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 20 ft fall major surgical or invasive procedure: wash-out & open reduction internal fixation of right humerus fracture; wash-out and closure of left fore-arm laceration. open reduction internal fixation frontal sinus fracture with obliteration history of present illness: 51 yo male s/p 15ft fall from ladder with injuries to forehead (midline full thickness laceration), right elbow and arm, left elbow, and knee abrasions. patient lost consciousness at the scene with no memory after fall until he was in the ambulance. patient was transferred directly to hospital(stabilized and full body ct done) and then transferred to . at presentation to , patient had 8cm midline laceration of forehead with headache, denies any other neurologic symptoms, denies rhinorrhea or otorrhea. evaluation of osh imaging demonstrated bilateral nasal bone fractures, anterior displaced frontal sinus fracture, posterior undisplaced frontal sinus fracture, and right frontal pneumocephalus. moreover, imaging and ed evaluation demonstrated comminuted intra-articular distal humeral fracture with apparent compound nature. patient is currently stable. neurosurgery consults plastic surgery to evaluate and for management of the anterior wall frontal sinus fracture and to washout and close the deep forehead laceration. past medical history: tooth -- bilateral hands and feer psh: vasectomy car accident -- nasal fx, right 3rd digit spiral fx, right wrist ligament tear, left ankle fx social history: no tobacco, no etoh, lives with wife and children family history: noncontributory physical exam: general: awake, nad, lying in bed comfortably. head: nc, 6-7 cm forehead midline deep laceration overlying the frontal sinus, no scleral icterus, no oropharyngeal lesions extremities: warm - mental status - awake, alert, oriented x 3. recalls a coherent history. attention attained and maintained easily. follows two step commands, midline and appendicular. language fluent with intact repetition and verbal comprehension. normal prosody. no paraphasic errors. no dysarthria. no neglect. - cranial nerves - perrl 3->2 brisk. vf full to number counting. eomi, no nystagmus. v1-v3 without deficits to light touch bilaterally. no facial asymmetry. hearing intact to finger rub bilaterally. palate elevation symmetric. ] scm/trapezius strength 5/5 bilaterally. tongue midline. - motor - normal bulk and tone. no pronation, no drift. no tremor or asterixis. = ] l 5 5 5 5 5 5 5 5 5 5 5 r x x x x 5 5 5 5 5 5 5 rue testing deferred for humeral fracture. - sensory - no deficits to light touch bilaterally. - reflexes - plantar response flexor bilaterally. - coordination - no dysmetria with finger/foot mirrored movements. laboratory and imaging data: pertinent results: 04:18pm glucose-122* lactate-2.0 na+-144 k+-3.9 cl--107 tco2-23 04:14pm urea n-15 creat-1.1 04:14pm lipase-26 04:14pm wbc-17.8* rbc-5.62 hgb-16.0 hct-45.8 mcv-81* mch-28.4 mchc-34.9 rdw-13.3 04:14pm plt count-224 04:14pm pt-11.6 ptt-20.5* inr(pt)-1.0 maxillo-facial ct: depressed comminuted fracture in the frontal sinus with fracture line going through the outer and inner tables of the frontal bone with fracture fragments present in the frontal sinus. given the involvement of the inner table of the frontal bone there is an increased risk for csf leak. 2. demineralization of the cribriform plate, ethmoid bone and lateral lamellae 3. increased posterior fossa csf space and cisterna magna. 4. opacification of the nasal cavity, ethmoid air cells- cannot exclude intracrnaial communication; slightly hyperdense opacification of the frontal sinus. mucosal thickening of the maxillary sinuses bilaterally with small amount of fluid in the left maxillary sinus. left foot xrays: 1. trabecular incontinuity at the base of the 5th distal phalanx without cortical displacement may represent a nondisplaced fx; correlate w/ site of pain. 2. cortical irregularity w/ mild periosteal reaction at the proximal 5th metacarpal diaphysis is more compatible with a subacute/chronic injury rather than acute fx; correlate w/ time of injury right humerus: findings: multiple views from the operating suite show placement of a metallic fixation device about the previously described fracture of the distal humerus. metallic screw and rod are seen about previous fracture of the olecranon. further information can be gathered from the operative report. left foot : three views of the left foot. no acute fracture identified. moderate degenerative changes of the partially visualized ankle joint. minimal focal cortical thickening in the proximal shaft of the fifth metatarsal not felt to be of significance. visualized joints of the foot are normal. exam slightly limited by bedside images. brief hospital course: mr was admitted to the trauma icu from the ed following transfer to . his imaging from the outside hospital was reviewed, revealing a right frontal sinus, right orbit, and open right humerus fractures. he spent less than 24 hours in the trauma icu before transfer to the surgical . while in the icu, he was kept npo, on ivf with heparin subcu as prophylaxis. frontal sinus fracture with pneumocephalus; neurosurgery was consulted in the emergency department and recommended no neurosurgical intervention but follow-up in one month with ct scan. they recommended plastic