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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p 12 ft fall major surgical or invasive procedure: craniotomy/evacuation of posterior fossa epidural hematoma tracheostomy peg ivc filter placement reduction of nasal fracture history of present illness: 43 yo male who sustained a witnessed 12 ft fall backward onto his head while on a fishing vessel. he was taken to an area hospital. +loc en route to hospital then awoke complaining of headache and moving all extremities. while in the ct scanner at the area hospital he reportedly v-fib arrested and desaturated to 60%; he was resuciatated and then transferred to for continued trauma care. past medical history: unknown social history: primary language married, wife lives in has close friend who lives in family history: noncontributory pertinent results: 08:57pm type-art po2-360* pco2-40 ph-7.34* total co2-23 base xs--3 08:53pm ck(cpk)-319* 07:38pm glucose-198* lactate-9.1* na+-142 k+-3.8 cl--108 07:30pm pt-14.3* ptt-26.5 inr(pt)-1.3* 02:49pm wbc-13.6* rbc-3.83* hgb-11.6* hct-33.1* mcv-86 mch-30.4 mchc-35.2* rdw-12.8 02:49pm plt count-254 04:04am complete blood count white blood cells 8.1 k/ul 4.0 - 11.0 red blood cells 4.36* m/ul 4.6 - 6.2 hemoglobin 12.5* g/dl 14.0 - 18.0 hematocrit 37.6* % 40 - 52 mcv 86 fl 82 - 98 mch 28.7 pg 27 - 32 mchc 33.2 % 31 - 35 rdw 13.7 % 10.5 - 15.5 basic coagulation (pt, ptt, plt, inr) platelet count 949* k/ul 150 - 440 04:04am renal & glucose glucose 118* mg/dl 70 - 105 urea nitrogen 23* mg/dl 6 - 20 creatinine 0.6 mg/dl 0.5 - 1.2 sodium 141 meq/l 133 - 145 potassium 5.0 meq/l 3.3 - 5.1 chloride 100 meq/l 96 - 108 bicarbonate 33* meq/l 22 - 32 anion gap 13 meq/l 8 - 20 chemistry calcium, total 9.9 mg/dl 8.4 - 10.2 phosphate 5.5* mg/dl 2.7 - 4.5 magnesium 2.9* mg/dl 1.6 - 2.6 ct head w/o contrast impression: 1. status post right temporo-occipital craniotomy with epidural evacuation and intraventricular catheter placement. 2. new small left cerebellar epidural hematoma, and new/enlargement of two very small left occipital epidural hematomas, and blossoming of right cerebellar contusion. ct angiography history: status post evacuation of epidural hematoma. evaluate interval change. technique: non-contrast head ct scan followed by ct angiography of the head. comparison study: ct scan of the brain from . findings: as is evident on the prior scan, there appears to be a small left-sided posterior fossa epidural hematoma, approximately 5 mm in maximal width, centered over the large left occipital fracture. the hemorrhage, like the original collection, extends across the tentorium and displays a small supratentorial component. the tiny right cerebellar hemispheric hemorrhage and the extensive edema are redemonstrated. low density is still seen along the former ventriculostomy catheter tract with a tiny hemorrhagic residue at the level of the right lentiform nucleus. there is no hydrocephalus or perceptible shift of normally midline structures. the multiple fractures are again demonstrated. conclusion: small left-sided posterior fossa/supratentorial epidural hematoma, not overtly larger, compared with the study of . ct angiography of the circle of and its tributaries. technique: bolus intravenously enhanced imaging with multiplanar reconstructions. findings: the examination shows patency of the tributaries of the circle of . there does appear to be anterior displacement of the left transverse sinus, which would be an expected finding in the setting of a contiguous epidural hemorrhage. the right transverse sinus at this time appears more normal in position, although extensive metallic artifacts from the craniotomy preclude optimal demonstration of either this venous structure or the contiguous arterial branches. conclusion: findings which appear to confirm the presence of the small left- sided posterior fossa/supratentorial epidural hematoma. radiology final report ct head w/o contrast 1:08 pm ct head w/o contrast reason: s/p head injury. failure to waken. interval exam medical condition: 43 year old man with reason for this examination: s/p head injury. failure to waken. interval exam contraindications for iv contrast: none. indication: head injury. failure to awaken. interval exam. comparison: ct head dated . impression: continued evolution of the patient's previously identified foci of hemorrhage with no definite new foci of hemorrhage are seen or significant interval change in the appearance of the brain, compared to the study of . mra neck w&w/o contrast 8:15 pm mra neck w&w/o contrast; mr contrast gadolin reason: with fat sat contrast: magnevist medical condition: 43 year old man with possible cva reason for this examination: with fat sat mra of the neck with contrast clinical indication: possible cva and infarction. mra of the extracranial circulation was performed without and with intravenous gadolinium administration. the visualized common carotid arteries and bifurcations are patent. there is no hemodynamically significant stenosis is present. no