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: no known allergies / adverse drug reactions attending: chief complaint: s/p mvc major surgical or invasive procedure: open reduction internal fixation left posterior wall, posterior column and anterior column fracture components. s/p orif and crmmf of r subcondylar, r body and l angle mandibular fractures 1. open reduction internal fixation of right medial malleolar ankle fracture. 2. right ankle arthrotomy and removal of loose body, right ankle. 3. stress examination of right distal tibiofibular joint. history of present illness: 20 yo m s/p mvc with prolonged extrication, had posterior hip dislocation which was reduced in the ed. intubated for combative behavior. past medical history: pmh: occasional asthma, has inhaler but rarely uses psh: none social history: + etoh, no tobacco, lives with mother family history: nc physical exam: hr:101 bp:157/108 resp:22 o(2)sat:100% normal constitutional: on long spine board in c-collar heent: blood from nares and in the mouth. swollen mid face. no gross instability of the face noted. no dental fractures noted. small scalp lac posteriorly. oropharynx within normal limits chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender, nondistended extr/back: no cyanosis, clubbing or edema skin: no rash, warm and dry neuro: nonverbal. unintelligible speech. localizing pain and moving all 4 extremities with strength 5 out of 5 all 4 extremities. left leg is internally rotated and adducted at the hip. neurovascularly intact distal to injury. dp pulse 2+/2+. capillary refill less than 2 seconds. no deformity of the knee or ankle in either leg heme//: no petechiae pertinent results: ct cspine: no cervical spine fracture. alignment is maintained. multiple fractures of the mandible bilaterally as described above. ct head: tiny focus of pneumocephalus and extra-axial blood overlying the left frontal lobe. extensive nondisplaced fracture involving the left sphenoid, zygomatic arch, and parietal bones with overlying scalp hematoma. ct torso: posterior superior dislocation of the left femoral head. the proximal left femur remains intact. comminuted fractures through the anterior and posterior columns of the acetabulum. pulmonary contusions in the lower lobes bilaterally with small post-traumatic pneumatoceles within the right lower lobe. ct max/face: bilateral mandibular fractures as described above. additional non-displaced fractures through the left zygomatic arch, sphenoid bone and parietal bones as further described on same-day head ct. pelvic xray: comminuted fractures left acetabulum. reduced left hip dislocation. ct pelvis: comminuted left acetabular fracture with no fragment within joint space. one displaced bony fragment posterior to the left acetabulum (3, 35) without clear donor site. left ankle : 1. transverse fracture of the lateral malleolus at the level of the tibiotalar joint. 2. widening of the superomedial mortise, attesting to ligamentous injury. right ankle : medial malleolus fracture. 04:55am wbc-17.8* rbc-5.49 hgb-14.6 hct-43.0 mcv-78* mch-26.6* mchc-33.9 rdw-14.5 04:55am plt count-310 04:55am pt-15.5* ptt-26.6 inr(pt)-1.3* 04:56am glucose-133* lactate-5.4* na+-146 k+-5.0 cl--108 tco2-17* 04:55am urea n-8 creat-0.9 04:55am asa-neg ethanol-149* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg brief hospital course: mr. was admitted to the trauma sicu after an mvc where he sustained multiple injuries: l hip dislocation w/ acetabular fx, b mandibular fx, nondisplaced l sphenoid fx, nondisplaced l parietal bone fx, and a nondisplaced l zygomatic process fx. his hip dislocation was reduced and he was evaluated by ortho trauma who took him to the or on for orif of his l acetabular fracture. he was also evaluated by omfs who took him to the or on to repair his bilateral mandibular fractures. following transfer to the trauma floor he started a full liquid diet which was tolerated well. his left ankle was imaged to assess for fracture as he had some pain with movement. he had a left distal fibula fracture which will be treated non operatively and he was placed in an air cast boot. he was seen by the physical therapy service to evaluate his mobility and complained of right ankle pain while standing. a right ankle xray on demonstrated a medial malleolar fracture which required surgery. he was taken to the operating room on and underwent orif of the right medial malleolus. he tolerated the procedure well and returned to the pacu in stable condition. following full recovery from anesthesia he returned to the surgical floor and continued to progress. his pain was controlled and he was able to continue to tolerate a full liquid diet. his weight bearing status on the right lower extremity is weight bearing as tolerated with an air cast boot for transfers only and the left lower extremity is touch down weight bearing. he is being treated with mini-dose coumadin for dvt prophylaxis to maintain an inr goal range of 1.8 - 2.0. his heparin sq was continued until goal range reached; last inr on was 1.3. once his goal reahed the heparin may be stopped. he was also treated with bactrim 3 day course for serratia in his urine culture. this will go thru . due to his multiple injuries and limited mobility he requires a short term rehab stay prior to returning home. medications on admission: albuterol mdi prn discharge medications: 1. oxycodone 5 mg/5 ml solution sig: 5-10 mls po q3h (every 3 hours) as needed for pain. disp:*500 ml(s)* refills:*0* 2. acetaminophen 650 mg/20.3 ml solution sig: twenty (20) mls po q6h (every 6 hours) as needed for pain, fever. 