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: unhelmeted mcc major surgical or invasive procedure: : emergent placement of tracheostomy : right craniectomy and evacuation of hemorrhage : peg placement and ivc filter placement history of present illness: 49yo gentleman involved in mcc this evening, unhelmeted, etoh= 107. gcs reportedly 8 on scene. to ,vecoronium given but unable to secure airway. upon arrival to ed, multiple airway attempts and more vecoronium given. short airway placed and patient rushed to or for emergent trach. after tracheostomy patient was taken for a ct scan which revealed a large right sdh/iph. past medical history: previous right craniectomy social history: construction worker, married, 2 children in college. + etoh family history: non-contributory physical exam: physical exam: o: t: bp: 103/59 hr: 63 r 16 o2sats 100% gen: short airway in place heent: pupils: 1.5mm b/l nonreactive, no corneals neck: hard collar abd: distended, obese extrem: no mvmt cranial nerves: unable to obtain physical exam upon discharge: no eye opening perrl 4mm trach mask (sutures out) following commands with right upper and lower extremity spontaneous movement of left and upper and lower extremity peg tube site c/d/i pertinent results: head ct: impression: multicompartmental subdural, subarachnoid, intraparenchymal and intraventricular hemorrhage as detailed above. intraventricular hemorrhage extends into the third ventricle. there is associated 10 mm leftward midline shift. a component of low attenuation seen immediately adjacent to the right frontal lobe suggestive of a hyperacute component to this extensive multicompartmental hemorrhage. associated scalp hematoma. there is no ventriculomegaly as of yet. cspine ct: impression: 1. no acute fracture or dislocation. extensive pharyngeal edema with the patient noted to be status post tracheostomy with tip terminating within the mid trachea. 2. bilateral posteriorly located right greater than left air space consolidation, likely massive aspiration. cspine cta: impression: 1. no acute fracture or dislocation. extensive pharyngeal edema with the patient noted to be status post tracheostomy with tip terminating within the mid trachea. 2. bilateral posteriorly located right greater than left air space consolidation, likely massive aspiration. trauma panel: impression: 1. collapse of left lower lobe; change of atelectasis/aspiration within bilateral lower lobes are dependently as described above. in addition, small foci of centrilobular opacities seen in the right upper lobe may also represent the change of aspiration. 2. status post tracheostomy and associated postsurgical changes. 3. no post-traumatic visceral injury is visualized within the chest, abdomen, and pelvis, allowing for the contrast injection technique, which is suboptimal as it was tailored for the next ct. 4. distention of stomach, small, and large bowel with gas, likely related to laryngeal mask, airway ventilation in the field. 5. congenital absence of the left kidney and left seminal vesicles head mri: impression: 1. punctate areas of restricted diffusion at the -white matter junction in the bilateral frontoparietal lobes with associated microhemorrhage, consistent with diffuse axonal injury. no evidence of hypoxic injury. 2. stable leftward shift of midline structures with right-sided extensive subdural hematoma, subarachnoid hemorrhage, and intraparenchymal hemorrhage as described above and on the prior head ct. head ct: impression: 1. status post right frontoparietal craniotomy with improved appearance of right ventricle and midline shift and expected subcutaneous emphysema and pneumocephalus. 2. relatively unchanged appearance of previously described right frontoparietal intraparenchymal hemorrhage, subarachnoid hemorrhage, subdural hemorrhage, and intraventricular hemorrhage. 3. paranasal sinus air-fluid levels likely indicate facial fractures, better evaluated on facial bone ct performed on the same day. ct max-face: impression: 1. minimally rightwardly displaced nasal bone fracture. 2. no evidence of orbital or mandibular injury. le duplex: impression: no evidence of acute deep venous thrombosis in the evaluated bilateral lower extremities, although evaluation is limited in the right inguinal regionespecially at the level of the common femoral vein and greater saphenous vein junction. r tib/fib xray: impression: no evidence of acute fracture head ct: impression: 1. slight interval increase in size of the lateral and third ventricles, concerning for developing hydrocephalus. 2. unchanged amount of distribution of multicompartmental intracranial hemorrhage. 3. 4 mm rightward shift of midline structures (previously 4 mm leftward shift of midline structures on ). head ct: impression: overall unchanged appearance of the brain compared with with right-sided craniectomy and intraparenchymal, subdural as well as subarachnoid and intraventricular blood. no evidence of hydrocephalus. leni's: impressions: no evidence of dvt in either lower extremity. ct chest: impression: 1. no definite evidence of pneumonia. mild persistent bibasilar and lingular volume loss are significantly improved as compared to . 