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: known pan facial fracture major surgical or invasive procedure: 1. open treatment of a complicated right lefort iii with multiple surgical approaches including intermaxillary fixation. 2. open treatment of a complicated frontal sinus fracture with obliteration of the frontal sinus and packing of the nasal frontal ducts. 3. para cranial flap obliteration of the frontal sinus and nasal frontal ducts. 4. open treatment of a right orbital floor blowout fracture with titanium mesh. 5. open treatment of a nasal orbital ethmoid fracture including reduction of canthal bearing bone fragments bilaterally (, md). 6. bilateral temporary tarsorrhaphy. history of present illness: mr. is a 40-year-old caucasian male who was the fortunate victim of a motor vehicle versus bicyclist collision approximately 2 weeks prior to this surgical procedure. the patient sustained pan facial fractures including those mentioned above. the patient had an extended hospital course after the collision, during which time he underwent surgical procedures for tracheostomy placement as well as peg tube placement for feeding. the patient had remained intubated in an intensive care unit environment for the majority of his prior hospitalization and a decision for definitive facial reconstruction surgery was deferred until this admision. past medical history: denies social history: lives with his girlfriend family history: noncontributory physical exam: on discharge: vitals 99.1 71-83 100-108/60-74 16 96 % ra nad rrr, s1,s2 lungs clear periorbital swelling improved, nasal bridge in place no double vision visual exam grossly intact pertinent results: 06:50am blood wbc-8.1 rbc-2.65* hgb-8.0* hct-22.5* mcv-85 mch-30.0 mchc-35.3* rdw-13.3 plt ct-638* brief hospital course: the patient was admitted to the plastic surgery service on and had a repair of his pan facial fractures. the patient tolerated the procedure well. he was initially treated post-op in the icu. neuro: post-operatively, the patient received iv pain medications with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gu: foley was removed on pod#1. intake and output were closely monitored. id: post-operatively, the patient was started on clindamycin, whcih was continued during his stay. the patient's temperature was closely watched for signs of infection. antibiotics were stopped at discharge. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. gi/fen: post-operatively, the patient was given iv fluids until starting both tube feeds and a diet by mouth. he was also started on a bowel regimen to encourage bowel movement. the patient was started on tube feeds through his g tube post-up. by post-op day 6, he was tolerating his full thin liquids diet and tube feeds were discontinued. wound: tarsorapphy sutures were removed on pod#7. heent: the patient was decannulated the day prior to discharge by general surgery. ophthamology evaluated the patient and recommemded follow-up as an outpatient. at the time of discharge, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. he was cleared to go home by physical therapy. medications on admission: roxicet 5-325 5-10 mls q4 hrs augmentin 500 mg q8 hrs keppra 500 mg bacitracin topical ointment naturale forte eye drops prn discharge medications: 1. bacitracin 500 unit/g ointment sig: one (1) appl ophthalmic tid (3 times a day) for 2 weeks. disp:*1 tube* refills:*2* 2. levetiracetam 100 mg/ml solution sig: one (1) po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*600 ml(s)* refills:*0* 4. cyproheptadine 2 mg/5 ml syrup sig: one (1) po q8h (every 8 hours) for 2 weeks. disp:*100 mls* refills:*0* 5. ascorbic acid 90 mg/ml drops sig: five (5) mls po daily (daily) for 2 weeks. disp:*100 mls* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) for 2 weeks. disp:*14 tablet, delayed release (e.c.)(s)* refills:*0* 7. colace 100 mg capsule sig: one (1) capsule po twice a day: while taking narcotic pain medication. disp:*60 capsule(s)* refills:*2* 8. bacitracin 500 unit/g ointment sig: one (1) topical once a day for 2 weeks: please apply to scalp wound daily. disp:*1 tube* refills:*2* discharge disposition: home discharge diagnosis: pan facial fracture, status post blunt trauma related to a motor vehicle collision while bicycle riding discharge condition: stable discharge instructions: 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. * please resume all regular home medications and take any new meds as ordered. * 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. followup instructions: please follow-up with dr. in the department of general surgery about the removal/care of your feeding tube. call to schedule your appointment. please follow-up with plastic surgery this friday, . call to schedule your appointment. please follow-up with ophthamology on with dr. . call to schedule your appointment. procedure: enteral infusion of concentrated nutritional substances open reduction of maxillary fracture insertion of synthetic implant in facial bone bronchoscopy through artificial stoma elevation of skull fracture fragments removal of tracheostomy tube frontal sinusectomy other open reduction of facial fracture open reduction of nasal fracture blepharorrhaphy diagnoses: closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) gastrostomy status motor vehicle traffic accident involving collision with other vehicle injuring pedal cyclist tracheostomy status conjunctival hemorrhage closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness closed fracture of nasal bones mydriasis (persistent), not due to mydriatics exophthalmos, unspecified 

Answer: The patient is high likely exposed to