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: unconscious since mvc major surgical or invasive procedure: percutaneous tracheostomy percutaneous endoscopic gastrostomy history of present illness: ms. is a 40 year-old left-handed indian woman with no significant past medical history who presented to the ed after being struck by a motor vehicle. the patient's family explained that she was in her usual state of health until the accident. although she and her husband live in pa, they are visiting relatives in the area. the patient apparently left her relatoves' home independently prior to the accident so her family is unaware of the details of the collision. some of the reports suggest she was thrown 50 feet. reports indicate she was intubated for airway protection soon after the accident. past medical history: none social history: married, lives in pa with husband, visiting family in the area etoh none tobacco none family history: non contributory physical exam: vitals: t: 100.5 p: 80 r: 22 bp: 132/59 sao2:100% on cpap/psv with fio2 40% general: appers to be sleeping, nad. heent: normocepahlic,atruamatic, no scleralicterus noted. neck: supple. cardiac: regular rate, normal s1 and s2. pulmonary: lungs clear to auscultation bilaterally anteriorly. abdomen: round. normoactive bowel sounds. soft. non-tender, non-distended. extremities: warm, well-perfused. skin: no rashes or concerning lesions noted. msk: there does not seem to be localized tenderness on the right-sided limbs neurologic examination: mental status: * degree of alertness: arouses to loud voice, tactile stimulation * language: comprehension appears intact; pt able to correctly follow midline and appendicular commands (eg shows thumbs up on left). cranial nerves: * i: olfaction not evaluated. * ii:perrl 2.5 to 2mm and slightly sluggish. * iii, iv, vi: eomi without nystagmus. (examiner had to hold eyelids open to evaluate as pt seems unable to spontaneoulsy open eyes) * v: facial sensation intact to light touch in the v1,v2,v3 distributions (based on communication with thumbs up). * vii: no clear facial droop, ett in place. * viii: hearing intact to finger-rub bilaterally (based on communication with thumbs up). * ix, x: unable to assess * : unable to assess * xii: unable to assess motor: * bulk: no evidence of atrophy. * tone: normal. * drift: unable to assess. strength: * left upper extremity: moves spontaneously, maintains ue at least versus gravity * right upper extremity: does not move spontaneously * left lower extremity: moves spontaneously (to a greater degree than lle) * right lower extremity: moves spontaneously reflexes: * left: 3 throughout biceps, triceps, bracheoradialis, patellar * right: 3 thoughout biceps, triceps, bracheoradialis, patellar *babinski: extensor bilaterally sensation: * withdraws to noxious in four limbs coordination * unable to assess gait: * unable to assess *************** pertinent results: 07:48pm wbc-18.9* rbc-3.79* hgb-6.2* hct-23.2* mcv-61* mch-16.3* mchc-26.6* rdw-18.0* 07:48pm plt count-439 07:48pm pt-14.2* ptt-22.0 inr(pt)-1.2* 07:48pm glucose-159* lactate-1.5 na+-138 k+-3.7 cl--105 tco2-23 07:48pm urea n-12 creat-0.6 10:21pm glucose-165* urea n-10 creat-0.6 sodium-140 potassium-3.7 chloride-108 total co2-21* anion gap-15 10:21pm alt(sgpt)-56* ast(sgot)-120* ld(ldh)-512* alk phos-84 tot bili-0.7 head ct : no acute intracranial hemorrhage ct torso : 1. grade 1 to 2 splenic laceration without associated subcapsular hematoma or hemoperitoneum. mri head : 1. multiple small foci of flair hyperintensity in the cerebral sulci at the vertex/adjacent cortex, which may relate to small areas of hemorrhage, given the history. evaluation for and presence of blood products in the brain parenchyma, is significantly limited due to extensive artifacts. study is extremely suboptimal for this evaluation and cannot be excluded. 2. small right-sided subdural fluid collection with mild displacement of the cerebral parenchyma, with a transverse dimension of 4.5 mm. followup with ct recommended. mri c spine : 1. no acute injury to the cervical spine or cord signal abnormality is present. 2. central disc herniation at c4-5 deforms the ventral cord surface without frank cord compression or abnormal cord signal. head ct : 1. mild asymmetric prominence of the extra-axial space overlying the right frontal lobe, with csf-attenuation, unchanged since concurrent mr examination performed at 12:00 p.m. this may relate to pre-existent frontal atrophy, or alternatively, subdural hygroma or resorbed hematoma. 