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: no known allergies / adverse drug reactions attending: chief complaint: s/p mvc vs. tree w/ viscous injury and l5 compression frx major surgical or invasive procedure: - exploratory laparotomy, small bowel resection, primary anastomosis history of present illness: this is a 57 year-old male who was the restrained driver in a single car mvc vs a tree. he was traveling at approximately 70mph. denies loss of conscioussness, was able to self extricate and ambulated at the sign. +etoh. seen at osh where he was found to have a sternal fracture, lumbar spine fractures and concern for a splenic laceration. reported to be hemodynamically unstable to sbp 70s. he was transferred to for further trauma evaluation. during transport with , he received one unit of prbc. on arrival in the ed he reported severe abdominal pain and was found to have guarding. he received 1600cc of normal saline. one episode of hypotension to 80s after administration of morphine, resolved with ivf bolus. labs significant for lactate of 2.7, hct 36.5 (37 at osh). injuries: sternal fracture mediastinal hematoma question of spelenic laceration question of mesenteric stranding in llq l5 compression fracture transverse processes fractures: l l2, b/l l3, r l4, r l5 left thigh hematoma there was a potential concern that this was a suicide attempt. past medical history: gerd nicotine dependence spontaneous left ptx social history: married, fire-fighter family history: non-contributory physical exam: physical examination upon admission temp: af and will a full hr: 70s bp: 97/57 resp: 24 o(2)sat: 100 constitutional: gcs 14, moaning, smells of etoh heent: perrla, eomi c collar intact, ecchymosis along l shoulder, full rom of shoulder chest: clear to auscultation cardiovascular: tachycardic rate and rhythm, normal first and second heart sounds abdominal: soft, tender, with rebound, guarding, nondistended gu/flank: no costovertebral angle tenderness, hematoma and ecchymosis along l and r hips full rom of hips, fast negative for free fluid extr/back: multiple abrasions on extremities, flank on r; no step offs on spine, tender along spine diffusely neuro: speech fluent, moving all extremities psych: awake, alert, slightly decreased ms heme//: no petechiae pertinent results: 05:25am blood wbc-5.8 rbc-3.14* hgb-10.7* hct-30.6* mcv-98 mch-34.3* mchc-35.2* rdw-14.2 plt ct-155 05:15am blood wbc-5.0 rbc-3.27* hgb-10.9* hct-31.0* mcv-95 mch-33.3* mchc-35.1* rdw-14.1 plt ct-111* 08:55am blood wbc-5.6 rbc-3.15* hgb-10.6* hct-30.5* mcv-97 mch-33.6* mchc-34.8 rdw-13.8 plt ct-109* 04:45am blood wbc-8.6 rbc-3.03* hgb-10.2* hct-29.4* mcv-97 mch-33.8* mchc-34.8 rdw-14.1 plt ct-89* 12:50pm blood wbc-9.6# rbc-3.17* hgb-10.9* hct-31.0* mcv-98 mch-34.4* mchc-35.1* rdw-14.2 plt ct-97* 02:00am blood wbc-8.1 rbc-4.05* hgb-13.7* hct-39.4* mcv-97 mch-33.8* mchc-34.7 rdw-14.5 plt ct-141* 12:50pm blood neuts-79* bands-10* lymphs-5* monos-4 eos-1 baso-0 atyps-1* metas-0 myelos-0 05:25am blood plt ct-155 05:15am blood plt ct-111* 08:55am blood plt ct-109* 04:45am blood plt ct-89* 02:00am blood plt ct-141* 12:02am blood pt-11.8 ptt-20.0* inr(pt)-1.0 05:25am blood glucose-107* urean-11 creat-0.7 na-137 k-3.4 cl-101 hco3-26 angap-13 05:15am blood glucose-113* urean-10 creat-0.8 na-139 k-3.3 cl-100 hco3-29 angap-13 02:04am blood amylase-56 02:00am blood alt-50* ast-87* ck(cpk)-1453* alkphos-78 amylase-299* totbili-0.9 02:04am blood lipase-13 02:00am blood lipase-557* 05:25am blood calcium-7.6* phos-3.2 mg-2.2 05:15am blood calcium-8.0* phos-3.2 mg-2.2 11:17am blood lactate-1.6 : chest x-ray: impression: 1. no lung consolidation, pleural effusion or pneumothorax. 2. slight widening of the mediastinum. on subsequent ct torso shown to have mediastinal hematoma from a sternal fracture. please refer to ct report for details. : echo: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. no mitral regurgitation is seen. there is no pericardial effusion. impression: suboptimal image quality. mild symmetric left ventricular hypertrophy. normal regional and global biventricular systolic function. no pathologic valvular abnormalities. : cat scan of abdomen and pelvis: impression: 1. nondisplaced sternal fracture and small mediastinal hematoma. 2. stranding and hypodensity at the inferior tip of the spleen, cannot exclude small splenic tip laceration with adjacent small hematoma. 3. stranding in the mesentery in the left lower abdominal quadrant. 4. small amount of blood layering in the pelvis. 5. left l5 vertebral body compression fracture. 6. fracture through transverse processes as follows: l4-l5 right, l2 left, l3 bilateral. 7. small left anterior thigh hematoma with no evidence of acute extravasation : mr of the spine: impression: 1. acute fractures of the l5 and l3 superior endplates, with more marked central compression at the l5 level, but only perhaps 20% loss of height. there is no retropulsion or spinal canal compromise at either level 2. no evidence of associated ligamentous injury. 3. l3-4: apparent right proximal foraminal disc extrusion, which may impinge upon the right anterolateral aspect of the thecal sac and the traversing right l4 nerve root in that subarticular zone; this finding should be closely correlated clinically. 