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: pedestrian struck by car major surgical or invasive procedure: : acdf c6-7 history of present illness: 85m s/p ped vs. auto, dragged about 20 feet, sustaining multiple injuries on . the patient does not recall the event but he does know where he is now. complains of pain in his head and neck. feels subjectively weaker in l leg. past medical history: coronary artery disease, s/p cabg in . mild aortic regurgitation. hypertension. hyperlipidemia. bifascicular block with an av delay chronic renal insufficiency bph hypothyroidism. social history: patient is russian speaking family history: non-contributory physical exam: on discharge: patient is alert, oriented to person, place and time. his motor is full strength without obvious deficit. wound is clean, dry and intact without hematoma pertinent results: labs on admission: 05:45pm blood wbc-5.9 rbc-3.18* hgb-10.2* hct-29.9* mcv-94 mch-32.1* mchc-34.2 rdw-15.1 plt ct-168 05:45pm blood pt-13.3 ptt-23.7 inr(pt)-1.1 05:45pm blood fibrino-258 10:02pm blood glucose-171* urean-25* creat-1.3* na-140 k-4.2 cl-109* hco3-22 angap-13 05:45pm blood ck(cpk)-439* 01:54pm blood ck(cpk)-66 05:45pm blood lipase-138* 05:45pm blood ck-mb-10 mb indx-2.3 05:45pm blood ctropnt-<0.01 10:02pm blood calcium-8.2* phos-2.8 mg-1.9 05:45pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg labs on discharge: 06:55am blood wbc-9.4 rbc-3.30* hgb-9.9* hct-30.1* mcv-91 mch-30.0 mchc-32.9 rdw-17.8* plt ct-187 06:55am blood pt-12.6 ptt-24.1 inr(pt)-1.1 06:55am blood glucose-179* urean-14 creat-0.9 na-134 k-4.2 cl-103 hco3-23 angap-12 06:55am blood ck-mb-4 ctropnt-0.01 06:55am blood calcium-8.4 phos-2.4* mg-1.8 imaging ct head : impression: 1. subarachnoid hemorrhage in the right sylvian fissure, and over posterior frontal sulcus near convexity on the right. small subdural hemorrhage at the anterior falx. 2. comminuted fracture of the nasal bones, and nasal septum. 3. soft tissue laceration of the right frontal region. 4. mucosal thickening and secretions in the left maxillary sinus. ct torso : impression: 1. no definite evidence of injury on ct torso. 2. incidental finding of a right adrenal mass. ct adrenal protocol, or mri can be done to evaluate further. ct sinus : impression: committed fractures at the nasal bones, and nasal septum. mucosal thickening in the left maxillary sinus with secretions. mri knee : impression: 1. findings of posterolateral corner injury as described with concomitant tears of the acl and pcl and avulsion fracture of the fibular head. 2. nondisplaced fracture of the medial aspect of the medial femoral condyle. 3. extensive tear of medial meniscus. suspected tear of lateral meniscus. cta of head : impression: 1. subarachnoid and subdural hemorrhage which demonstrates expected evolution, without evidence of a new focus of hemorrhage. 2. isodense subdural collections overlying the frontal convexities which are slightly larger than on the prior study, and may represent mixing of subdural hemorrhage with csf versus a more subacute hemorrhage. 3. comminuted fracture of the nasal bone and nasal septum, not significantly changed since the prior study. there is also soft tissue laceration overlying the right frontal bone, without evidence of a displaced calvarial fracture. 4. no evidence of an aneurysm or hemodynamically significant stenosis, with an essentially unremarkable cta of the head. ct c-spine : impression: 1. status post anterior fusion at c6-c7 with intervertebral body device. alignment appears near anatomic. there is widening of the right lateral facet joints at c6-c7 with air between the facets. this may be due to recent surgical intervention and would recommend correlation with operative details. 2. persistent prevertebral swelling, unchanged from prior examination. no evidence for acute hemorrhage. 3. air in the pretracheal subcutaneous tissue, again likely postoperative in nature. 4. degenerative changes of the cervical spine are better described on prior examination with unchanged narrowing of the cervical canal at c6-c7. brief hospital course: he was admitted to the trauma service. his facial lacerations were irrigated and sutured by plastic surgery. orthopedics and neurosurgery were consulted for his other injuries. his fibula fracture was managed non operatively; he was fitted with a knee immobilizer and is to remain non weight bearing on that extremity. an mri of his left knee was done which shows a lateral cruciate ligament tear for which he will follow up as an outpatient if further intervention warranted. his spine injury was initially managed with a hard cervical collar. after