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: jaw pain and neck pain major surgical or invasive procedure: none history of present illness: mr. fell 15 feet off a porch while moving a couch when the railing broke. his gcs at the scene was 3 and he had + loc and incontinence. he was transported to by med flight and his gcs improved to 14. he had a cervicle collar in place and pan scanned in the emergency room. his injuries included a fractured right mandible, small sah, right frontal bone fracture, right zygomatic arch fracture and c3,4 and 6 lateral transverse foramen fracture. he was admitted to the trauma icu for further evaluation and management. past medical history: 1. hypertension 2. type ii diabetes 3. hypercholesterolemia social history: lives with wife, unemployed : remote etoh occassional family history: non contributory physical exam: o: bp: 151/90 hr:102 rr 24 o2sats97% temp 96.2 gen: wd/wn, comfortable, nad. heent: normocephalic, with significant right scalp abrasion, there is no csf rhinorrhea or otorrhea. there is however discrete hemorrhage from the nares. pupils: perrl eoms; intact neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3mm to 2mm bilaterally. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. rue exam was deferred for pain. pronator drift also deferred for rue pain. sensation: intact to light touch. pertinent results: 12:45pm pt-12.4 ptt-25.6 inr(pt)-1.0 12:45pm plt count-314 12:45pm wbc-20.3* rbc-4.75 hgb-13.8* hct-41.0 mcv-86 mch-29.0 mchc-33.7 rdw-13.4 12:45pm urea n-16 creat-1.0 01:01pm glucose-185* lactate-3.3* na+-140 k+-3.6 cl--101 tco2-26 03:44pm wbc-16.3* rbc-4.79 hgb-13.7* hct-40.7 mcv-85 mch-28.7 mchc-33.7 rdw-13.9 03:44pm amylase-166* 10:50pm lactate-2.6* c spine ct : 1. right-sided cervical spine fractures involving the transverse process at c3, c4, c6, and c7. cta is recommended to exclude vertebral artery injury. 2. linear lucency at the left c6-7 facet, which may represent a nondisplaced fracture. 3. right mandibular body fracture. please note, the mandible is not fully imaged and therefore a second fracture cannot be excluded. head ct : 1. acute subarachnoid hemorrhage in the right inferior frontal and left temporal lobes. possible small acute subdural hematoma along the right inferior frontal lobe. no significant mass effect. 2. acute fractures involving the right zygomatic arch and right orbital roof. probable fracture of the right lamina papyracea with small amount of gas in the right orbit. abd ct : 1. consolidation in the right lower lobe and left lower lobe most compatible with aspiration. gastric distention with fluid level also noted. consider ng tube decompression to avoid further aspiration. 2. right posterior eleventh rib fracture. extensive deformity involving the clavicles and upper rib cage likely related to a prior episode of trauma. 3. please refer to ct cervical spine for description of fractures at the lower cervical spine, which are better assessed on that study. 4. metallic foreign body embedded aloing the anterior left mid-lung resembling a bullet. please correlate with prior trauma history as this appears chronic. 5. dense atherosclerotic calcification along the left coronary circulation, which clinical correlation is advised. 6. small fat-containing periumbilical hernia. 7. prostatic enlargement. correlate with psa. head ct :. right frontal parenchymal hemorrhage and surrounding mass effect, stable since the most recent study on . 2. stable subarachnoid hemorrhage and right frontal subdural hematoma. 3. multiple fractures, better demonstrated on the recent dedicated maxillofacial ct study. 4. opacification of all visualized paranasal sinuses, related to the multiple fractures. cardiac echo : the left atrium is elongated. the estimated right atrial pressure is 0-10mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). the estimated cardiac index is high (>4.0l/min/m2). