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: left chest pain and right buttock pain major surgical or invasive procedure: insertion of left tube thoracostomy. 1. closed reduction right hip dislocation with manipulation. 2. closed treatment right proximal femoral head fracture with manipulation. history of present illness: mr. is a 57 year old male who was hit head on in a 5 car accident on . he was the restrained driver and was taken to , stablized, scanned and transferred to for further management past medical history: hypertension type ii diabetes social history: occ etoh, no tobacco, no ivda lives alone, works pt in or at 2 supportive children family history: non contributory physical exam: temp 97.2 hr 107 bp 188/116 o2sat 98 on 100% o2 heent ncat perrla conjunctiva pink sclera anicteric neck supple no jvd no thyromegly chest crackles at bases,tender to palpation over left chest cor rrr abd soft non tender ext right leg shortened and internally rotated, right hip tender and ecchymotic pulses 2+ dp/pt bilat pertinent results: 02:22pm glucose-119* lactate-2.9* na+-141 k+-4.1 cl--97* tco2-26 02:16pm urea n-17 creat-1.2 02:16pm wbc-11.6* rbc-4.98 hgb-13.8* hct-43.1 mcv-87 mch-27.6 mchc-31.9 rdw-14.4 02:16pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 02:16pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg (/16/09 chest xray :1. left-sided rib fractures, with associated subcutaneous emphysema, and left pneumothorax, better assessed on ct performed at . 2. patchy opacification within the lungs bilaterally, particularly in the upper lobes, which could reflect areas of contusion and/or atelectasis. (/16/09 ct of abdomen and pelvis : 1. multiple left rib fractures as described above, involving left 4th-10th ribs. associated extensive left lateral chest wall subcutaneous emphysema, extending to the posterior chest wall and also left hemidiaphragm. 2. small left pneumothorax. 3. right upper and lower lobe partial collapse. 4. partially collapsed left lower lobe with likely underlying consolidation and small left pleural effusion. right upper lobe ground glass opacity; findings may be secondary to contusion. 5. supero-posterior dislocation of the right hip. comminuted right acetabular and right femoral head fractures. bone fragment in the acetabular fossa with lipohemarthrosis. 6. subtle hazy mesentery, cannot exclude mesenteric injury. 7. sliver of lucency in the left anterior abdominal cavity, difficult to discern whether within bowel or extra-luminal. small amount of pneumoperitoneum not excluded. 8. inflated foley balloon in the urethra. recommend repositioning. ct pelvis/ortho : 1. status post reduction of the fracture dislocation of the right femoral head. comminuted fracture of the posterior wall and column of the acetabulum and the anterior part of right femoral head are noted. the femoral head fragment is displaced anteriorly and inferiorly but not between the articular surfaces. ct c spine: no evidence of fracture in the c-spine. multilevel degenerative changes in the c-spine. small pneumothorax at the left lung apex, with a chest tube in place. cardiac echo : the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: no pericardial effusion or regional wall motion abnormalities to suggest cardiac contusion. no clinically-significant valvular disease seen. bilat lower extremity venous studies : somewhat limited evaluation of the right popliteal vein, though no evidence of dvt in the legs bilaterally \ cta chest : no filling defects in the central or segmental pulmonary arteries to suggest pulmonary embolus. evaluation of the subsegmental pulmonary arteries is limited by timing of contrast bolus and respiratory motion, particularly in the lower lobes. brief hospital course: mr. was admitted to the hospital and immediately evaluated by the trauma service to assess and stabilize injuries. he immediately taken to the operating room for left chest tube placement secondary to his hemopneumothorax and replacement of foley catheter. following stablilty of his vital signs his orthopedic problems were addressed and he initially underwent closed reduction of his right hip dislocation and right femoral head fracture. his symptoms were manifested by a right sciatic nerve palsey. he tolerated the procedure well and returned to the icu in stable condition. his pain was controlled with a dilaudid pca. on he returned to the operating room and underwent orif of his acetabular fracture. again this was well tolerated. following transfer out of the icu on he continued to make good progress. he was tolerating a diabetic diet and his blood sugars were controlled on nph 10 units with occasional sliding scale coverage. he will follow up with his own endocrinologist at health. he was placed on his pre op lisinopril for blood pressure control and lopressor was eventually added for persistent sinus tachycardia. despite his euvolemic state and his adequate pain control his heart rate remained in the 96-110 range. lopressor was titrated up to 50 mg po tid with no significant impact. this prompted a cta of the chest to r/o pe. he had no other symptoms and his scan was negative. he did admit to a history of anxiety and low dose ativan was added to see if his tachycardia was relieved. curently his heart rate is about 100 bpm. he was working well with the physical therapist and his gait was gradually getting steadier. from a surgical standpoint his wounds were healing well without drainage or erythema and he continued to use his incentive spirometer to remain free of any pulmonary complications. he did have some temperature spikes >100.5 and was cultured on multiple occasions. to date all blood cultures are negative. following manipulation of his catheter the urology recommendation was to leave the catheter in place for 2 weeks post op () then begin a voiding trial. should he have any problems with voiding he can follow up with our urology service. mr. was transferred to rehab on for further progression in his efforts to return home. medications on admission: lisinopril 20 mg po daily 70/30 insulin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. hydromorphone 4 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 4. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever. 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po four times a day: hold for sbp < 100 hr < 60. 7. fondaparinux 2.5 mg/0.5 ml syringe sig: 0.5 ml subcutaneous daily (daily). 8. insulin nph human recomb 100 unit/ml suspension sig: ten (10) units subcutaneous twice a day. 9. insulin regular human 100 unit/ml solution sig: per sliding scale units per sliding scale injection pre meal and hs. 10. lorazepam 0.5 mg tablet sig: 0.5 tablet po tid (3 times a day): hold for sedation. discharge disposition: extended care facility: - discharge diagnosis: s/p mva with hemopneumothorax and flail chest, right femoral head fracture dislocation of hip and right posterior wall acetabular fracture. hematuria secondary to foley catheter inflation in prostatic urethra. discharge condition: stable hemodynamics, tolerating a regular diet, progressing with physical therapy. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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 experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: call dr. for a follow up appointment on (). call the clinic for an appointment 2 weeks after your staples are removed () staples can be removed on call dr. (pcp) for a follow up appointment 2 weeks after your discharge from rehab. procedure: other incision of pleura closed reduction of dislocation of hip open reduction of fracture with internal fixation, other specified bone closed reduction of fracture without internal fixation, femur diagnoses: unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified pulmonary collapse traumatic pneumohemothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle traumatic subcutaneous emphysema flail chest closed fracture of multiple ribs, unspecified closed fracture of acetabulum other closed transcervical fracture of neck of femur closed dislocation of hip, unspecified site 

Answer: The patient is high likely exposed to