several days while films were being reviewed by neurosurgery and discussions with family took place the decision was made to surgically repair his spine. a request from neurosurgery for medical clearance by cardiology was made and patient was deemed medically cleared for the surgery. geriatric medicine was consulted for delirium; several recommendations pertaining to his medications were made. he was placed on haldol standing dose at hs and prn dose if needed for increased agitation. for pain control he was placed on around the clock tylenol and prn oxycodone low dose. on , he went to the operating room with dr. for acdf of c6-7. surgery was uneventful. post-operatively he was maintained in a cervial collar for additional stability and remained in the pacu for observation prior to transfer to the floor. on , ct of the c-spine was performed to evaluate hardware placement. he was futher seen by pt and ot who determined he would be an appropriate candadate for rehabilitation. he was discharged to an appropriate facility on . medications on admission: lipitor 10 mg daily, fish oil, flovent, hydrochlorothiazide 12.5 mg daily, levoxyl 75 mcg daily, lisinopril 20 mg daily, terazosin 5 mg daily, aspirin 325 mg daily, eyedrops. (per outpt note) discharge medications: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 2. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 5. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 6. tobramycin-dexamethasone 0.3-0.1 % drops, suspension sig: one (1) drop ophthalmic tid (3 times a day). 7. dorzolamide 2 % drops sig: one (1) drop ophthalmic tid (3 times a day). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. haloperidol 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for agitation, confusion. 10. haloperidol 0.5 mg tablet sig: one (1) tablet po hs (at bedtime). 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours). 14. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 15. levoxyl 50 mcg tablet sig: one (1) tablet po once a day. 16. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: s/p pedestrian struck facial lacerations nasal bone and septum fractures c6 on c7 posterior subluxation avulsion fracture proximal fibula left lateral cruciate ligament tear delirium discharge condition: neurologically stable discharge instructions: ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? you have steri-strips in place, you must keep them dry for 72 hours. do not pull them off. they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? you are required to wear your cervical collar at all times until seen in follow up. ?????? you may shower briefly without the collar; unless you have been instructed otherwise. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. unless directed by your doctor. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine. ?????? any weakness, numbness, tingling in your extremities. ?????? any signs of infection at the wound site: redness, swelling, tenderness, and drainage. ?????? fever greater than or equal to 101?????? f. ?????? any change in your bowel or bladder habits (such as loss of bowl or urine control). followup instructions: follow up with dr. , orthopedics in 2 weeks for your knee. call for an appointment. neurosurgery follow up instructions/appointments ??????please return to the office in days (from date of surgery) for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. to be seen in 4 weeks. ??????you will not need imaging prior to your appointment as this was done prior to your discharge. procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc closure of skin and subcutaneous tissue of other sites closure of skin and subcutaneous tissue of other sites fusion or refusion of 2-3 vertebrae diagnoses: acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status aortic valve disorders hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) motor vehicle traffic accident involving collision with pedestrian injuring pedestrian open wound of scalp, without mention of complication chronic kidney disease, unspecified open wound of forehead, without mention of complication other and unspecified hyperlipidemia delirium due to conditions classified elsewhere closed fracture of condyle, femoral laceration of skin of eyelid and periocular area open wound of lip, without mention of complication closed fracture of nasal bones subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration other bilateral bundle branch block closed fracture of upper end of fibula alone sprain of cruciate ligament of knee closed dislocation, sixth cervical vertebra 

Answer: The patient is high likely exposed to