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: the patient is a 72-year-old gentleman status post fall off a horse which was unwitnessed. he was found on the trail with his riding helmet beside him. he was able to give his name but was otherwise disoriented. he was transferred to hospital. by report his gcs was 14, but he had no purposeful movement. head ct showed traumatic subarachnoid hemorrhage with bifrontal contusions, multiple convexity skull fractures with no significant displacement, no more than thickness of the bone, one small area of pneumocephalus on the base of the thalamus. the patient was seen by the ophthalmology service for the left frontal skull fracture which extended into the left orbital roof. no surgical intervention was needed. his globes were intact, and there was no need for surgical repair of the orbital roof. the patient was also seen by ct surgery for question of an esophageal . the patient was intubated and sedated in the or on propofol. when lightened, he was restless, unable to focus, moving all extremities, left greater than right. he did not open his eyes or follow commands. he localized with his left upper extremity. he had withdraw in the bilateral lower extremities. in the right upper extremity, he lifted against gravity but weaker than the left. right pupil was 4 mm and reactive, left is irregular and nonreactive, surgical. he did have cornuals, gag, and cough. the patient had repeat head ct on , which was unchanged from the previous day ct. on , the patient was awakened and attentive. left pupil was surgical, right was 4.5 down to 4.0 and reactive. he had purposeful movements of the left greater than right. smile was symmetric. the patient had mra/mrv to rule out stroke as the cause for right upper extremity weakness which was negative. it was unclear as to the cause of the decreased movement in the right upper extremity. we recommended weaning from the ventilator and weaning sedation. the patient had repeat chest ct. thoracic surgery felt there was a low probability of an esophageal , prophylaxis antibiotics were discontinued on . on , the patient opened his eyes and followed voice. he occasionally followed commands. he continued with right-sided weakness. ophthalmology was consulted again who said that he showed evidence of healing corneal abrasions. the patient will need follow-up with outpatient ophthalmologist after discharge. the patient was extubated on and transferred to the regular floor on . he was seen by physical therapy and occupational therapy and found to require acute rehabilitation prior to discharge to home. discharge medications: lopressor 50 mg p.o. b.i.d. hold for systolic blood pressure less than 110, heart rate less than 55, hydralazine 20 mg p.o. q.6 hours, hold for systolic blood pressure less than 110, heart rate less than 55, nystatin ointment 1 application topically q.i.d. p.r.n. to affected areas, insulin sliding scale, captopril 25 mg p.o. t.i.d., hold for systolic blood pressure less than 100, erythromycin ophthalmic ointment 0.5% o.u. at h.s., nystatin oral suspension 5 cc p.o. q.i.d., heparin 5000 u subcue q.12 hours. condition on discharge: the patient's neurologic status improved greatly. he was awake and alert and oriented times , moving all extremities, but continued with some right-sided weakness. he was following commands and was out of bed ambulating with assistance. follow-up: he will need to follow-up with dr. on one month with repeat head ct. he was stable at the time of discharge. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube diagnoses: unspecified essential hypertension superficial injury of cornea closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness closed fracture of orbital floor (blow-out) other accidental fall from one level to another 

Answer: The patient is high likely exposed to