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: multitrauma with cervical spine dislocation and acetabular fracture major surgical or invasive procedure: 1. halo placement 2. open tracheostomy with the placement of a #8 cuffed portex tracheostomy tube 3. percutaneous endoscopic gastrostomy with placement of a ponsky percutaneous endoscopic gastrostomy tube 4. right femoral percutaneous placement of a bard g2 inferior vena cava history of present illness: patient is a 25 year old male driver of a car who slammed into the back of a truck today, transferred intubated from . his gcs was reportedly less than 7 at the scene of the accident. he was extricated for about 1.5 hours and was apneic and had a heart rate of 50 when ems arrived, per report. ems was unable to establish an airway but he was bagged until he arrived to the referring hospital. he was intubated and a chest tube placed (with minimal return). he was hypotensive and received 4 u prbc there and given 2mg of midazolam for question of seizure activity which involved facial twitching and jaw clenching. the patient was med-flighted to () and had a gcs of 3 upon arrival here. past medical history: none social history: pt lives with girlfriend, has 3 year old son, was planning to close on real estate on the day of accident. pt denies physical/sexual abuse in his life. father lives in . mother is in republic. they have both arrived and are in the area, per written chart. family is spanish speaking and girlfriend is currently spokesperson for family. family history: non-contributory physical exam: on admission (): t:94.3 bp:109/58 hr:52 rr:14 o2sats:100% gen: wd/wn, comfortable, nad. heent: pupils: 3mm bilaterally, trace reaction + blood in both nares, slight twitching noted in left nare neck: in cervical collar lungs: rhonchi bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. musculoskeletal: cervical spine - there is no palpable step-off. on examination of his upper extremities, his clavicles are nontender with no abrasions. he has a full range of motion of his shoulders, elbows and wrists and again no abrasions and no crepitus. he has a 2+ radial pulse. examination of his pelvis is stable to compression. his hips have minimal pain with range of motion. there is a 6-cm laceration over his left knee that is horizontal in nature and with probing with a sterile technique, does not appear to extend into the joint. with flexion of the knees, he appears to have an intact patellar tendon and quad tendon. his ankle is nontender and has no significant deformity. he has a 2+ dorsalis pedis and posterior tibial pulse. on examination of the right lower extremity, there are no abnormalities. neuro: the patient has a gcs of 3. he has no gag reflex, no corneal reflex. his pupils are 3mm with trace reaction bilaterally. he does not withdraw to pain in any extremity. pertinent results: labs on day of admission: 11:21pm hct-35.6* 06:25pm type-art temp-34.6 peep-5 o2-100 po2-129* pco2-45 ph-7.34* total co2-25 base xs--1 aado2-551 req o2-90 intubated-intubated vent-controlled 06:25pm glucose-103 lactate-1.7 k+-3.9 06:25pm freeca-1.12 06:15pm glucose-103 urea n-13 creat-0.8 sodium-137 potassium-3.8 chloride-105 total co2-25 anion gap-11 06:15pm calcium-7.7* phosphate-3.9 magnesium-1.7 06:15pm wbc-11.0 rbc-4.69 hgb-13.4* hct-37.7* mcv-80* mch-28.6 mchc-35.6* rdw-14.1 06:15pm plt count-158 06:15pm pt-13.9* ptt-26.0 inr(pt)-1.2* 04:31pm glucose-112* lactate-2.3* na+-137 k+-3.8 cl--106 tco2-20 04:25pm urea n-16 creat-1.1 04:25pm amylase-210* 04:25pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-pos barbitrt-neg tricyclic-neg 04:25pm urine bnzodzpn-pos barbitrt-neg opiates-pos cocaine-neg amphetmn-pos mthdone-neg 04:25pm wbc-12.9* rbc-5.08 hgb-14.3 hct-42.2 mcv-83 mch-28.2 mchc-34.0 rdw-14.0 04:25pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg . ekg (): sinus rhythm. baseline artifact distorting qrs and p wave intermittently. normal tracing. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 53 194 94 15 . radiology: chest x-ray () impression: 1. endotracheal tube, ng tube, left chest tube in proper positions. 2. bilateral patchy pulmonary consolidation, likely related to contusion and/or edema. 3. small left subpulmonic pneumothorax. . ct head () impression: 1. severe brain edema as evidenced by complete obliteration of the all brain basal cisterns nd effacement of the gyri. uncal and transtentorial herniation might be present. 