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: no known allergies / adverse drug reactions attending: chief complaint: compartment syndrome major surgical or invasive procedure: left lower and upper extremity fasciotomies left lower extremity debridement, left medial thigh closure left lower extremity debridement left lower extremity debridement history of present illness: 27m presents to an osh with significantly increasing left lower extremity pain, numbness and tingling. patient reports passing out at home two days ago, after drinking, and waking up one day prior to admission, with numbness and tingling in the left foot. he reports increasingly worsening pain, with loss of function and sensation. he also reports a painful rash which started in the left lower extremity extended upward into the groin and abdomen. there are also some blisters on this rash. he reports otherwise being in his usual state of health. past medical history: iv drug abuse, bilateral inguinal hernias as a child social history: iv drug use, theough denies for the past six months, occasional alcohol, half a pack a day of tobacco. family history: negative for any vascular history physical exam: vital signs: temp: 98.2 rr: 18 pulse: 91 bp: 167/96 neuro/psych: oriented x3, affect normal, abnormal: appears in moderate discomfort. neck: no masses, trachea midline. skin: no atypical lesions. heart: regular rate and rhythm, abnormal: negative for any murmur. lungs: clear, normal respiratory effort. gastrointestinal: non distended, no masses, guarding or rebound. extremities: no femoral bruit/thrill, abnormal: left lower leg with edemetous anterior compartment and fasciotomies on the medial and lateral sides. moderate tenderness to palpation. minimal tenderness passive motion. 10 x 4 cm erythematous patch on the lateral lower leg. scattered blistering. pulse exam (p=palpation, d=dopplerable, n=none) rue radial: p. lue radial: p. rle femoral: p. popiteal: p. dp: p. pt: p. lle femoral: p. popiteal: p. dp: n. pt: d. pertinent results: 07:00pm blood hbsag-negative hbsab-positive hbcab-negative 07:00pm blood hcv ab-positive* cardiovascular report ecg study date of 4:39:10 pm sinus tachycardia. peaked p waves with rightward p axis consistent with right atrial abnormality. low limb lead voltage. delayed precordial r wave transition. no previous tracing available for comparison. tracing #1 intervals axes rate pr qrs qt/qtc p qrs t 113 154 80 294/386 65 33 41 lenies impression: no evidence of deep venous thrombosis in the left or right lower extremities. on the left, the popliteal vein is narrowed due to overlying soft tissue swelling; however, is patent. 