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: no known allergies / adverse drug reactions attending: chief complaint: s/p fall major surgical or invasive procedure: none history of present illness: 48 m s/p 0 feet off of a salt truck. the patient states that he lost his balance and fell ~10feet. he did not lose consciousness. he complains of pain at his left chest past medical history: polysubstabce abuse, chronic neck/back pain after mvc, hypothyroid, gerd. social history: h/o psa. family history: noncontributory to this problem. physical exam: admission physical hr:81 bp:170/ resp:22 o(2)sat:98% ra normal constitutional: patient is boarded and collared, vocalizing loudly that he is in a lot of pain heent: normocephalic, atraumatic, extraocular muscles intact c-collar in place chest: + l sided cw ttp cardiovascular: regular rate and rhythm abdominal: soft, nontender extr/back: +ttp of midline t spine. eccymoses l ankle skin: eccymoses l ankle, no abrasions, no lacerations neuro: speech fluent, maee pertinent results: - ct cap - small l ptx, first, 4-8th l rib fractures. - ct cspine - no acute cspine injury - ct head - no acute intracranial process brief hospital course: the patient was seen in the trauma bay and was found to have a small pneumothorax as well as left 1st and 4th-8th rib fractures. a chest tube was placed in the emergency department and placed on wall suction. he was admitted to the tsicu for further management. a pareventricular block was attempted but the patient was unable to tolerate this, and so his pain was controlled with iv dilaudid. this was reattempted the following day and the patient tolerated the procedure and had good pain relief from this. the acute pain service was consulted and he was started on tizanidine, po dilaudid and toradol for adjunctive pain control. the patient had persistent mental status changes and was seen by psychiatry for this and his history of polysubstance abuse. they recommended he continue on his home psychiatric medications with the addition of seroquel. the patient was transferred to the floor for further management. while on the floor he was kept on telemetry with his chest tube. he was on a regular diet on all his home medications. his pain was controlled with dilaudid. his chest tube was removed on . a chest xray taken afterwards and was preliminarily read as no residual pneumothorax. he was discharged home with narcotic pain relief, a sling for comfort for his left clavicle fracture, and an incentive spirometer. he was given instructions for close follow up with the orthopedic surgery clinic and the acute care surgery clinic. medications on admission: citalopram 40 mg daily clonazepam 1 mg tid daily levothyroxine 25 mcg daily heparin 5000 ketorlac 15 mg q6hx3 days dilaudid 2-4 mg po q3 hr pain tizanidine 4 mg tid pain lithium 600 mg daily (dose verified by pcp) potassium chloride ss mg sulfate ss calcium gluconate ss discharge medications: 1. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 2. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 3. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 4. lithium carbonate 300 mg capsule sig: two (2) capsule po daily (daily). 5. tizanidine 2 mg tablet sig: two (2) tablet po tid (3 times a day). 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: take with colace. disp:*30 tablet(s)* refills:*0* 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. colace 100 mg capsule sig: one (1) capsule po twice a day. discharge disposition: home discharge diagnosis: pneumothorax left first, fourth-eighth rib fractures discharge condition: good discharge instructions: you were admitted to the acute care service after your fall. you had several broken ribs on the left side, a broken clavicle, and a punctured left lung. it is important for you to use your incentive spirometer every hour to keep your lungs inflated. you should wear a sling for comfort with your left clavicle fracture. please follow up with the orthopedic clinic in one week for care of your clavicle fracture. you have also been discharged with some narcotic pain medication. you should not drive or operate heavy machinery while taking narcotic pain medication. you can also take tylenol to reduce your narcotic pain medicine requirement. take tylenol as directed. followup instructions: please follow up with the acute care service in 2 weeks. please call for an appointment. you should follow up with the orthopedic clinic in 1 week for care of your clavicle fracture. please call to make this appointment. procedure: insertion of intercostal catheter for drainage injection or infusion of other therapeutic or prophylactic substance insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: esophageal reflux unspecified acquired hypothyroidism other, mixed, or unspecified drug abuse, unspecified other opiates and related narcotics causing adverse effects in therapeutic use closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury traumatic pneumothorax without mention of open wound into thorax drug-induced delirium closed fracture of clavicle, unspecified part closed fracture of six ribs other noncollision motor vehicle traffic accident injuring passenger in motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to