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: mr. is an 80 year old male with a past medical history of hypothyroidism and parkinson's disease. he was found down at the bottom of 6 to 7 concrete stairs, in a confused and combative state with a gcs of 13 upon evaluation by the ems. the patient was down for an unknown period of time. he was brought in by ambulance. they were unable to obtain vital signs on transport, secondary to the patient's combativeness. however, his mental status improved rapidly on transfer and ultimately, upon arrival in the trauma bay, his gcs was 14. he was cooperative enough to allow for vital signs to be checked. he was not complaining of any one thing. past medical history: 1. parkinson's disease. 2. hypothyroidism. past surgical history: status post left knee replacement. social history: he has no significant alcohol or tobacco history. he lives with his son and is otherwise single. allergies: no known drug allergies. medications: 1. levoxyl 25 mcg p.o. q. day. 2. selegiline which is inhibitor, 5 mg p.o. q. day. 3. celexa 40 mg p.o. q h.s. 4. carbidopa with doses being 50 to 100 mg tablet of carbi-levodopa, taking one tablet twice a day as well as the 25 to 100 mg tablet, taking one tablet twice a day. 5. the patient additionally takes cyanocobalamin 100 mcg tablet, takes one-half a tablet (50 mcg) p.o. q. day. review of systems: otherwise unremarkable. he was well up until the time of this injury. physical examination: temperature was 97.8; blood pressure 118/palpable; heart rate 80; regular; respiratory rate was 18, saturating 94% on room air. he was in no acute distress. gcs of 14 secondary to just somewhat confused speech. otherwise, he was obeying commands and moving all extremities to command. his eyes were open spontaneously. he had an obvious 1 and 1/2 cm right supraorbital laceration which was not bleeding, as well as a 3 cm transverse occipital scalp laceration which additionally was not bleeding. he was otherwise normocephalic. pupils were equal and reactive; 4 to 3 on the right; 4 to 2 on the left. extraocular movements intact. tympanic membranes were clear. his oropharynx was negative. his trachea was midline. chest was clear without any crackle, rub or rhonchi. he had breath sounds equal bilaterally. there was no crepitus. heart was regular rate and rhythm, with no murmurs, rubs or gallops. chest had no deformity or tenderness. his abdomen was soft, nontender, nondistended. pelvis was stable. his flanks were without any deformity or tenderness. back: tls spine revealed a 10 to 12 cm soft tissue mass that was ballotable in the lumbosacral region. at this time, there was no evidence of ecchymosis in his flanks. cervical spine was without deformity or tenderness. tls spine was otherwise unremarkable, and without step-off or deformity. he was guaiac negative with normal rectal tone, no masses. prostate was otherwise normal and estimated to be 25 to 30 grams. none of his extremities showed any obvious deformity. he had normal range of motion. he did have a small abrasion on the lateral left knee. there were no other obvious injuries. pulses were palpable; 2+ at the radial and 2+ at the femoral, 1+ dorsalis pedis and 1+ posterior tibial bilaterally. there was no palpable abdominal mass. he did have a foley catheter inserted during his trauma survey. he had a fast examination that was performed of the abdomen, that was otherwise unremarkable. laboratory tests on admission, including a white count of 20,000; hematocrit of 36; platelet count 183; coagulation studies pt was 13.3; ptt was 31.8; inr of 1.2. fibrinogen was 231. amylase 83. chemistries: sodium of 140; potassium of 3.7; chloride of 103; bicarbonate of 25; bun and creatinine of 21 and 0.9. glucose of 217. he did not carry a prior diagnosis of diabetes. this was thought to be secondary to stress induced hyperglycemia and peripheral insulin resistance. his urine toxicology was significant for opiates. it was unclear as to whether or not the patient had received any narcotics on transfer for some pain medications. serum toxicology screen was otherwise unremarkable and his admission lactate was 4.3. initial surveys included multiple radiographic imaging. the patient did receive an ap of the chest and pelvis which were negative. a ct of the head showed that the initial ct on revealed no acute injury. ct of the cervical spine was otherwise unremarkable. ct of the abdomen showed small evidence of retroperitoneal bleed on the right side with no active extravasation. there was also evidence of l5 transverse process fracture. there was evidence of a right inferior and superior inferior to rami fracture as well as a right gluteal hematoma with blood extending across the midline which would explain his physical examination finding. after this time, the patient was brought back to the emergency room trauma bay for repair of his laceration. some time after being evaluated in the emergency department, however, he developed a tonic/clonic seizure. this promptly stopped after several minutes. he had received ativan. he ultimately returned to the cat scanner for a stat head ct which now showed development of a new 6 mm subdural hematoma along the frontal, parietal and temporal regions. neurosurgical consult was requested. the patient was dilantin loaded and placed on 100 mg intravenous three times a day. neurosurgery said that there was no indication for drainage at this time, given the location of his hemorrhage and the fact that he had sustained what appeared to be a witnessed tonic/clonic seizure, he would require dilantin therapy for a period of time. during the hospitalization, he was placed into the intensive care unit over the next 48 hours, due to the fact that he had a right gluteal hematoma, which now appeared to be evolving, as there now appeared to be new ecchymosis along the right flank. he was placed on serial hematocrit checks during his hospitalization. his blood count did drop. he blood count on admission was 36, with a low of 28. however, this was during a time of serial transfusions. he received approximately two units of cells on . he additionally received a platelet transfusion at the request of the neurosurgical service because there was a question of whether or not the patient had been on some anti-platelet therapy previously. his hematocrit appropriately responded after his transfusions. he did not require angiographic investigation or embolization for his bleeding. after approximately a 72 hour stay in the intensive care unit, and evaluation by the orthopedic service for his pelvic fracture and transverse