8.28.2 cxr findings: as compared to the previous radiograph, the patient has received a new double-lumen central venous catheter over a left-sided approach. the tip projects over the right atrium, there is no evidence of complications, notably no pneumothorax. all pre-existing monitoring and support devices, including the endotracheal tube and tunneled hemodialysis line, has been removed. cbcs 07:15am blood wbc-6.0 rbc-3.00* hgb-8.7* hct-26.2* mcv-87 mch-28.9 mchc-33.1 rdw-13.3 plt ct-538* 06:55am blood wbc-6.9 rbc-3.18* hgb-9.4* hct-27.6* mcv-87 mch-29.5 mchc-33.9 rdw-13.4 plt ct-573* 07:10am blood wbc-6.7 rbc-3.05* hgb-8.9* hct-26.9* mcv-88 mch-29.1 mchc-33.1 rdw-13.4 plt ct-515* 07:05am blood wbc-6.5 rbc-3.08* hgb-8.9* hct-26.9* mcv-88 mch-29.0 mchc-33.1 rdw-13.3 plt ct-502* 03:14am blood wbc-5.3 rbc-3.26* hgb-9.6* hct-28.8* mcv-88 mch-29.3 mchc-33.2 rdw-13.5 plt ct-450* 04:01am blood wbc-5.3 rbc-2.98* hgb-8.8* hct-26.3* mcv-88 mch-29.7 mchc-33.6 rdw-13.5 plt ct-424 05:40am blood wbc-4.9 rbc-3.27* hgb-9.5* hct-28.9* mcv-88 mch-29.1 mchc-33.0 rdw-13.5 plt ct-437 03:04am blood wbc-4.2 rbc-3.06* hgb-8.9* hct-26.5* mcv-87 mch-29.1 mchc-33.6 rdw-14.0 plt ct-402 03:37am blood wbc-8.1 rbc-3.56* hgb-10.3* hct-31.3* mcv-88 mch-29.0 mchc-32.9 rdw-14.1 plt ct-539* 07:07am blood wbc-6.2 rbc-3.24*# hgb-9.4*# hct-28.3* mcv-87 mch-28.9 mchc-33.2 rdw-14.5 plt ct-424 07:05am blood hct-27.4* 04:55pm blood hct-27.0*# 06:18am blood wbc-7.4 rbc-2.40* hgb-7.2* hct-21.3* mcv-89 mch-30.2 mchc-34.0 rdw-13.9 plt ct-449* 05:55pm blood hct-24.7* 06:17am blood wbc-8.7 rbc-2.46* hgb-7.2* hct-21.5* mcv-87 mch-29.1 mchc-33.4 rdw-13.9 plt ct-398 06:35am blood wbc-11.5* rbc-2.86* hgb-8.4* hct-24.5* mcv-86 mch-29.2 mchc-34.0 rdw-14.1 plt ct-423 06:50am blood wbc-11.0 rbc-2.88* hgb-8.5* hct-24.8* mcv-86 mch-29.7 mchc-34.4 rdw-14.4 plt ct-460* 05:15am blood wbc-14.8* rbc-3.21* hgb-9.5* hct-27.1* mcv-85 mch-29.5 mchc-34.9 rdw-14.6 plt ct-522* 07:25am blood wbc-17.3* rbc-3.30* hgb-9.8* hct-28.3* mcv-86 mch-29.6 mchc-34.5 rdw-14.7 plt ct-468* 06:45am blood wbc-17.2* rbc-3.10*# hgb-9.0*# hct-26.6*# mcv-86 mch-28.9 mchc-33.8 rdw-14.9 plt ct-345 06:04am blood wbc-16.8* rbc-2.41* hgb-6.9* hct-20.1* mcv-83 mch-28.7 mchc-34.4 rdw-15.3 plt ct-351 02:08pm blood wbc-17.5* rbc-2.78* hgb-8.1* hct-23.2* mcv-84 mch-29.1 mchc-34.9 rdw-15.1 plt ct-423 02:38am blood wbc-17.8* rbc-3.03* hgb-8.7* hct-25.3* mcv-83 mch-28.7 mchc-34.4 rdw-15.1 plt ct-329 03:07pm blood wbc-14.6* rbc-3.20* hgb-9.1* hct-26.6* mcv-83 mch-28.6 mchc-34.3 rdw-14.7 plt ct-302# 08:50pm blood wbc-12.9* rbc-3.03* hgb-8.5* hct-24.9* mcv-82 mch-28.2 mchc-34.3 rdw-14.7 plt ct-197 03:59am blood wbc-11.4* rbc-3.04* hgb-8.6* hct-25.3* mcv-83 mch-28.4 mchc-34.2 rdw-13.7 plt ct-179 04:57am blood wbc-10.6 rbc-3.03* hgb-8.5* hct-25.2* mcv-83 mch-28.2 mchc-33.9 rdw-13.5 plt ct-208 01:03pm blood wbc-9.9 rbc-3.29* hgb-9.6* hct-27.4* mcv-83 mch-29.3 mchc-35.2* rdw-13.3 plt ct-174 03:52am blood wbc-11.9* rbc-3.55* hgb-10.1* hct-29.7* mcv-84 mch-28.4 mchc-33.9 rdw-13.5 plt ct-183 04:05am blood wbc-12.0* rbc-3.94* hgb-11.4* hct-33.4* mcv-85 mch-28.9 mchc-34.2 rdw-13.3 plt ct-229 03:56am blood wbc-9.8 rbc-4.24* hgb-12.2* hct-35.2* mcv-83 mch-28.8 mchc-34.7 rdw-12.9 plt ct-210 03:56am blood wbc-8.7 rbc-4.28* hgb-12.5* hct-35.9* mcv-84 mch-29.2 mchc-34.8 rdw-13.0 plt ct-182 02:36am blood wbc-11.9* rbc-4.32* hgb-12.5* hct-36.0*# mcv-83 mch-28.9 mchc-34.7 rdw-12.9 plt ct-185 10:51pm blood wbc-8.2# rbc-3.46*# hgb-10.0*# hct-28.7*# mcv-83 mch-28.8 mchc-34.8 rdw-12.9 plt ct-186 03:55pm blood wbc-23.2* rbc-5.93 hgb-16.8 hct-50.1 