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with normal biventricular regional and global systolic function. head ct : further slight interval increase in size of right frontal intraparenchymal hemorrhage, now measuring 3.3 x 3.3 cm, previously 3.2 x 2.9 cm. no change in bilateral subarachnoid hemorrhage. head ct : unchanged right frontal intraparenchymal hemorrhage with mild perihemorrhagic edema without significant mass effect, shift of normally midline structures or herniation. unchanged multifocal bilateral subarachnoid hemorrhage. brief hospital course: mr. was admitted to the trauma icu for neuro checks and evaluation by plastic surgery and maxillofacial surgery for his multiple facial fractures. he was oriented to person and place but not time and he was experiencing right back, neck and arm pain. his pain was relieved with morphine and he was started on prophylactic dilantin. he did not have any seizures. he was evaluated by the neurosurgical service for his c spine fractures and they initially recommended a hard collar for 8 weeks but this was changed to a soft collar for comfort only as he had no ligamentous damage. his dilantin was given for 10 days. following transfer to the trauma floor he continued to make good progress from a neurologic standpoint. he had serial head ct's done to evaluate his right frontal bleed and although he had no change in his neurologic exam he did have a small increase in his right frontal bleed but no mass effect or shift. his last ct scan was on and was unchanged. he was seen by the cardiology service while in the icu as he had some tachycardia and ventricular ectopy in the setting of hypokalemia. following repletion of his potassium his ectopy resolved and a cardiac echo was done which revealed a normal ef and no wall motion abnormalities. recommendations were to increase his beta blocker as needed to decrease his heart rate. dr. from omfs evaluated mr. mandibular fracture and opted for conservative treatment for now and a liquid diet. he will follow up in the out patient clinic next week. physical therapy was involved in his care on a daily basis to improve his mobility prior to his return home. he was walking with a cane and required gait training, stair negotiation and safety awareness. he improved on a daily basis but still required some cueing. his family will be with him 24 hours a day and eventually he will follow up with cognitive neurology. of note he had a routine type and screen done on admission which showed an anti k antibody. in the future he will need k antigen negative products. a wallet card and paperwork from the blood bank will be mailed to his home. he did not receive any blood products during this admission. medications on admission: glucophage 1000 mg po daily januvia 100 mg po daily lopressor 50 mg po bid discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 6. bacitracin-polymyxin b ointment sig: one (1) appl topical (2 times a day). 7. listerine mouthwash sig: ten (10) mls mucous membrane four times a day: swish and spit. 8. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. outpatient occupational therapy 10. januvia 100 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: 1. right mandible fracture 2. right frontal bone fracture 3. right zygomatic arch fracture 4. tiny sah 5. c3,4,6 lateral transverse foramen 6. anti k antibody discharge condition: stable discharge instructions: * do not eat any foods that require chewing * drink protein supplements 3-4 times a day ( ie ensure, boost or glucerna ) * wear a soft cervicle sollar for comfort ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? 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: call dr. at for a follow up appointment in 2 weeks neurology followup with dr. in weeks, call to schedule an appointment. will need a ct myelogram of r shoulder scheduled prior to the appointment. follow-up with dr. in 8 weeks (neurosurgery) you needs a non-contrast head ct and a non-contrast c-spine ct at that time so let the secretary know when you call. call to schedule this appointment. call dr. at for a follow up appointment in -weeks call clinic at for a follow up appointment call from cognitive neurology for an appointment at (call after your health insurance is reinstated) md procedure: arterial catheterization diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use paroxysmal ventricular tachycardia other and unspecified hyperlipidemia pneumonitis due to inhalation of food or vomitus long-term (current) use of insulin cerebral edema abrasion or friction burn of face, neck, and scalp except eye, without mention of infection closed fracture of one rib closed fracture of unspecified part of humerus closed fracture of malar and maxillary bones delirium due to conditions classified elsewhere home accidents closed fracture of fourth cervical vertebra accidental fall from or out of building or other structure closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness closed fracture of sixth cervical vertebra closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness closed fracture of third cervical vertebra closed fracture of mandible, body, other and unspecified 

Answer: The patient is high likely exposed to