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: this 32 year-old male unrestrained passenger of a pick-up was involved in a motor vehicle collision, which involved driving off the road and down an embankment. the patient was found in the driver's seat hanging upside down with his legs suspended about his neck. he was awake upon arrival to an outside hospital, however, he was subjective to a prolonged extraction time in the field. at the outside hospital the patient was intubated and a left chest tube was placed. past medical history: unknown. allergies: unknown. medications: unknown on admission. social history: unknown at the time of admission. physical examination: the patient's vital signs were temperature 96.9, heart rate 120, 128/74, 18 respiratory rate and sating 100%. the patient was intubated and sedated with a hard cervical collar in place. lung examination was significant for coarse breath sounds bilaterally. the heart was regular rate and rhythm. the abdomen was soft and nontender and nondistended and the extremities were without clubbing, cyanosis or edema. the patient had normal rectal tone per examination and the patient was guaiac negative. admission laboratories: hematocrit of 42.4, white count of 25.0, platelet count of 207. electrolytes drawn at the time were within normal limits. a ct scan of the thoracic spine revealed a t9 and t10 compression fracture as well as a fracture of the spinous process at t9. a t12 transverse process fracture and mild canal narrowing at the levels of t11 and t12. at the time of admission the orthopedic spine service was consulted and their recommendation was for reexamination following lightening of sedation for a full neurological examination. pending the patient's intubated and sedated status they recommended maintenance with a log roll precautions at all times. after initial workup in the trauma bay the patient was transferred to the trauma intensive care unit where repeat laboratories were significant for a hematocrit of 33, white blood cell count of 16.3 and a platelet count of 161. in addition to the plan outlined by the orthopedics spine consult the trauma intensive care unit team pursued a bronchoscopy for diminished right upper lobe breath sounds as well as a left shoulder plain film to assess for acute trauma. additional radiological workup was significant for a left pneumothorax being treated with a left chest tube and multiple left rib fractures. head ct, abdominal ct and diagnostic peritoneal lavage were all negative. upon repeat chest x-ray the patient was found to also have a right pleural effusion and this was treated on hospital day two with a placement of a right chest tube. the output from this chest tube was immediately 50 cc of sanguinous fluid and after the tube was placed to suction an additional 20 cc of sanguinous fluid was drawn from the chest tube. on follow up consultation orthopedics recommended a brace for treatment of the patient's compression fractures and other spinal fractures. this brace was fitted to the patient on hospital day two, . on hospital day three the patient continued to be intubated and sedated. on examination his heart was regular, but he continued to have coarse breath sounds bilaterally. the plan per the intensive care unit team was to wean to extubation and to hold sedation after fitting of the tlso brace. the patient was also placed on a ciwa protocol, benzodiazepines for treatment of his incipient alcohol withdraw. on cultures were returned on the patient's bronchoalveolar lavage, which was performed on . these tests were positive for methacillin resistant staph aureus and the patient was placed on vancomycin. on the neurology service was consulted to evaluate the patient's mental status, which had still not returned to baseline despite the weaning of sedation. their assessment was that this otherwise healthy 32 year-old male had an altered mentals status probably due to the factor of medications subsequent to high doses of benzodiazepines and morphine. increased right leg weakness and decreased sensation to the right lower extremity were attributed to his known thoracic spine fractures. to further workup these neurological deficits the neurology service recommended an mri of the full spinal cord to evaluate for nerve root or spinal cord injury. they also recommended a speech and swallow evaluation for this patient as well as weaning of all sedation to allow this patient's mental status to normalize. these recommendations were followed by the trauma intensive care unit team. on the patient had blood cultures and urine cultures drawn pursuant to recommendations by the neurology service for a workup of his recurrent fevers. in addition, electroencephalogram was performed as well as a mri of the brain with diffusion weighted imaging was ordered to evaluate the patient for diffuse axonal injury. final read on the mri of the spinal canal was obtained on and this showed cord compression and fracture collapse and worsening fracture. given these findings the orthopedic service assessment was that the brace was not adequate treatment and a full body tlso brace was fitted. to provide stabilization for this patient's spinal fractures, the patient was taken to the operating room by orthopedics on for posterior stabilization of his compression fracture. the patient underwent a t7 through t12 laminectomy and fusion done by the orthopedic spine service on . this procedure was completed without complications. postoperatively, the patient initially showed minimal movement of his right arm and left leg to pain, however, these initial neurological changes on examination resolved subsequently and were not suggestive of intraoperative cord trauma. on postoperative day two the patient was intubated and sedated and continued to have low grade fevers with a t max of 101.5. he was moving all extremities spontaneously and able to squeeze the examiner's fingers on command. as treatment for the low grade fevers and in light of the patient's former positive cultures for mrsa, the patient was continued on vancomycin and levaquin. on