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: motor vehicle accident major surgical or invasive procedure: 1. open reduction treatment of c7-t1 fracture/dislocation with spinal cord injury. 2. posterior decompression, c6-7, c7-t1, t1-t2 laminectomy, facetectomy and foraminotomy. 3. posterior cervical arthrodesis, c5-t2. 4. posterior segmental instrumentation, c5-t2. 5. left icbg 6. application of local autograft 7. application and removal of tongs for traction/reduction. history of present illness: 52 yo male trauma transfer who was rear ended at 30mph with neck pain and le paralysis. past medical history: none social history: married. living at home with wife family history: non contributory physical exam: a+o x 3, mildly confused perrla c-collar intact lungs cta/b reg rate rhythm abd soft non-tender pelvis stable cn 3-12 intact, motor l1 spinal level decreased strength 1/5, neuro intact to light touch, dtr decreased pertinent results: 12:30pm blood wbc-8.0 rbc-4.85 hgb-14.4 hct-41.9 mcv-87 mch-29.6 mchc-34.2 rdw-13.7 plt ct-146* 11:47pm blood wbc-9.3 rbc-4.63 hgb-13.8* hct-40.0 mcv-86 mch-29.8 mchc-34.5 rdw-13.9 plt ct-143* 05:55am blood wbc-12.0* rbc-3.79* hgb-11.1* hct-33.4* mcv-88 mch-29.2 mchc-33.2 rdw-14.3 plt ct-138* 04:57am blood wbc-8.4 rbc-3.64* hgb-10.7* hct-31.5* mcv-87 mch-29.5 mchc-34.0 rdw-13.9 plt ct-119* mra cervical spine findings: the examination was performed with the patient's neck in a collar. this prevented using an optimal coil configuration and resulted in a low signal to noise for this study. within these limitations, no vascular injuries are identified. specifically, the carotid arteries and their cervical branches, and the vertebral arteries appear to be patent. although no stenoses or pseudoaneurysms are detected, sensitivity for such abnormalities will be severely limited by the technical limitation as discussed above. sensitivity for mural dissection will be quite low, although no such dissections are detected. conclusion: limited study for the reasons described above. no evidence of arterial injury on this limited examination. mri cervical spine findings: this study is of very poor quality due to extremely limited signal- to-noise ratio secondary to the lack of employment of the neck coil, due to the patient's injuries, as well as the marked anterior subluxation of c7 upon t1. within these limitations, the grade 3 traumatic subluxation of c7 upon t1 is clearly demonstrated. there may be a small amount of cord edema immediately cephalad to this level, but again, interpretation is extremely limited by virtue of the reduced signal-to-noise ratio. for similar reasons, it is not possible to state with certainty if there is any intramedullary hematoma present. at c3-4, there is a shallow left paracentral disc protrusion causing mild indentation upon the left ventrolateral cord margin. at c4-5, there is a shallow posterior disc protrusion causing mild cord compression, exacerbated by congenital narrowing of the ap diameter of the bony spinal canal. uncovertebral spurs appear to produce moderate left and prominent right foraminal stenosis. at c5-6, there is a probable shallow posterior spondylytic ridge along with infolding of the ligamentum flavum, creating a moderate degree of spinal cord compression, exacerbated by congenital narrowing of the ap diameter of the bony spinal canal. at c7-t1, the cord is sharply angulated over the grade iii anterior subluxation. the wedge fracture of t1 is visible, but not nearly as clearly as that seen on the accompanying ct scan. there is marked splaying of the c7 and t1 spinous processes. there is widening of the epidural space anterior to the thecal sac at the c7 level. it is likely that this represents the consequences of the subluxation, although an accompanying hematoma in this area cannot be excluded. best seen on the stir images is marked edema within the posterior paraspinal soft tissues, including the interspinous region between c7 and t1. clearly, these findings represent the effects of trauma, including disruption of the intraspinous ligament at c7-t1. there does also appear to be edema extending between the c1 posterior arch and the c2 spinous process, again likely representing some ligamentous injury. there is prevertebral soft tissue swelling seen only at the level of the c7-t1 subluxation. conclusion: 1. grade 3 traumatic subluxation of c7 upon t1. 2. technically very limited study, precluding precise analysis of the signal pattern of the spinal cord by either edema or hematoma. these findings were discussed in detail at the time of this examination by the resident, dr. , with the team caring for the patient. ct c spine impression: 1. grade traumatic subluxation of c7 on t1 with anterior wedge compression fracture of t1 vertebral body, with bilateral locked facets of c7 on t1. widening of the interspinous distance between c7 and t1 at this level suggests underlying ligamentous injury. 