carotid dissection is seen. following intravenous gadolinium administration, there is normal enhancement seen along the major vessels of the neck. the right innominate, left subclavian arteries and both common carotid arteries enhance normally. there is antegrade flow within both vertebral arteries without evidence for dissection. evaluation of the circle of is limited on this examination. the visualized proximal basilar circulation appears to be patent. there is enhancement noted along the cavernous ica. there is significant effacement of the nasopharynx due to the presence of fluid and possible soft tissue edema. this could be related to the patient's intubated status. a hematoma is present along the posterior aspect of the right neck which extends from c1-c2 level inferiorly to c6-c7 level. the hematoma is seen posterior to the paraspinal muscles. it could be related to recent trauma. impression: no evidence for carotid or vertebral artery dissection. the extracranial vessels in the neck are widely patent. effacement of the nasopharynx due to the patient's intubated status. t2 hyperintensity along the right posterior neck suggestive of a hematoma formation. brief hospital course: patient admitted to the trauma service neurosurgery was immediately consulted for his head injuries; he was taken from the emergency room to the operating room for emergent craniotomy; postoperatively he was admitted to the trauma icu and placed on dilantin for seizure prophylaxis. he will need to continue with the dilantin until follow up with dr. , neurosurgery, at which time he will need repeat head imaging. plastic surgery was also consulted for his facial fractures; he was taken to the operating for orif of his nasal fractures. neurology was consulted as well for right cerebellar contusion and questionable stroke; he underwent mra (see pertinent results) which revealed patent extracranial vessels. recommendations were to continue the dilantin. serial head ct scans continued to reveal resolution of his head injuries. following is a brief summary of his hospital course: : s/p craniotomy, evd. ct chest with b/l aspiration, abx started appears to be more purposeful moving all but left arm : ct - stable small left cerebellar epidural hematoma, left occipital epidural hematomas, and right cerebellar contusion : cta neg for dissection. ct - no signif interval change. : neuro consulted - rec: mri brain + dwi/adc & mri neck w/fat sats: neg for acute infarction : lenis normal. jp drain d/c'd. : s/p trach/peg/ivc filter. evd d/c'd after accidentally cut. u/s bue shows r cephalic vein thrombus. ct stable. s/p ivcf, trach, peg, nasal fracture repair sptm cx: gm - rods/diplococci. started on clinda. physical and occupational therapy were involoved in his care and have recommended acute care rehab. social work was also closely involved in patient's care. wife not a citizen of the united states; resides in ; she was kept abreast daily of patient's progress and was involved in decisions pertaining to his care. she was agreeable after translation to have patient discharged to rehab. patient also has a very close friend, , who was available for support and in assisting with explaining information to patient's wife. medications on admission: unknown discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever/pain. 3. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). 4. ibuprofen 100 mg/5 ml suspension sig: one (1) dose po q6h (every 6 hours) as needed for fever. 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. insulin regular human 100 unit/ml solution sig: as directed as directed injection asdir (as directed). 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 9. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 11. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 12. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 13. colace 150 mg/15 ml liquid sig: fifteen (15) ml's po twice a day: hold for loose stools. 14. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift discharge disposition: extended care facility: & rehab center - discharge diagnosis: s/p 12 ft fall basilar skull fracture nasal septum fracture small left cerebellar epidural hematoma, discharge condition: good discharge instructions: continue with dilantin until follow up with gr. , neurosurgery in 4 weeks. followup instructions: follow up with dr. , neurosurgery in 4 weeks. call for an appointment. inform the office that you will need a repeat head ct scan for this appointment. follow up in trauma clinic in 4 weeks, call for an appointment. md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus closed reduction of nasal fracture other craniotomy ventricular shunt to extracranial site nec other repair of nasal sinus diagnoses: closed fracture of nasal bones closed fracture of base of skull with cerebral laceration and contusion, with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level other fall from one level to another in water transport injuring other specified person 

Answer: The patient is high likely exposed to