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: aspirin attending: chief complaint: s/p multiple gunshot wounds major surgical or invasive procedure: exploratory laparotomy; repair of colonic injury x2; ivc filter placement picc line placement history of present illness: 20 yo male s/p multiple gun shot wounds to his torso resulting in injuries to his lumbar spine, liver, spleen and kidney. he was transported to for further care. past medical history: asthma previous gunshot wound assault x2 social history: lives with his parents family history: noncontributory physical exam: upon admission: bp 110/80 hr 76 rr 16 awake heent: eomi chest: cta bilat cor: rrr abd: firm; diffusely tender; wound left flank ~ 1 cm rectum: decreased tone sensory: absent sensation from thighs down pertinent results: upon admission: 09:52pm glucose-133* potassium-3.9 09:52pm hct-38.4* 06:54pm hgb-11.7* calchct-35 o2 sat-99 05:15pm amylase-88 05:15pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:15pm wbc-11.1* rbc-4.37* hgb-14.8 hct-42.5 mcv-97 mch-33.8* mchc-34.8 rdw-12.1 05:15pm plt count-269 05:15pm pt-12.7 ptt-21.3* inr(pt)-1.1 05:15pm fibrinoge-230 ct pelvis w/contrast; ct abdomen w/contrast reason: spinal/vascular injury? field of view: 36 contrast: optiray medical condition: 20 year old man s/p gsw to left lower flank, no exit wound, cant feel or move below knees bilaterally - vital signs stable, gcs 15 reason for this examination: spinal/vascular injury? contraindications for iv contrast: none. ct torso performed on . impression: gunshot wound to the abdomen with injuries to the descending colon, bilateral psoas muscles, spinal cord (l3-4 level) inferior pole of the right kidney, and segment vi of the liver. active extravasation of urine is noted on delayed imaging, though no evidence of active bleeding. bullet is noted lodged in the liver in segment vi. mr l spine w/o contrast 1:14 am impression: status post abdominal and lumbar gunshot injuries as described above. there is evidence of heterogeneous signal intensity in the filum terminale at the level of l3/l4 likely consistent with subarachnoid hemorrhage and multiple bone fragments within the spinal canal. there is no evidence of epidural hematoma or significant narrowing of the spinal canal. at l2/l3, there is evidence of right paraspinal gunshot injury involving the right psoas muscle with extension at the level of the corresponding right neural foramen with possible lesion along the nerve root and the dorsal root ganglion at l2 nerve root, please correlate clinically. similar findings are observed at l3 on the left side. free fluid is observed in the abdominal cavity as described in the prior ct of the abdomen. ct abdomen w/contrast 9:55 am impression: 1. multiple dilated loops of jejunum with air fluid levels and wall thickening, ileal decompression. findigs are c/w sbo. 2. liver and right renal lacerations stable, no hematoma no assocted adjacent fluid. 3. tiny amount of fluid seen within the left paracolic gutter and right perirenal space. 4. foci of free air within the abdomen and pelvis likely due to recent surgery. brief hospital course: he was admitted to the trauma service and taken directly to the operating room for exploratory laparotomy, primary repair of left colon colotomy x2, exploration of retroperitoneum, right and left and evaluation of hepatic through-and-through gunshot wound with drainage. there were no intraoperative complications. postoperatively he was taken to the trauma icu where he remained sedated and intubated. on he was taken back to the operating room for placement of an inferior vena cava filter. he was eventually weaned and extubated and was later transferred to the regular nursing unit. he developed an ileus; an ng tube was placed, his output was high initially. the ng tube remained in place for several days. a picc line was placed in preparation for possible tpn. a ct of the abdomen was performed to rule out intra-abdominal fluid collection; none was identified. bowel function did eventually return and the ng tube was removed. his diet was advanced slowly and he is currently tolerating a regular diet. the picc line was removed. orthopedic spine surgery was consulted for his spine injury; this was non operative. he was evaluated by physical therapy and was strongly recommended for rehab post acute hospitalization. he has slowly begun to have intermittent sensation in both lower extremities. psychiatry was also consulted because patient began to have nightmares of the events surrounding the trauma. it was recommended to try clonidine 0.1 mg qhs to treat the nightmares and insomnia and to titrate up as needed. because at the time he was npo he was started on clonidine 0.1 mg patch. his overall mood and mental status have improved significantly; he is more engaging and participatory with his care; he even appears to be more optimistic regarding the progress that he has made so far. there have been no behavioral problems. social work has also been following closely with patient and his family for emotional support. the center for violence prevention & recovery were also consulted; providing information on victim's compensation and counseling post hospitalization. he does continue to have pain control issues; initially he was on pca and was later changed to oral dilaudid with iv for breakthrough pain. the dilaudid was later changed to oxycodone prn. his current regimen appears to be more effective. he developed a uti and was treated with cipro course. he does have an indwelling foley catheter and this was changed. he continues to work with pt & ot and had made some progress; he will clearly benefit from a rehab post acute hospital stay. medications on admission: none discharge medications: 1. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 3. phenol-phenolate sodium mouthwash sig: one (1) spray mucous membrane q4h (every 4 hours) as needed for throat irritation. 4. bisacodyl 10 mg suppository sig: one (1) suppository rectal every other day (every other day) as needed for constipation. 5. famotidine(pf) in (iso-os) 20 mg/50 ml piggyback sig: twenty (20) mg intravenous q12h (every 12 hours). 6. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 7. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 8. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for itching. 9. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for spasm. 10. colace 100 mg capsule sig: one (1) capsule po twice a day. 11. oxycodone 5 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. 12. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: s/p gunshot wound to abdomen segment vi liver injury inferior pole right kidney injury descending colon injury l2/l3 paraspinal injury - l4 paraplegia urinary tract infection discharge condition: good followup instructions: follow up with dr. , spine surgery in weeks, call for an appointment. follow up with dr. , surgery in 2 weeks, call for an appointment. you also have an appointment with provider: , md phone: date/time: 2:00 procedure: venous catheterization, not elsewhere classified interruption of the vena cava suture of laceration of large intestine suture of laceration of large intestine diagnoses: urinary tract infection, site not specified asthma, unspecified type, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus traumatic shock injury to kidney with open wound into cavity, laceration closed fracture of lumbar spine with spinal cord injury injury to liver with open wound into cavity, laceration, unspecified assault by other and unspecified firearm injury to descending [left] colon, with open wound into cavity 

Answer: The patient is high likely exposed to