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: the patient is a 23 year old male involved in a motorcycle accident versus truck on . the patient was intubated at the scene for shortness of breath and blood pressure in the 90s. he did, however, move all four extremities and had coma scale reported to be 15 with emergency medical services at the scene. past medical history: none. past surgical history: none. allergies: no known drug allergies. medications on admission: none. social history: occasional marijuana use. physical examination: physical examination on admission revealed temperature 35.8, pulse 110s, blood pressure 190/60. neurological, the patient moved all four extremities. he, however, was intubated and sedated. head, eyes, ears, nose and throat, pupils equal, round, and reactive to light and accommodation. his trachea was midline. tympanic membranes were clear. cardiac, his heart was regular rate and rhythm, s1 and s2. lungs were clear to auscultation bilaterally with equal breathsounds. his abdomen was soft, nontender, nondistended with no palpable pulsatile masses. his rectal was guaiac negative, normal sphincter tone. extremities, on his left upper extremity he had a 20 cm degloving injury of the left forearm. his left lower extremity had a 10 cm lack over his thigh with a 2 cm lack over proximal tibial fracture which is unstable. his left foot had no pulse on palpation but had a dopplerable left dorsalis pedis. his right upper extremity had a swollen wrist/hand on the right. his right lower extremity had no deformity with palpable dorsalis pedis. spine, there were no stepoff deformities. laboratory data: laboratory data on admission revealed white count 13.3, hematocrit 27.1 and platelets 141. his coags were 17.5 pt, ptt 65.9 and inr was 2.1. his lactate was 4.1 down to 2.9. his blood gas was 7.17/65/262/25/-5. his toxicology screen was negative. his films on admission revealed chest x-ray with a wide mediastinum with a left scapular fracture. his pelvis was negative. his cervical spine was negative. his computerized tomography scan cystogram was negative, his computerized tomography scan abdomen was negative. computerized tomography scan of the head showed a small intraparenchymal frontal lobe hemorrhage. his computerized tomography scan of the chest showed aortic rupture with a small left pneumo and contusion of his left lower lobe. procedures during admission: 1. incision and drainage of left thigh wound 2. incision and drainage and external fixation of left open tibia-fibula fracture on with open reduction and internal fixation on 3. aortic rupture with interposition graft repair on and left chest tube placement 4. incision and drainage of left forearm degloving injury on 5. open reduction and internal fixation of right triquetral second metacarpal, fourth metacarpal and capitate fractures on 6. percutaneous drainage of a pericardial effusion on with a window placement and drain on hospital course: 1. head, eyes, ears, nose and throat - after extubation the patient was noted to have hoarseness in his voice. he underwent a scope by otorhinolaryngology which revealed a left total vocal cord paralysis. this was discussed with the otorhinolaryngology attending and it was decided that he would follow up in two to three months on an outpatient basis to give his vocal cord time to heal. he will follow up with dr. at . otherwise his ear, nose and throat remained stable over his hospital course. 2. neurological - the patient was noted to have a small interparenchymal frontal lobe hemorrhage on admission. it was followed by neurosurgery. it was deemed to be stable. the patient was alert and oriented following commands with coma scale of 15. on , an epidural was placed for pain management, the patient tolerated this well. he was noted to have no neurological deficits throughout his hospital course. 3. infectious disease - the patient was placed on levo initially during his hospitalization for positive urine cultures. on , the patient spiked a temperature of 102. he was placed on zosyn for the gram positive cocci and gram positive rods in his sputum. he received a total of seven days of zosyn and remained afebrile. after the patient's open reduction and internal fixation of his right wrist he was placed on ancef and gentamicin for perioperative antibiotics, these were discontinued on his discharge. 4. cardiac - of note, the patient was tachycardiac throughout his hospital stay. on , the patient desatted to 88% on room air and was noted to have increased tachycardia. an echocardiogram was done the evening of and he was seen to have a large pericardial effusion compromising his cardiac output. he was taken to the catheterization laboratory and underwent percutaneous drainage, 620 cc of old blood were drained. the drain was left in place. the repeat echocardiogram on revealed recurrent effusion and therefore he underwent a window with cardiothoracic surgery, a chest tube and mediastinal drains were placed as well. this was done on . the patient's cardiac status improved with drainage of his pericardial effusion. his drain output was monitored and his drains were removed when the output was deemed low enough. 