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: erythromycin base attending: chief complaint: s/p motor vehicle crash right hip pain, sternal pain, right rib pain major surgical or invasive procedure: open reduction, internal fixation of right acetabular fracture history of present illness: 29 year old female who was the restrained driver in a high speed motor vehicle crash vs tree; prolonged extrication. she was taken to an area hospital where fond to have extensive orthopedic injuries and was then later transferred to for further care. past medical history: extensive psychiatric history including depression, anxiety. s/p gastric bypass s/p cholecystectomy social history: polysubstance abuse including iv heroin, associated with 3 motor vehicle collisions. h/o of heavy smoking. lives with husband and two children. family history: non-contributory physical exam: on day of discharge: gen: patient in nad, resting comfortably in bed heent: perrl, ioms intact, trachea midline chest: ctab cv: rrr, s1,s2, no murmurs abd: s/nd/nt, +bowel sounds extremities: wwp, neurovascularly intact with 2+ pulses. tender to range of motion in right lower extremity. surgerical incision c/d/i neuro: alert and oriented, cnii-xii intact. moves all extremities. pertinent results: 04:57am blood wbc-4.9 rbc-2.80* hgb-7.8* hct-23.5* mcv-84 mch-27.7 mchc-32.9 rdw-16.5* plt ct-297 04:57am blood plt ct-297 04:57am blood glucose-108* urean-9 creat-0.4 na-141 k-3.5 cl-102 hco3-32 angap-11 01:07pm blood ld(ldh)-273* 04:57am blood calcium-8.1* phos-3.7 mg-2.3 chest (pa & lat) reason: pna? medical condition: 29 year old woman with fever and tacchycardia reason for this examination: pna? indication: fever, tachycardia. evaluate for pneumonia. frontal and lateral views of the chest were obtained, compared with examination from one day previously. findings: left-sided subclavian central venous catheter is seen, with the tip at the confluence of the l brachiocephalic and svc. lung volumes are low. cardiac and mediastinal silhouettes are unremarkable. no significant pleural effusions are present. basilar atelectasis is seen, particularly on the right. ecg sinus tachycardia. normal ecg. compared to the previous tracing the rate is faster. read by: , h. intervals axes rate pr qrs qt/qtc p qrs t 105 134 90 334/395.28 55 59 26 brief hospital course: she was admitted to the trauma service orthopedics was immediately consulted given her injuries. her right hip was relocated by the orthopaedic surgery service in the trauma bay without complication. she underwent open reduction, internal fixation of her right acetabular fracture on without any complication. she is to remain non weight bearing on her right leg until cleared by orthopedics. her non-displaced paramedian sternal fracture and minimally displaced rib fractures in right ribs 3,4,5 were managed with non-operative treatment. she remained in the trauma icu for several days for close monitoring and was later transferred to the regular nursing unit. she did have pain control issues and so the acute pain service was consulted. she did have an epidural (t5-6)catheter placed to infuse bupivacaine for control of her rib fracture pain. the catheter was removed on and she was switched to long acting narcotics with breakthrough medication prn. she was also started on neurontin; this dose was increased from 300 tid to 400 tid prior to discharge; scheduled doses of tylenol was also added. it is likely that she will require further adjustments of her pain medication once at rehab. she did require blood transfusion with 2 units prbc's for falling hematocrit postoperatively. her hematocrit has stabilized and is currently 23.1; it has remained stable for the past several days. hemodynamically she has remained stable with no evidence of active bleeding. because of her age it is expected that her hematocrit will rise on it's on. physical and occupational therapy evaluated and treated her; she gradually made improvements in mobility. it is being recommended that she go to a rehab facility for further therapy. she developed a uti during her stay and was treated with three days of ciprofloxacin with resolution of her infection. medications on admission: cymbalta, trazadone, ambien, xanax discharge medications: 1. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime). 2. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours) for 3 weeks. 3. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 9. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours). 10. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po bid (2 times a day). 11. morphine 30 mg tablet sustained release sig: two (2) tablet sustained release po every eight (8) hours. 12. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily) as needed. 13. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 14. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 15. gabapentin 400 mg capsule sig: one (1) capsule po tid (3 times a day). 16. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical q24h (every 24 hours): apply to affected leg as directed. 17. oxycodone 5 mg/5 ml solution sig: ml's po q4h (every 4 hours) as needed for breakthrough pain. discharge disposition: extended care facility: health network discharge diagnosis: s/p motor vehicle crash 1. posterior dislocation of right femur 2. transverse acetabular fracture involving the roof, anterior lip and medial aspect with extension into the posterior wall and right ischium 3. paramedian sternal fracture 4. rib fractures of ribs 3,4,5 on right 5. urinary tract infection discharge condition: good discharge instructions: do not bear any weight on your right leg followup instructions: please follow-up with dr. , orthopaedic surgery clinic in 1 week. please call to make an appointment . please follow-up in trauma surgery clinic with dr. in two weeks. please call to make an appointment: . procedure: venous catheterization, not elsewhere classified closure of skin and subcutaneous tissue of other sites transfusion of packed cells open reduction of fracture with internal fixation, other specified bone insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt closed reduction of fracture without internal fixation, tibia and fibula closed reduction of fracture without internal fixation, other specified bone diagnoses: tobacco use disorder urinary tract infection, site not specified morbid obesity contusion of lung without mention of open wound into thorax flail chest open wound of knee, leg [except thigh], and ankle, without mention of complication other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle bariatric surgery status closed fracture of acetabulum fracture of medial malleolus, closed closed fracture of four ribs combinations of opioid type drug with any other drug dependence, unspecified 

Answer: The patient is high likely exposed to