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 43-year-old female status post fall down approximately 25 steps with questionable loss of consciousness who was found awake at the bottom of the stairs and was combative and uncooperative with positive etoh on the day of admission, who was transferred to emergency department with the status of hemodynamically stable, trauma basic. on arrival the patient was awake and alert with slurred speech. she followed commands. she complained of scalp pain. primary survey performed in the trauma bay with attempts at peripheral access failed. left subclavian cordless catheter was placed. the only obvious injury was left facial abrasion and occipital laceration. past medical history: depression status post suicidal attempts. seizure disorder. ptsd. borderline personality disorder. anemia. migraines. endometriosis. asthma. history of substance abuse. status post traumatic brain injury. past surgical history: status post partial gastrectomy. medications: effexor 112.5 mg q.d., tobromax, fioricet, ativan, ditropan, phenobarbital, protonix, ambien, clarinex, paxil, albuterol p.r.n. allergies: codeine, imitrex. social history: the patient is homeless. she denied intravenous drug use or tobacco use. she stated that she had not had a drink for 1?????? years until the prior night. physical examination: vital signs: temperature 94.4??????, pulse 74, blood pressure 180/85, respirations 20, oxygen saturation 99%. general: the patient was alert, uncooperative, confused, intoxicated. heent: laceration on occiput. face stable. no jugular venous distention. trachea midline. lungs: clear to auscultation bilaterally. chest: stable. cardiovascular: regular, rate and rhythm. abdomen: soft, nontender, nondistended. pelvis: stable. extremities: warm, perfused, no obvious deformities. rectal: normal tone. heme negative. back: no stepoffs or tenderness. laboratory data: white blood cell count 3.6, hematocrit 32.0, platelet count 304; chem7 with a sodium of 141, potassium 3.2, chloride 109, bicarb 17, glucose 102; urinalysis negative; coags within normal limits. films: head ct with no acute bleed, questionable old left occiput fracture. ct of neck with c3 fracture of the transverse foramen. ct of chest was negative. ct of abdomen was negative. chest x-ray was negative. pelvic x-ray was negative. thoracic and lumbar spine negative with right tibial and fibula fracture with proximal tibial fracture. hospital course: the patient was followed by the neurosurgery for the c3 fracture. a repeat ct scan of the head was obtained which was unclear whether the c3 fracture was evident. the patient continued to have midline neck tenderness, and neurosurgery recommended maintaining the hard collar for two weeks and follow-up with dynamic neck films for cervical spine clearance either with dr. or the trauma surgery team. the patient was observed in the trauma sicu for two days and was transferred to the floor after an uncomplicated course. a neurology consult was obtained given the patient's seizure history. it was unclear whether the seizure activity contributed to the patient's fall. it was their recommendation to hold off on eeg or other aggressive seizure work-up at this time. the patient was encouraged to abstain from alcohol, as long as she remained on her antiepileptic medication and is to follow-up with her outpatient neurologist as needed. a social work consult was obtained, and the patient was counseled on alcohol abuse issues. the orthopedic service continued to follow the patient for her right tibial-fibula fracture. the plan initially was to take the patient to the operating room for an orif for the right tib-fib fracture, but repeat films showed no further displacement of the fractures, and orthopedics recommended continuing nonoperative management with follow-up x-rays and to continue the use of the brace. on , hospital day #8, the patient was deemed stable for transfer to a rehabilitation facility. a physical therapy and occupational therapy consult was obtained. the patient was transferred to a rehabilitation facility and given appropriate follow-up instructions. discharge diagnosis: 1. right tib-fib fracture. 2. c3 transverse foramen fracture. 3. status post fall. 4. depression. 5. posttraumatic stress disorder. 6. seizure disorder. 7. borderline personality disorder. 8. anemia. 9. migraines. 10. endometriosis. 11. asthma. 12. history of substance abuse. discharge medications: venlafaxine 100 mg p.o. q.d., pantoprazole 40 mg p.o. q.d., peroxatine 20 mg p.o. q.d., albuterol inhaler 1-2 puffs q.6 hours p.r.n., heparin 5000 u subcue q.12 hours, phenobarbital 60 mg q.a.m., zolpidem 20 mg q.h.s., nicotine patch 21 mg taper as indicated, ativan 1 mg p.o. b.i.d., docusate 100 mg p.o. p.r.n., percocet tab q.4-6 hours p.r.n., topiramate 200 mg p.o. b.i.d. follow-up: 1. follow-up in trauma clinic in two weeks to evaluate cervical spine for removal of collar. 2. follow-up with orthopedics as discussed. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified closure of skin and subcutaneous tissue of other sites diagnoses: acidosis other convulsions depressive disorder, not elsewhere classified alcohol abuse, unspecified open wound of scalp, without mention of complication closed fracture of second cervical vertebra accidental fall on or from other stairs or steps home accidents closed fracture of upper end of fibula with tibia 

Answer: The patient is high likely exposed to