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: struck by motor vehicle major surgical or invasive procedure: orif left femur : irrigation and debridement of wounds down to the fascia. two compartment lateral fasciotomies. sacroiliac joint fixation left side with 7.3 mm screws. placement of traction and closed treatment of acetabular fracture and femoral head. vac dressing application l. hip exploratory laparotomy : diagnostic venography with ivc filter placement open reduction and internal fixation of left femoral head via direct lateral approach. open reduction and internal fixation of superior acetabular wall fracture. irrigation and debridement of pelvic wound with placement of vacuum dressing. irrigation and debridement of left lower extremity wound with placement of vacuum dressing. removal of traction pin. : irrigation and debridement of left lower extremity wounds. irrigation and debridement down to bone of open pelvic wounds. open reduction and internal fixation anterior column fracture of the acetabulum. open reduction and internal fixation of right anterior pelvic ring. duplex scan lle to r/o dvt history of present illness: 60 yo female who was sitting at a coffee shop when reportedly a large vehicle crashed through the front window and threw her in the air and eventually pinned her under the vehicle. she denies any loc. she was transported from the scene via ems to for further trauma care. past medical history: hypertension social history: denies alcohol, illicit drug use, and/or tobacco family history: non-contributory physical exam: pe 99.8 117/48 70s 96% gcs: 15 head: pupils b/l, perrla neck: in c-collar face: abrasions chest: cta b/l abd/pelvis: nt, soft, abrasion lower pelvis, w/ open wound l. hip (4x2cm) fast - negative rectal: good rectal tone, guiac negative ext: open wound inner l. thigh ~ 2cm w/ lots of swelling, obvious deformed l. leg, abrasions on b/l knees, palpable pulses, b/l feet cool b/l femoral pulses back: step-off at l3/4?, nt pertinent results: ct torso () impression: 1. no evidence of thoracic injury. 2. active extravasation of contrast at the level of l4-l5 posterolateral to the psoas muscle near the site of fractures, at two nearby but distinct sites. there are two smaller areas of extravasation in the left hemipelvis just medial to the obturator internus muscle, and in the right hemipelvis just medial to the superior pubic ramus fracture, tracking into the right labia. 3. probable pancreatic contusion. there is no evidence of pancreatic laceration or disruption of the pancreatic duct. 4. proximal bowel wall thickening and enhancement, which is worrisome for bowel injury. 5. unstable pelvic fractures. the fracture pattern suggest a lateral compression mechanism on the right with internal rotation of the right hemipelvis and open book fracture in the left hemipelvis. disruption of the anterior and posterior si joint ligaments on the left. 6. complex open left acetabular and femoral head fractures with posterior dislocation of the left femur. 10. large muscular hematoma adjacent to the superior pubic ramus fracture on the right without definite contrast extravasation at that site. 12. probable left adrenal hematoma within the lateral limb. ct c-spine (): no fracture or dislocation is identified. there is a small well- corticated bone fragment anterior to the superior endplate of c4, which most likely represents an osteophyte or sequelae of an old trauma. no disc, vertebral, or paraspinal abnormality is seen. ct is not able to provide intrathecal detail comparable to mri. the visualized outline of the thecal sac appears unremarkable. ct head: no evidence of intracranial hemorrhage. no fractures are seen. ruq u/s: sludge-filled gallbladder, but no evidence of acute cholecystitis. normal caliber common hepatic duct cxr (): stable small bilateral pleural effusions and left lower lobe atelectasis following extubation. slight improvement in bilateral parenchymal opacities. ct (): no evidence of intracranial hemorrhage or mass effect. if there is high clinical suspicion for an infarction, mri with diffusion-weighted imaging provides a more sensitive evaluation for acute ischemia/infarction. 2. opacification of paranasal sinuses and left mastoid air cells, which has developed since the prior examination 11 days ago. this may be associated with the patient's interval intubation. however, superimposed infection cannot be excluded. unilat lower ext veins 9:04 am unilat lower ext veins reason: r/o thrombus or other processes lle medical condition: 66 year old woman struck by auto at high speed; lle orthopedic injuries; now with increased lle sweeling nad pain reason for this examination: r/o thrombus or other processes lle study: doppler ultrasound of the left lower extremity. indication: this patient is status post mva. rule out thromboembolic disease. technique: grayscale, color flow and pulse wave doppler _____ deep vessels of the left lower extremity was performed using dynamic compression maneuvers were appropriate to assess the vessel patency. report: there is normal compressibility, augmentation, respiratory variation. there is no evidence of left lower limb dvt. the right common femoral vein is patent. conclusion: normal examination, left lower extremity. no dvt. brief hospital course: patient in trauma bay after being hit by a car that came through a storefront window. she was admitted to the trauma service; orthopedics immediately consulted because of her injuries. she was taken to the operating room for repair of her injuries and became hypotensive; she was then taken to angiography for embolization of l4 caudal lumbar bleed. she was then akne back to or for pelvic fixation. neuro: her intial gcs was 15 upon arrival to the trauma bay. she was intubated prior to or and was not extubated until hd 11. patient was on propofol/fentanyl drip in icu. after extubation, patient's mental status waxed and waned. she was transferred to the floor and has been alert and oriented with intermittent anxiety. she was started on alprazolam .25 po tid; this is being tapered so that it may be discontinued as long term use not recommended in older patients. a shorter acting benzodiazepine should be used if it