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 bicycle crash major surgical or invasive procedure: - open reduction internal fixation of posterior ring fracture, left, with 7.3 mm screws and 3.5 mm screws - open reduction internal fixation right anterior ring fracture - irrigation and debridement down to muscular fascia of right elbow wound and wound closure - irrigation and debridement right inguinal open wound and complex closure history of present illness: 19 yo f bicyclist struck by a . per ems, the completely ran over her pelvis. she arrived fully a&o to with anxious affect, able to converse and provide information. no loc per ems - patient recalls details of collision. she sustained extensive road rash, unstable pelvic fracture and multiple rib fractures. past medical history: pmh: raynaud's family history: non-contributory pertinent results: bilat lower ext veins port study date of 1:31 pm impression: no dvt. ct chest/abdomen abdomen w/contrast study date of 10:40 am impression: 1. small right pneumothorax (without tension) with adjacent pulmonary contusion. 2. unstable pelvic fractures as described above consistent with a vertical shear-variant injury (bucket handle configuration). 3. small amount of intra-abdominal and pelvic fluid, possibly hemoperitoneum. 4. no evidence of arterial injury/ contrast extravasation. no visceral injury. brief hospital course: she was admitted to the trauma service and was transferred to the trauma icu for close monitoring. orthopedics was consulted and she was taken to the operating room on next hospital day for right thoracostomy and repair of her orthopedic injuries. postoperatively she did well and was transferred to the regular nursing unit. she was noted to have significant pain control and anxiety issues and required iv narcotics initially which caused increased drowsiness and was then changed to oral narcotics. the oral narcotics also made her very sleepy which required further adjustments so that she is now on standing ultram and tylenol; ms contin and prn dilaudid. ativan was added for the anxiety. an aggressive bowel regimen was also started and she had a bowel movement on . her chest thoracostomy tube was eventually removed and her follow up chest xray remained stable. room air saturations have been in the high 90's. because of her extensive injuries and her non weight bearing status for at least the next 6-8 weeks it was discussed with patient and family for an ivc filter placement for which the patient and family declined. she was started on lovenox as a bridge to coumadin and was noted with a drop in her hematocrit. the lovenox was stopped and she was changed to heparin. her last dose of coumadin on was 5mg and her inr was 1.7 on and on a.m. her inr was 3.5. her coumadin should be withheld on and her inr should be checked in the a.m. on . she was also evaluated by plastic surgery for the extensive road rash over her body; several recommendations were made for management (see page 1). she will follow up in clinic in 2 weeks. she was evaluated by physical and occupational therapy and is being recommended for rehab. social work was also closely involved during her hospital stay for coping and emotional support. medications on admission: ocps discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet 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 bm. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety. 7. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours). 8. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for gas pain. 9. silver sulfadiazine 1 % cream sig: one (1) appl topical (2 times a day): apply per wound care instructions. 10. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po prn (as needed) as needed for constipation. 12. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 13. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm: *hold dose & repeat inr on . dose coumadin accordingly. (goal inr ). 14. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). 15. neomycin-bacitracnzn-polymyxin 3.5-400-5,000 mg-unit-unit/g ointment sig: one (1) appl topical (2 times a day): apply per wound care instructions. 16. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. 17. dilaudid 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for breakthrough pain. discharge disposition: extended care facility: - discharge diagnosis: status post bicycle crash vs. auto - lateral compression type 2 unstable pelvic ring fracture - right sup/inf pubic rami fracture - right pneumothorax - left iliac fracture - right 5th and 10th rib fracture - right elbow open wound, lateral discharge condition: afebrile, vital signs stable, in good condition, pain adequately controlled; non-weight bearing bilateral lower extremities discharge instructions: you were treated in the hospital after being struck by a . ct imaging on your arrival to hospital showed an unstable pelvic ring fracture with multiple rib fractures and a right pneumothorax (collapsed lung). you were treated in the hospital with a chest tube which helped to resolve your pneumothorax. you also underwent fixation of your unstable pelvic ring fracture. you will not be able to bear any weight on either leg for the next 8 weeks. you may bear weight on your arms taking care to not place unecessary pressure on your right elbow. followup instructions: you should follow up in the orthopedics clinic in 2 weeks with dr. . this is to follow up from your operation. you should call as soon as possible to schedule this appointment. you should follow up in the trauma clinic in 2 weeks with dr. . this is to follow up from your trauma. you should call as soon as possible to schedule this appointment. you should follow up in the plastics clinic in 2 weeks with dr. . this is to follow up for your healing wounds. you should call as soon as possible to schedule this appointment. procedure: other incision of pleura open reduction of fracture with internal fixation, other specified bone other myectomy diagnoses: traumatic pneumothorax without mention of open wound into thorax closed fracture of multiple ribs, unspecified motor vehicle traffic accident involving collision with other vehicle injuring pedal cyclist closed fracture of pubis open wound of elbow, without mention of complication closed unspecified fracture of pelvis 

Answer: The patient is high likely exposed to