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: s/p mva major surgical or invasive procedure: anterior cervical decompression and fusion of c5/c6. postierior c4 - c6 fusion history of present illness: 44 year old male status post high speed t-bone motor vehicle accident. he was unrestrained and found partially out of the driver-side window. he was intoxicated and had a gcs of 14 at the scene. he was initially brought to and found to have no sensation or movement from the waist down and no rectal tone. x-rays at showed a c5/6 subluxation and solumedrol was initiated. he was elective intubation for transport and helicoptered to . when he arrived at , he was withdrawing his left arm to pain, but had no movement of other extremities. solumedrol was continued as per protocol. past medical history: none social history: tobacco unknown, positive etoh, drug history unknown family history: non-contributary physical exam: afebrile, vital signs stable, intubated ncat, pupils equal cervical collar in place no chest crepitus, ctab rrr no murmurs abdomen soft, no ecchymosis pelvis stable bilateral shoulder, elbow, forearm, wrist, digits with full range of motion. normal sensation. no crepitus, +2 radial pulses bilaterally bilateral no motion or sensation, no crepitus or obvious deformities, +2 dorsalis pedis pulses, no withdrawal to pain no rectal tone, guaiac negative pertinent results: 09:59pm hgb-13.5* calchct-41 09:40pm urea n-12 creat-0.6 09:40pm amylase-63 09:40pm asa-neg ethanol-237* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:40pm urine hours-random 09:40pm urine gr hold-hold 09:40pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 09:40pm wbc-16.1* rbc-4.23* hgb-13.6* hct-39.9* mcv-95 mch-32.1* mchc-34.0 rdw-12.8 09:40pm plt count-347 09:40pm pt-13.5 ptt-27.3 inr(pt)-1.2 09:40pm fibrinoge-326 09:40pm urine color-straw appear-clear sp -1.006 09:40pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:40pm urine rbc-<1 wbc-<1 bacteria-rare yeast-none epi-<1 brief hospital course: hd#1: the patient was admitted to the trauma surgery service, received a neurosurgical consult, and was moved to the trauma sicu. he received methylprednisolone for his spinal cord injury. a ct of his cervical spine showed c5-6 anteriolisthesis with unilateral jumped right facet and contralateral fracture thru c5 and c6 lateral masses, with c6 fracture extensing through vertebral canal. an mri/mra of his head and neck showed cord edema at c5-6. a cta showed loss of the left vertebral artery in proximity to c5/6 fractures with reconstitution at higher levels. in addition, and abdominal ct showed left lower pulmonary lobe with atelectasis versus pneumonia. hd#2: the patient had a cervical angiogram which showed thromboses of his left vertebral artery. after the angiogram he went to the or for: 1. open reduction of the facet dislocation. 2. anterior diskectomy at c5-6. 3. anterior fusion c5-6. 4. instrumentation c5-6. 5. structural allograft. 6. cranial application and removal pod#1: pt did well pod#2: hct dropped from 27.7 to 23.9. he was transfused 2 units of prbc and remained hemodynamically stable and intubated. pod#3/0: the patient was stable enough to return to the or for: 1. posterior fusion from c4-c6. 2. posterior cervical interspinous wiring. 3. right iliac crest bone graft, bicortical graft. pod#: the patient did well post-operatively. he was started on a heparin drip with a ptt goal of 40-50 for the left vertebral artery thrombosis. he was weaned from the ventillator without complications and a chest x-ray showed a worsening right lower lobe opacity. the patient was transferred from the trauma sicu to the neuro step down unit. pod#: the patient's white blood cell count rose from 13.2 to 15.6 and sputum cultures were obtained. the patient was started empirically on lovenox. pod#: the patient did well, was afebrile, with increased mobility of all extremities, but had an increase in his white blood cell count from 15.6 to 18.4. pod#: the patient had a swallow study which recommended a diet consisting of: soft/moist solids and thin or nectar thick liquids, medications crushed in puree, no mixed consistencies (like soup with pieces of solids or cold cereal with milk). pod#: the patient had a repeat angiogram of his vertebral arteries which was unchanged from the prior study. he spiked a fever to 101.3f, and his sputum culture grew gram negative rods and beta streptococcus. zosyn was started and the levoquin was discontinued. his white blood cell cound decreased from 21.0 to 17.6. a chest x-ray showed improvement in the right lower lobe opacity. pod#: the patient again spiked a fever to 101.4f and his white blood cell count rose slightly to 18.3. pod#: the patient was doing well, afebrile, white blood cell count 22.4, and he was on zosyn day 3 of 14. his coagulation studies were ptt 56.9 and inr 1.2. the patient was discharged to in , nh. he was continued on zosyn x 11 days, coumadin, and heparin drip until his inr reached therapeutic levels. the rehab was to continue chest physical therapy, physical therapy, occupational therapy. the patient was to remain anticoagulated to 3 months and then to follow up with dr. for a repeat angiogram. medications on admission: flexeril discharge medications: 1. therapeutic multivitamin liquid sig: five (5) ml po daily (daily). disp:*30 ml(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. disp:*30 ml(s)* refills:*0* 3. warfarin sodium 7.5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. hydralazine hcl 10 mg iv q6h:prn for sbp>150 6. dolasetron mesylate 12.5 mg iv q8h:prn nausea 7. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 8. morphine sulfate 2-4 mg iv q3-4h:prn 9. lorazepam 1-2 mg iv q1h:prn per ciwa >10 10. prochlorperazine 5 mg iv q6h:prn 11. piperacillin-tazobactam 36-4.5 g recon soln sig: one (1) intravenous every eight (8) hours for 4 days: 4.5gm iv q 8 hours x 4days. disp:*qs * refills:*0* discharge disposition: extended care facility: discharge diagnosis: left vertebral artery thrombosis c5/c6 subluxation c5/c6 fractures extending into the vertebral canal pneumonia discharge condition: stable discharge instructions: patient to be discharged to rehab today and to receive daily chest pt, physical and occupational therapy. also to receive daily checks of his inr with goal of .5 and to receive coumadin nightly according to this scale. he should continue on his heparin drip at 1250units/hr until his inr reaches goal. neck collar must be worn at all times. followup instructions: patient to follow up with trauma clinic in two weeks, call to have appointment scheduled at . patient to follow up with neurosurgery in 3 months, call to have appointment scheduled with dr. at . procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation arteriography of cerebral arteries arteriography of cerebral arteries other cervical fusion of the anterior column, anterior technique excision of intervertebral disc excision of bone for graft, other bones transfusion of packed cells other cervical fusion of the posterior column, posterior technique fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae diagnoses: pneumonia, organism unspecified acute posthemorrhagic anemia occlusion and stenosis of vertebral artery without mention of cerebral infarction alcohol abuse, unspecified closed fracture of c1-c4 level with other specified spinal cord injury paraplegia motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of c5-c7 level with other specified spinal cord injury injury to other specified blood vessels of head and neck 

Answer: The patient is high likely exposed to