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 motorcycle crash major surgical or invasive procedure: celiotomy and splenectomy history of present illness: 29 year old male driver s/p motorcycle crash who struck a pick-up truck and slid under the truck with +loc. patient was verbally/physically combative following the crash, and intubated on the scene. he was then transferred via to for continued trauma care. past medical history: s/p pedestrian vs. bus, r. femur, r. radius fracture, l. fa fasciotomies social history: unknown family history: non-contributory physical exam: upon admission t 97.8 hr 92 bp 140/76 rr 16 o2 sat 100% gen: intubated, sedated heent: +facial abrasions, pupils 2mm b/l, no palpable skull fracture, c-collar in place cv: rrr, no m/r/g pulm: b/l bs, no crepitus, trach midline abd: soft, nd, +blood via ngt, fast+ in ed, rectal guiac+ with gross blood, normal rectal tone extr.: atraumatic, no step off, no echymosis pertinent results: 11:54am urine blood-lg nitrite-neg protein-30 glucose-tr ketone-tr bilirubin-neg urobilngn-1 ph-6.5 leuk-neg 11:54am fibrinoge-84* 11:54am pt-15.3* ptt-30.4 inr(pt)-1.4* 11:54am plt count-166 11:54am wbc-14.4* rbc-3.54* hgb-11.0* hct-30.1* mcv-85 mch-31.0 mchc-36.5* rdw-13.1 11:54am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 11:54am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg ct pelvis w/contrast 12:30 pm ct chest w/contrast; ct abdomen w/contrast ct of the chest: there is bilateral dependent atelectasis. there are several nodular opacities measuring 5 mm or less in the subpleural region of the right upper lobe anteriorly seen on series 2, image 24, 26 and 16, for example. these may represent findings unrelated to the recent injury and followup should be obtained to assess for resolution. no pleural effusions or consolidations are seen. there is no pneumothorax. there are band-like opacities in the right suprahilar region which may represent atelectasis. the airways are patent to the subsegmental bronchi. the heart and great vessels appear unremarkable. there is no evidence of aortic injury. no pericardial effusion is seen. the surrounding soft tissue structures appear unremarkable. ct of the abdomen with intravenous contrast: the spleen is completely shattered consistent with a grade v spleen injury. at the inferior pole where there are multiple spleen parenchyma fragments, there is an area of active extravasation seen on the delayed images. there is a small amount of blood surrounding the spleen and a large amount of blood surrounding the liver. no active extravasation is seen in the blood surrounding the liver and no definite liver injury is observed. the blood therefore most likely is tracking from the splenic injury into the right side of the abdomen. blood is also tracking down the right and left paracolic gutters into the pelvis. the kidneys, adrenal glands, gallbladder, pancreas, stomach, small and large bowel loops appear unremarkable. the descending aorta and its major tributaries appear patent. ct of the pelvis with intravenous contrast and rectal contrast: rectal contrast was administered per request from surgery as there was blood in the rectum. the rectum and sigmoid colon are filled with contrast material and stool and no contrast extravasation is seen. the bladder contains a foley catheter and excreted contrast material without evidence of extravasation. a small amount of blood is seen in the pelvis that is tracking down from both paracolic gutters. the prostate appears unremarkable. no free fluid is seen in the deep pelvis. bone windows: no fractures are seen. no suspicious lytic or sclerotic lesions are seen. impression: 1. shattered spleen with active extravasation. this has been communicated to the surgical service (dr. ) immediately after availability of the delayed images. 2. intra-abdominal blood around the spleen and more extensively surrounding the liver without apparent liver injury. 3. bilateral dependent atelectasis. 4. multiple 5-mm nodular densities in the right upper lobe. followup examination is recommended to assess for resolution. ct c-spine findings: there is no prevertebral soft tissue swelling. there is anatomic vertebral alignment. no fractures or dislocations are seen. vertebral heights and intervertebral disc spaces are preserved. ct is unable to provide intrathecal detail comparable to mri. the visualized outline of the thecal sac appears unremarkable. impression: no evidence of fractures or dislocations. ct head findings: no intracranial hemorrhage, mass effect, or shift of normally midline structures, or major vascular territorial infarct is apparent. no skull fractures are seen. the visualized paranasal sinuses and mastoid air cells are clear. a small left frontal subdural hematoma is seen. impression: no evidence of intracranial hemorrhage. no fractures are seen. small left frontal subgaleal hematoma. 04:49pm glucose-159* urea n-14 creat-0.8 sodium-141 potassium-3.9 chloride-111* total co2-23 anion gap-11 brief hospital course: patient was brought to the or from the trauma bay for an exploratory laparotomy and open splenectomy. he received 2 units prbc's and cryoprecipitate before surgery. post-operatively he was admitted to the trauma icu, where he remained intubated. he was extubated on pod1 and transferred to the floor. on pod2, c-spine was cleared and cervical collar was removed; his diet was advanced. his pain was initially controlled with pca dilaudid this was later changed to percocet. he reported that percocet not helpful because of prior history with it's use. oral dilaudid was ordered instead and this was helpful. he received the appropriate immunizations following his splenectomy prior to his discharge to home. he was given instructions to follow up for staple removal in trauma clinic. medications on admission: none discharge medications: 1. ibuprofen 400 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain: take with food. disp:*120 tablet(s)* refills:*0* 2. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. capsule(s) 3. milk of magnesia 800 mg/5 ml suspension sig: 1-2 mls po q6h (every 6 hours) as needed for constipation. 4. dilaudid 4 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p motorcycle crash grade iv splenic laceration discharge condition: good discharge instructions: on you hit a pick-up truck while riding your motorcycle and sustained a laceration of your spleen. as a result, your spleen was removed. please call doctor greater than 101, nausea/vomiting, inability to eat, wound redness/warmth/swelling/foul smelling drainage, abdominal pain not controlled by pain medications or any other concerns. please take pain medications and stool softener as prescribed. please follow-up as directed. no heavy lifting for 4-6 weeks or until directed otherwise. followup instructions: please follow up in trauma clinic for staple removal next tuesday. please call ( to schedule an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube total splenectomy transfusion of packed cells diagnoses: other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma 

Answer: The patient is high likely exposed to