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: patient is a 25-year-old male pedestrian struck by a car while walking across the street and thrown 10 feet. he was found unresponsive at the scene with a gcs of 8. he became combative in the ambulance and was taken to . he was hemodynamically stable. at , the patient was found to have a subarachnoid hemorrhage on head ct along with a large skull fracture. he was seen by neurosurgery at but his family requested transfer to . at the outside hospital, the patient received 2 mg of ativan and mannitol and a question of dilantin for his head injury. on arrival, the patient was hemodynamically stable with a gcs of 14, slightly agitated, but stable. past medical history: none. past surgical history: none. medications: none. allergies: none. social history: weekend use of alcohol. physical examination: vital signs: gcs 14. alert and oriented times one. vitals: temperature 97.2. heart rate 100. blood pressure 161/90. respiratory rate 14. oxygen saturation 100% on four liters. physical examination: pupils equal, round and reactive to light. extraocular movements intact. face was stable. tms were clear. neck: trachea was midline with no crepitus. mandible was stable. his heart was regular rate and rhythm. chest was clear to auscultation bilaterally with no crepitus. abdomen was soft, nontender, nondistended and his fast exam was negative. rectal was normal tone, no gross blood, guaiac was negative. extremities without deformities. patient was moving all four extremities. his strength was equal throughout, as well as his sensation and nonfocal neurological exam. there was a small laceration noted on the right occipital area of his head. laboratories: patient had a normal hematocrit of 45.0. he also had normal coagulations with a pt of 13, ptt of 23 and inr of 1.2. laboratories were also notable for an alcohol level of 112 and a toxicology screen that was positive for opiates and cocaine. radiology: chest x-ray and pelvis x-ray were negative. ct of the abdomen was negative. ct of the c spine was negative for fracture. plain films of the tls spine were also negative for fracture and stability. ct of the head showed orbital frontal contusions with subarachnoid hemorrhage. there was extra-atrial blood noted with a question of left epidural versus subdural hemorrhage and there was a large associated parasagittal skull fracture running along the midline of the cranium into the left orbital area. hospital course: the patient was admitted to the trauma surgical intensive care unit for q. 1 hour neurological checks, as well as for intravenous fluids. the patient was protecting his own airway, so intubation was not of concern. the patient had an immediate consultation from neurosurgery who recommended that operative management would not be necessary that it was sufficient to continue with the q. 1 hour neurological checks, as well as following the coags every 4 hours, as well as to try to limit the amount of sedation in order to not cloud the examination of medical status. the patient continued to remain agitative through the first three hospital days requiring occasional use of benzodiazepines and narcotics to relieve pain and agitation. on hospital day number two, he received a repeat head ct, which again demonstrated the parasagittal fracture, as well as slight increase in the size of a frontal epidural hemorrhage now with a right sided component. while in the trauma surgical intensive care unit, the patient was also started on dilantin for seizure prophylaxis, as well as on oxacillin for infectious prophylaxis of the open head wound. on hospital day number four, the patient's mental status had improved enough, to where his agitation had decreased slightly allowing him to be transferred from the trauma intensive care unit to the floor still under a 1:1 sitter due to occasional agitation. a neurobehavioral consult was obtained and per the recommendations of the neurobehavioral consult, the patient was removed from all sedating medications aside from occasional percocets for pain control and instead was added seroquel 25 q.p.m., as well as trazodone 25 q.p.m. to repeat times one for helping the patient sleep at night. on hospital day number five, the patient was slightly decreased in agitation in the morning, although, still getting up out of bed and walking, even with a 1:1 sitter, however, he continued to improve throughout the day clearing his mental status, becoming alert and oriented times three and becoming more aware of his surroundings. in an attempt to try to regulate his sleep cycles and decrease the morning agitation, the trazodone was discontinued, but the seroquel was continued. the morning of hospital day number six, the patient showed a marked decrease in his agitation in the morning, showing greater incite into his situation, not getting out of bed on his own and being fully alert and oriented. also, on hospital day number six, occupational therapy and physical therapy, as well as social work were consulted. occupational therapy and physical therapy had helped the patient work with his cognitive and functional deficits, principally, his gait, which was still mostly ataxic six days following his head injury. social work was consulted primarily for providing references for substance abuse programs to deal with the patient's noted alcohol abuse. the patient continued to deny any us of opiates or cocaine, although, did not remember if he had taken any substances the night the injury was sustained, so the patient was referred to substance abuse clinics for further follow-up for this. on hospital day number six, it was determined that the patient would be eligible for rehabilitation inpatient therapy, so that several facilities were contact and one facility determined that the patient would be suitable for a rehabilitation stay there. the patient was stable enough for discharge to the rehabilitation facility under constant 1:1 supervision to decrease any fall risk. thus, the patient was discharged to a neurological rehabilitation facility on hospital day number six. final discharge diagnoses: 1. pedestrian struck by car. 2. parasagittal skull fracture. 3. frontal lobe contusions. 4. bilateral epidural hemorrhages with result in cognitive and functional disabilities. 5. substance abuse. post discharge medications: 1. dulcolax 5 mg 2 tablets q.d. as needed for constipation. 2. tylenol 650 mg q. 4-6 hours as needed for pain. 3. hydromorphone 10 mg, 1-2 tablets every 4 hours as needed for pain. 4. seroquel 25 mg, 1 tablet q.p.m. times four weeks. 5. dicloxacillin 500 mg, 1 capsule po q. 6 hours times eight days. follow-up: 1. the patient will be followed up at the rehabilitation facility by a physician to take out the staples and evaluate the head wound in seven to ten days. 2. neurosurgery follow-up in three weeks with dr. with a repeat ct prior to the appointment. 3. trauma clinic in two weeks. 4. neurobehavioral follow-up with dr. in one month. 5. alcohol and other substance abuse. patient was provided referrals for follow-up at each of these places. , m.d. dictated by: medquist36 procedure: closure of skin and subcutaneous tissue of other sites diagnoses: closed fracture of vault of skull with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness alcohol abuse, unspecified cocaine abuse, unspecified motor vehicle traffic accident involving collision with pedestrian injuring pedestrian open wound of scalp, without mention of complication abnormality of gait sixth or abducens nerve palsy injury to other specified cranial nerves 

Answer: The patient is high likely exposed to