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: attending: chief complaint: splenic laceration major surgical or invasive procedure: exploratory laparotomy emergency cricothyroidotomy splenectomy tracheostomy 8.0 history of present illness: this is a 54 year old male transferred from an osh status-post a motorcycle crash earlier in the evening. he was found to have a grade 4 splenic laceration on osh ct and was transferred to for emergent exploratory laparotomy on . all other imaging from the osh was reportedly negative. past medical history: r elbow surgery ' appendectomy lower back pain social history: pt admits to alcohol dependency. he lives with his fiance and daughter. owns a paving company. family history: non-contributory physical exam: on admission: v/s sbp 80, 93, 95% on room air gen: aggitated middle-aged man, intoxicated, awake head: normocephalic, atraumatic neuro: cn 2-12 grossly intact, obeys commands, can answer questions, gcs 15 cv: sinus rhythm, no murmurs pulm: coarse bilateral breath sounds abd: distended, firm, tender in the left upper quadrant, no palpable masses extr: warm, no edema, right leg with palpable 5x5 cm hematoma motor: moves all 4 extremities purposefully rectal: normal tone, guaic negative back: non-tender, no step-offs pertinent results: 03:20am fibrinoge-587* 03:20am plt count-87* 03:20am pt-27.4* ptt-95.6* inr(pt)-4.7 03:20am wbc-4.6 rbc-1.26* hgb-4.0* hct-12.7* mcv-101* mch-31.7 mchc-31.4 rdw-13.0 03:20am asa-neg ethanol-80* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:20am amylase-27 03:20am urea n-4* creat-0.2* 03:22am glucose-66* lactate-0.7 na+-145 k+-1.4* cl--131* tco2-10* 03:30am fibrinoge-99*# 03:30am pt-15.5* ptt-39.5* inr(pt)-1.5 03:30am plt count-167# 03:30am wbc-11.4*# rbc-3.33*# hgb-10.9*# hct-31.3*# mcv-94# mch-32.6* mchc-34.7# rdw-14.4 03:30am asa-neg ethanol-143* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg radiology: ct: post splenectomy. a small amount of fluid and free air are expected post- operative findings. bibasilar and small right apical atelectatic changes. no evidence of aortic dissection or aneurysm. c-spine plain film: no fractures. mild cervical spine anterolisthesis. degenerative changes. rle ultrasound: approximately 6 x 1.6 cm hypoechoic structure deep to a wound in the right lower extremity these features are non-specific and may be due to an abscess a hematoma or local area of inflammation. ct head: negative ct: 1. mild ascites. 2. bilateral pleural effusions, left more than right, and left basilar atelectasis. microbiology: mrsa screen: mrsa + respiratory culture-final {pantoea (enterobacter) agglomerans, yeast} cardiology: echocardiogram: normal biventricular systolic function. mild mitral regurgitation neurology: eeg: this is a mildly abnormal eeg obtained in wakefulness and drowsiness due to the presence of generalized delta frequency slowing that was more pronounced during periods of drowsiness. this finding suggests deep midline subcortical dysfunction. this is a relatively non-specific finding with regard to an evaluation for seizures. there were no lateralizing or epileptiform abnormalities seen. rare ectopy was noted on the cardiac monitor. brief hospital course: this is a 54 year old man who presented from an outside hospital with a grade 3 splenic laceration status-post a motorcycle crash. upon arrival to he was found to be hypotensive with a hematocrit of 12 and was immediately transfused with 6 units of prbc. plain film imaging was done and the patient was taken emergently to the operating room where he underwent an exploratory laparotomy with splenectomy. of note, due to inability to secure an airway the patient underwent an emergency cricothyroidotomy with tracheostomy tube placement. the patient was transferred to the intensive care unit post-operatively where he remained for 18 days. his post-operative course was notable for hypotension which initially required pressor support (an echocardiogram was done which was normal) and ventilary dependence. he was started on trophic tube feeds via a post-pyloric dobhoff tube on post-operative day 4. he was treated empirically with zosyn for 2 weeks for presumed aspiration pneumonia. he had a right groin hematoma (secondary to traumatic femoral line placement) which was drained at the bedside on post-operative day 10. he was weaned off his ventilary support after 2 weeks. he was cleared from his c-collar by post-operative day 17. a neurology consultation was requested for altered mental status and aggitation on post-operative day 18; workup with eeg revealed non-specific deep midline subcortical dysfunction. he passed a swallow study and his diet was advanced to a regular diet on post-operative day 20. physical therapy worked with the patient throughout his hospital course and found him to progress to near baseline by discharge. he was discharged to home on post-operative day 25 with a visiting nurse aid for tracheostomy tube care. upon discharge he had scheduled follow-up with trauma surgery to have his trach removed. medications on admission: levothyroxine sertraline discharge medications: 1. oxygen 28-40% via trach mask 2. suction machine with 14 french suction catheters suction as needed 3. compressor with heat between 28-40% to keep secretions moist 4. trach #7 portex 5. ambu bag 6. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. sertraline hcl 50 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: medical discharge diagnosis: splenic laceration tracheostomy discharge condition: good discharge instructions: keep the tracheostomy site clean and dry. suction as needed as instructed. followup instructions: call the trauma clinic at ( as soon as possible to schedule an appointment. the clinic meets on tuesdays. you should schedule an appointment for next tuesday, . procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus other incision with drainage of skin and subcutaneous tissue total splenectomy bronchoscopy through artificial stoma transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: unspecified pleural effusion pulmonary collapse pneumonitis due to inhalation of food or vomitus cellulitis and abscess of leg, except foot alkalosis traumatic shock alcohol withdrawal injury to spleen without mention of open wound into cavity, unspecified injury 

Answer: The patient is high likely exposed to