3. outpatient physical therapy 4. senna 176 mg/5 ml syrup sig: ten (10) ml po twice a day: hold for loose stools. 5. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane tid (3 times a day). 6. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day) as needed for constipation. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 8. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection three times a day: dc when inr 1.8. 9. coumadin 1 mg tablet sig: 1-2 tablets po once a day: mini- dose coumadin for dvt prophylaxis - would like for goal inr to range between 1.8-2.0 . 10. sulfamethoxazole-trimethoprim 200-40 mg/5 ml suspension sig: twenty (20) ml po bid (2 times a day) for 3 days: thru . discharge disposition: extended care facility: - discharge diagnosis: s/p motor vehicle crash: 1. left anterior column, posterior wall and posterior column transverse acetabular fracture. 2. left distal fibula fracture 3. right subcondylar, right body and left angle mandibular fractures 4. right medial mallolear fracture 5. urinary tract infection discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: bed to wheelchair, may wbat rle for transfers - with air cast boot and crutches discharge instructions: * you were admitted to the hospital after your car accident with multiple injuries requiring surgery. you are getting better but will need close follow up with your doctors recover. * your left hip required surgery to stabilize the joint. your weight bearing status is just touch down on the left and non weight bearing on the right leg. you also should maintain posterior hip precautions which basically means do not cross your legs. * both of your ankles sre also broken. the right ankle required surgry and the left ankle was treated non operatively. your left ankle will remain in the cam walker and be re evaluated by the orthopedic service in 2 weeks. * with these orthopedic fractures you are at a high risk to delelop clots in your legs and elsewhere due to decreased mobility. you are being placed on coumadin which is a blood thinner. take 1 tablet daily as directed. you will be on a very low dose for 4 weeks and will not require any blood tests for monitoring. be very careful as you will easily bleed while on coumadin. * you have wires in your mouth to stabilize your jaw. keep wire cutters with you at all times. if you develop any nausea or vomiting, cut the wires on each side of our mouth so as not to aspirate. if you cut the wires you need to return to the emergency room right away. * your mouth will be swollen for a few days, maybe more. sleep with your head elevated on 2 pillows to help reduce the swelling. ice packs to your face for the first 24-36 hours may help. expect some numbness in your lips or gums for a few weeks. your lips will be dry. use vaseline or chap stick as needed. * oral hygiene is important for healing. rinse your mouth after every meal with peridex or listerine mouthwash for days. after that use a half and half solution of salt water or mouthwash and continue to be vigilant in oral care. brush your teeth gently for the first week. avoid disrupting the incisions in your gums. the stitches in your mouth will fall out on their own but it takes time. if you spit them out, don't be concerned. this is normal. * no heavy lifting greater than 10 pounds for 2 weeks. no bending over for 2 weeks. no contact sports for 8 weeks. * your diet should consist of very soft foods or liquids, nothing that requires chewing. followup instructions: call dr. at ) for a follow up appointmernt on at clinic at of yawkey building on . call the clinic at for a follow up appointment in 2 weeks. your staples will be removed at that time. procedure: open reduction of fracture with internal fixation, tibia and fibula closed reduction of dislocation of hip open reduction of mandibular fracture open reduction of fracture with internal fixation, other specified bone dental wiring diagnoses: acidosis urinary tract infection, site not specified alcohol abuse, unspecified closed fracture of malar and maxillary bones contusion of lung without mention of open wound into thorax other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle contusion of face, scalp, and neck except eye(s) other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms unspecified fracture of ankle, closed closed fracture of acetabulum fracture of medial malleolus, closed closed fracture of mandible, subcondylar closed fracture of base of skull without mention of intra cranial injury, with loss of consciousness of unspecified duration closed fracture of vault of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration other closed anterior dislocation of hip 

Answer: The patient is high likely exposed to