mcv-85 mch-28.3 mchc-33.5 rdw-12.9 plt ct-310 basic metabolic profiles 07:15am blood glucose-87 urean-15 creat-1.5* na-138 k-4.7 cl-97 hco3-38* angap-8 06:55am blood glucose-86 urean-16 creat-1.6* na-138 k-4.4 cl-98 hco3-36* angap-8 07:10am blood glucose-83 urean-13 creat-1.4* na-141 k-3.9 cl-100 hco3-36* angap-9 07:05am blood glucose-97 urean-14 creat-1.4* na-142 k-3.9 cl-103 hco3-33* angap-10 03:38pm blood glucose-101* urean-16 creat-1.5* na-143 k-4.3 cl-103 hco3-35* angap-9 03:14am blood glucose-85 urean-18 creat-1.6* na-142 k-3.8 cl-103 hco3-32 angap-11 02:00pm blood na-142 k-3.8 cl-104 02:57am blood glucose-94 urean-21* creat-1.7* na-140 k-3.7 cl-103 hco3-30 angap-11 01:15pm blood urean-26* creat-1.8* na-143 k-3.8 cl-104 04:01am blood glucose-111* urean-32* creat-1.9* na-140 k-4.1 cl-103 hco3-33* angap-8 05:40am blood glucose-102* urean-40* creat-2.6* na-138 k-4.6 cl-100 hco3-27 angap-16 03:04am blood glucose-104* urean-42* creat-2.8* na-139 k-4.5 cl-101 hco3-33* angap-10 03:37am blood glucose-110* urean-41* creat-3.2* na-136 k-4.3 cl-98 hco3-29 angap-13 07:07am blood glucose-94 urean-35* creat-3.1* na-137 k-4.7 cl-97 hco3-31 angap-14 07:05am blood glucose-99 urean-28* creat-3.1*# na-138 k-4.3 cl-99 hco3-32 angap-11 06:18am blood glucose-97 urean-55* creat-5.0* na-133 k-3.9 cl-96 hco3-29 angap-12 06:17am blood glucose-98 urean-46* creat-4.3*# na-131* k-4.3 cl-93* hco3-31 angap-11 06:35am blood glucose-130* urean-89* creat-6.8*# na-128* k-4.6 cl-90* hco3-27 angap-16 06:50am blood glucose-105* urean-67* creat-5.7*# na-127* k-4.7 cl-90* hco3-29 angap-13 05:15am blood glucose-94 urean-115* creat-8.3* na-125* k-5.5* cl-86* hco3-22 angap-23* 09:07pm blood glucose-86 urean-109* creat-8.1* na-125* k-5.8* cl-86* hco3-23 angap-22* 04:10pm blood glucose-85 urean-101* creat-7.6* na-121* k-5.5* cl-85* hco3-20* angap-22* 07:25am blood glucose-90 urean-94* creat-7.4*# na-127* k-5.3* cl-87* hco3-24 angap-21* 06:45am blood glucose-89 urean-76* creat-5.5*# na-129* k-4.4 cl-91* hco3-27 angap-15 06:04am blood glucose-99 urean-93* creat-6.9*# na-126* k-5.5* cl-91* hco3-25 angap-16 02:08pm blood glucose-91 urean-122* creat-8.6* na-127* k-5.9* cl-91* hco3-22 angap-20 02:38am blood glucose-85 urean-110* creat-7.9* na-127* k-5.3* cl-89* hco3-23 angap-20 03:07pm blood glucose-89 urean-92* creat-7.0*# na-129* k-4.9 cl-90* hco3-25 angap-19 08:50pm blood glucose-92 urean-64* creat-4.9*# na-130* k-4.1 cl-93* hco3-25 angap-16 03:59am blood glucose-100 urean-98* creat-7.1*# na-129* k-4.2 cl-90* hco3-25 angap-18 04:57am blood glucose-93 urean-62* creat-5.0* na-131* k-4.3 cl-92* hco3-26 angap-17 01:03pm blood glucose-99 urean-66* creat-6.0* na-133 k-4.9 cl-94* hco3-25 angap-19 03:52am blood glucose-90 urean-61* creat-5.9* na-131* k-4.9 cl-91* hco3-27 angap-18 05:05pm blood na-129* k-5.5* cl-92* 10:49am blood na-129* k-5.8* cl-93* 04:05am blood glucose-96 urean-49* creat-5.7* na-134 k-5.9* cl-94* hco3-28 angap-18 05:48pm blood na-132* k-5.9* cl-94* 03:56am blood glucose-100 urean-39* creat-4.9* na-134 k-5.7* cl-96 hco3-26 angap-18 09:20pm blood na-133 k-5.4* cl-97 10:53am blood glucose-100 