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: s/p fall major surgical or invasive procedure: none history of present illness: 88 yo male s/p fall from standing. he was taken to an area hospital where he was found to have bilateral c1 fractures and unstable dens fracture with posterior displacement. he was transferred to for furthr care. on presentation his gcs 15, inr 4.3 (on coumadin for afib); he was given ffp, prophylline, and vit k given in ed. past medical history: angina chf a fib (on coumadin) mi family history: noncontributory physical exam: gen: wd/wn, comfortable, nad. heent: pupils: 4-->2 bilat eoms intact bilat. large lac to post scalp with bandages in place. neck: in c-collar, tender. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: axo x 2, not oriented to date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are full to confrontation. 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 for age. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, and pinprick bilaterally. reflexes: b t br pa ac right 1+ throughout left 1+ throughout pertinent results: 08:49pm glucose-199* potassium-4.1 08:49pm ck(cpk)-68 08:49pm ck-mb-notdone ctropnt-<0.01 04:39pm pt-19.5* ptt-30.8 inr(pt)-1.9* 12:54pm lactate-1.4 12:45pm urea n-12 creat-1.0 12:45pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:45pm wbc-11.3* rbc-4.47* hgb-14.4 hct-41.7 mcv-93 mch-32.2* mchc-34.5 rdw-15.0\ ct head: extracalvarial soft tissue injury. no fx. no intracranial injury. c-spine:. type 2 odontoid fracture (unstable). b/l lamina fractures of c1, age-indeterminate fx spinous process c7 vs. calcification of the ligamentum nuchae. ? ligamentous instability at c0-c1 on the right as above. there may be an element of atlanto-occipital instability. torso: question compression-type deformity at t12. compression fractures involving t12 and l4. these are likely chronic although the superior endplate l4 fracture does protrudes slightly posteriorly into the spinal canal. echo: moderate regional left ventricular systolic dysfunction, c/w prior extensive infarction in the lcx territory. mild aortic regurgitation. moderate mitral regurgitation, secondary to leaflet tethering. moderate to severe tricuspid regurgitation. moderate pulmonary hypertension. cardiology report ecg study date of 9:57:42 am atrial fibrillation. ventricular ectopy. diffuse non-specific st-t wave changes. compared to the previous tracing no significant change. intervals axes rate pr qrs qt/qtc p qrs t 96 0 110 338/391.57 0 4 108 chest (portable ap) ap chest 10:59 a.m. history: spine fracture. g-tube placement. impression: ap chest compared to through 7: no endotracheal tube is seen below c7, the upper margin of this film nor is there a radiopaque esophageal tube. lung volumes are lower than on augst 7 and there is a band of subpleural atelectasis along the minor fissure. pulmonary vascular congestion is also slightly more pronounced but there is no pulmonary edema despite chronic moderate-to-severe cardiomegaly and transvenous right atrial and right ventricular pacer leads, in standard placements. there is no substantial pleural effusion or indication of pneumothorax. echo conclusions: the left atrium is mildly dilated. the right atrium is moderately dilated. there is moderate regional left ventricular systolic dysfunction with focal thinning/akinesis of the inferolateral wall and severe hypokinesis of the inferior and apical segments. the remaining left ventricular segments contract normally.no masses or thrombi are seen in the left ventricle. the right ventricular cavity is dilated. the aortic valve leaflets (?) are moderately thickened. aortic stenosis was not assessed.. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , left ventricular systolic function is mildly improved, but the right ventricle is now larger and free wall hypokinesis is now suggested. aortic regurgitation is not seen on the current study (may be related to heart rate/technique) and the rhythm is now atrial fibrillation. brief hospital course: he was admitted to the trauma service. neurosurgery was consulted because of his spine fracture; this injury was deemed non operative. he is to remain in a hard cervical collar for the next 4-8 weeks; he will follow up in clinic in 4 weeks for repeat imaging. plastic surgery was also consulted for the laceration to his forehead; this was irrigated and closed with suturing. he was started on antibiotics as prophylaxis. sutures were removed on day of discharge. geriatric medicine was also consulted given his age, co-morbidities and mechanism of injury. he was noted to have periods of apnea during his hospital stay during the night on ; abg's were drawn and were 307* 35 7.56* 32* 9. it is felt that the apnea likely related to his chf; his diuretics were adjusted, he is currently on 60 mg po lasix . he has required supplemental oxygen as well. an echo was done on which revealed mild mr, but no aortic stenosis. it is being recommended that he have a sleep study as an outpatient. there was much discussion between the trauma service, geriatrics and the patient's primary cardiologist regarding restarting his coumadin. the final decision was made by his cardiologist that he wanted the coumadin restarted. his last inr was 1.3 on , his dose was increased from 10mg to 3 mg. goal inr should be between . he remained in atrial fibrillation during his stay here; rate in the 80's to 90's, his beta blockers were increased. he also was quite delirious during his hospital stay felt secondary to the injury and medications. he underwent ct head imaging on and which revealed no intracranial processes. he was started on haldol to control the agitated behaviors; the dose was eventually decreased because of increased drowsiness. sitters were initially in place and these were also eventually discontinued. there were also problems with urinary retention during his stay; it was recommended by geriatrics that his foley catheter be removed in order to not further aggravate the delirium with excess lines, catheters, etc. he will require straight catheterization q 4-6 hours once at rehab. he was evaluated by physical and occupational therapy who have recommended rehab stay after discharge. medications on admission: atenolol, fosamax, nitropatch, imdur, simvastatin, lasix, coumadin discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. haloperidol 0.5 mg tablet sig: one (1) tablet po once a day: hold for increased sedation. 7. quetiapine 25 mg tablet sig: 0.5 tablet po hs (at bedtime): may repeat with 12.5 mg additional if not asleep within 45 min after initial dose. 8. warfarin 2 mg tablet sig: 1 tablet po daily (daily): goal inr ; dose changes daily & prn based in inr. 9. atenolol 50 mg tablet sig: two (2) tablet po daily (daily): hold for hr <60; sbp<110. 10. furosemide 20 mg tablet sig: three (3) tablet po bid (2 times a day). 11. fluocinonide 0.05 % ointment sig: one (1) appl topical (2 times a day): apply to affected areas on back. discharge disposition: extended care facility: northeast - discharge diagnosis: s/p fall c2 odontoid fracture forehead laceration secondary diagnosis: urinary retention delirium discharge condition: good discharge instructions: you will need to continue to wear the hard collar for the next 4-6 weeks; possibly longer, per recommended of neurosurgery. followup instructions: follow up with neurosurgery in 4 weeks, call for an appointment. inform the office that you will need a repeat cervical spine ct scan for this appointment. follow up in trauma clinic in weeks, call for an appointment. you will need to follow up with your primary care doctor as an outpatient for a sleep apnea study. an appointment will need to be made once discharged from rehab. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] closure of skin and subcutaneous tissue of other sites replacement of any type pacemaker device with dual-chamber device diagnoses: congestive heart failure, unspecified atrial fibrillation unspecified fall open wound of forehead, without mention of complication cardiac arrest closed fracture of second cervical vertebra retention of urine, unspecified ventricular fibrillation cardiac pacemaker in situ other alteration of consciousness pathologic fracture of vertebrae 

Answer: The patient is high likely exposed to