2. multiple sub-4-mm right upper lobe and right middle lobe pulmonary nodules. as guideline, follow-up in 12 months is recommended in a patient with increased risk for lung cancer. otherwise no follow-up is indicated. 3. persistent moderate pneumoperitoneum. ct head: overall stable appearance of the brain as compared to , . no new focal hemorrhage cxr: no evidence of pneumonia as can be identified on single ap chest view bedside examination. brief hospital course: this patient was admitted after emergent tracheostomy. mannitol was given in attempt to reduce intracranial pressure. patients examination did not show sign of improvement therefore an mri was requested to evaluate for hypoxic injury. this was negative therefore it was decided to take the patient for surgical decompression. he was taken for a right craniectomy which was performed without complication. a routine postoperative head ct was performed which revealed post operative changes and excellent decompression. on his neurological exam was slightly improved. he continued on mannitol and dilantin. a lower extremity duplex was performed which was negative for dvt. on the patient was off the ventilator and tolerating a trach mask. dilantin was rebolused and physical exam was slightly improved. head ct was done and stable. on repeat head ct was stable and the patient began following commands. dilantin was increased for persistant low level. mannitol wean was started. on subdural drain was removed and sutured. peg and filter consultations were requested. on transfer orders to the stepdown were written. social work consultation for gaurdianship was requested. mannitol cont to be weaned. peg & ivc filter were placed. pt was febrile to 103. pan culture sent. mannitol wean completed. seen by pt and ot who recommend discharge to rehab. fevers continued therefore id was consulted and he was started on vancomycin and zosyn. the patient was again febrile and was noted to have streaks of blood in his stools. hct checked and followed. pt pan cultured again for low grade fever per id rec's. neurologically stable. cultures all ngtd. has remained afebrile x 24 hrs. will check urine cx and vanco trough per id. picc line placed and central line removed. pt again febrile overnight. subgaleal collection tapped per id recommendations. pt afebrile, gram stain for fluid collection negative for any cells. infectious disease cleared the patient for discharge. he is to continue current antibiotic regimen through for vap. pt was cleared for discharge to rehab. medications on admission: none discharge medications: 1. acetaminophen 650 mg/20.3 ml solution sig: po q6h (every 6 hours) as needed for fever. 2. white petrolatum-mineral oil 56.8-42.5 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for dryness. 3. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 7. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 8. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. 9. ibuprofen 100 mg/5 ml suspension sig: twenty (20) ml po q6h (every 6 hours) as needed for fever. 10. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). 11. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 12. vancomycin in d5w 1 gram/200 ml piggyback sig: one (1) intravenous q 8h (every 8 hours): continue through . 13. piperacillin-tazobactam-dextrs 4.5 gram/100 ml piggyback sig: one (1) intravenous q8h (every 8 hours): continue through . 14. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. discharge disposition: extended care facility: discharge diagnosis: traumatic brain injury, right sdh/iph/ivh discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: general instructions wound care ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. medications ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: o narcotic pain medication such as dilaudid (hydromorphone). o an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? if you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your surgery, you may safely resume taking this on xxxxxxxxxxx. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. activity the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified incision of cerebral meninges interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closed [endoscopic] biopsy of bronchus diagnoses: acidosis unspecified protein-calorie malnutrition ventilator associated pneumonia accidents occurring in unspecified place other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration motor vehicle traffic accident of unspecified nature injuring motorcyclist subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration other diseases of respiratory system, not elsewhere classified 

Answer: The patient is high likely exposed to