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: past medical history: none. admission medications: none. allergies: the patient has no known drug allergies. physical examination on admission: initial vital signs upon arriving at : temperature 94.8, pulse 110, pressure 150/palpable, saturating 100%, breathing 18 times per minute, gcs is unable to be obtained because he was in a paralyzed state. heent: pupils were equal, sluggishly reactive. the tms were clear. the throat was clear. there was a ng tube in place. lungs: clear to auscultation at the bases. there was no bony crepitus felt in the chest. heart: there was a regular rate, no murmurs auscultated. abdomen: positive bowel sounds, soft, not distended. the pelvis was stable to . extremities: there was an open fracture of the distal tibia and fibula on the left hand side and the right hand side an obvious deformity appearing to be a tib-fib fracture on the right hand side that was closed. the left ankle also appeared to be dislocated. rectal: good tone, guaiac negative with the prostate in the proper position. laboratory/radiologic data: hematocrit 28.4, white count 19.1, platelet count 166,000. chemistries were normal. u tox was positive for opiates but the patient had received opioids for intubation purposes prior to arriving at the hospital. films done at the outside transferring facility were reportedly with a head ct with a question of a subarachnoid, question of c5 fracture of the neck, and negative chest and abdomen ct and with a pelvic x-ray that showed a posterior and anterior ramus fracture bilaterally. her at , the chest x-ray was normal. pelvic x-ray showed bilateral inferior pubic rami fracture, a left superior pubic rami fracture. ct of the head was negative. ct of the c-spine had a suggestion of a c1/c2 subluxation and reconstruction showed no facial bone fracture. ct of the pelvis revealed a right sacral fracture in addition to the previously mentioned pubic rami fractures. a tls plain film showed loss height of the t spine but a subsequent cat scan of the same area showed only degenerative changes. radiology of the lower extremities revealed right and left tib-fib fractures as well as a medial malleolus fracture on the left. due to his change in mental status and the noted weakness of the lower extremities prior to the patient being intubated, an mra was obtained to rule out vertebral and carotid artery trauma. this revealed mild, less than 20% stenosis at the right vertebral artery which was not felt to be clinically significant. more significant was the cervical epidural hematoma found. the mri showed no bony abnormality in the c-spine. hospital course: the patient was given high-dose solu-medrol and transferred to the sicu. he underwent intramedullary rodding of his right and left lower leg fractures and had an orif of the left lateral malleolus. he remained in a cervical collar throughout his hospitalization but his tls was cleared. his pelvic fractures were managed nonoperatively. he was subsequently extubated. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube interruption of the vena cava arteriography of cerebral arteries arteriography of cerebral arteries debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula angiocardiography of venae cavae angiocardiography of venae cavae other operations on vessels diagnoses: acidosis sprain of neck closed fracture of sacrum and coccyx without mention of spinal cord injury closed fracture of pubis open fracture of shaft of fibula with tibia fracture of medial malleolus, open extradural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness closed fracture of shaft of fibula with tibia 

Answer: The patient is high likely exposed to