knee joint was present and the fracture portion of the anterior distal femoral condyle still remained attached to soft tissue but was located within the wound itself. we then extended the wound proximally at the most proximal medial aspect of the wound and distally through the central aspect of the incision through the skin and subcutaneous tissue. the arthrotomy that was present was then extended proximally and distally. we had good access to the joint itself and saw the entire medial femoral condyle. a portion of the articular surface, approximately 1.5 cm, had been disrupted it is entirety including the articular cartilage and subchondral bone and remained attached to the knee with some soft tissue attachments along the medial femur. the fracture site itself was then debrided with a curet and cleared. we then replaced the fracture and from an extra-articular position applied a 3.5 mm cortical screw in a bicortical fashion. excellent fixation was achieved. of note, there was some loss of subchondral bone in this region and there was an impaction injury to the cartilage throughout. this was a shear injury and a significant injury to the cartilage had occurred. the primary weightbearing surface of the medial femoral condyle was intact. however, the portion that was primarily involved was the anteromedial condyle just at the level proximal to the intercondylar notch. during position of our screw, we did take great care to avoid injury to the notch itself which we could visualize and palpate. the meniscus had been preserved as had the anterior cruciate ligament during our arthrotomy. the undersurface of the patella appeared intact as well as the trochlear groove. this wound was thoroughly irrigated and evacuated of fluid. the arthrotomy was closed with interrupted 0 pds and the subcutaneous tissue was approximated with 2-0 pds. the skin was approximated with 3-0 nylon. a dry sterile dressing was applied. all counts were correct. i was present for the entire procedure. the patient will be nonweightbearing on this limb except in extension only. otherwise she can be range of motion as tolerated and will be given a cpm. she will be on 48 hours of iv antibiotics and her knee will be examined. the left hip was also examined under anesthesia was found to be stable with a full range of motion with hyperflexion of the hip both in internal and external rotation. the patient was transferred to the intensive care unit intubated. all counts were correct. of note, we did us fluoroscopy to verify position of the hardware. , md brief hospital course: miss was brought to the emergency department via . upon arrival, she underwent ct scans of her head, neck, abdomen pelvis and right lower extremity. it was discovered that she had a posterior dislocation of her left hip, and an open fracture of her left knee. she was begun on antibiotics for her open fracture. her hip was reduced in the trauma bay, and attention was diverted to other areas. she was taken to the operating room by orthopedic surgery in order to repair and close her open medial femoral condyle fracture. on the ct scan of her abdomen and pelvis, a grade iii liver laceration to segments vii and viii. a substantial amount of free fluid in the pelvis was noted, likely blood. mis was observed in the icu with hematocrits checked every four hours to gauge for blood loss into the abdomen. her hematocrits remained stable, and no operative intervention was necessary. on hospital day 3, she experienced nausea and vomiting, likely secondary to ileus due to hemoperitineum. she was started on enti-emetics and transferred to the surgical floor. on hopsital day 4, orthopedic-spine was consulted to clear miss 's cervical spine, as the ct c-spine showed an asymmetry and the mri was negative, but inconclusive. the attending spine surgeon cleared her spine, and the c-collar was discontinued. on the floor, miss continued to improve and her ileus resolved. on hospital day 6, her diet was advanced, and she did well. physical therapy also approved her to go to a rehabilitation facility. on day 7, she was approved for a rehabilitation bed at cape/ rehabilitation for . medications on admission: none discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: tablet, delayed release (e.c.)s po every 4-6 hours as needed for constipation. disp:*20 tablet, delayed release (e.c.)(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*90 tablet(s)* refills:*0* 3. metoclopramide 10 mg tablet sig: one (1) tablet po qid (4 times a day) as needed for nausea. disp:*30 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: take while taking narcotics for pain. disp:*60 capsule(s)* refills:*2* 5. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous once a day for 4 weeks. disp:*28 * refills:*0* discharge disposition: extended care facility: hospital of & islands - discharge diagnosis: s/p motor vehicle collision with left hip dislocation, left superior meadial surface fracture of the femoral head, right patellar and medial femoral condyle fractures, and a grade iii liver laceration. discharge condition: good discharge instructions: keep incision clean and dry, if you have any fevers, redness around incision site with pain or discharge, return to the emergency room. you will be taking lovenox injections for 4 weeks. if you have any excessive bleeding, return to the emergency room. followup instructions: follow up with dr. in 2 weeks. you can make an appointment by calling (. also, follow up in the trauma clinic after your rehabilitation. you can make an appointment at (. md, procedure: open reduction of fracture with internal fixation, femur debridement of open fracture site, femur closed reduction of dislocation of hip closure of skin and subcutaneous tissue of other sites diagnoses: closed fracture of one rib other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle open wound of knee, leg [except thigh], and ankle, without mention of complication closed dislocation of hip, unspecified site injury to liver without mention of open wound into cavity, laceration, major open fracture of condyle, femoral 

Answer: The patient is high likely exposed to