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: history of present illness: mr. is a 45-year-old man who presented to the trauma service following injury to his right eye. the patient was operating a nail gun when a nail ricocheted and penetrated into his right face. it apparently went through his right maxilla, through his orbit and his eye, and into his brain. he sustained a loss of consciousness and no further injury. his coma scale on presentation was 15. past medical history: negative. past surgical history: negative. medications on admission: he takes no medications on a daily basis. allergies: he is allergic only to penicillin. physical examination on presentation: on physical examination, his blood pressure was 148/82, oxygen saturation was 98%. in general, he was an adult male in no acute distress. his coma scale was 15. his head, ears, nose, eyes and throat were notable for an entry wound just inferior to the right maxilla penetrating into the orbit. there was ecchymosis to the right eye. his right pupil was 3 mm and reactive. his median gaze was greater than his lateral gaze, and he had no up or down gaze. his left pupil was reactive 4 mm to 3 mm. there was no other facial injury or bony injury noted. his neck was supple, all structures midline with no tenderness. chest was clear to auscultation bilaterally. heart had a regular rate and rhythm. the abdomen was flat, soft, nontender, and nondistended. extremities were noted to be neurovascularly intact. his motor strength was throughout as was his sensorium. hospital course: the patient was evaluated by both the ophthalmology and neurosurgery teams. on further evaluation it was found that the nail penetrated through the right orbit and into the right frontal lobe of the patient's brain, by approximately 1.2 cm. in addition, there was only a small amount of blood found in his sylvian fissure with no mass effect or shift noted. the following morning, the patient was taken to the operating room for removal of the nail. operative findings were notable for a galvanized nail piercing the right orbital roof, through the dura, into the right frontal lobe. they did note subarachnoid blood and a small hematoma along the path of the nail. the intracranial aspect of the nail was removed, and the tract was debrided and irrigated, after which time the dural defect was repaired. the ophthalmology service then removed the remainder of the foreign body and repaired his right globe. the patient's postoperative course was relatively unremarkable. the patient was given intravenous clindamycin pending results of cultures taken intraoperatively. in addition, he was started on tobradex eyedrops q.i.d. in addition, the patient was started on dilantin 100 mg p.o. t.i.d. to continue for approximately one month following his injury. by the second postoperative day, the patient was noted to be awake, alert, complaining only of a mild headache. from a neurosurgical standpoint, he was otherwise stable. he was also evaluated by ophthalmology on his second postoperative day, noting that he was also stable following his ruptured globe repair with vitreous hemorrhage. they did note that he had a subconjunctival hemorrhage and a question of retinal detachment in the right eye. they recommended that he be followed very closely as an outpatient, and to be continued on the tobradex, and keep a shield to his right eye. discharge status: on , the patient was discharged home. condition at discharge: in stable condition. discharge instructions: he was instructed to follow up with ophthalmology on the day following his discharge; namely, at 11 a.m. in the clinic in five. in addition, he was instructed to follow up with dr. at in approximately one month. his appointment was set for at 1:15 p.m. the patient was also instructed to please return to five at in approximately seven days for staple removal and wound check. the patient verbalized an understanding of all discharge instructions and was discharged to home without incident. medications on discharge: (the patient was discharged home on the following medications) 1. tobradex eyedrops 1 drop to the right eye q.i.d. 2. percocet one to two tablets p.o. q.4-6h. p.r.n. (#40). 3. dilantin 100 mg p.o. t.i.d. to continue a 30-day course. discharge diagnoses: foreign body to the right eye and right frontal lobe; now, status post removal of foreign body and surgical repair. , m.d. dictated by: medquist36 d: 11:52 t: 18:23 job#: procedure: other craniotomy repair of brain excision of branchial cleft cyst or vestige diagnoses: subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness accidents caused by other specified cutting and piercing instruments or objects intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness unspecified retinal detachment ocular laceration without prolapse of intraocular tissue penetration of eyeball with (nonmagnetic) foreign body 

Answer: The patient is high likely exposed to