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: 88yo f fell early found late in the day by her son. she normally lives alone and is self sufficient. after fall, she has a humerus/radius fracture, c-spine fractures, 4cm facial laceration, and 6cm scalp laceration. major surgical or invasive procedure: : 1. posterior cervical laminectomy c5, c6. 2. posterior cervical laminotomy c7. 3. posterior cervical laminotomy c4. 4. posterior cervical arthrodesis c4 to c7. 5. posterior cervical instrumentation c4-c7. 6. open reduction of fracture. 7. placement of cranial tongs for fracture reduction. 8. application of local autograft and allograft for fusion. : 1. closed treatment left proximal humerus fracture with manipulation. 2. closed treatment left distal radius fracture with manipulation. : 1. percutaneous tracheostomy. 2. bronchoscopy with bronchoalveolar lavage. 3. percutaneous endoscopic gastrostomy. history of present illness: 88yo f fell early found late in the day by her son. she normally lives alone and is self sufficient. after fall, she has a humerus/radius fracture, c-spine fractures, 4cm facial laceration, and 6cm scalp laceration. brief hospital course: the patient was brought in after sustaining a fall at home. she was brought to and imaging studies revealed comminuted, impacted and angulated left humeral surgical neck fracture with large amount of surrounding soft tissue hematoma and fracture through the left distal radius, with dorsal displacement and overriding of the major distal fracture fragment. she also sustained spinous process fracture at c5, and at c6. there was evidence of ligamentous injury of the cervix. the patient was taken to the or by the orthopedic spine service and underwent c4-c7 laminectomy and fusion - please refer to operative note for more details. after this operation, her l arm fractures were addressed in the same setting. she was also noted to have a t2 fracture for which she was fitted with a soma brace. she is to wear this when out of bed. post-operatively, she remained ventilated and was recovered in the surgical icu. she had pulmonary congestion and rll consolidation on cxr which prompted starting levofloxacin on for pneumonia. these were changed to vancomycin and cefepime on , after her ventilatory status and fever curve did not improve. she completed a course of vancomycin and cefepime for pneumonia on . she continued to be ventilator-dependent and was tenuous, oscillating between pulmonary congestion and contraction alkylosis. she ultimately became euvolemic. on , due to continued ventilator dependence and tube feed dependence, she underwent tracheostomy and feeding gastrostomy placement. on , she again had copious thick respiratory secretions, her wbc was high at 13.2, she was again requiring full ventilatory support and she had a consolidation in the rll. she was restarted on vancomycin, cefepime and cipro for ongoing pneumonia. she finished this course on and has remained very well with reassuring respiratory status and cxrs. she has diarrhea with a flexiseal in place, but had 3 negative tests for c. difficile. this is improving. she worked with physical therapy and was out of bed to chair during her stay. she has no limitations of weight-bearing on the lower extremities or right upper extremity. her left arm is non-weight-bearing. at discharge on , she is tolerating goal tube feeds without issue. she is on and off trach collar, going back to pressure-support ventilation when she tires. she is alert and communicative with a passey-muir valve when she is able to be on trach collar. her pain is well under control. medications on admission: unknown discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 2. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 3. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 4. acetaminophen 160 mg/5 ml solution sig: po q4h (every 4 hours) as needed for pain. 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 6. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed) as needed for groin yeast. 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. chlorhexidine gluconate 0.12 % mouthwash sig: five (5) ml mucous membrane (2 times a day). 9. metoprolol tartrate 50 mg tablet sig: 1 tablet po tid (3 times a day). 10. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) nebulizer inhalation q6h (every 6 hours) as needed for wheeze. 12. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed for diarrhea. 13. haloperidol 0.25-0.5 mg iv bid:prn agitation 14. hydralazine 10 mg iv q6h:prn sbp>170 discharge disposition: extended care facility: & rehab center - discharge diagnosis: cervical spine fracture with ligamentous injury left humeral neck fracture left distal radius fracture ventilator associated pneumonia ventilator dependence tube feed dependence blood loss anemia pulmonary congestion congestive heart failure thoracic spine fracture discharge condition: ventilator-dependent, tube feed dependent, hemodynamically stable discharge instructions: you had spine surgery of the neck. you may wear a cervical collar for comfort, but it is not necessary to wear at all times. you may shower - pat wounds dry afterward. no swimming or soaking in a tub for 4 weeks after your surgery. come to the emergency room if you have: * fever above 101.5f * nausea, vomiting or diarrhea that doesn't stop * chest pain or pressure * opening up or drainage from your wound * any other concerning symptoms followup instructions: provider: , . follow-up appointment should be in 1 month procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances thoracentesis other lavage of bronchus and trachea percutaneous [endoscopic] gastrostomy [peg] other exploration and decompression of spinal canal temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus linear repair of laceration of eyelid or eyebrow closure of skin and subcutaneous tissue of other sites bronchoscopy through artificial stoma closed reduction of fracture without internal fixation, radius and ulna repair of vertebral fracture closed reduction of fracture without internal fixation, humerus other cervical fusion of the posterior column, posterior technique insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device fusion or refusion of 2-3 vertebrae suture of laceration of nose diagnoses: unspecified pleural effusion congestive heart failure, unspecified unspecified protein-calorie malnutrition open wound of scalp, without mention of complication hypopotassemia acute respiratory failure bacteremia accidental fall on or from other stairs or steps closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury diarrhea staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus ventilator associated pneumonia oliguria and anuria closed fracture of surgical neck of humerus closed fracture of nasal bones other specified open wounds of ocular adnexa other closed fractures of distal end of radius (alone) open wound of nose, unspecified site, without mention of complication benign essential hypertension closed fracture of c5-c7 level with other specified spinal cord injury 

Answer: The patient is high likely exposed to