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: iodine attending: chief complaint: s/p self inflicted gunshot wound to head major surgical or invasive procedure: egd history of present illness: 63yom w/ h/o depression presents s/p self-inflicted gun shot wound to face. per report injury occurred 5-7days ago and patient called ems to his home today. he was conversant on their arrival but was intubated at the scene for combativeness and refusal to have care. he was taken to an area hospital and transferred to because of his injuries. past medical history: pvd, venous stasis ulcers, chronic back pain, clotting disorder, depression with h/o previous multiple suicide attempts social history: health care proxy - , his mother and daughter are very involved in his care. etoh none tobacco none family history: non contributory physical exam: upon admission: 98.8 86st-189af 107/69 (78) cmv tv 600 peep 5 rr 29 fio2 100% sat 99% neuro: intubated sedated, unable to completely assess facial nerve, pt moves eyebrows on lt face: face encrusted w/ old blood, there is a 4x3cm wound over the rt cheek immediately inferior to the lobule at the level of the parotid, midface slightly mobile eyes: lt pupil 6->5mm sluggish, lt subconjunctival hemorrhage and edema, infraorbital rim intact bilaterally, rt pupil 4->2mm and reactive rt conjuctival edema, no obvious injuries ears: no otorrhea nose: full of thin bloody secretions unable to assess septum mouth: limited exam given ett unable to adequately assess rt side of jaw, no obvious injury to dentition on lt neck right jaw 1cm laceration, clean chest clear, no deformity cor rrr abd large, softly distended ext no edema, calves soft pulses 2+ throughout pertinent results: 10:55pm wbc-19.6* rbc-3.03* hgb-9.1* hct-27.2* mcv-90 mch-30.0 mchc-33.4 rdw-15.3 10:55pm plt count-374 09:31pm type-art po2-65* pco2-35 ph-7.48* total co2-27 base xs-2 09:24pm glucose-139* urea n-20 creat-0.8 sodium-142 potassium-3.1* chloride-105 total co2-29 anion gap-11 09:24pm alt(sgpt)-29 ast(sgot)-30 ld(ldh)-471* ck(cpk)-527* alk phos-162* tot bili-0.4 09:24pm ck-mb-5 ctropnt-0.04* 09:24pm albumin-2.5* calcium-8.0* phosphate-0.8* magnesium-2.1 iron-55 09:24pm caltibc-196* ferritin-130 trf-151* 09:24pm triglycer-115 09:24pm tsh-0.36 02:40pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg cardiology report ecg study date of 3:56:08 pm atrial fibrillation with rapid ventricular response. low limb lead voltage. delayed precordial r wave transition. baseline artifact. repeat tracing of diagnostic quality is suggested. no previous tracing available for comparison. head ct scan impression: 1. no intracranial hemorrhage. complex maxillofacial fractures described in detail in the concurrent ct sinus. lodged bullet in the left retroorbital soft tissues again described in the concurrent ct. please refer to the ct sinus for details. 2. opacification of bilateral paranasal sinuses with air-fluid levels in the sphenoid sinuses and hemorrhagic opacification of bilateral maxillary sinuses. ct sinus/mandible impression: 1. complex maxillofacial mandibular fracture as described above, involving the right medial and lateral pterygoid plates, walls of bilateral maxillary sinuses including the inferior wall of the left orbit with a large bullet lodged in the left retroorbital soft tissues, distorting the intraconal fat and limiting evaluation of optic nerve and ophthalmic artery. no large retroorbital hematoma was however appreciated. ct cervical spine impression: 1. no evidence of c-spine traumatic injury, no fractures or traumatic malalignment. 2. mild multilevel degenerative disease, worst at c5-c6 and c6-c7. biapical patchy opacities, right greater than left. document resolution on followup chest ct after stabilization of patient's current clinical state. 3. the moderately distended esophagus is partly visualized. 4. maxillofacial fractures partly imaged, better described in concurrent sinus ct. ct chest/abdomen/pelvis impression: 1. no evidence of hematoma of the chest, abdomen or pelvis. 2. moderate bilateral pleural effusions with underlying atelectasis/consolidation. multifocal bilateral airspace opacities concerning for infection, including opportunistic infection. tree-in- pattern and ground-glass opacity of the lingula concerning for aspiration. 3. distended stomach with fluid and air. consider ng tube for decompression. 4. non-specific peritoneal stranding/thickening, may reflect inflammation or a chronic/ongoing intra-abdominal process. 5. l1 compression deformity, age indeterminate. repeat head ct scan impressions: 1. extensive streak artifact from bullet and dental hardware limits evaluation of the left frontotemporal region and the posterior fossa, as before. allowing for this, no large intracranial hemorrhage, cerebral edema or mass effect seen. 2. interval opacification of middle ear cavities and mastoid air cells, bilaterally. brief hospital course: he was admitted to the trauma service and transferred to the trauma icu where he remained sedated and intubated. his hospital course by systems is as follows: neurologic: there was no intracranial hemorrhage noted on initial and on repeat head ct imaging. he initially required sedation while in the icu while ventilated; eventually his sedation was weaned off. his current mental status at time of this dictation is awake, alert; very interactive. he is ambulating with a rolling walker and walking all around the trauma floor without any complaints. ent: his hearing is somewhat decreased though he seems to be able to hear