2. blood is noted within the fourth ventricle and within the anterior prepontine space, these findings are concerning for subarachnoid hemorrhage with extension into the ventricular system. . ct c-spine () impression: 1. there is approximately 1.5 cm of distraction at the cranial cervical junction. no fractures are seen, but this injury suggests complete disruption of the alar ligaments and tectorial membrane. this injury is grossly unstable. 2. there is subarachnoid hemorrhage in the spinal canal, but intraspainal soft tissues are otherwise poorly seen. . ct pelvis () impression: 1. left acetabular fracture 2. bilateral pulmonary airspace consolidation suggestive of aspiration, with areas of patchy ground glass opacity compatible with pulmonary contusion. tiny left anterior pneumothorax noted. 3. pneumoperitoneum, without definite evidence of solid organ injury. 4. heterogeneous perfusion of the liver, with areas of focal hyperdensity in the right lobe likely related to altered perfusion, though parenchymal contusion cannot be excluded. . mr head, mra neck with and without contrast () impression: 1. craniocervical dislocation with extensive surrounding ligamentous injury. evidence of injury to the imaged portion of the upper cervical spinal cord, medulla, and anterior pons. 2. abnormal signal with the putamen, caudate head, and frontal cortex bilaterally suggestive of hypoxic inujury. scattered foci of nonhemorrhagic diffuse axonal injury predominating within the right frontal lobe likley. 2. no evidence of arterial injury within the head and neck . chest fluoro (post op) () ivc insertion. three spot films from an ivc placement are submitted. one film demonstrates insertion catheter with markers projecting at the l2 and l3 levels. post-placement film demonstrates the tip of a at the inferior margin of l2. . labs on day of discharge: na-139 k-3.8 cl-105 bicarb-24 bun-10 cr-.7 hct-37.2 wcc-11.9 hb-13.6 plts-163 brief hospital course: patient is a 25 year old male driver of a car who slammed into the back of a truck today, transferred from . his gcs was reportedly less than 7 at the scene of the accident. he was extricated for about 1.5 hours and was apneic and had a heart rate of 50 when ems arrived, per report. ems was unable to establish an airway but he was bagged until he arrived to the referring hospital. he was intubated there and given 2mg of midazolam for question of seizure activity which involved facial twitching and jaw clenching. the patient was med-flighted to () and had a gcs of 3 upon arrival here. an extensive radiologic work-up was performed. ct and mr of the cervical spine revealed craniocervical dislocation with extensive surrounding ligamentous injury, 1.5 cm of distraction at the cranial cervical junction, suggesting complete disruption of the alar ligaments and tectorial membrane. . the patient also suffered a left acetabular fracture that was evaluated by the orthopaedic trauma service. this was managed non-operatively as the fracture was not significantly displaced. procedures: on a halo was applied and vest was applied. a reduction was performed under fluoroscopic guidance and he was tightened down. on , the trauma surgical service performed a right femoral percutaneous placement of a bard g2 inferior vena cava , open tracheostomy with the placement of a #8 cuffed portex tracheostomy tube, and a percutaneous endoscopic gastrostomy with placement of a ponsky percutaneous endoscopic gastrostomy tube. . psychiatry: of note, the patient was seen by our psychiatry services. their assessment and impression noted attentional deficits, memory deficits manifested by the inability to recall what has been told to him by his medical providers. they felt that he did endorse a sad mood and symptoms (sad, hopeless, helpless, and insomnia) were consistent with a depressive episode . their initial assessment regarding his capacity to make decisions regarding end of life issues. they also noted in their recommendations that due to the vulnerable state of the patient's brain, they discouraged the use of benzodiazepines as it may make him vulnerable to delirium. they recommended treating his symptoms of anxiety/fear/insomnia with low dose haloperidol and his depression with celexa. he tolerated these well. . id: the patient was screened for mrsa multiple