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: patient is a 71 year old with a history of coronary artery disease status post coronary artery bypass graft and aortic valve repair, also abdominal aortic aneurysm repair, who fell 15 flights of stairs and was brought into the emergency department as a trauma alert. the patient reportedly at approximately 10 minutes of loss of consciousness and arrived with a gcs of 14. past medical history: the patient's past medical history was noted for coronary artery disease status post coronary artery bypass grafting and aortic valve repair as well as abdominal aortic aneurysm repair. social history: not significant for etoh. is significant for tobacco. physical examination: on admission to the emergency department the patient's vital signs was noted to be a temperature of 98.6. pulse of 96. blood pressure of 182/74. respiratory rate of 22. sating 90% on room air. on physical exam, patient was noted to be oriented to name and was able to follow simple commands. c spine examination: there is no stepoffs noted or deformity. chest examination was clear to auscultation bilaterally, no crepitus. trachea was midline. abdomen was soft, nontender, nondistended. pelvis noted to be stable with superficial abrasions over the right hip. rectal examination was noted to be normal tone, guaiac negative. left upper extremity: there were superficial abrasions but no obvious deformities. right upper extremity: there was also no obvious deformities except for a clavicular deformity that was noted on the right side. lower extremities: the patient is noticed to have distal pulses bilaterally and right hip hematoma. laboratories: on admission the patient's laboratories were noted to be white count of 19.8, hematocrit of 39.9, platelets of 261,000. pt of 21.6, ptt of 31.7, and an inr of 3.2. on his radiological studies was noted to be significant for a head ct scan which noted to have a left sided subdural hematoma, right frontal intraparenchymal hemorrhage, a left parenchymal-frontal contusion, right parietal-intraparenchymal bleed. ct scan of his abdomen was nonsignificant for any acute traumatic injuries. ct scan of the pelvis was normal. no fractures noted. ct scan of the chest was noted to have fractures in his right first rib and right 4th-9th ribs there were fractures. plain films: his chest x-ray was not noted to be significant for any other injuries other than his right rib fractures. his pelvis x-ray was within normal limits. patient was subsequently admitted to the surgical intensive care unit for serial neurologic checks. further workup while he was in the intensive care unit revealed that he also has a left t2 and t3 transverse process fracture as well as a c5 and c6 listlessness. his course in the intensive care unit while intubated was significant for a growing of methicillin-resistant staphylococcus aureus in the sputum for which he was initially started on vancomycin on . this was changed to oxacillin once it was discovered that the staph aureus methicillin sensitive. this was changed to oxacillin on and the patient received a 15 day course. as far as his head injury, neurosurgery was consulted, which stated that no surgical intervention was required. moreover, his clavicular fracture was noted to be significant also for a glenoid fracture. orthopedics was consulted, and they too did not recommend any surgical intervention. during his course in the intensive care unit, patient's physical exam was significant for basically mental status deteriorated to the point where he was unable to be responsive, where he only opens his eyes to stimulation. he only moves his right upper and right lower extremity spontaneously, but not purposely. given his history of aortic valve, the patient was started on heparin drip on . on , the patient underwent tracheostomy and a percutaneous endoscopic gastrostomy. at this point the patient's vent support slowly weaned to pressure support, for which the patient tolerated, so on , the patient was deem stable and ready to be transferred to rehab when available. by systems: neurologically he is stable. he is on dilantin. the patient is relatively unresponsive, however, he does open his eyes and he is beginning to track more frequently than before. he only moves his right upper and right lower extremity with not purposely, but spontaneous movements. he does not move anything on his left. respiratory wise he is stable. he is to continue on cpap vent setting of 50% pressure support of 10 and a peep of 5. cardiovascularly he is also stable. he is on lopressor and he has been started on coumadin for his aortic valve and currently he is on a heparin drip at 1100 units/hour. gastrointestinal: he is on tube feeds via peg. promo with fiber at 85 cc/hour which is his goal. genitourinary: he has no issues. he is making good urine and he has got a stable creatinine. id: he finished 15 course of oxacillin for his methicillin-sensitive staphylococcus aureus which grew out of the sputum. hematologically he requires q six hour checks of his ptt as well as his daily checks for his pt/inr as the patient is on heparin drip and was started on coumadin. prophylactically, the patient is on venodyne boots. is on heparin. discharge medications: 1. lopressor 50 mg/peg . 2. dilantin 200 mg in the am, 200 mg in the afternoon, and 300 mg in the pm every day. follow levels. we found that the patient is also a diabetic. so he is on nph 25 units subq q am and q pm. he is also on a sliding scale. patient is also on procrit 4,000 units subq q week and as mentioned, he is on promo with fiber at 85 cc/hour. discharge instructions: the patient requires a c collar at all times for a total of six weeks. he requires three more weeks after he is discharged. he requires followup with neurosurgery. diet: he is on tube feed promo with fiber and he should be weaned on this as tolerated. currently he is on cpap 50%, support 10, peep of 5, and most importantly, he is on heparin drip at 1100 units/hour, and he is on coumadin. last dose of coumadin was 15 mg. his last pt/inr is 16.1 and inr of 1.8. his last ptt was 77. discharge diagnoses: patient is status post fall with head injuries significant for subdural hematoma as well as intraparenchymal hematoma which did not require any intervention. the patient has residual cognitive deficit that the patient opens his eyes only to stimulation. does not speak. does not respond to commands. patient also has a right clavicle as well as posterior glenoid fracture. patient also has a right first rib and fourth to ninth rib fractures. patient also had left t2 and t3 transverse process fracture in c5 and c6 lithesis. the patient is currently intubated. does not have any pulmonary problems. also requires anticoagulation currently on heparin and has been started on coumadin. his last inr is 1.8. the patient will require his inr to be between 2-2.5. continue heparin until inr is 2-2.5, then heparin can be discontinued. the patient also needs to be followed up by neurosurgery for his c spine injury and status of his c collar. please call for any problems. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy diagnoses: heart valve replaced by other means acute respiratory failure accidental fall on or from other stairs or steps subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness contusion of lung without mention of open wound into thorax closed fracture of eight or more ribs closed fracture of clavicle, unspecified part closed fracture of glenoid cavity and neck of scapula closed fracture of unspecified vertebral column without mention of spinal cord injury 

Answer: The patient is high likely exposed to