2. possible right t1 transverse process fracture along with anterior and posterior tubercle fractures at this level. right c7 transverse process fracture. possible right t1 and t2 right-sided rib fractures which are minimally displaced. these findings were discussed in detail with the trauma team shortly after examination acquisition. the diagnosis of "perched" was changed to "locked" facets after attending review, by which time the patient was already in the operating room for spinal surgery. ultrasound bilateral lower extremity findings: grayscale, color flow and doppler images of both lower extremities were obtained. the common femoral veins, superficial femoral veins, and popliteal veins demonstrate normal compressibility, respiratory variation in venous flow and venous augmentation. impression: no evidence of dvt in both lower extremities. blood cultures mrsa mrsa screen (final ): no mrsa isolated. urine culture: urine culture (final ):no growth. brief hospital course: mr. was to from after being rearended by a vehicle moving at approximately 30 mph. there was no loss of consciousness. pt complaining of low back pain and inablity to move legs. ct of c-spine showed c7 perched over t1 with central cord compression. c7-t1 subluxation- mr. was brought to the or to undergo a posterior decompression, c6-7, c7-t1, t1-t2 laminectomy, facetectomy and foraminotomy with posterior cervical arthrodesis, c5-t2. he was brought to the tsicu after the procedure intubated. on pod #1 he was extubated without complication and transfered to the floor. on pod#2 an ivc filter was placed without complication. the rest of his hospital course was unremarkable. he was then transfered to an outside rehab facility. dural tear- mr. continued to have a presistant drainage from his posterior cervical incision. he was brought to the or and was found to have a non-iatrogenic cervical dural tear. fibrin glue and duragen patch were applied. a lumbar drain was placed to decrease csf leakage. the head of bed was kept at greater than 30 degress. his posterior incision continued to heal. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. hexavitamin tablet sig: one (1) cap po daily (daily). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. 5. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours) as needed for pain. 6. famotidine 20 mg tablet sig: two (2) tablet po daily (daily). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 8. diphenhydramine hcl 50 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for itching. 9. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed for nausea. 10. hexavitamin tablet sig: one (1) cap po daily (daily). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever. 13. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed. 14. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed. 15. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed. 16. lorazepam 0.5 mg iv q4h:prn discharge disposition: extended care facility: - discharge diagnosis: 1. motor vehicle accident. 2. fracture/dislocation c7-t1 with incomplete spinal cord injury. 3. obesity discharge condition: stable to rehab facility discharge instructions: please keep incision clean and dry. you may shower in 48 hours, but please do not soak the incision. change the dressing daily with clean dry gauze. if you notice drainage or redness around the incision, or if you have a fever greater than 100.5, please call the office at . please resume all home mediciation as prescribed by your primary care physician. have been given additional medication to control pain. please allow 72 hours for refills of this medication. please plan accordingly. you can either have this prescription mailed to your home or you may pick this up at the clinic located on 2. we are not allowed to call in prescriptions for narcotics to the pharmacy. if you have questions concerning activity, please refer to the activity sheet. followup instructions: please follow up with dr. at three weeks from the date of your discharge. you can make that appointment by calling procedure: interruption of the vena cava other exploration and decompression of spinal canal excision of bone for graft, other bones excision of lesion of other soft tissue repair of vertebral fracture other cervical fusion of the posterior column, posterior technique other repair and plastic operations on spinal cord structures angiocardiography of venae cavae fusion or refusion of 2-3 vertebrae phlebography of other intra-abdominal veins using contrast material other shunt of spinal theca diagnoses: urinary tract infection, site not specified pulmonary collapse other nervous system complications pressure ulcer, buttock streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] obesity, unspecified other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle urinary complications, not elsewhere classified attention deficit disorder with hyperactivity paraplegia late effect of spinal cord injury non-healing surgical wound closed fracture of c5-c7 level with other specified spinal cord injury 

Answer: The patient is high likely exposed to