4. l5-s1: shallow central protrusion indenting the ventral thecal sac, without definite traversing s1 neural impingement. : x-ray of l-spine ( tlso alignment): pending brief hospital course: admitted to the acute care service after being involved in a motor vehicle collision. he was transported from an outside hospital requiring fluids for hypotension. upon admission, he was made npo, given intravenous fluids, and underwent radiographic imaging. he was reported to have fractures of his lumbar spine, and a sternal fracture. he was placed on log-roll precautions. he was evaluated by ortho-spine who reported that he had a l5 fracture with no ligamentaous injury. he was fitted for a tlso brace and the log-roll precautions were discontinued. on hod #2, he reported increased abdominal pain. he underwent an abdominal cat scan which showed stranding in the mesentery in the left lower abdominal quadrant and a small amount of blood layering in the pelvis. he was taken to the operating room where he was found to have a small whole in his small bowel. he underwent an exploratory laparotomy with small-bowel resection and primary anastomosis. his operative course was stable with minimal blood loss. he was extubated in the operating room and transported to the intensive care unit for further monitoring. he was placed on a course of zosyn for a report of e.coli which was cultured in the abdominal fluid. he was transported to the surgical floor on hod #3. his pain was controlled with dilaudid pca. because there was concern about the causation of the accident, and whether the accident was self inflicted, he was evaluated by psychiatry who repoted that the patient was not suicidal. his foley catheter was discontinued on hod #3 and he has been voiding without difficulty. his -gastric tube was discontinued on hod #5. he gradually progressed from sips to a regular diet. during his hospitalization, there was concern for heparin-induced thrombocytopenia noted with a decreased platelet count. he did not exhibit signs of bleeding. his heparin was discontinued and he was started on arixtra for dvt prophalaxsis. his antibody titer for hit came back normal and his heparin was resumed. his platelet count is 155,000. on hod #5, he was found to have erythema around his abdominal wound. the staples on the lower aspect of his wound were removed and dressing changes initiated. he has been evaluated by physical and occupational therapy who have made recommendations for discharge to a rehabilitation facility to help him regain his baseline mobility status. he will follow-up in the acute care clinic in 1 week for inspection of abdominal wound. he will also follow-up with dr. in weeks. medications on admission: omeprazole wellbutrin discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. colace 100 mg capsule sig: one (1) capsule po twice a day: hold for loose stool. 3. heparin 5000 units sc tid 4. amoxicillin-pot clavulanate 500-125 mg tablet sig: one (1) tablet po q8h (every 8 hours): started ....14 day course . disp:*21 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 6. morphine 15 mg tablet extended release sig: one (1) tablet extended release po q12h (every 12 hours) as needed for pain: hold for increased sedation, resp. rate <10. 7. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain: hold for increased sedation, resp. rate <10. discharge disposition: extended care facility: discharge diagnosis: trauma: mvc sternal frx mediastinal hematoma l3/l5 endplate/compression frx l2-4 transverse process frx 3.6 x 1.9 cm l thight hematoma small splenic laceration small mesenteric hematoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (needs assistance with placement of tlso brace) discharge instructions: you were admitted to the hospital after you were involved in a motor vehicle accident. you sustained fractures to your back and sternum. you also were found to have a tender abdomen. you were taken to the operating room where you were found to have a small hole in a segment of your small bowel. that section of your bowel was resected. you are now preparing for discharge to a rehabilitation facility where you can receive additional assistance with your recovery. please follow these instructions: please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. please apply tlso brace prior to getting out of bed please report any changes in wound: *increased drainage *change in color of drainage *increased abdomimal pain followup instructions: please follow up in the acute care clinic in 1 week. you can schedule your appointment by calling #. follow-up with dr. in the spine center in weeks with new standing ap/lateral lumbar xr in the brace. please call the office and tell them that you will need an appointment and an x-ray prior to your visit. the telephone number is #. dr. is located on the of the building. procedure: other partial resection of small intestine diagnoses: esophageal reflux tobacco use disorder closed fracture of sternum other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle contusion of thigh closed fracture of lumbar vertebra without mention of spinal cord injury unspecified peritonitis injury to other specified intrathoracic organs with open wound into cavity injury to small intestine, unspecified site, with open wound into cavity injury to other gastrointestinal sites, with open wound into cavity injury to spleen with open wound into cavity, unspecified injury 

Answer: The patient is high likely exposed to