2. no acute hemorrhage is seen. 3. chronic-appearing inflammatory disease involving, predominantly, right- sided paranasal sinuses, with a pattern suggestive of underlying sinonasal polyposis; this should be correlated clinically. eeg : this is an abnormal portable eeg due to slowing and disorganization of the background rhythm consistent with a mild to moderate encephalopathy. medications, toxic/metabolic disturbances, and infections are common causes. additionally, there is intermittent focal slowing in the left temporal region suggestive of possible subcortical dysfunction in this area. no epileptiform discharges or electrographic seizures were seen during this recording. brief hospital course: mrs. was evaluated in the emergency room by the trauma service and intubated as her gcs was 7. she was then admitted to thw trauma icu for further care. she had a splenic laceration and her hematocrit drifted to 19 requiring 2 units of packed red blood cells. her hematocrit stabilized but more concerning was her mental status. she was very slow to wake up and when she did had a notable right sided weakness along with anisicoria which was an old finding. her initial head ct was negative but due to her neurologic findings she had an mri done which showed a possible small right subdural hematoma. the study was inconclusive for . she was followed closely by the neurology service daily and over time was able to respond appropriately to some commands, not all. she continued to have right sided weakness which may indicate a left hemispheric stroke. an eeg was done as her mri did not show a stroke. the eeg showed mild metabolic encephalopathy, no seizure activity and intermittent slowing of the left temporal area suggesting possible subcortical dysfunction. in order to protect her airway and facilitate vent weaning she underwent a percutaneous tracheostomy as well as a peg tube placement for nutrition. she was easily weaned off the ventilator to a trach collar but required vigorous pulmonary toilet including nebulizer treatments, chest pt and suctioning. following transfer to the trauma floor she continued to make good progress. she was able to consistently follow commands and seemed to recognize her family. her mental status improved daily and as her secretions decreased, her trach was downsized and subsequently capped. she was able to speak softly and answer questions appropriately. she was decannulated on and has not had any problems since. after a swallowing evaluation she was advanced to pureed foods and thin liquids`and her tube feedings were cycled. she was placed on calorie counts prior to discontinuing her tube feedings. her oral intake improved and she was meeting her caloric requirements on a daily basis. her g tube will be removed in 2 weeks when she returns to her doctor . her bowels were functioning normally. she worked daily with the physical and occupational therapy services and has been making remarkable progress. she is up and walking all around the unit with a rolling walker and her stamina is increasing daily. her speech is clear and fluent and her thought process is intact. her family had multiple meetings with the medical and rehabilitation staff to train and reinforce her care and review her needs at home. after a long hospital stay, mainly for rehabilitation, she was discharged to home on . medications on admission: none discharge medications: 1. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: home discharge diagnosis: primary diagnosis s/p pedestrian v. car 1. splenic laceration 2. 3. acute blood loss anemia 4. respiratory compromise secondary to #2 discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: * you suffered a severe brain injury as a result of your accident. you are making excellent progress but you will find that you are still in the process of relearning things. you need to eat and get stronger so that you can develop more stamina and increase your walking skills. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending until you feel stronger. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. keep a dressing over your trach site and change it daily. your g tube can be removed in 2 weeks by your doctor jersey. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: call dr. at if you have any questionsr concerns. call your primary care doctor for a follow up appointment in 2 weeks. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy diagnoses: unspecified protein-calorie malnutrition motor vehicle traffic accident involving collision with pedestrian injuring pedestrian open wound of forehead, without mention of complication acute respiratory failure pneumonia due to pseudomonas pneumonitis due to inhalation of food or vomitus metabolic encephalopathy injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma subdural hemorrhage following injury without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness and return to pre-existing conscious level 

Answer: The patient is high likely exposed to