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: history of present illness: the patient is a 50 year old male who on , was caught and dragged by a train car. abrasions were noted all over his right abdomen and right thigh as well as degloving injury to the right elbow and a partial amputation of the right ankle. past medical history: not significant. medications on admission: the patient did not take any medications. allergies: no known drug allergies. physical examination: vital signs revealed blood pressure 110/palpable ranging to 129/107, temperature 98.9, heart rate 69 to 97, oxygen saturation 91 to 97% in room air. the patient was awake and alert, gcs 15, with a head laceration. the lungs were clear to auscultation bilaterally. the heart was regular rate and rhythm, s1 and s2 noted, no murmurs, rubs or gallops. the abdomen is soft, nontender, nondistended. the pelvis was stable. rectal examination was normal tone, no blood. skin noted with a road rash right abdomen, right thigh, normal shoulder, arm. extremities noted with a degloving injury above the right elbow, no clear fractures. below the left elbow, there is a bump 2.0 by 5.0 centimeters on the forearm. according to the patient, it is chronic. the patient does not know the cause of the finding. there are +2 radial pulses. on the right leg, partial amputation at the level of the ankle on the right foot. dorsalis pedis seen pulsating. posterior tibial pulses were palpable bilaterally. the patient can move his toes and has sensation over the foot on the right. laboratory data: white blood cell count 9.8, hematocrit 39.9, platelet count 273,000. prothrombin time 12.7, partial thromboplastin time 24.9, inr 1.1. fibrinogen 218. urinalysis was negative. sodium 143, potassium 4.1, chloride 108, bicarbonate 23, blood urea nitrogen 14, creatinine 1.0, glucose 140, amylase 55. arterial blood gases revealed ph 7.43, pco2 35, pao2 156, bicarbonate 24, base excess 0. procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus excisional debridement of wound, infection, or burn application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, radius and ulna debridement of open fracture site, radius and ulna other amputation below knee diagnoses: pneumonia, organism unspecified injury to ulnar nerve acute respiratory failure open wound of elbow, without mention of complication closed fracture of metatarsal bone(s) crushing injury of foot open fracture of unspecified part of fibula with tibia closed fracture of medial condyle of humerus railway accident involving collision with rolling stock and injuring pedestrian 

Answer: The patient is high likely exposed to