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: sulfa (sulfonamides) attending: chief complaint: s/p rollover motor vehicle crash major surgical or invasive procedure: tracheostomy repair of facial fractures history of present illness: 38 yo female driver of a vehicle that was hit from the side at an intersection and rolled over several times - she was ejected from the vehicle, and appeared "combative" at the scene per ems report, though another report says she was complaining of throat pain and had hemoptysis. she was intubated in the field after receiving ativan, succ, etomidate and vec. she also received reglan 10 mg, zofran 8 mg, protonix, tetanus shot, protonix and started on fentanyl and propofol drips. she was taken initially to an area hospital then transferred to where er note says "moving all extremities but altered." ucg was negative. pht was given (1g) at , but this has not been continued as an inpt. she was admitted to the trauma icu with multiple injuries and fractures identified on imaging, including basilar skull fracture, multiple facial and orbital fractures (report: "extensive fractures involving the sinuses and orbits are most consistent with lefort type 3 fracture with r lefort 1 and b lefort 2; r temp bone fx; l petrous opacification w/o fx; +fx r temporal bone.") ct of cspine revealed "nondisplaced hairline fracture involving posterior elements of c6. r soft tissue neck swelling with small amount of air w/o evidence of laryngeal injury." there was no intracranial hemorrhage. past medical history: migraines depression fuo pyelonephritis hypothyroid raynaud's family history: noncontributory pertinent results: 06:45pm glucose-119* urea n-17 creat-1.0 sodium-139 potassium-4.1 chloride-108 total co2-26 anion gap-9 06:45pm calcium-7.9* phosphate-3.5 magnesium-1.9 06:45pm wbc-8.7 rbc-3.11* hgb-9.9* hct-27.8* mcv-90 mch-31.8 mchc-35.5* rdw-14.3 06:45pm plt count-392 04:40pm amylase-163* 04:40pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg ct sinus/mandible/maxillofacia reason: need to evaluate the mandibular placement medical condition: 38 year old woman status post open reduction and internal fixation of mandibular fracture reason for this examination: need to evaluate the mandibular placement contraindications for iv contrast: none. examination: ct of the facial bone. clinical information: patient with internal fixation of mandibular fracture. technique: axial images of the facial bone were obtained with reformatted images in the coronal plane. findings: comparison was made with the previous ct examination of . again multiple facial fractures as well as mandibular fracture are identified. since the previous study there has been internal fixation of the mandibular fracture with plate and screws. the fracture fragments appear to be in apposition. small amount of air is seen in the soft tissues near the mandible. an ng tube is visualized. again extensive facial fractures are seen involving the right zygomatic arch, right maxillary sinus and also the left maxillary sinus. extensive soft tissue changes are seen in the visualized paranasal sinuses. extensive soft tissue edema and soft tissue stranding is identified as before. impression: status post internal fixation of the mandibular fracture. the plate and screws in position with fragments in apposition. soft tissue changes are seen in the sinuses with facial fractures as before. ct head w/o contrast reason: bleed? medical condition: 38 year old woman s/p mvc roll over, high spiking fevers reason for this examination: bleed? contraindications for iv contrast: none. study: ct of the head without contrast. indication: 38-year-old female status post mvc rollover, spiking high fevers. assess for intracranial hemorrhage. comparisons: ct of the facial bones from . technique: non-contrast head ct. findings: the images are slightly limited secondary to patient motion. there is no acute intracranial hemorrhage, shift of normally midline structures, hydrocephalus or major vascular territorial infarction. the density values of the brain parenchyma are maintained. bone windows again demonstrate the multiple and extensive facial fractures, better delineated on the most recent ct of the facial bones from . in summary, there is bilateral hemorrhage within the maxillary sinuses. there is a comminuted fracture of the posterior wall of the right maxillary sinus in addition to a fracture of the superior aspect along the lateral side. there is a possible right lamina papyracea fracture as well. high density material within the left maxillary sinus is also consistent with hemorrhage. there is a minimally displaced fracture of the posterior wall of the left maxillary sinus. there is a possible fracture of the left lamina papyracea. there is a minimally displaced fracture of the nasal septum. there is a left orbital roof fracture. a left temporal bone fracture is presumed secondary to opacification of the mastoid air cells and associated subcutaneous foreign body which may be a fragment of bone but no definitive fracture line is seen on this particular examination, although it should be noted that this examination less sensitive to the detection of small fractures compared to the more recent examination. there is a small depressed fracture of the right temporal bone of the skull. there is a fracture of the right zygomatic arch, which is minimally displaced. high density fluid material can be found within the sphenoid sinus, layering within the frontal sinus and within the ethmoid air cells. the right-sided mastoid air cells are unremarkable. there is diffuse facial swelling bilaterally with subcutaneous emphysema again noted along the inferior aspect of the left orbit. impression: no acute intracranial hemorrhage. extensive facial fractures as described above, better visualized on the recent ct examination of the facial bones from . ct c-spine w/o contrast reason: fracture field of view: 18 medical condition: 38 year old woman s/p mvc reason for this examination: fracture contraindications for iv contrast: none. indication: status post mvc. evaluate for fracture. comparison: outside priors not currently available for comparison but will be loaded into pacs. technique: non-contrast axial images of the cervical spine were obtained with multiplanar reformatted images. non-contrast c-spine: a nondisplaced hairline fracture of the posterior elements of c6 involves the lamina