na-128* k-5.3* cl-96 hco3-28 angap-9 03:56am blood glucose-100 urean-35* creat-3.9* na-127* k-5.4* cl-97 hco3-26 angap-9 12:23am blood na-128* k-4.9 cl-99 05:08am blood glucose-79 na-130* k-5.1 cl-96 02:36am blood glucose-70 urean-55* creat-4.7* na-132* k-5.3* cl-98 hco3-23 angap-16 10:51pm blood glucose-260* urean-55* creat-4.4* na-131* k-5.3* cl-100 hco3-23 angap-13 10:00pm blood glucose-104* urean-56* creat-4.5* na-135 k-5.3* cl-101 hco3-22 angap-17 07:35pm blood glucose-78 urean-56* creat-4.8* na-131* k-6.9* cl-101 hco3-19* angap-18 03:55pm blood glucose-91 urean-53* creat-5.0* na-130* k-7.2* cl-92* hco3-22 angap-23* calcium, magnesium, phosphorus 07:15am blood calcium-9.9 phos-4.0 mg-2.1 06:55am blood calcium-10.0 phos-3.6 mg-2.1 09:50pm blood calcium-10.5* 07:10am blood calcium-10.3 phos-3.2 mg-1.8 07:05am blood calcium-11.6* phos-3.5 mg-2.0 03:38pm blood calcium-12.1* phos-3.2 mg-1.9 03:14am blood calcium-12.3* phos-4.0 mg-1.4* 02:00pm blood calcium-12.7* 02:57am blood calcium-12.8* phos-4.3 mg-1.6 01:15pm blood calcium-13.6* phos-5.4* mg-1.6 04:01am blood calcium-13.6* phos-6.2* mg-1.8 01:00pm blood calcium-13.8* 05:40am blood calcium-14.2* phos-7.4* mg-1.8 03:04am blood albumin-2.4* calcium-12.3* phos-6.8* mg-2.0 03:37am blood calcium-11.4* phos-7.1* mg-2.1 07:07am blood calcium-10.3 phos-6.5* mg-2.0 07:05am blood calcium-9.2 phos-5.0* mg-2.0 06:18am blood calcium-8.2* phos-5.8* mg-2.2 06:17am blood calcium-8.1* phos-5.4*# mg-2.2 06:35am blood calcium-8.0* phos-8.2* mg-2.3 06:50am blood calcium-7.1* phos-7.5*# mg-2.2 05:15am blood calcium-7.0* phos-10.7*# mg-2.3 07:25am blood calcium-7.9* phos-8.9* mg-2.3 06:45am blood calcium-7.5* phos-7.6* mg-2.2 06:04am blood calcium-7.0* phos-8.2*# mg-2.2 02:08pm blood calcium-7.1* phos-10.1*# mg-2.4 02:38am blood calcium-7.7* phos-8.5*# mg-2.4 03:07pm blood calcium-7.8* phos-6.9*# mg-2.4 11:58am blood albumin-2.3* iron-47 08:50pm blood albumin-2.6* calcium-6.9* phos-4.9*# mg-2.2 03:59am blood calcium-7.2* phos-6.8* mg-2.6 04:57am blood calcium-7.2* phos-6.6*# mg-2.4 01:03pm blood calcium-6.9* phos-8.6* mg-2.5 03:52am blood calcium-7.1* phos-7.7* mg-2.4 05:05pm blood mg-2.3 04:05am blood calcium-7.3* phos-8.5*# mg-2.4 05:48pm blood mg-2.0 03:56am blood calcium-7.4* phos-5.7* mg-1.9 09:20pm blood mg-1.9 10:53am blood calcium-7.6* 03:56am blood albumin-1.9* calcium-7.8* phos-4.2# mg-1.7 04:34pm blood calcium-6.2* 11:54am blood calcium-5.9* 02:36am blood calcium-6.5* phos-6.7* mg-2.2 10:51pm blood calcium-5.8* phos-6.0*# mg-2.1 03:55pm blood albumin-3.3* calcium-7.4* phos-7.7* mg-2.8* 08:31am blood freeca-1.31 07:32am blood freeca-1.31 10:21pm blood freeca-1.37* 07:19am blood freeca-1.43* 02:23pm blood freeca-1.56* 02:18pm blood freeca-1.64* 03:09am blood freeca-1.63* 01:24pm blood freeca-1.59* 04:06am blood freeca-1.79* 09:54am blood freeca-1.84* 01:11pm blood freeca-0.92* 05:16pm blood freeca-0.93* 04:27am blood freeca-0.95* 12:11am blood freeca-0.93* 05:57pm blood freeca-0.92* 04:05am blood freeca-0.97* 09:27pm blood freeca-1.00* 04:13am blood freeca-1.01* 12:35am blood freeca-1.08* 05:19am blood freeca-1.04* 02:44am blood freeca-0.93* 