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: 75 yof s/p mvc with multiple fractures major surgical or invasive procedure: 1.)tracheostomy 2.) 3.)ivc filter 4.)ex fix r lower extremity 5.) orif l ankle 6.)conversion of ex fix to orif r lower extremity 7.) s/p l subclavian central venous catheter 8.) r subclavian central venous catheter history of present illness: 77 yof with emphysema, copd, htn s/p restrained driver in mvc, struck at 45mph on left front side of vehicle. no loc. injuries: open left ankle fx, right tibial plateu fx, r patellar fx open right wrist fx, closed left wrist fracture past medical history: htn emphysema copd hypercholesterolemia social history: widowed, lives alone, active prior to hospital admission. denies etoh, denies current tobacco use per chart. family history: non contributory physical exam: hr 93 bp 118/x rr 25 t 37 spo2 95 ra gcs 15 heent: nc, abrasion present on l forehead, perrl, eomi cv: rrr, normal to palpation resp: cta b, normal effort ab: soft, nt, nd ext: dislocation of r knee, open r wrist, abrasion on right upper arm, open l ankle-dp/pt not palpable, but identified on doppler, palpable post reduction neuro: cn 2-12 intact pertinent results: 05:45pm lactate-2.4* 05:35pm urea n-18 creat-1.3* 05:35pm estgfr-using this 05:35pm amylase-112* 05:35pm asa-neg ethanol-neg acetmnphn-9.7 bnzodzpn-neg barbitrt-neg tricyclic-neg 05:35pm wbc-10.2 rbc-4.79 hgb-11.9* hct-36.3 mcv-76* mch-24.9* mchc-32.8 rdw-16.4* 05:35pm plt count-236 05:35pm pt-13.6* ptt-30.7 inr(pt)-1.2* 05:35pm fibrinoge-298 brief hospital course: patient was brought to the ed at on . she had been in an mvc when she was driving away from - she had been there for suspicion of a left wrist fracture, which was found to not be fractured. upon arrival in the ed, her gcs was 15. injuries upon examination included a left open ankle fracture, right tibial plateau fracture, shattered right patella, and right open wrist fracture. head ct, c-spine ct, and torso ct showed no other injuries. the only other finding on the ct torso was an infrarenal aaa measuring 3.8 cm x 3.4 cm. the patient was taken to the or the same night of admission. the orthopedics team repaired her left ankle fracture, placed an external fixation device on her right leg, and repaired her right wrist fracture. when the patient returned to the t-sicu, she became hypotensive and tachypneic. abgs revealed her po2s in the 40s. given her recent trauma and orthopedic injuries, suspicion was raised that the patient had a pulmonary embolus. a bedside echo was performed, which showed right atrium diliation. patient was intubated and sent down for a ct scan of her chest - ct showed no pe. patient was brought back to the icu and was kept intubated. a right popliteal artery duplex was also obtained for the right tibial posterior dislocation - the duplex was negative for any injury of her her right leg arteries. because the chest ct revealed no pe, it was thought that the patient's desaturation episode was secondary to fat embolism. during the patient's period on the vent, she developed a respiratory alkalosis. however, whe was extubated on and remained off the vent until she tired out and was reintubated on . the patient's reintubation was also due to blood and sputum cultures that were obtained on the , and were now growing pseudomonas - thus the patient had developed a pneumonia. because the patient had failed extubation, and because of her poor underlying pulmonary function, the patient underwent , , and ivc filter placement on . she received double coverage antibiotics for the pseudomonas, consisting of a regimen of zosyn and tobramycin. the patient progressed on tube feeds from through . on , the patient was taken back to the or with orthopedics for conversion of her right leg external fixation to an orif. the patient tolerated the procedure well, however her hct level fell to 18 on the morning of . she was transfused 2 units of prbcs. at this point in her hospitalization, her vent settings were weanted to cpap with peep 5 and ps5. however, patient could not tolerate being on trach mask for extended periods. of note patient's albulmin level was 1.7, and her pre-albumin level is pending at the time of discharge. medications on admission: flovent asacol prilosec pravastatin serevent spiriva lopressor asa discharge medications: 1. acetaminophen 160 mg/5 ml solution sig: 650 mg po q6h (every 6 hours) as needed. 2. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. docusate sodium 50 mg/5 ml liquid sig: 100 mg po bid (2 times a day). 5. multivitamin tablet sig: one (1) cap po daily (daily). 6. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 7. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). 8. bisacodyl 10 mg suppository sig: 10 mg suppositorys rectal daily (daily) as needed for constipation. 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 11. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h () as needed for pain. 12. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 13. albuterol 90 mcg/actuation aerosol sig: 2-4 puffs inhalation q4h (every 4 hours). 14. zinc oxide-cod liver oil 40 % ointment sig: one (1) appl topical prn (as needed). 15. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 16. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 17. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 18. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime). 19. metoclopramide 5 mg/ml solution sig: one (1) injection q6h (every 6 hours). 20. ciprofloxacin in d5w 400 mg/200 ml piggyback sig: one (1) intravenous q12h (every 12 hours): last dose 7/21. 21. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) intravenous q8h (every 8 hours): last dose 7/21. discharge disposition: extended care facility: & rehab center - discharge diagnosis: 1.) open left ankle fx, 2.) right tibial plateu fx 3.) open right wrist fx 4.) closed left wrist fracture 5.) closed r patellar fx 6.) r knee dislocation s/p reduction 6.) pseudomonas bacteremia 7.) rul pneumonia-cx+ for pseudomonas 8.) b/l pleural effusion 9.) infrarenal aaa 3.8 x 3.4cm 10.) pulmonary nodules 11.)tracheostomy 12.) 13.)ivc filter hospital: 1.) emphysema/copd 2.) htn 3.) hyperlipidemia discharge condition: hemodynamically stable, tolerating tube feeds, pain controlled, stable on trach mask. discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. you are also being discharged on iv antibiotics. please call your doctor if you develop a rash or any of the other symptoms described below. you antibiotics are scheduled to stop on . please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. activity: please follow the orthopedic recommendations for your activity in regards to your extremities, but you may get out of bed with assistance. wound care: no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. followup instructions: -ortho- you should follow up in clinic with , : date/time: 9:00 -trauma-you should follow up with dr. on at 1:30 with dr. . please call if you have questions. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy debridement of open fracture site, tibia and fibula application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula 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 removal of implanted devices from bone, tibia and fibula application of external fixator device, ring system diagnoses: acidosis unspecified essential hypertension severe sepsis chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases pneumonia due to pseudomonas closed fracture of patella other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of upper end of tibia alone traumatic shock septicemia due to pseudomonas closed fracture of lower end of radius with ulna bimalleolar fracture, open open fracture of lower end of radius with ulna 

Answer: The patient is high likely exposed to