everyone speaking in normal tones. on exam his right ear outer canal had some old blood visible and cerumenex was started to soften it up. respiratory: once weaned and extubated he remained in the icu for close monitoring; his saturations remained stable throughout his icu stay. he no longer requires any supplemental oxygen. cardiac: he was noted with runs of atrial fibrillation during his initial icu stay and received beta blockade. he remained on lopressor for a short period and this has since been stopped. there have been no other cardiovascular issues. gastrointestinal: he was noted with a hematocrit drop and melena requiring intermittent blood transfusions with packed cells. because of this he was transferred back to the icu for several days. gi was consulted; he underwent an egd which showed pyloric ulcer and esophagitis. he was started on a ppi. serial hematocrits were followed. his current hematocrit at time of this dictation is 29.9 he is currently tolerating a regular diet. genitourinary: there are currently no active issues. he is voiding without difficulty. musculoskeletal: there are no active issues currently. he continues to work with physical therapy and is making progress toward becoming independent with ambulation. his chronic back pain is controlled. heme: a hematology consult was obtained early on while in the icu due to an eosinophilia. it was felt by heme that it was most likely his eosinophilia was secondary to medications. it was further noted by heme that medication-induced eosinophilia is usually asymptomatic and doesn't necessarily require stopping the offending medication. and that regardless of the cause of his eosinophilia, its diagnosis is unlikely to affect his short-term prognosis and can be further worked up if it doesn't resolve once his antibiotic course is finished. pain: has a history of chronic pain related to his spine. was evaluated by the pain service while in the icu and initially placed on methadone. this was stopped at some point and he is currently taking percocet prn with adequate pain control. he has been followed closely by the chronic pain service and they have determined that it is effective based on exam and conversations with mr. . psychiatric/mental health: he has been followed closely by psychiatry during his inpatient stay. he was started on cymbalta and trazodone and is tolerating both without any difficulties. there have been no behavioral issues. medications on admission: coumadin, fioricet, imitrex, pepcid discharge medications: 1. bacitracin-polymyxin b 500-10,000 unit/g ointment sig: one (1) appl ophthalmic q6h (every 6 hours): apply to left eye. 2. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day): apply to left eye. 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime): apply to left eye. 4. brimonidine 0.15 % drops sig: one (1) drop ophthalmic q8h (every 8 hours): apply to left eye. 5. artificial tear ointment ointment sig: one (1) appl ophthalmic qid (4 times a day): apply to both eyes. alternate use between polymixin. 6. duloxetine 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. colace 100 mg capsule sig: one (1) capsule po twice a day. 10. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml's po twice a day as needed for constipation. 11. dulcolax 10 mg suppository sig: one (1) supp rectal once a day as needed for constipation. 12. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 14. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 16. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 17. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 18. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 19. sumatriptan succinate 25 mg tablet sig: two (2) tablet po daily (daily) as needed for headache. discharge disposition: extended care facility: hospital - discharge diagnosis: s/p self inflicted gunshot wound to head complex maxillofacial fractures leforte ii fractures bullet fragment left orbit traumatic optic neuropathy gastrointestinal bleeding pyloric ulcer esophagitis depression suicidal ideation acute blood loss anemia discharge condition: mental status:clear and coherent level of consciousness:flat affect, intermittently interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: * ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or naprosyn call your doctor 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: follow up with ophthamology/neuro-ophthamology in weeks: call for an appointment. follow up with plastics in 3 weeks, call for an appointment. follow up in clinic in the next 3-4 weeks with dr. to discuss further if repair of your jaw is needed. call for an appointment. follow up with psychiatry after discharge as instructed following your inpatient stay. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine enteral infusion of concentrated nutritional substances arterial catheterization nonexcisional debridement of wound, infection or burn diagnoses: acute posthemorrhagic anemia atrial fibrillation pneumonitis due to inhalation of food or vomitus blood in stool primary hypercoagulable state hypovolemia hyperosmolality and/or hypernatremia rhabdomyolysis home accidents venous (peripheral) insufficiency, unspecified chronic pain syndrome ulcer of calf eosinophilia open fracture of orbital floor (blow-out) other optic neuritis suicide and self-inflicted injury by handgun open fracture of base of skull without mention of intracranial injury, unspecified state of consciousness open fracture of mandible, ramus, unspecified 

Answer: The patient is high likely exposed to