bilaterally and extends into the anterior aspect of the base of that spinous process. no other cervical spine fractures are identified and there is no evidence of an acute alignment abnormality. vertebral body and disc heights are well preserved. cervical lordosis is also preserved. limited evaluation of the skull base demonstrates partial imaging of patient's known multiple facial fractures including involvement of the posterior right maxillary sinus, which likely extends to the right medial and lateral pterygoid plates. involvement of the the left pterygoid processes is more equivocal on this study. fractures of the left zygomatic process are also partially imaged. evaluation of traumatic injury to the nasal septum is incomplete. opacification of the maxillary sinuses and air-fluid levels within the sphenoid sinuses are observed, as is opacification of multiple left mastoid air cells. complete evaluation of soft tissue structures is limited by the presence of endotracheal and nasogastric tubes. however, swelling and hematoma involves the right paratracheal and submandibular soft tissues with apparent enlargement of the submandibular gland. small scattered foci of subcutaneous emphysema extend along the deep soft tissues of the right neck; however no definite laryngeal skeleton injury is seen. there is no evidence of pneumothorax at the lung apices. impression: 1. nondisplaced hairline fracture of the posterior elements of c6. 2. partially imaged facial bone fractures are better evaluated on dedicated maxillofacial ct. 3. right neck swelling and hematoma with small pockets of subcutaneous emphysema involving the deep cervical soft tissues and fascia. while no definite laryngeal skeletal injury is noted, direct, perhaps fiberoptic, visualization of the larynx is recommended to exclude more subtle injury. brief hospital course: she was admitted to the trauma service with multiple injuries and fractures identified on imaging, including basilar skull fracture, multiple facial and orbital fractures (report: "extensive fractures involving the sinuses and orbits are most consistent with lefort iii fracture with r lefort 1 and b lefort 2; r temp bone fx; l petrous opacification w/o fx; +fx r temporal bone.") ct of cervical spine revealed "nondisplaced hairline fracture involving posterior elements of c6. r soft tissue neck swelling with small amount of air w/o evidence of laryngeal injury." there was no intracranial hemorrhage. she was taken to the operating room on for closed reduction of her lefort iii facial fractures and placement of a tracheostomy. her jaws were wired shut. she was later evaluated by speech and swallow and was started on a liquid diet. she will follow up with dr. 1-2 weeks after hospital discharge. she was taken to the operating room by plastic surgery for repair of her orbital, zygomatic and nasal fractures. a nasal splint was placed and will remain until follow up in clinic at end of week of . she will remain on augmentin until seen by plastics in clinic. her nasal splint fell off on day of discharge; only 1 day prior to planned removal of this. plastic surgery was made aware of this and did not have any concerns. she will follow up at the end of the week in clinic. she will need to continue to wear the hard cervical collar until follow up with orthopedic spine surgery; an mri of her cervical spine will likely be done once the jaw wires are removed to assess the hairline nondisplaced fracture of c6. neurology follow up is also being recommended as a consult was initiated during her hospital stay for concerns over reflex myoclonus. she underwent cta of her head which ruled out venous sinus thrombosis. physical and occupational therapy have worked with her and have recommended rehab stay post hospitalization. she was also evaluated by speech and swallow; she is on full liquid diet, which she is tolerating. there was a trial with passy muir valve; she was unable tolerate this because of bronchospasm. it is being recommended speech continue to follow her once in rehab. medications on admission: levothyroxine discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml's po bid (2 times a day). 3. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane tid (3 times a day). 7. albuterol sulfate 0.083 % (0.83 mg/ml) solution sig: one (1) rx inhalation q6h (every 6 hours). 8. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. 9. heparin lock flush (porcine) 100 unit/ml syringe sig: one (1) ml intravenous daily (daily): daily flush. 10. augmentin 250-62.5 mg/5 ml suspension for reconstitution sig: ten (10) ml's po twice a day for 4 days. 11. compazine 25 mg suppository sig: one (1) supp rectal twice a day as needed for nausea. 12. ativan 1 mg tablet sig: one (1) tablet po every 4-6 hours as needed for anxiety. 13. levothyroxine 112 mcg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: discharge diagnosis: s/p motor vehicle crash facial fractures scalp & ear lacerations right orbital fracture discharge condition: stable discharge instructions: you must continue to wear the nasal splint until follow up with plastic surgery this week in clinic. avoid any nose blowing. continue with the antibiotics until stopped by plastic surgery. you must continue to wear your cervical collar. followup instructions: follow up this friday in clinic, call for an appointment. follow up with dr. on in oral clinic; call for an appointment time. follow up with dr. , orthopedic spine surgery, in 2 weeks, call for an appointment. follow up in clinic in 2 weeks, call for an appointment. procedure: venous catheterization, not elsewhere classified spinal tap incision of lung other enterostomy enteral infusion of concentrated nutritional substances temporary tracheostomy closure of skin and subcutaneous tissue of other sites open reduction of mandibular fracture closed reduction of nasal fracture other open reduction of facial fracture open reduction of malar and zygomatic fracture suture of laceration of external ear other plastic repair of external ear closed reduction of maxillary fracture other operations on facial bones and joints diagnoses: open wound of scalp, without mention of complication other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) closed fracture of nasal bones open fracture of mandible, symphysis of body open wound of ear, part unspecified, without mention of complication 

Answer: The patient is high likely exposed to