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: intubated at scene major surgical or invasive procedure: tracheostomy percutaneous gastrostomy tube left ac picc line history of present illness: 17 year old man, unrestrained driver mvc at high speed, car vs tree this am. gcs 3t, intubated at scene. +etoh, cannabis. taken to outside hosptial, found to have pulmonary contusions, possible iph, no other obvious injuries. transfer by for continued care. recieved veccuronium at approximately 0400, 100mcg fentanyl and 1mg versed at 0610. past medical history: none social history: lives with his mother, parents divorced etoh +< tobacco + no ivda family history: non contributory physical exam: physical exam: o: bp: 114/60 hr: 62 r: 18 o2sats: 100% gen: intubated, not on sedation, no spontaneous movement heent: pupils: equal, round, minimally reactive to light neck: supple. lungs: cta bilaterally. cardiac: rrr abd: soft, nt extrem: warm and well-perfused. neuro: mental status: gcs 3t, no corneals, no gag. minimal movement of head with strong sternal rub. cranial nerves: i: not tested ii: pupils equally round minimally reactive to light, 1mm bilaterally. iii, iv, vi: unable to test v, vii: unable to test viii: unable to test ix, x: unable to test : unable to test xii: unable to test motor: no abnormal movements, tremors. unable to test strength. sensation: unable to test toes mute bilaterally coordination: unable to test pertinent results: 06:39am wbc-16.6* rbc-4.56* hgb-15.1 hct-41.8 mcv-92 mch-33.1* mchc-36.2* rdw-13.0 06:39am plt count-243 06:39am pt-12.8 ptt-25.8 inr(pt)-1.1 06:39am asa-neg ethanol-190* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:44am glucose-109* lactate-2.9* na+-139 k+-4.0 cl--109 tco2-20* 06:39am urea n-6 creat-0.9 ct c spine : 1. no fracture or malalignment. 2. tiny radiopaque density in the region of the hypopharynx and oropharynx . clinical correlation is suggested. head ct : 1. hyperdensity in the right perimesencephalic cistern, concerning for small focus of subarachnoid hemorrhage. 2. possible tiny focus of layering hemorrhage within the occipital of the left lateral ventricle. ct torso : 1. multifocal consolidation in the lungs, predominantly in the upper lobes, which most likely reflect pulmonary contusions. there are associated pneumatoceles, largest in the left upper lobe. 2. multiple radiopaque densities within the skin of the upper and mid back, likely reflect foreign bodies. mri head : 1. multiple punctate blooming foci of susceptibility artifact, some of which demonstrate corresponding restricted diffusion,in the frontal lobes and splenium of the corpus callosum, bilaterally. these findings are consistent with extensive diffuse axonal injury, likely explaining the clinical presentation. 2. subarachnoid hemorrhage predominately within the bilateral occipital lobar and at the left vertex sulci, with a small amount of hemorrhage layering in the left lateral ventricle, and no evidence of hydrocephalus. 3. small fluid levels within the paranasal sinuses. given that the initial head ct dated demonstrated clear sinuses, these findings are most likely related to intubation and supine positioning. mri c spine : 1. no evidence of traumatic injury to the cervical spine or spinal cord. 2. fluid noted in the oropharynx, attributable to recent intubation and retained secretions. cxr : comparison is made with prior study . tracheostomy tube is in standard position. there has been markedly improved lung opacities, some opacities persist in the left lower lobe in the retrocardiac area and superior to the right hilum medial in the right upper lobe. there is no pneumothorax or pleural effusion. cardiac size is top normal. there are low lung volumes. pneumoperitoneum has decreased. brief hospital course: mr. was evaluated in the emergency room by the trauma team and then admitted to the trauma icu for further management and care. he had a small subdural hematoma by head ct and on exam had no eye opening, small non reactive pupils and a strong cough. he moved his right side to pain. all other extremities responded with abnormal extension. he had no spontaneous movements. he was maintained on full mechanical ventilation and underwent frequent neuro checks. he was placed on a 7 day course of prophylactic keppra. an mri of his head revealed diffuse axonal injury and an mri of his neck showed no ligamentous injury therefore his c collar was removed on . he required increased doses of propofol and fentanyl as he was extremely agitated when his sedation was weaned and actually required reintubation twice as he self extubated himself with his right hand. he eventually