becomes necessary. cardiac: questionable st depression while in the or on hd1, she was later ruled out. lopressor was started as she was consistently hypertensive in icu even after pain was controlled. she remains on lopressor 75 mg po tid with better bp control. she underwent duplex scan of lle because of swelling; no thrombus identified. she will remain on lovenox injections ; an ivc filter was placed early during her hospitalization. respiratory: patient intubated in or and a vent wean was attempted on hd 5 which was not successful; she was eventually weaned on hd 11 and is currently on room air with adequate oxygen saturations. gi: originally there was a question if the open fracture in the pelvis was connected to peritoneal cavity. patient had an ex-lap that was unremarkable. a nasogastric tube was placed and she was started on tfs on hd3. on hd 14 she was more awake and oriented; a swallow study was done at the bedside which she passed. a regular diet was started, but tf were continued until calorie counts could be done. her tube feedings have now been discontinued. gu: pt. w/ foley placed in trauma bay. she intermittently had decreased urinary output in icu; but stable bun and creatinine. she was started on iv lasix and did begin diuresing fluid and maintained good output on the floor. heme: she experienced declining hematocrits during early part of hospitalization and required multiple transfusions. her most recent hct is 27.7. id: she was initially on vancomycin, which was discontinued. later was placed on kefzol and levofloxacin following orthopedic surgery. msk: on hd1 taken to the or for i&d of open pelvis fracture and left leg wounds, left si joint fixation, traction pin and closed treatment of left acetabular and left femoral head. on hd 3 she returned to or for i&d of lle and pelvis with orif and vac placement. on hd 14, pt's c-collar was cleared both clinically and radiographically. she is to remain non weight bearing both lower extremities. pain control has been an ongoing issue with patient; she was recently started on long acting narcotics which have been increased intermittently based on her increased use of breakthrough pain medications. she will likely require further adjustment of her pain medication once in rehab. patient sustained a fall to floor from her bed on day of discharge; no loc, patient able to recall events. xray imaging revealed no new injuries and no hardware complication. she will follow up with orthopedics and plastic surgery in 2 weeks. her vac dressing was changed on day of discharge and will need to be changed every 3 days; next change on sunday, prophylaxis: ivc filter placed; maintained on lovenox and pneumatic boots. she is also on a ppi. medications on admission: lisinopril fosamax discharge medications: 1. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for dry eyes. 2. gabapentin 100 mg capsule sig: one (1) capsule po hs (at bedtime). 3. alprazolam 0.25 mg tablet sig: one (1) tablet po twice a day for 3 days. 4. lopressor 50 mg tablet sig: 1 tablet po three times a day: hold fro hr <55 and/or sbp<100. 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. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 10. oxycodone 5 mg tablet sig: three (3) tablet po q4h (every 4 hours) as needed for breakthrough pain. 11. oxycodone 20 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po q12h (every 12 hours). 12. cefazolin 1 g piggyback sig: one (1) piggyback intravenous q8h (every 8 hours): continue until follow up with plastic surgery in 2 weeks. 13. levofloxacin in d5w 500 mg/100 ml piggyback sig: one (1) intravenous q24h (every 24 hours): continue until followup with plastic surgery in 2 weeks. 14. alprazolam 0.25 mg tablet sig: one (1) tablet po once a day for 3 days: start and continue for 3 days. 15. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 16. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for headache. 17. alprazolam 0.25 mg tablet sig: one (1) tablet po once a day for 2 days: begin on and continue through . discontinue after the last dose 3/11. discharge disposition: extended care facility: & rehab center - discharge diagnosis: struck by motor vehicle splenic laceration posterior left hip dislocation with degloving injury left pelvic open fracture superior/inferior pubic rami fracture discharge condition: stable discharge instructions: follow up in orthopedics, plastics and trauma clinic in 2 weeks do not bear any weight on either lower extremity you will need to continue with your lovenox injections followup instructions: call for an appointment with dr. in clinic; your graft surgery date should be discussed at this appointment. you will need to be seen in 2 weeks. call for an appointment with dr. in clinic; you will need to be seen in 2 weeks. call for an appointment in trauma clinic with dr. ; you will need to be seen in weeks. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava enteral infusion of concentrated nutritional substances excisional debridement of wound, infection, or burn open reduction of fracture with internal fixation, femur other endovascular procedures on other vessels transfusion of packed cells open reduction of fracture with internal fixation, other specified bone excision of lesion of other soft tissue repair of vertebral fracture other immobilization, pressure, and attention to wound closed reduction of fracture with internal fixation, other specified bone other incision of soft tissue repair and plastic operations on spleen debridement of open fracture site, other specified bone diagnoses: unspecified essential hypertension acute posthemorrhagic anemia hypotension, unspecified open wound of knee, leg [except thigh], and ankle, without mention of complication closed fracture of sacrum and coccyx without mention of spinal cord injury other closed transcervical fracture of neck of femur other motor vehicle nontraffic accident of other and unspecified nature injuring pedestrian multiple open pelvic fractures with disruption of pelvic circle injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma crushing injury of hip injury to other specified blood vessels of abdomen and pelvis 

Answer: The patient is high likely exposed to