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: fall with closed head injury major surgical or invasive procedure: 1. right craniectomy and evacuation of intracranial blood 2. tracheostomy. 3. percutaneous endoscopic gastrostomy tube placement. 4. endoscopy. 5. tube thoracostomy history of present illness: 48-year-old male fell down approximately 13 stairs while intoxicated. he was then transported to hospital. gcs there 13-14 but pt became combative and was subsequently intubated for airway protection. ct scan demonstrated large right sdh/sah with right to left midline shift, also with left pneumothorax and multiple rib fxs. a left chest tube was inserted and the patient was transferred to . past medical history: 1. alcohol abuse 2. tobacco abuse social history: none known family history: none known physical exam: gcs: e4 v1t m6; in no apparent distress. attempts to mouth a word occasionally. pupils 3mm equal and reactive. craniectomy wound healing well without sign of infection. tracheostomy site clean. breath sounds course. equal expansion rrr without m/r/g though distant abd mildly full but soft and nontender moves all 4 extremities. able to lift all 4 and follows commands. quadraparetic though right>left. stage 3 sacral pressure ulcer over coccyx without evidence of abscess pocket. pertinent results: head ct: stable intraventricular, intraparenchymal, subarachnoid, and extra-axial hemorrhage. stable mass effect on the right ventricle. chest x-ray: the heart is normal in size. the nasogastric tube is coiled in the upper stomach. the patient has been intubated and the ett terminates approximately 5 cm above the carina. the lungs appear clear and fully expanded. a chest tube is present terminating in the left upper hemithorax, and there is no obvious pneumothorax. there is a fracture of the left lateral aspect of the left sixth rib. mediastinal contours are normal. brief hospital course: 48 y/o male s/p fall down 13 steps while intoxicated. injuries notable for a right subdural hematoma and left sided pneumothorax. the patient was transfered from an osh, after chest tube placement, for further management of his injuries. once here, the patient was evaluated by the trauma and neurosurgery teams. given the subdural and midline shift noted on his head ct he was taken to the or for emergent evacuation of the blood. the patient tolerated the procedure well and was subsequently transfered to the icu. the patient remained in the icu for 28 days. his course there was complicated by difficulty to wean secondary to pulmonary edema and pna. he was trached and a g-tube placed on hd 14. on hd 29, the patient was discharged to the floor. there, he was continued on cipro and flagyl for e. coli/psuedomonal pna and diverticulitis noted on abd ct. his white count continued to trend downwards and was afebrile at discharge. the patient will be discharged to a vent rehab facility. he will have continued wound care for his gluteal fold breakdown. he will need to follow up with neurosurgery and trauma surgery. medications on admission: none discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 2. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 4. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed. 5. therapeutic multivitamin liquid sig: five (5) ml po daily (daily). 6. ascorbic acid 100 mg/ml drops sig: one (1) po bid (2 times a day). 7. zinc sulfate 220 mg capsule sig: one (1) capsule po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 9. methadone hcl 10 mg tablet sig: one (1) tablet po tid (3 times a day). 10. ciprofloxacin 250 mg tablet sig: three (3) tablet po q12h (every 12 hours): continue until . 11. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day): cont until . 12. clonidine hcl 0.1 mg tablet sig: one (1) tablet po three times a day. discharge disposition: extended care facility: - discharge diagnosis: 1. alcohol abuse 2. traumatic closed head injury with right frontal contusion and subarachnoid, subdural, intraventricular, cisternal, and intraparenchymal hemorrhage. 3. pneumocephalus 4. acute respiratory distress syndrome 5. ventilator associated pneumonia 4. large left parietal subgaleal hemorrhage. 5. left 6th rib fracture with small pneumothorax 6. diastolic heart dysfunction with moderate pulmonary hypertension, mild right atrial enlargement, minimal tricuspid and mitral regurgitation. 7. hypertension 8. stage 1 sacral pressure ulcer 9. dental abscess 10. quadraparesis right greater than left 11. emphysema 12. tobacco abuse discharge condition: good discharge instructions: please continue taking your medications as directed. cont wound care to gluteal breakdown. keep your follow up appointments. followup instructions: , m.d., dept of neurosurgery; ( in 4 weeks , dept of surgery; ( in 4 weeks procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more incision of cerebral meninges percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy diagnoses: acute respiratory failure pneumonia due to pseudomonas accidental fall on or from other stairs or steps other emphysema pneumonia due to escherichia coli [e. coli] closed fracture of one rib traumatic pneumothorax without mention of open wound into thorax diverticulitis of colon (without mention of hemorrhage) other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 

Answer: The patient is high likely exposed to