5. respiratory - the patient was noted to have a left lower lobe contusion on admission. he also had a right pleural effusion. the chest tube was placed for this. also of note, when the patient was extubated on , he was noted to have respiratory distress and was reintubated. he was found to have a left diaphragm paralysis on fluoroscopy. the patient continued to wean and was extubated again on . he tolerated this well. also, of note the patient did desat to 88% on room air and had some shortness of breath. his left chest tube was removed and a computerized tomography scan of the abdomen was obtained which showed a pneumo of insignificance, but also showed a large pericardial effusion which was noted on his cardiovascular system review. otherwise he was stable from a respiratory standpoint. 6. heme - the patient's hematocrit remained stable throughout his hospital course. he was transfused several times including fresh frozen plasma. he was worked up for hit and this was negative as well. the patient had no further issues. 7. gastrointestinal - the patient was placed on carafate for prophylaxis. tube feeds were started early in the hospital stay. these were discontinued for several days due to distended abdomen, however, this resolved and the patient was restarted on tube feeds. his liver function tests did bump and he underwent an ultrasound of his gallbladder which was essentially negative and these were thought to be secondary to total parenteral nutrition in his intensive care unit course. the patient's diet was slowly advanced and he did have poor p.o. intake and a dobbhoff was placed on . he vomited 350 cc on and underwent a computerized tomography scan of his abdomen of his abdomen which was negative. the dobbhoff was removed and the patient's diet was advanced again. he was tolerating a regular diet on discharge. 8. musculoskeletal - on , the patient underwent a washout and external fixation of his left open tibia-fibula fracture and then on underwent an open reduction and internal fixation. he tolerated this well. he will be nonweightbearing for three months on his left lower extremity. this will end approximately . he underwent cpm. the patient's left arm, he had a degloving injury. he also underwent an incision and drainage of this on and the vacuum assisted closure was placed. the vacuum assisted closure was then removed and the patient was seen to have good healing of his left arm. the patient's right distal radius fractures were treated with an open reduction and internal fixation on . he tolerated this well. 9. renal - the patient had no renal issues throughout his hospital course. he had good urine output. discharge status/condition: on , pending a rehabilitation bed, the patient was discharged in stable condition to rehabilitation. discharge medications: 1. msir 15 mg p.o. q. 4 to 6 hours prn breakthrough pain 2. morphine sulfate sr 30 mg p.o. t.i.d. 3. tylenol 500 mg p.o. q. 4-6 hours prn 4. ibuprofen 800 mg p.o. q. 8 hours prn 5. zofran 2-4 mg intravenously q. 6 hours prn 6. colace 100 mg p.o. b.i.d. 7. lovenox 30 mg subcutaneously q. 12 hours discharge instructions: he was discharged on a regular diet with boost. he will be nonweightbearing on his left lower extremity until at least and nonweightbearing on his right upper extremity. the patient is to call dr. office for follow up in approximately two weeks, phone . he is also to call dr. office for follow up in two weeks at and he is to call dr. office, the otorhinolaryngologist for follow up in approximately two months, . the patient will also undergo an ophthalmology examination prior to discharge or on an outpatient basis for blurry vision. dr., 02-211 dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery resection of vessel with replacement, thoracic vessels excisional debridement of wound, infection, or burn other incision of pleura application of external fixator device, tibia and fibula closure of skin and subcutaneous tissue of other sites open reduction of fracture with internal fixation, radius and ulna closed reduction of fracture without internal fixation, radius and ulna closed reduction of fracture without internal fixation, tibia and fibula other suture of muscle or fascia other irrigation of wound other skeletal traction bone graft, radius and ulna release of carpal tunnel diagnoses: unspecified pleural effusion other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness traumatic hemothorax without mention of open wound into thorax acute pericarditis, unspecified other closed fractures of distal end of radius (alone) injury to thoracic aorta open fracture of upper end of fibula with tibia open wound of forearm, without mention of complication 

Answer: The patient is high likely exposed to