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: history of present illness: this is a 22 year old female pedestrian struck by car and thrown greater than thirty feet. there was significant front end damage to the car with the windshield smashed. there was another pedestrian involved in the accident who had a traumatic arrest. the patient was noted to be alert at the scene and responsive to commands. she was transported to emergency department for further management. the patient was hypotensive in the field with a blood pressure of 60/palpable, pulse 120 and the patient had positive loss of consciousness. past medical history: none. medications on admission: none. allergies: no known drug allergies. social history: positive ethanol, no tobacco or drug use. physical examination: vital signs revealed a blood pressure of 100/palpable, heart rate 100, respiratory rate 18, oxygen saturation 97% on nonrebreather. in general, the patient is awake, alert and oriented times three in moderate distress. head, eyes, ears, nose and throat examination - the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. multiple facial lacerations with active bleeding. trachea midline, no jugular venous distention. cervical collar in place. the lungs are clear to auscultation bilaterally, equal breath sounds. the heart is regular rate and rhythm. the abdomen is soft, positive diffuse tenderness, no rebound, positive voluntary guarding, abdomen nondistended. extremities - obvious deformity of the right lower extremity with external rotation and shortening, obvious fracture of right tibia fibula. back - nontender, no ecchymosis or step-off. rectal examination revealed normal tone, guaiac negative. neurologic - cranial nerves ii through xii are intact. strength is in the extremities times four. sensation is grossly intact. laboratory data: the patient had initial hematocrit of 36.2, white blood cell count 12.0, platelet count 271,000. electrolytes were within normal limits. blood urea nitrogen was 11, creatinine 1.1. serum toxicology significant for ethanol of 225 and otherwise negative. urinalysis toxicology was negative. initial arterial blood gases was 7.36/31/150/25 on nonrebreather. lactate 3.2. ct scan of the head was negative. chest x-ray was negative. pelvic x-ray revealed right acetabular fracture, right alar fracture. ct of the abdomen and pelvis revealed intraperitoneal bladder rupture with free air and free fluid in the abdomen and pelvis. right pelvic fracture as above, inferior pubic ramus, superior pubic ramus, right acetabulum, right iliac bone. hospital course: the patient had a positive fast examination in the emergency department and a ct scan with contrast injected into the foley catheter which showed free contrast in the abdomen suggestive of bladder rupture. the patient was taken emergently to the operating room for exploratory laparotomy. she was sedated and intubated in the operating room. operative findings include approximately 4.0 centimeter intraperitoneal bladder rupture which was closed in two layers, a small grade i splenic laceration which was not actively bleeding and a small duodenal hematoma. the patient received three units of packed red blood cells in the emergency department and operating room and remained hemodynamically stable. she was transferred to the trauma surgical intensive care unit after the procedure for further management. an orthopedic consultation was obtained and the patient had films of her entire right lower extremity. the femur and knee were negative for fracture or dislocation. she had a comminuted tibia fibula fracture on the right and omfs consultation was obtained and the multiple facial lacerations were debrided and sutured. lacerations included two on her anterior neck, one on her left neck, one on her upper lip, one on her right cheek, one in her right infraorbital area, one on the right eyebrow and one in the middle of her forehead. the patient remained intubated and on , was taken to the operating room by orthopedics and had an intramedullary rod of her right tibia. she was transfused two units of packed red blood cells for a hematocrit of 26.0. she was extubated in the post anesthesia care unit and transferred to the floor on . she remained neurovascularly intact and had no signs or symptoms of compartment syndrome. she initially had a morphine pca which was not controlling her pain and the pain medications were switched to dilaudid pca. the patient became nauseous and vomited twice and she was switched back to a morphine pca and had improved pain control. on , a plain film of the cervical spine was obtained as well as a thoracic and lumbar spine. the thoracic and lumbar spine were negative, however, the cervical spine showed a subluxation at c6-c7. a ct was obtained which showed an unstable posterior c6 fracture which traversed the foramen transversaria. a mri/mra was obtained which showed intact vertebral artery and an anterior disc herniation at c5-c7, protrusion which did not cause increased signal in the spinal cord. the cervical collar remained in place and a orthopedic spine consultation was obtained and it was recommended that the patient remain in a hard collar for two weeks and have a follow-up magnetic resonance scan. if the condition worsened, the patient will likely need an anterior discectomy with fusion of c6-c7. the orthopedic service reviewed the films of the pelvis and determined that the patient should be transferred to for repair of her pelvic and acetabular fractures given their extent. the transfer was accepted by dr. with the orthopedic service. the patient's intraperitoneal - drain was putting out less than 30cc per shift and the fluid creatinine was 0.4. the drain was removed. the patient continued to have approximately one liter per day output through her nasogastric tube and became nauseous when the nasogastric tube was clamped for two hours and so the nasogastric tube remained in place. she was continued npo with intravenous fluids. the patient's platelet count had trended down to 60,000. a hit panel was sent. the patient's latest platelet count has been 120,000. she was transfused two units of packed red blood cells with a hematocrit of 26.0 on . her hematocrit increased to 28.0 and has been slowly trending down. the hematocrit on , was 25.3. the patient was transferred to on , to the orthopedic service with trauma surgery following for operative repair of her hip/pelvic fractures likely on . medications on discharge: 1. morphine pca 1 mg q6minutes. 2. heparin 5000 units subcutaneous q12hours. 3. pepcid 20 mg intravenously q12hours. 4. zofran 4 mg intravenously q6hours p.r.n. 5. cefazolin one gram intravenously q8hours (day four). 6. seniseptic throat spray, one spray p.o. q6hours p.r.n. sore throat. discharge diagnoses: 1. right pelvic/acetabular fractures. 2. right tibia/fibula fractures. 3. bladder rupture. 4. grade i splenic laceration. 5. duodenal hematoma. 6. multiple facial lacerations. 7. c6-c7 fracture with anterolisthesis at c6-c7 and disc herniation at c6-c7. 8. status post exploratory laparotomy with bladder repair. 9. status post intramedullary rod right tibia. follow-up: 1. trauma clinic in two weeks, call to schedule appointment. the patient will need a cystogram on approximately . foley catheter is to remain in place for two weeks until at least . the staples may be removed on . 2. orthopedics with dr. in two weeks, call for follow-up intramedullary rod right tibia. 3. follow-up as provided by , dr. . , m.d. dictated by: medquist36 procedure: open reduction of fracture with internal fixation, tibia and fibula closure of skin and subcutaneous tissue of other sites nonexcisional debridement of wound, infection or burn repair and plastic operations on spleen other repair of bladder diagnoses: alcohol abuse, unspecified motor vehicle traffic accident involving collision with pedestrian injuring pedestrian injury to bladder and urethra, without mention of open wound into cavity open wound of other and multiple sites of face, without mention of complication closed fracture of sixth cervical vertebra multiple closed pelvic fractures with disruption of pelvic circle injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma closed fracture of shaft of fibula with tibia torus fracture, fibula with tibia 

Answer: The patient is high likely exposed to