process fracture, it was determined that the patient could be full weight bearing, would not require any operative intervention for his pelvic fractures nor would he require any bracing for his l5 transverse process fracture. this is under the consultation of dr. , staff orthopedic surgeon. dr. had followed the patient while in the hospital and repeat head ct failed to show any change in his subdural hemorrhage, which had been picked up on his second scan on . repeat scan on showed no progression. his clinical status and neurologic examination were otherwise stable and actually improving, to the point where neurosurgery said he should just continue on dilantin therapy and can follow-up with dr. in approximately two to four weeks from the time of dismissal for an outpatient ct scan, as well as to re-evaluate his need for dilantin therapy, under the consultation of dr. . once dismissed from the intensive care unit and sent to the floor, the patient's diet was advanced. he was tolerating this without incident. he was on a bowel regimen. he was receiving oral pain medications as needed and having bowel movements without incident. he was otherwise afebrile. it should be noted that during his hospitalization, with an admission white count of 20,000 and a significant amount of pyuria on a urinalysis, the patient was placed empirically on levaquin for treatment of possible urinary tract infection. however, the cultures failed to elucidate any actual organism. once on the floor, the patient was seen by the physical therapy service and mr. of the physical therapy department determined that the patient would likely benefit from short term acute rehabilitation facility. consequently, by , the patient was deemed medically stable and appropriate for dismissal to a subacute or acute rehabilitation facility of the patient and physical therapist's choosing. discharge instructions: 1. resume all of his outpatient medications as previously taken. 2. he will require aggressive physical therapy and pulmonary toilette, to prevent any development of a pneumonia. 3. he should continue his deep vein thrombosis prophylaxis if he is otherwise minimally ambulatory as he is obviously had a high risk for development of a deep vein thrombosis and pulmonary embolus. final diagnoses: 1. status post mechanical fall with closed head injury; left subdural hematoma over the frontal, parietal and temporal lobes, with evidence of intraventricular hemorrhage, no shift or collapse. this was stable status post repeat and follow-up ct scan. status post witnessed tonic/clonic seizure on date of admission, now under treatment with dilantin. 2. retroperitoneal hematoma and right gluteal hematoma, with acute blood loss anemia, status post transfusion. 3. l5 transverse process fracture. 6. right superior and inferior pubic rami fracture. 7. right supraorbital laceration, status post repair. 8. posterior occipital scalp laceration, status post repair. 9. urinary tract infection under treatment. 10. parkinson's disease which is a chronic, pre-existing diagnosis the patient had prior to admission. 11. hypothyroidism. 12. evidence of stress induced hyperglycemia versus subclinical non insulin dependent diabetes mellitus under treatment with a sliding scale insulin regimen. follow-up: 1. see . in approximately two to four weeks. he should call for an appointment in his office. outpatient head ct without contrast, should be performed prior to the office visit, to look at the progression of his subdural hematoma. at this time, the patient's dilantin regimen can be re-evaluated and determination as to whether he should continue his therapy will be made by dr. at that time. to see dr. of the orthopedic group by calling . this follow-up should occur in approximately two weeks from the time of dismissal. it is their recommendation that he should be maintained on deep vein thrombosis prophylaxis regimen while in rehabilitation to prophylax him front he development of a deep vein thrombosis. he should additionally see his primary care physician in approximately one to two weeks from the time of dismissal, so that the appropriate follow-up regimen can be made. primary care is dr. . discharge medications: 1. tylenol 325 mg one to two p.o. every four to six hours prn as needed. 2. sliding scale insulin regimen. please see the sheet as directed. 3. colace 100 mg p.o. twice a day. 4. levoxyl 25 mcg tablet, one tablet p.o. q. day. 5. selegiline 5 mg capsule, one capsule p.o. q. day. 6. citalopram hydrobromide 20 mg tablet, two tablets p.o. q. day. 7. protonix 40 mg one tablet p.o. q. day. 8. levofloxacin 500 mg tablet, one tablet p.o. q. day. to continue for an additional three days for a total of 7 days of therapy. 9. cyanocobalamin 100 mcg tablet, take one-half tablet p.o. q. day. 10. carbidopa/levodopa 50/200 mg tablet, sr, one tablet p.o. twice a day. carbidopa/levodopa 25/100 mg tablet, take one tablet p.o. twice a day as well. 11. dulcolax suppository, 10 mg one to two suppositories per rectum q day, prn. 12. heparin 5000 units subcutaneous twice a day to be continued while in rehabilitation. 13. dilantin 200 mg p.o. three times a day, to be continued on an outpatient regimen. the duration of therapy will be determined by dr. at the time of his neurosurgical evaluation. 14. bacitracin to be applied as needed to his supraorbital laceration each day for the next 5 to 7 days. the sutures should be removed around the timing of his dismissal from the hospital, so that should not be an issue. the staples on his scalp can be removed in approximately 7 to 10 days from the time of dismissal with follow-up in the trauma clinic, by calling to make an appointment at . additionally, weight bearing activity and information: this patient may be full weight bearing to all extremities, per dr. of the orthopedic group and there is no brace required for his l5 transverse process fracture. , m.d. 2923 dictated by: medquist36 d: 11:14 t: 11:26 job#: procedure: venous catheterization, not elsewhere classified arterial catheterization closure of skin and subcutaneous tissue of other sites transfusion of packed cells transfusion of platelets diagnoses: urinary tract infection, site not specified other convulsions open wound of forehead, without mention of complication accidental fall on or from other stairs or steps subdural hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness closed fracture of lumbar vertebra without mention of spinal cord injury closed fracture of pubis injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum contusion of buttock 

Answer: The patient is high likely exposed to