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: pmh significant for emphysema (+inhalers) and frequent ha no known med allergies +smoker 1/2ppd rare etoh pt to or emergently: exp lap with splenectomy, repair of diaphragmatic injury and serosal tear. hct 16 intra-op>>4upc's transfused>>40. 6l iv with ~ 1l ebl and 900cc u/o. ..2uffp and 10pk cryoprecipitate for abnl coag values. ..1amp bicarb in or for base deficit -10 ..on/off neo ..propofol infusion icu course: neuro- waking to voice; opens eyes..perrl @ 3mm/brisk. mae's, following commnads consistently; nodding head appropriately to questions. confirms pain in abd; grimaces to touch in other areas of injury. propofol continiues at 20-30mcg/kg/min. mso4 2-10mg prn. cvs- nst w/o ectopy 100-120's bp 95>120's/70's cvp 14>>8 ..ivf at 100cc/hr with 1500cc additional as fluid bolus rx. resp- ett #7; ventilated on mmv 50% 5peep, 10psv 400 x16 with adeqaute abg's after fluid resuscitation ..breath sounds are diminished at bases with scattered inspiratory wheezing noted. albuteral inhalers started. secretions are mod amts.. thick & blood tinged. ..left ct with + air leak and sanginous drainage. ++sc emphysema renal- adequate u/o electrolytes repleted prn id- bear hugger applied for initial low temp...noww 100 kefzol & flagyl x3 doses wbc wnl heme- hct post-op maitained 40>>36 inr following 2u ffp & cryo>> 1.3 plt >100k endo- no issues gi- npo; lcs with scant bld tinged bilious drainage soft abd with ^ edema around incision; absent bowel sounds famotidine skin- intact, warm & dry; abd incision covered with dsd old scars on both hips and right knee, left ankle & right hand(s/p bone grafting for congental orhtopedic issues..age 16) left hip hematoma w/o breakdown left forehead abraisions at hairline palpable pedal pulses compression boots in use husband & 3 daughters visiting along with multiple extended family members. pt condition, progress, and plan of care explained. family very distraught with event of this day concerning pt..overwhelming..much sobbing. family with mutiple supports but will benefit from soc service consult. pt/family from nh. assess: multiple trauma s/p mvc s/p repair abdominal injuries; pelvic injuries do not need surgery...br and right tdwb status. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours parenteral infusion of concentrated nutritional substances exploratory laparotomy suture of laceration of large intestine total splenectomy other repair of diaphragm diagnoses: other injury into spleen without mention of open wound into cavity traumatic pneumothorax without mention of open wound into thorax concussion with loss of consciousness of unspecified duration closed fracture of sacrum and coccyx without mention of spinal cord injury injury to liver without mention of open wound into cavity laceration, unspecified closed fracture of acetabulum closed fracture of seven ribs closed fracture of ilium injury to diaphragm, without mention of open wound into cavity 

Answer: The patient is high likely exposed to