10:59pm blood freeca-0.84* 09:15pm blood freeca-1.02* 08:52pm blood freeca-0.87* hiv/hepatitis viral titers 12:55pm blood hiv ab-negative 07:00pm blood hcv ab-positive* 07:00pm blood hbsag-negative hbsab-positive hbcab-negative toxicology on admission 03:55pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: this patient is a 27-year-old gentleman who two days prior to admission was found down by his mother for an indeterminate period of time, but felt greater than 10 hours, secondary to narcotic abuse and alcohol intoxication. on presentation to the er he had an elevated ck of greater than 160,000 and a creatinine of 5 and a cool mottled left foot with absent doppler signals and no motor sensation below-the-knee. it was felt he had developed a compartment syndrome in the setting of likely being in the same position for several hours and was brought urgently to the or for left lower extremity fasciotomies. cardiovascular he had a fasciotomy done for his compartment syndrome. he required subsequent debridements (three) where necrotic muscle in the lateral compartment was heavily debrided. it was felt he suffered severed, likely irreparable damage to his superficial peroneal nerve. his deep peroneal nerve, on the other hand, recovered somewhat with respect to sensation. his tibial nerve was less clear, but at least some sensation was present during his stay over the medial plantar branch cutaneous distribution. he never recovered motor function during his stay. he will have his sutures removed in two weeks time w/ dr. as an outpatient. at this time, he will also discuss the possibility of a skin graft for the fasciotomy sites. during his stay, his edema over the left lower extremity was controlled with furosemide. renal upon admission he was found to have a severely elevated ck. his creatinine was also elevated, and so he was diagnosed with acute renal failure secondary to rhabdomyalysis. the renal service was consulted for management of his severe rhabdomyolysis, and subsequent anuric - oliguric , hyperkalemia, hyperphosphatemia and hypocalcemia. hemodialysis was immediately initiated to remove myoglobin. he was aggressively volume resuscitation until euvolemic requiring intubation and cvp monitoring in the icu. over time his renal function improved. he was last dialyzed on . on discharge, his urine output was 2l/day with cr 2.8 and bun 43. during his stay he also developed critical hypercalcemia and non-critical hyperphosphatemia. he was sequestered with phosphate binders to prevent calciphylaxis. he was also flushed with high flow normal saline fluids to clear the calcium. he was given furosemide at increased dosage during this time to control the subsequent edema in his left lower extremity. his calcium eventually returned to within normal range. he will need to be followed closely by the nephologists at the . pain pain remain controlled throughout his stay. he was seen by chronic pain service on the day of discharge and was put on a finalized regimen of gabapentin 600 mg tid, oxycodone sr 20 , and oxycodone 5-10 mg every 6 hours. he is to follow up with his