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 45 year old male, status post high speed motor vehicle accident. large amount of damage to the vehicle. the patient was found at the scene combative, hemodynamically stable and was restrained in the field. past medical history: unknown. allergies: unknown. medications: unknown. physical examination: vital signs revealed temperature of 99.8; pulse of 84; blood pressure 110/70; respirations 20; 100% on room air. physical examination: gcs of 13. the patient had a nasal abrasion and face was stable. pupils are equal, round, and reactive to light and accommodation, three out of two. trachea was midline. breath sounds were equal bilaterally; regular rate and rhythm. abdomen soft, nontender, nondistended. pelvis was stable. rectal tone was normal. heme negative. normal prostate. extremities had no deformity. distal pulses were intact. laboratory data: cbc revealed a white count of 11.7; hematocrit of 43; platelets of 304; pt of 13.6; ptt of 36.5; inr of 1.2; fibrinogen of 300; serum toxicology was negative; urine toxicology was negative. electrolytes revealed a sodium of 143; potassium of 3.9; chloride or 103; bicarbonate of 27; bun 11; creatinine .9. lactate of 2.7; amylase of 35. patient had a chest x-ray that was negative for any injury. pelvic x-ray was negative for any injury. tls x-rays were negative for any injury. head ct was negative for injury. ct of the cervical spine was negative. ct of the abdomen was negative for any injury. this showed some right lung base minimal atelectasis. the patient continued to be combative and was intubated secondary to combativeness prior to going to ct scan. the patient was admitted to the intensive care unit. hospital course: the patient was extubated on post trauma day one. upon extubation, the patient was very agitated and combative and required several doses of haldol to calm down. the patient was transferred to the floor and continued to be followed by the trauma team. the patient was then seen by psychiatry and it was noted that the patient has a history of bipolar disorder and was currently seen at his mental health facility and recently noted to be hypomanic and taking less depakote than prescribed. he has a history of aggression and history of poly substance abuse of alcohol and other substances. the patient has no history of suicide attempts and was not suicidal at this time. the patient had liver function tests, rpr, tsh, b-12 and folate checked, which were all normal. his depakote level was less than .3. he was restarted on depakote at 500 mg twice a day and started on seroquel 50 mg twice a day and 100 mg q h.s. for insomnia. the patient was also started on multi-vitamins, folate and thiamine. he did not exhibit any signs of withdraw during the hospitalization. the patient was then determined to be medically cleared, requiring psychiatric admission. the patient was discharged in good condition to the psychiatric team. discharge diagnoses: motor vehicle accident. bipolar disorder. discharge medications: depakote 500 mg twice a day. multi-vitamins. folate. thiamine. seroquel 50 mg twice a day and 100 mg q h.s. the patient can follow-up with trauma service only as needed, . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: unspecified acquired hypothyroidism alcohol abuse, unspecified abrasion or friction burn of face, neck, and scalp except eye, without mention of infection street and highway accidents observation following other accident bipolar i disorder, most recent episode (or current) manic, unspecified motor vehicle traffic accident involving collision with pedestrian injuring driver of motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to