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: environmental attending: chief complaint: mvc major surgical or invasive procedure: eua r knee, closed treatment of right tibial plateau fx with manipulation, closed treamtment of right proximal fibula fracture with manipulation, eua left knee, irrigation and debridment of traumatic wound left knee (skin, soft tissue and muscle), complex wound closure left knee, application of negative pressure dressing left knee(100 cm^2), closed reduction left metatarsal fractures (x3) with manipulation. i&d of left leg and vac dressing change left leg 1. i and d left leg. application of wound vac sponge 1. gastrocnemius flap reconstruction. 2. split-thickness skin graft (20 x 40 sq cm). history of present illness: 52 f s/p mvc w/ sdh, b/l rib fx's, pulmonary contusions, and b/l lower extremity fractures and an associated degloving injury of the lle. past medical history: pmh: dmii, htn, hld, osa . psh: c section social history: married with adult children and grandchildren. family history: nc physical exam: a&o x 3, but sleepy calm and comfortable left lower extremity with large almost complete circumferential soft tissue defect over the anterior/lateral aspect of her left knee. knee unstable on exam. unable to assess infiltration of joint give large pieces of glass within wound. dopplerable dp/pt pulses. saph sural dpn spn mpn lpn. fhl gs ta pp fire bue skin clean and intact no tenderness, deformity, erythema, edema, induration or ecchymosis arms and forearms are soft no pain with passive motion r m u epl fpl eip edc fdp fdi fire 2+ radial pulses ble skin clean and intact no tenderness, deformity, erythema, edema, induration or ecchymosis thighs and legs are soft no pain with passive motion saph sural dpn spn mpn lpn fhl gs ta pp fire 1+ pt and dp pulses pertinent results: 06:15am blood wbc-20.6* rbc-2.78* hgb-7.9* hct-25.0* mcv-90 mch-28.2 mchc-31.4 rdw-13.0 plt ct-298 02:11am blood wbc-10.7 rbc-2.51* hgb-7.3* hct-22.7* mcv-91 mch-29.0 mchc-32.0 rdw-14.5 plt ct-230 01:38am blood wbc-13.2* rbc-3.14*# hgb-9.1* hct-27.7* mcv-88 mch-28.8 mchc-32.7 rdw-15.2 plt ct-190 01:55am blood wbc-12.9* rbc-2.39* hgb-6.8*# hct-20.5*# mcv-86 mch-28.5 mchc-33.2 rdw-15.0 plt ct-203 09:04am blood hgb-9.6*# hct-29.0*# 01:55am blood pt-14.2* ptt-24.3* inr(pt)-1.3* ct head : hyperdense material layering along the left frontoparietal temporal region measuring 5 mm from the inner table of the skull represents acute subdural hematoma with mild mass effect. ct head pm: no significant change from the study performed at 6:42 a.m.(under a different mrn). lle ankle film - there is a comminuted fracture of the distal fibula with some apparent angulation of the tibiotalar articulation on both frontal and lateral views. there is a large inferior calcaneal spur. there are also fractures of the fourth and fifth metatarsals as well as an intra-articular fracture of the base of the first metatarsal and probably a corner fracture of the distal medial aspect of the cuboid. no definite fracture of the talus is appreciated. however, ct would be necessary to unequivocally exclude a fracture of this bone. cta chest - 1. no evidence of central pulmonary embolism. 2. moderate -basal atelectasis. 3. multifocal, small ground-glass opacities in both upper and middle lobe could be infectious or fat emboli. these opacities are beyond the resolution of the chest radiograph. 4. undisplaced fracture at posterior right fifth rib. . radiology report bilat lower ext veins study date of 1:13 pm impression: somewhat limited study due to patient habitus with no evidence of dvt in both lower extremities. . radiology report ankle (2 views) left port study date of 4:33 am findings: a posterior plaster splint obscures the bony detail. tubing overlies the distal tibia and fibula. skin staples are seen within the lower leg soft tissues. no dislocation identified. there is syndesmotic widening and medial clear space widening. the lateral malleolus fracture is not as well seen. the medial talar fracture is not as well seen. again seen is the fourth and fifth metatarsal fracture. impression: ankle and foot fractures as above. if further evaluation is needed, recommend ct when patient is able. . microbiology 12:14 pm urine source: catheter. **final report ** urine culture (final ): morganella morganii. >100,000 organisms/ml.. piperacillin/tazobactam sensitivity testing available on request. enterococcus sp.. >100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ morganella morganii | enterococcus sp. | | ampicillin------------ <=2 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- 128 r <=16 s tetracycline---------- =>16 r tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s vancomycin------------ 1 s brief hospital course: 52 f s/p mvc with the following injuries: - degloving injury of lle - non-displaced fx of the distal left tibia - comminuted fracture of the left talus - multiple left foot fractures - right tibial plateu fx - right proximal fibula fx - rib fx: rt 6th rib fx; lt 4, 5, & 10fx - fronto-parietal sdh 5mm, 3mm rightward shift. in the emergency room she had significant blood loss from her left lower extremity degloving injury. she became hypotensive and tachycardic in the ed