underwent tracheostomy to protect his airway and peg tube placement for nutrition. daily temperature spikes prompted multiple cultures and sinusitis was demonstrated on ct. he was subsequently treated with flagyl and cephapine for a 7 day course. from a pulmonary standpoint he was eventually weaned off the respirator and maintained on a trach collar with vigorous pulmonary toilet. he was evaluated by the ent service as a foreign body was noted in the hypopharynx on ct of the c spine. direct laryngoscopy was done at the bedside but no foreign body was noted nor were there any signs of mucosal infection. he will follow up with ent as an out patient. was transferred to the trauma floor on for further rehabilitation. he remained restless and agitated and continued to have strong, spontaneous movements of his right side but less so on the left. he does not respond to commands. his agitation and restlessness was controlled with haldol around the clock and on occasion he would need an iv dose. his pain was controlled with methadone 20 mg . it should be weaned down to 10 mg as long as he is able to tolerate his pt regime at rehab. multiple urine cultures were done as he had an elevated wbc to 19k without bandemia. all of his cultures were negative and his wbc was 15k. on he had a high temperature of 100.7 along with an elevated wbc of 18.9 without bands. for that reason he had blood, urine and sputum cultures obtained. his urinalysis was negative and a chest xray showed no pneumonia. he did have a picc line in which was then removed and the tip was cultured. currently all cultures are prelinarily negative and he has not had any other fevers. he remains off antibiotics. he was seen daily by the physical therapy service and occupational therapy. the social workers were very involved with his family during his admission to try to keep them updated on his condition and help them deal with this devastating injury. after a prolonged hospital stay he was discharged to rehab for vigorous treatment in the hopes of his regaining some of his baseline function. medications on admission: none discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for eye care. 3. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 4. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 5. methadone 10 mg tablet sig: two (2) tablet po bid (2 times a day). 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for bowel regimen. 8. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 9. haloperidol 5 mg tablet sig: one (1) tablet po tid (3 times a day). 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours). 11. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 12. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed) as needed for eye care. 13. haloperidol lactate 5 mg/ml solution sig: 2-3 mg injection q4h (every 4 hours) as needed for increased agitation. 14. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain or fever. discharge disposition: extended care facility: discharge diagnosis: primary diagnosis s/p mvc car v. tree 1. subarachnoid hemorrhage 2. multifocal pulmonary contusions 3. 4. foreign body in hypopharynx discharge condition: mental status:confused - always level of consciousness:lethargic but arousable activity status:bedbound discharge instructions: * work hard with physical therapy, occupational therapy and speech therapy. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. call your doctor immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: please follow up with dr. at regarding a possible foreign body in your throat identified on ct scan. call dr. at for a follow up appointment in 8 weeks with a repeat mri. the secretary will arrange that for you. call dr. at for a follow up appointment in weeks. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization laryngoscopy and other tracheoscopy temporary tracheostomy diagnoses: thrombocytopenia, unspecified other opiates and related narcotics causing adverse effects in therapeutic use alcohol abuse, unspecified fever, unspecified traumatic pneumothorax without mention of open wound into thorax contusion of lung without mention of open wound into thorax leukocytosis, unspecified foreign body accidentally entering other orifice motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle other staphylococcus pneumonia apnea personality change due to conditions classified elsewhere cortex (cerebral) laceration without mention of open intracranial wound, with prolonged [more than 24 hours] loss of consciousness without return to pre-existing conscious level central pain syndrome foreign body in pharynx 

Answer: The patient is high likely exposed to