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: cc: major surgical or invasive procedure: cranioplasty (elevation of depressed skull fracture) history of present illness: hpi: 50 year old intoxicated male was found by ems today with an abrasion on the right frontal portion of his head. he reportedly fell from a standing position, had garbled speech and was not following commands. he was brought to the er and had a head ct which shows a depressed skull fracture in the right frontal bone, 2mm sdh in that region, and scattered sah. the patient is sleeping and not able to participate with the exam. the trauma team is planning on intubating him shortly. they will be admitting the patient to the icu. past medical history: pmhx:unknown social history: social hx: (+) etoh family history: unkown physical exam: on arrrival physical exam: t:not recorded bp:136/93 hr:102 rr:14 o2sats:98% 3l nc gen: lethargic, does not open eyes, does not follow commands heent: pupils: pupils equal, minimally reactive eoms-unable to test neck: in cervical collar, does not appear to have pain when c-spine palpated lungs: coarse breath sounds bilaterally cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: sleeping, not able to follow commands. speaks briefly with severely garbled speech; cannot make out any words. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. iii-ix: not able to test motor: normal bulk and tone bilaterally. no abnormal movements, tremors. moving all extremities spontaneously, but not following commands. pertinent results: radiology final report chest (portable ap) 8:33 pm chest (portable ap) reason: assess for cp process medical condition: 50 year old man with fall from standing with fever reason for this examination: assess for cp process chest history: trauma. two portable ap views. comparison with . the lungs remain clear. the heart and mediastinal structures are unremarkable for technique, as before. the bony thorax is grossly intact. there is no significant change. impression: no active disease. dr. approved: sun 12:27 pm radiology final report ct head w/o contrast 5:38 pm ct head w/o contrast reason: assess fracture reduction medical condition: 50 year old man with depressed skull fracture reason for this examination: assess fracture reduction contraindications for iv contrast: none. head ct without contrast indication: 50-year-old man with depressed skull fracture, assess fracture reduction. omparison: . technique: head ct without contrast. findings: assessment is limited due to motion degradation of the images. again noted, unchanged small left cerebral convexity subdural hematoma. there is no significant mass effect or midline shift. two burr holes are seen again along the left cerebral convexity. the evaluation of the comminuted depressed skull fracture along the right side of the frontal lobe is extremely limited by motion, however, there has been interval fracture reduction, and where evaluated, alignment appears improved, with surgical sutures in place. the amount of hemorrhage into right choroid plexus has significantly decreased in the interval. impression: 1. interval reduction of right frontal depressed skull fracture. 2. improved right choroid plexus hemorrhage. 3. unchanged left subdural hematoma, right subdural hematoma is not well assessed due to significant motion and beam hardening artifact. cardiology report ecg study date of 7:11:18 pm sinus tachycardia nonspecific st-t abnormalities no previous tracing available for comparison read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 100 132 82 358/6 radiology final report ct c-spine w/o contrast 6:44 pm ct c-spine w/o contrast reason: fx medical condition: 50 year old man with fall from standing and forehead lac reason for this examination: fx contraindications for iv contrast: none. cervical spine ct without contrast, at hours history: status post fall. technique: serial transverse images were acquired sequentially through the cervical spine and reconstructed at stacked 2.5-mm axial sections. coronal and sagittal reformatted images were generated. no intravenous contrast was administered. comparison: none. findings: there is mild multilevel disc space narrowing throughout the cervical spine at nearly all levels with small marginal osteophytes. minimal canal stenosis is evident at c5-c6. bony neural foraminal encroachment is noted on the right at c5-c6. otherwise, the neural foramina remain widely patent. there is no fracture. subchondral cysts are noted along the inferior endplate of c3 secondary to degenerative change. alignment is anatomic. the prevertebral soft tissues are unremarkable. impression: mild multilevel degenerative disease as above. no traumatic injury. dr. approved: mon 10:59 pm radiology final report ct chest w/contrast 8:39 pm ct chest w/contrast; ct abdomen w/contrast reason: ? intrab bleedplease do l-s recons field of view: 32 contrast: optiray medical condition: 50 year old man found down, head bleed reason for this examination: ? intrab bleedplease do l-s recons contraindications for iv contrast: none. ct torso with intravenous contrast: indication: 50-year-old man found down, had hemorrhage. comparison: not available. technique: mdct axial images of chest, abdomen, and pelvis were obtained following administration of intravenous contrast. coronal and sagittal reformatted images were obtained. ct chest with intravenous contrast. there is no pneumothorax. the aorta and great vessels are unremarkable. there is no mediastinal hematoma. there is no evidence of aortic dissection. heart size is mildly enlarged. there is no pericardial or pleural effusion. there is no pathologically enlarged mediastinal, axillary, or hilar lymphatic nodes. there is