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: this is a 50-year-old gentleman with no significant past medical history who presented after a fall from 15-20 feet off scaffolding. he hit the back of his head. the patient states he was working on his house and just lost his balance and fell forward off the scaffolding. the patient states that he hit the back of his head but the patient was found near a tree stump and unable to move. he states that he did not lose consciousness, but does not remember the point of impact. the patient's wife called ems and he was brought to the emergency room in a cervical collar and remained hemodynamically stable with no visual changes, no open wounds, and no obvious fractures. past medical/surgical history: in he had a left tibia-fibula fracture. his spine ct shows a locked facet at c5-c6 and narrow spinal cord at c6. mri shows severe ligamentous damage with cord injury at c4-c5, c5-c6. physical examination: on physical examination the patient was alert and oriented x 3 with no acute distress. heent: pupils were equal, round and reactive to light, extraocular movements full. chest: clear to auscultation. cardiac: regular rate and rhythm. abdomen: soft, nontender, nondistended, positive bowel sounds. extremities: no cyanosis, clubbing or edema. rectal: tone was intact. his muscle strength was proximally and distally in the right upper extremity and in the right lower extremity. the left upper extremity was proximally and distally in his muscle groups and the lower extremity was . his left upper extremity had numbness and tingling in the entire aspect of his arm. his reflexes were 2+ in the upper extremities, 2+ in the right knee, 3+ in the left knee, and 1+ at the ankles. hospital course: he was admitted to the trauma service in the intensive care unit for observation. the patient was placed in cervical traction and reduced. the patient was evaluated by dr. and felt to have left upper extremity weakness and numbness in all extremities. on examination he had significant quadriparesis, upper extremities greater than lower extremities, mild bilateral hip flexor weakness, and pathologic hyperreflexia. imaging studies demonstrated c5-c6 fracture and dislocation with bilateral jump facet and significant ligamentous disruption with t2 cord signal increase with edema and possible hematoma. the patient underwent a c5-c6-c7 anterior cervical fusion with diskectomy and fusion; c5-c6 laminectomy, c4-c7 mass screw fixation without intraoperative complications. postoperatively the patient's vital signs were stable. neurologically on motor strength examination he was 4 in the biceps, 4 triceps on the right; 4- on the left triceps, 4 wrist extension, 4- wrist flexion; interossei were 4+ on the right, 4- on the left. his ips were in all muscle groups except for his left hamstring which was 4+. he had slight numbness to light touch on the right arm, symmetric to light touch in the lower extremities. his reflexes were absent in the upper extremities. toes were downgoing postoperatively. his incision was clean, dry and intact. his speech was fluent. he was awake, alert, and oriented x 3. the patient was placed in a hard collar postoperatively, to remain in a hard collar until follow up. his vital signs remained stable. he was afebrile. he was transferred from the intensive care unit on . he was seen by physical therapy and occupational therapy and felt to require rehabilitation, although due to lack of insurance, the patient stayed in the hospital until physical therapy and occupational therapy cleared him for a safe discharge home. the patient was discharged to home on in stable condition with an outpatient occupational therapy prescription. his incision was clean, dry and intact. his vital signs were stable. discharge medications: 1. percocet 1-2 tablets p.o. q. 4 hours p.r.n. for pain. 2. diazepam 5 mg p.o. q. 6 hours p.r.n. condition: stable. follow-up plans: he will follow up with dr. in one week for staple removal. , m.d. dictated by: medquist36 procedure: other cervical fusion of the anterior column, anterior technique repair of vertebral fracture diagnoses: home accidents closed fracture of c5-c7 level with unspecified spinal cord injury accidental fall from scaffolding 

Answer: The patient is high likely exposed to