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 motor vehicle crash major surgical or invasive procedure: i&d right leg with im nail and vac placement left central line placement local debridement and irrigation and vac dressing change debridement open fracture down to and inclusive of bone and application of vac sponge. history of present illness: ms. is a 20 year old female who was an unrestrained driver of a car vs tree. she was taken to hospital and found to have an open right tibia fracture. she was then transferred to the for further evaluation and care. of note she received td booster at hospital. past medical history: denies family history: noncontributory physical exam: upon admission: alert and oriented cardiac: regular rate rhythm chest: lungs clear bilaterally abdomen: soft non-tender non-distended extremities: rle: +sensation/movement, +ecchymosis, open grade 3 visible fracture. pertinent results: 10:50pm hct-33.0* 03:47pm ph-7.29* 03:47pm glucose-124* lactate-3.2* na+-140 k+-4.3 cl--104 tco2-24 03:47pm hgb-11.5* calchct-35 03:47pm freeca-1.08* 01:18pm glucose-107* lactate-2.1* na+-142 k+-4.4 cl--106 tco2-24 01:15pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 01:15pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:15pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:15pm urine rbc-* wbc- bacteria-few yeast-none epi-0-2 trans epi-0-2 01:00pm urea n-13 creat-0.8 01:00pm lipase-21 01:00pm wbc-19.1* rbc-4.32 hgb-12.7 hct-36.3 mcv-84 mch-29.4 mchc-35.0 rdw-14.5 01:00pm plt count-251 01:00pm pt-12.5 ptt-23.7 inr(pt)-1.1 01:00pm fibrinoge-414* tibia/fibula xray (admission) impression: displaced fractures of the mid shafts of the right tibia and fibula. ct abd/pelvis: impression: 1. interval worsening of diffuse bilateral ground-glass opacities in the lungs, with more focal consolidations at the bilateral bases. this is consistent with evolving ards, with superimposed multifocal pneumonia. given the location, aspiration should be considered. fat emboli are also a consideration given the history of trauma and fracture. 2. persistent linear low-attenuation focus at the dome of the left lobe of the liver, with interval development of a small sliver of slightly hyperdense perihepatic fluid. findings are most suggestive of a small grade 1 liver laceration. mild heterogeneity at posterior margin of segment 7, may represent contusion. 3. diffuse soft tissue edema, with new periportal edema, suggests fluid overload. 4. no evidence for mesenteric or bowel injury. 5. small amount free fluid in pelvis. pathology examination specimen submitted: bone right leg. procedure date tissue received report date diagnosed by dr. . fu/dsj?????? diagnosis: bone, right leg: 1. fragment of bone with focal osteonecrosis and fibrin. no chronic or acute inflammation seen. 2. special stains including gram, gms and pas are negative with satisfactory controls. clinical: infected right tibia. gross: the specimen is received fresh labeled with the patient's name, " ", the medical record number and additionally labeled "bone right leg". it consists of multiple fragments of tan-pink bone measuring in aggregate 0.5 x 0.4 x 0.3 cm. they are entirely submitted in a for decalcification. brief hospital course: #1 tib/fib fracture: ms. presented to the on via transfer from hospital with an open right tibia fracture. she was taken to the trauma icu for close monitoring. she was evaluated by the orthopaedic and trauma surgery service, admitted, consented, and prepped for surgery. she was taken to the operating room and underwent an i&d of her right open tibia fracture with im nail placement and vac closure. on she underwent local debridement and irrigation and a vac dressing change and again was taken back to the operating room on debridement open fracture down to and inclusive of bone with application of vac sponge. she tolerated all procedures well. lovenox injections were later started. #2 hypoxia: on hd #3 while on the regular nursing unit she was noted with worsening hypoxia requiring intubation. ct cuts of lower lungs revealed multifocal pneumonia. increasing o2 requirement, worsening symptoms despite treatment with azithromycin then levofloxacin for cap, and cxr appearance suggested ards-like picture. antibiotic coverage broadened to vanc/zosyn to cover hap or aspiration pna given rapidly progressive changes on ct. she was ventilated with low-tidal volumes for ards with fentanyl/versed for sedation. cta negative for pe. bronch showed blood-tinged fluid without evidence of frank hemorrhage or purulent material. sputum and blood cultures were sent. . #3 hypotension: she was hypotensive in setting of positive pressure on vent as well as sedation. there was concern for sepsis in setting of infection; cardiogenic etiologies considered less likely as tte was without evidence of depressed ef or wall motion abnormality (although could develop rv dysfunction with fat emboli from long bone fracture). patient was without evidence of continued blood loss. ivf were given to maintain map >60. she transiently required pressors (levophed). sepsis was treated with antibiotic as above. . #4 anemia: hct 36 on admission, nadir value was 22 on pod#3 thought to be due to post-op fluid shifts. she received 3 u prbc and hct increased to 26. normal bilirubin not suggestive of hemolysis. . #5 fevers: patient with tmax 102 on pod#4, coinciding with multilobar pneumonia seen on chest ct. surgical wounds appeared clean. leni's did not reveal dvt. she was treated with vanc/zosyn for pneumonia and fever curve improved. she remained in the trauma icu for several days and was eventually weaned and extubated and was transferred to the regular nursing unit. her oxygen saturations have been stable on room air. she is on a regular diet and tolerating this; her pain is well controlled with oral narcotics. she was evaluated by physical and occupational therapy and recommended for acute rehab. medications on admission: none medications: 1. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 2. enoxaparin 40 mg/0.4 ml syringe sig: forty (40) mg subcutaneous q12h (every 12 hours). 3. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 8. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for indigestion. 9. senna 8.6 mg tablet sig: 1-2 tablets po daily (daily) as needed for constipation. disposition: extended care facility: - diagnosis: s/p motor vehicle crash right open tibia fracture massive degloving injury right leg respiratory failure/ards/pneumonia acute blood loss anemia condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. instructions: coontinue to be partial weight bearing on your ri continue your lovenox injections as instructed until told to discontinue by orthopedics. followup instructions: please follow up with dr. , np/dr. in orthopaedics in 2 weeks; please call to schedule that appointment. follow up with dr. , trauma surgery in 2 weeks for follow up of your pneumonia. call for an appointment. follow up with your primary care doctor from rehab for a general physical. you will need to call for an appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus excisional debridement of wound, infection, or burn debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula biopsy of bone, tibia and fibula diagnoses: pneumonia, organism unspecified acute posthemorrhagic anemia other chronic pulmonary heart diseases morbid obesity street and highway accidents motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle open fracture of shaft of fibula with tibia fat embolism injury to liver with open wound into cavity, laceration, minor acute osteomyelitis, lower leg 

Answer: The patient is high likely exposed to