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: this is a 40-year-old male found down with apparent facial trauma. the patient was unresponsive at the scene and intubated by ems secondary to a gcs of less than 8. the patient did have spontaneous respirations and lower extremity movements noted. the patient was transported, boarded and collared in the emergency room. the patient was noted to be moving his left upper extremity and right foot spontaneously with a gcs for reevaluation at 7+. while in the emergency room, the patient received a ct of the head, neck, abdomen and pelvis and a chest x-ray. a chest x-ray revealed no pneumothorax. ct of the neck showed no fracture, dislocation. ct of the abdomen and pelvis showed no intra-abdominal pathology. most notable was a ct of the head which showed extensive facial bone injuries, including displaced fractures of the anterior and posterior left maxillary walls, lateral orbital wall, orbital floor, possibly the medial orbital wall. there is extensive hemorrhage inferiorly within the left orbit causing superior displacement of the inferior rectus muscle and exophthalmos with an intact globe. there was, however, no evidence of intracranial hemorrhage or mass effect. at this point, the patient was admitted to the sicu under the trauma service for continued care with consultation of the ophthalmology service and plastic surgery. the patient's initial past medical history and past surgical history was unknown. on extubation, past medical history of severe hypertension noted. the patient is a homeless gentleman with severe alcoholism and history of dts and polysubstance abuse. medication: 1. atenolol, unknown dose allergies: later noted to be penicillin, for which the patient develops hives. physical exam on admission: vital signs: temperature 98.8??????, pulse of 120, blood pressure 170/palpation, 20 and 98% on vent of 600 x 12. general: the patient was intubated. patient with extensive facial trauma, left facial ecchymosis, edentulous. head, ears, eyes, nose and throat: tympanic membranes were clear bilaterally. right pupil was minimally reactive and sluggish. left pupil 6 mm and reactive. chest: clear to auscultation bilaterally. heart: regular rate and rhythm. abdomen: soft, pelvis stable. extremities: without palpable deformities, pulses distally 2+ bilaterally, warm. rectal: tone was normal. back: no apparent stepoff. neurologic: patient with spontaneous left hand movements. admission labs: the patient had a white count of 8, hematocrit of 44, platelets of 161. sodium of 142, potassium of 4.1, chloride of 102, bicarbonate of 20, bun of 7, creatinine of 0.6, sugar of 166. fibrinogen was 348. amylase was 176. arterial blood gases was 7.57, 24, 544, 23 and +2. urine toxicology had an alcohol level of 361. hospital course: the patient was admitted to the sicu intubated for further evaluation. the patient's main issues were his multiple left facial fractures. on hospital day #2 the patient was extubated. the patient received an urgent ophthalmology evaluation, at which point a lateral canthotomy was performed due to increased intraocular pressure and orbital pressure and the concern of entrapment. on hospital day #2, the patient continued with pain and pressure of the eye and complaints of withdrawal. the patient was placed on the ciwa scale with ativan to prevent dts. after the lateral canthotomy was performed, the patient was placed on timolol and diamox to decrease intraocular pressure. the patient was followed by plastics for the extensive orbital fractures, but ultimately felt that outpatient management of these fractures could be performed. on hospital day #3, the spine service was consulted for spinal clearance and an mri of the neck was performed. the mr of the cervical spine showed suspicion for intraligamentous injury of the interspinous ligaments of t2 to t3. in addition, a superficial paraspinal muscular injury extending to the subcutaneous space at the t2-t3 level, however no cord compression was seen. an mr of the head was also performed at this time which showed no evidence of subarachnoid hemorrhage. the area of trauma showed extensive soft tissue and bony facial injuries with displaced fractures of anterior and lateral maxillary sinuses. left sided exophthalmos again noted. ophthalmology continued to follow the patient. the patient was continued on xalatan to left eye q hs, alphagan to left eye b.i.d. and timoptic to both eyes b.i.d. on hospital day #4, there is still no evidence of entrapment, although the patient continued with limited extraocular movements due to swelling. his vision remained intact. he did, however, have left sided nose numbness. at this point, the patient was seen by the orthopedic service and recommended brace for ligamentous injury at t2 to t3. the patient will then follow up with the orthopedic service in two to three weeks. he is to call ( for an appointment. as for the facial fractures, the patient will follow up at the plastic surgery service at . the patient did remain on clindamycin for a facial fracture and this will continue for a total of a 10 day course. at the time of discharge, the patient is planning on going to house. follow up will be as above. the patient will also follow up with the trauma surgery service on thursday. call for appointment. final ophthalmology recommendations are pending at this time. discharge medications: 1. oxycontin 20 mg po q 12 hours 2. colace 100 mg po bid 3. lopressor 25 mg po bid 4. clindamycin 400 mg po qid x3 more days 5. percocet 5/325 1 to 2 tablets po q4h prn ophthalmologic medications pending at this time and will be on page 1. follow up: as above. the patient will be discharged to the house. , m.d. dictated by: medquist36 procedure: canthotomy diagnoses: unspecified essential hypertension alcohol abuse, unspecified unarmed fight or brawl closed fracture of orbital floor (blow-out) alcohol withdrawal closed fracture of nasal bones other early complications of trauma closed fracture of base of skull without mention of intra cranial injury, with loss of consciousness of unspecified duration sprain of thoracic 

Answer: The patient is high likely exposed to