a moderate-sized paraesophageal hiatal hernia. the lungs are clear, with the exception of mild dependent atelectasis at bases bilaterally. ct abdomen with intravenous contrast: the liver, spleen, pancreas, kidneys bilaterally are unremarkable, without evidence of traumatic injury. the gallbladder is moderately distended, without wall thickening or pericholecystic fluid. the stomach, abdominal loops of large and small bowel are unremarkable. there is no free air, no free fluid, and no pathologically enlarged mesenteric or retroperitoneal lymph nodes. ct pelvis with intravenous contrast: there is a foley catheter within the bladder. the bladder wall is thickened, most likely due to underdistension. the prostate, seminal vesicles, rectum, sigmoid colon are unremarkable, with the exception of diverticulosis, without evidence of acute diverticulitis. bone windows: demonstrate no suspicious lytic or sclerotic lesions. there are no acute fractures identified. there are old fracture deformities of multiple right ribs. impression: no evidence of acute traumatic injury in chest, abdomen and pelvis. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 10:21 am test name value units reference range 04:20pm complete blood count white blood cells 7.8 k/ul 4.0 - 11.0 performed at west stat lab red blood cells 3.12* m/ul 4.6 - 6.2 performed at west stat lab hemoglobin 10.5* g/dl 14.0 - 18.0 performed at west stat lab hematocrit 31.7* % 40 - 52 performed at west stat lab mcv 101* fl 82 - 98 performed at west stat lab mch 33.6* pg 27 - 32 performed at west stat lab mchc 33.1 % 31 - 35 performed at west stat lab rdw 13.6 % 10.5 - 15.5 basic coagulation (pt, ptt, plt, inr) platelet count 318 k/ul 150 - 440 performed at west stat lab test name value units reference range 09:35am renal & glucose glucose 145* mg/dl 70 - 105 performed at west stat lab urea nitrogen 5* mg/dl 6 - 20 performed at west stat lab creatinine 0.9 mg/dl 0.5 - 1.2 performed at west stat lab sodium 137 meq/l 133 - 145 performed at west stat lab potassium 3.7 meq/l 3.3 - 5.1 performed at west stat lab chloride 105 meq/l 96 - 108 performed at west stat lab bicarbonate 21* meq/l 22 - 32 performed at west stat lab anion gap 15 meq/l 8 - 20 chemistry calcium, total 8.4 mg/dl 8.4 - 10.2 performed at west stat lab phosphate 3.0 mg/dl 2.7 - 4.5 performed at west stat lab magnesium 2.3 mg/dl 1.6 - 2.6 performed at west stat lab neuropsychiatric phenytoin 3.4* ug/ml 10.0 - 20.0 performed at west stat lab antibiotics vanco 05:30am 13.51 vancomycin @ trough 1 updated reference range as of == represents therapeutic trough neuropsychiatric phenyto 06:30am 7.5* alb added 12n 04:20pm 4.8* 09:35am 3.4* 07:40am 6.9* 02:31am 11.3 04:41am 4.7* toxicology, serum and other drugs asa ethanol acetmnp bnzodzp barbitr tricycl 06:35pm neg 415*1 neg neg neg neg venous dup ext uni (map/dvt) right 9:55 am venous dup ext uni (map/dvt) r reason: please evaluate for clot medical condition: 50 year old man with depressed skull fractures w/ hard vein reason for this examination: please evaluate for clot venous duplex upper extremities. reason: phlebitic vein right arm. findings: duplex evaluation was performed of right upper extremity venous system. the jugular, subclavian, axillary, brachial, cephalic, and basilic veins are all patent without evidence of thrombus or obstruction. there is normal compression, augmentation, and phasicity at the appropriate levels. there is no evidence of superficial phlebitis. impression: no evidence of right upper extremity dvt brief hospital course: pt admitted through ed after ems found pt with abrasion to forehead. workup revealed skull fracture that was depressed. his ability to consent for the procedure to repair this fracture was in question and a psychiatric consult for compentancy was obtained. he was deemed non-competent. his family was contact for consent. he was taken to the operating suite for the proposed procedure csw eval was obtained as this pt was noted to be homeless and intoxicated on admission. on pt was taken to the or for elevation of his depressed skull fracture. post-operatively, he was lethargic and somewhat uncooperative with his exam, but he was grossly neurologically intact. he did demonstrate some elements of korsakoff dementia, and he was maintained on a ciwa scale/folate/thiamine/mvi while in-house. on pt developed a fever, and cxr/bcx/ucx were done, all of which were no growth (though the bcx was ot finalized at the time of d/c), and pt was afebrile for remainder of hospitalization. on dilantin was d/c'd, his staples were d/c'd prior to discharge, and his was discharged to rehab on in improved neurologic condition (still disoriented to location, but no focal deficits and significantly more awake and attentive). medications on admission: unknown discharge medications: 1. hexavitamin tablet sig: one (1) cap po daily (daily). 2. folic acid 1 mg tablet sig: one (1) tablet po once a day. 3. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 5. lorazepam 2 mg/ml syringe sig: injection q2h (every 2 hours) as needed. 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: depressed skull fracture small subdural hematoma pneumocephalus discharge condition: stable discharge instructions: ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion 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 ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please call to schedule an appointment with dr. to be seen in weeks. you will need a cat scan of the brain without contrast procedure: elevation of skull fracture fragments diagnoses: unspecified fall lack of housing acute alcoholic intoxication in alcoholism, unspecified closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to