primary care provider for further management of his pain issues. social mr. has no insurance, and as such we began the process of obtaining insurance. from a disposition perspective, he will go to rehabilitation. medications on admission: 1. methadone 5 mg po daily discharge medications: 1. gabapentin 600 mg po tid 2. methadone 5 mg po daily 3. oxycodone (immediate release) 5-10 mg po q6h:prn pain 4. oxycodone sr (oxycontin) 20 mg po q12h 5. senna 1 tab po bid:prn constipation discharge disposition: extended care facility: - discharge diagnosis: compartment syndrome acute renal failure rhabdomyolysis hypercalcemia hyperphosphatemia sinus tachycardia chronic pain - does not require follow up with our pain clinic anemia requiring transfusion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital secondary to pain, swelling and decreased circulation to your right lower extremity you were diagnosed with compartment syndrome and fasciotomies (opening of the skin) were performed to relieve the pressure in your left leg. your kidneys were also noted to be failing related to the severe muscle damage from the lack of circulation. you were started on dialysis. your kidney function had since returned and we stopped hemodialysis. you kidney function is slowly returning and will be closely monitored. we noticed damaged muscular tissue in the open areas on your calves which required you to return to the or several times for debridement. you also had elevated levels of calcium, which we corrected with high flow fluids. you recovered well, but we will continue to monitor your calcium levels daily. you will follow up with us in two weeks time, where we will discuss options for your leg including possible plastic surgery to graft the open area. followup instructions: you have two follow up appointments. 1. provider: , md phone: (please call for directions) date/time: at 11:15am 2. you have a follow up appointment with renal with dr. on thursday, , at 2:30 pm. you will also see dr. during this time. location: in west clinic phone number: provider: , m.d. date/time: 2:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis incision with removal of foreign body or device from skin and subcutaneous tissue other myectomy other myectomy other myectomy other incision of soft tissue other incision of soft tissue application of other wound dressing application of other wound dressing application of other wound dressing central venous catheter placement with guidance diagnoses: hyperpotassemia hypocalcemia other chronic pain anemia, unspecified tobacco use disorder acute kidney failure with lesion of tubular necrosis hyposmolality and/or hyponatremia other specified cardiac dysrhythmias disorders of phosphorus metabolism kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure opioid abuse, unspecified other complications due to renal dialysis device, implant, and graft rhabdomyolysis hypotension of hemodialysis family history of malignant neoplasm of gastrointestinal tract nontraumatic compartment syndrome of lower extremity other fluid overload 

Answer: The patient is high likely exposed to