surgery manage these fractures as well. we began prophylactic keppra on hd2 continuing for days was recommended. facial fractures: plastic surgery was consulted and he was taken to the operating room for repair on without complication. postoperatively he did have some nasal drainage which was to be expected. he should adhere to sinus precautions and keeping hob at least 30 degrees at all times and avoiding drinking through straws and blowing the nose. it was also recommended that he continue with po antibiotics for 7 days postoperatively. he will follow up in clinic on - an appointment time will need to be arranged. humerus fracture: he was given one dose of vanco and genta prior to going to the or on hd2 with orthopaedics to repair the fracture. they washed out and repaired the right elbow fracture and left elbow laceration. prior to and after the operation he showed no sign of neurovascular compromise to his hand. he was however noted with some erythema near the operative site and was treated with a course of ancef. the erythema did resolve. he will follow up in 2 weeks in clinic. left proximal 5th metacarpal fracture - subacute/chronic: he was evaluated by podiatry for this injury felt to be subacute. he may weight bear as tolerated and will follow up in weeks in clinic for this. he was evaluated by physical and occupational therapy and is being recommended for rehab after his acute hospital stay. his pain is controlled on prn oral narcotics and he is on a bowel regimen. he is tolerating a regular diet and ready for acute rehab in preparation for returning home. medications on admission: denies discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 days. 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 5. cefadroxil 500 mg capsule sig: one (1) capsule po twice a day for 7 days. 6. trazodone 50 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 7. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 8. senna 8.6 mg tablet sig: 1-2 tablets po once a day as needed for constipation. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). discharge disposition: extended care facility: - discharge diagnosis: s/p ~20 ft fall injuries: frontal sinus fracture forehead laceration right open distal humerus fracture left elbow laceration left proximal 5th metacarpal fracture - subacute/chronic discharge condition: level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital after a fall off a ladder. you were found to have a fracture to your right arm, a skull fracture and an old fracture of your right 5th toe. you were taken to the operating room to have your right arm repaired. do not put any weight on your right arm. you may put full weight on your left foot. you also underwent repair of your facial fractures. please follow these discharge instructions: . medications: * resume your regular medications unless instructed otherwise. * you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so do not take these meds with additional tylenol. * take prescription pain medications for pain not relieved by tylenol. * take your antibiotic as prescribed. * take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication. you may use a different over-the-counter stool softerner if you wish. . call the office immediately if you have any of the following: * signs of infection: fever with chills, increased redness, swelling, warmth or tenderness at the surgical site, or unusual drainage from the incision(s). * a large amount of bleeding from the incision(s). * fever greater than 101.5 of * severe pain not relieved by your medication. . return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. . activities: * no strenuous activity * exercise should be limited to walking; no lifting, straining, or excessive bending. * unless directed by your physician, not take any medicines such as motrin, aspirin, advil or ibuprofen etc . comments: * please sleep on several pillows and try to keep your head elevated to help with drainage. * please maintain soft diet until your follow up clinic visit and you can ask your surgeon whether you can advance your diet at that time. avoid soft diet foods with 'little pieces' (ie; oatmeal) that can get stuck in surgical wounds. * please continue your oral antibiotics for 7 days. * please avoid blowing your nose. * sneeze with your mouth open * try to avoid sipping liquids through a straw followup instructions: follow up next friday with dr. in clinic, call for an appointment. follow up in 2 weeks in clinic, call for an appointment. follow up in weeks in clinic ,call for an appointment. follow up in 4 weeks with dr. , neurosurgery; call . you will need a repeat non contrast head ct for this appointment. md procedure: closure of skin and subcutaneous tissue of other sites elevation of skull fracture fragments open reduction of fracture with internal fixation, humerus debridement of open fracture site, humerus frontal sinusectomy diagnoses: open wound of forehead, without mention of complication accidental fall from ladder closed fracture of nasal bones open wound of elbow, without mention of complication closed fracture of base of skull without mention of intra cranial injury, with brief [less than one hour] loss of consciousness peroneal muscular atrophy other open fracture of lower end of humerus 

Answer: The patient is high likely exposed to