times and all tests were negative. positive microbiology included a sputum sample from and a bronchoalveolar lavage on which both showed haemophilus influenzae, beta-lactamase negative. on one out of four blood culture bottles grew out gram positive coccus. the patient underwent a 2 week course of vancomycin antibiotics. numerous urine cultures were negative. several clostridium difficile toxin assays were negative. the patient's cultures grew out gram negative rods which are being treated with unasyn. . on an occiput c5 posterior fusion instrumentation with primary repair of dural rear with precranial auto graft by the orthopedic team. . given the extent of his injuries, there are a limited number of facilities in the country able to care for mr. . he was screened and accepted at rehabilitation in . a medical flight was arranged for him on . he is being discharged to a rehabilitation facility with instructions for follow-up. discharge medications: 1. insulin regular human 100 unit/ml solution sig: injection asdir (as directed). 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 6. acetaminophen 160 mg/5 ml solution sig: po q6h (every 6 hours) as needed. 7. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation q4h (every 4 hours) as needed. 8. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). 9. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 10. potassium chloride 20 meq packet sig: packets po prn (as needed). 11. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 12. gabapentin 100 mg capsule sig: one (1) capsule po tid (3 times a day). 13. lorazepam 0.5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 14. zosyn 4.5 g recon soln sig: one (1) intravenous every eight (8) hours. 15. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection three times a day. 16. vancomycin in normal saline 1 g/250 ml solution sig: one (1) intravenous twice a day. 17. morphine 10 mg/ml solution sig: intravenous every hours as needed for pain. discharge disposition: extended care facility: center discharge diagnosis: 1. atlantoaxial and occiput-atlanto disassociation of cervical spine (1.5 cm of distraction at the cranial cervical junction) with extensive surrounding ligamentous injury 2. severe brain edema, mr evidence of injury to the imaged portion of the upper cervical spinal cord, medulla, and anterior pons 3. subarachnoid hemorrhage 4. left subpulmonic pneumothorax 5. left lower lobe lung collapse 6. pulmonary contusion 7. pneumoperitoneum 8. left acetabular fracture discharge condition: stable to rehabilitation facility discharge instructions: please call doctor greater than 101, nausea/vomiting, inability to eat, wound redness/warmth/swelling/foul smelling drainage, abdominal pain not controlled by pain medications or any other concerns. please follow-up as directed. diet: tube feeding wound care: sponge bathe (no bath or swimming) if no drainage from wound, if clear drainage cover with dry dressing tracheostomy: please inspect tracheostomy site daily and clean followup instructions: 1. please follow-up with a spinal surgeon at your new location regarding your cervical spine injuries. 2. please also follow-up with a general orthopaedic surgeon regarding your left acetabular fracture procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava other bronchoscopy percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy temporary tracheostomy other cervical fusion of the posterior column, posterior technique removal of skull tongs or halo traction device atlas-axis spinal fusion other repair and plastic operations on spinal cord structures insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae diagnoses: pneumonitis due to inhalation of food or vomitus anoxic brain damage cerebral edema traumatic pneumothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle sprain of neck contusion of lung without mention of open wound into thorax open wound of knee, leg [except thigh], and ankle, without mention of complication street and highway accidents dependence on respirator, status closed fracture of acetabulum subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration closed dislocation, first cervical vertebra other specified disorders of peritoneum adjustment disorder with depressed mood quadriplegia, c1-c4, complete disorders of meninges, not elsewhere classified 

Answer: The patient is high likely exposed to