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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p mvc major surgical or invasive procedure: 1. open reduction of a left thumb metacarpophalangeal joint dislocation. 2. ulnar collateral ligament repair to the thumb metacarpophalangeal joint. 3. extensor repair the extensor pollicis longus and extensor pollicis brevis tendons. 4. repair of thumb adductor muscle. 5. open reduction and internal fixation left second digit proximal phalanx fracture. 6. repair of extensor tendon to the second digit. 7. closed reduction fifth finger proximal phalanx fractures. 8. irrigation and debridement down to bone in both the index finger and the thumb. 9. repair of 20-cm laceration as part of the wound. 10.rearrangement of local flaps. history of present illness: 18 yo m who was an unrestrained driver in rollever mvc. patient was ejected approx 30-40 ft. one passenger dead at the scene. no reported loc. gcs 15 in the emergency department. multiple lacerations including right thigh, abdomen, occiput and left hand. past medical history: none social history: no etoh, no tobacco, denies drug use family history: non contributory physical exam: t:98 bp: 121/58 hr:94 r:20 o2sats: 100% gen: slightly sedated, comfortable heent: pupils: 4->3 b/l eoms - full, intact neck: c-collar in place abd: multiple large, repaired laceration extrem: right hand, bilateral le wwp - l hand in dressing neuro: mental status: awake, cooperative with exam, orientation: oriented to person, place (hospital, did not know which city), and date. motor: d b t we wf ip q h at g r 5 5 5 5 5 5 5 5 5 l 5 5 5 5 lue exam limited by pain due to injured hand. lle exam limited by large reparied laceration to right thigh. sensation: intact to light touch in right hand, bilateral lower extremeties. pertinent results: 03:35pm wbc-22.2* rbc-4.96 hgb-12.0* hct-36.9* mcv-74* mch-24.3* mchc-32.7 rdw-14.2 03:35pm plt count-310 03:35pm pt-14.6* ptt-26.4 inr(pt)-1.3* 03:35pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:35pm urea n-14 creat-1.0 03:52pm lactate-3.7* ct torso : 1. bilateral pulmonary contusions, most severe in the left upper lobe. 2. spinous process fractures at t5 and t4. transverse process disruptions at l1 may be fractures or congenitally unfused transverse processes. 3. superficial lacerations as above. left hand and wrist : ) fifth proximal phalanx fracture. 2) second proximal phalanx fracture. 3) extensive soft tissue injury. 4) question subluxation versus dislocation at first mcp and/or ip joints, suboptimally visualized. brief hospital course: mr. was evaluated in the emergency room by the trauma team as well as urology and the hand service. due to his crush injury to his left hand he was taken to the operating room for washout, debridement and repair. he tolerated the procedure well and returned to the trauma icu in stable condition. he remained intubated overnight and maintained stable hemodynamics. he underwent leech therapy to his left thumb and 2nd digit as well as splinting and elevation. his perfusion remained intact to all digits. for pain control he had a left infraclavicular catheter placed for bupivacaine infusion which worked well. he was extubated without any difficulty and maintained good oxygen saturations. his pulmonary contusions improved daily as noted by chest xray and he remained free of any other pulmonary complications. after removal of his infraclavicular catheter his pain was controlled with oxycodone. the urology service evaluated him daily and wanted to continue wet to dry dressing changes as his penile wound was granulating. he will need some type of delayed closure with a skin graft or possible circumcision but that will be done at a later date and for now he will continue dressing changes, his foley catheter was removed without difficulty and he was voiding sufficiently. his wbc was elevated on admission and remained elevated at 17-20k. he was placed on broad spectrum antibiotics. following his operative procedures he had temperatures > 101 and was pan cultured. all cultures were negative and currently he is completing a course of cipro prophylactically for his hand. the events and after effects of his accident were explored with the social worker and after he was told of his friends death in the accident he was very tearful and depressed as expected. he was however able to continue with therapy, stay hydrated and eat and get up and ambulate. after a long hospitalization he was discharged to home on . he and his family were taught how to care for his hand and dressing changes to his penis. he will follow up next week with the orthopedic service. please see discharge instructions for further appointments. medications on admission: none discharge medications: 1. aspirin 81 mg tablet, chewable sig: 1.5 tablet, chewables po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for prn pain >5. disp:*80 tablet(s)* refills:*0* 4. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours): thru . disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p mvc 1. penile degloving injury 2. open fracture left thumb & index finger 3. pulmonary contusions 4. t4, t5 spinous process fractures process fracture 5. l1 transverse process fracture discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: followup instructions: -you should continue taking the antibiotics as prescribed. -take 1.5 baby aspirin everyday for the next 30 days. -elevate your left arm as much as possible and maintain it in your splint. -please keep your left arm dry - if your left arm/fingers begins to worsen after discharge home with an acute increase in swelling or pain, please call the hand clinic at the number given and ask to speak with a doctor. * saline wet to dry dressing changes to penis twice daily * follow up in the clinic in 1 week. * your stitches and staples will be removed by the plastic surgeons. medications: * resume your regular medications unless instructed otherwise. * you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so do not take these meds with additional tylenol. * take prescription pain medications for pain not relieved by tylenol. * take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication to prevent constipation. you may use a different over-the-counter stool softerner if you wish. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. . return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. followup instructions: hand clinic: ( , building, please follow up in the hand clinic on tuesday, . you must call ( to make an appointment so they know you are coming. the clinic is open from 8-12pm most tuesdays and you may show up at any time between those hours, despite your formal appointment time. the clinic is located on the , building, . please make sure that you obtain a referral from your insurance company prior to your clinic appointment. call the clinic at for a follow up appointment in 1 week. md procedure: closure of skin and subcutaneous tissue of other sites suture of artery open reduction of fracture with internal fixation, phalanges of hand repair of blood vessel with tissue patch graft other suture of abdominal wall full-thickness skin graft to hand debridement of open fracture site, phalanges of hand closed reduction of fracture without internal fixation, phalanges of hand other suture of tendon other suture of tendon other suture of tendon other repair of hand, fingers, and wrist suture of laceration of penis open reduction of dislocation of hand and finger diagnoses: open wound of scalp, without mention of complication closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury fever, unspecified closed fracture of lumbar vertebra without mention of spinal cord injury contusion of lung without mention of open wound into thorax open wound of knee, leg [except thigh], and ankle, without mention of complication motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle open wound of abdominal wall, lateral, without mention of complication open wound of other and unspecified parts of neck, without mention of complication closed fracture of middle or proximal phalanx or phalanges of hand open wound of finger(s), with tendon involvement open fracture of middle or proximal phalanx or phalanges of hand injury to digital blood vessels open wound of penis, without mention of complication open wound of shoulder region, without mention of complication injury to digital nerve, upper limb open dislocation of metacarpophalangeal (joint) 

Answer: The patient is high likely exposed to