and recieved 2 u prbc and 4 liters of lr. a central venous line was placed and she was transferred to the ticu for further care. the following are the major events in the icu by systems: neuro: for her sdh the pt was taken to the ticu for q1h neuro checks. a follow up hct on hd 1 showed a stable hct. she was started on keppra, which was continued for 10 days total. on the evening of hd 1 the pt developed a facial droop and was again taken for a repeat hct which showed no significant increase in hemorrhage. along with the facial droop the patient also became altered. by hd 2 her facial droop had resolved but she remained altered until hd 4 when her pain medications were titrated and her pain better controlled. cv: the patient was persistently tachycardic through hd 4. she was transfussed 2 u prbc on hd 1, 1 u prbc hd 2, and 2 uprbc on hd 4. she was also resuscitated with lr. she continued to lose a significant amount daily from her degloving injury even after it was vac'ed. an echo was obtained on hd 3 which showed an ef of 55%. she was started on lopressor for her tachycardia on hd 3 and she was continued to be resuscitated apropriately. her tachycardia resolved by the time of transfer to the floor. pulm: for her rib fractures and pulmonary contusions the pt was placed on pulmonary toilet and her pain was controlled. gi: the patient was kept npo after her first washout because of her ams, as this improved her diet was advanced to a diabetic diet. she was administered famotidine for stress ulcer ppx until she was transferred to the floor. endocrine: the patient was maintained on glargine 25 units at hs and a regular insulin sliding scale. gu: a foley was placed in the ed and uop monitored hourly in the ticu. she made appropriate urine while in the ticu. foley was maintained while patient on strict bedrest immediately post flap and skin grafts and then discontinued on . heme: the pt lost a significant amount of blood from the lle. she was trasfused multiple times in the ticu and appropriately resuscitated. sqh was started on hd 3. given her change in ms a of her chest was obtained to assess for pe which was negative. id: the patient was kept on ancef through hd 4 at which point all antibiotics were discontinued. patient was maintained on keflex post-operatively from her flap/skin graft. patient was treated with ciprofloxacin x 5 days for a uti. extrem: her multiple le fractures were followed by orthopedic surgery. she was taken to the or on and and for washout, debridement, and vac placement of her lle degloving injury. the wound was the evaluated by the plastic surgery team who took patient to the or on for a gastrocnemius flap reconstruction and skin graft to left lower extremity defect. patient had vac dressing in place over skin graft site until when it was removed to reveal viable skin graft to left lower extremity defect. discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 2. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 3. cephalexin 500 mg capsule sig: two (2) capsule po q6h (every 6 hours) for 7 days. 4. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous qpm (once a day (in the evening)). 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) treatment inhalation q6h (every 6 hours) as needed for sob/wheeze. 6. ipratropium bromide 0.02 % solution sig: one (1) nebulizer treatment inhalation q6h (every 6 hours). 7. tramadol 50 mg tablet sig: one (1) tablet po qid (4 times a day). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. insulin glargine 100 unit/ml solution sig: twenty five (25) units subcutaneous at bedtime. 14. regular insulin sliding scale sliding scale qachs discharge disposition: extended care facility: - discharge diagnosis: s/p motor vehicle crash injuries: non-displaced fracture of distal left tibia comminuted fracture of left talus right tibial plateau fracture right proximal fibula fracture rib fractures: right 6th; left 4, 5, & 10 fronto-parietal subdural hemorrhage 5mm w/ 3mm shift bilateral pulmonary contusions discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. procedure: other skin graft to other sites graft of muscle or fascia nonexcisional debridement of wound, infection or burn nonexcisional debridement of wound, infection or burn closed reduction of fracture without internal fixation, tibia and fibula closed reduction of fracture without internal fixation, tarsals and metatarsals diagnoses: urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation morbid obesity long-term (current) use of anticoagulants subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness contusion of lung without mention of open wound into thorax closed fracture of upper end of fibula with tibia other motor vehicle nontraffic accident involving collision with stationary object injuring driver of motor vehicle other than motorcycle fracture of lateral malleolus, closed open wound of knee, leg [except thigh], and ankle, complicated closed fracture of four ribs hemophilus influenzae [h. influenzae] infection in conditions classified elsewhere and of unspecified site closed fracture of metatarsal bone(s) closed fracture of astragalus body mass index 45.0-49.9, adult retained glass fragments 

Answer: The patient is high likely exposed to