the patient was fitted with a clam shell brace, which he was to wear when elevated greater then 30 degrees in bed or at any time when he was sitting in a chair or otherwise at his bed. on hospital day thirteen postoperative day four the patient was transferred to the standard nursing floor where he pulled out his feeding tube, but was otherwise alert and oriented to person and place. his examination was stable including his neurological examination and a speech and swallow examination was scheduled to evaluate the patient for initiating oral intake. as far as his mental status the patient continued to be confused and was talking repeatedly and perseverating over topics especially involving his former occupation as a food delivery person. on a bedside swallow evaluation was performed with recommendations to continue the patient npo with an nasogastric tube and to obtain a video swallow study to rule out aspiration. this was pursuant to observations by the bedside swallow evaluator of overt speech and swallow aspiration on large straw sips of water. this video swallow study was performed later on and the results of the study were moderate to severe oropharyngeal dysphagia were observed by piece meal bolus handling. reduced anterior posterior tongue movement as well as premature spillage into the pharynx, mild oral residue and increased oral transit time were noted. consistent with these findings the patient was recommended to remain npo and continue to obtain his nutrition via feeding tube. on hospital day sixteen postoperative day seven the patient continued to be in stable condition and was afebrile. his mental status was attributed to a likely diffuse axonal injury given his quite severe roll over motor vehicle accident. an ent consult was obtained to evaluate the patient for continued hoarseness. the ent service evaluated the patient on and recommended humidified air by shovel mask, reflux precautions as well as the reverse trendelenburg positioning pursuant to their assessment of erythema or retinoid and vocal cords. using fiberoptic laryngoscopy both vocal cords were mobile and the airway was visualized and patent. on the patient was evaluated by the physical therapy service whose impression was that the patient would require a long period of bed rest. rehabilitation was considered appropriate for this patient given his altered mental status as well as his significant rehabilitation requirements. occupational therapy also assessed this patient on and their treatment plan included assistance with activities of daily living, subsequent to the patient's impairment including his fitting with tlso brace as well as his altered mental status. in addition, pursuant to these recommendations the patient was screened by a case manager for placement in appropriate neurological rehabilitation hospital. however, the patient lacked appropriate insurance, placement was a recurring issue throughout the remainder of his hospital stay. on hospital day nineteen, postoperative day ten the patient continued to be in stable condition and was continuing his vancomycin for a positive culture for mrsa. his mental status slowly improving, however, the patient continued to perseverate over work related subjects. on hospital day 21 postoperative day eleven, the patient was taken to the operating room with orthopedics for incision and drainage of his back wound, which was concerning for infection. this procedure was performed without complications and intraoperative cultures were sent. the wound edges were reposed using staples and a drain was placed. on postoperative day two following this procedure the drain was pulled for minimal output and the wound was noted to be healing appropriately. intraoperative cultures were positive for methacillin resistant staph aureus and vancomycin was again initiated. neurologically the patient continued to improve as far as his global mental status and he developed no additional focal neurological deficits. on hospital day twenty six, which was the patient was alert and oriented to person and in no acute distress. wound care was ordered per instructions from the orthopedic service and activity was specified as out of bed in the tlso brace. for the remainder of the hospital stay wound checks were performed periodically by both the trauma and the orthopedics team and the wound was observed to be healing appropriately. on approximately postoperative day ten the staples were removed and the patient's back wound was found to be approximated nicely. other developments included a notable improvement in the patient's global mental status and the patient was oriented to person, place and time by . for the remainder of the hospital stay he continued to work with physical therapy and occupational therapy to regain his ability to perform his activities of daily living as placement in rehabilitation was stymied by the patient's lack of appropriate insurance. on the patient was cleared by the physical therapy service as able to return home safely and perform his activities of daily living. he was discharged in good condition to home on this day with appropriate instructions to follow up with both the trauma service and the orthopedic surgery service. discharge status: approved. condition on discharge: good. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances other exploration and decompression of spinal canal closed [endoscopic] biopsy of bronchus other incision with drainage of skin and subcutaneous tissue dorsal and dorsolumbar fusion of the posterior column, posterior technique other immobilization, pressure, and attention to wound diagnoses: other postoperative infection closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury traumatic pneumothorax without mention of open wound into thorax hyperosmolality and/or hypernatremia drug-induced delirium other and unspecified alcohol dependence, unspecified closed fracture of multiple ribs, unspecified other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle benzodiazepine-based tranquilizers causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to