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: 1. right chest tube placement 2. right subclavian line placement 3. s/p removal of right chest tube history of present illness: 76 yo male who suffered a mechanical fall down several stairs after the lights went out in his apartment building. multiple rib fractures were seen on x-ray in the emergency department; he was subsequently admitted to for further management of his injuries. past medical history: 1. htn 2. cad, s/p cardiac stent 2 yrs ago (circumflex) 3. gerd 4. left shoulder surgery 5. right shoulder surgery 6. bilateral hip replacements social history: lives at home with his wife employed as a psychologist at family history: non-contributory pertinent results: on admission: 03:00pm plt count-451* 03:00pm wbc-19.7* rbc-4.29* hgb-13.2* hct-39.2* mcv-91 mch-30.8 mchc-33.7 rdw-13.2 03:00pm neuts-83* bands-1 lymphs-11* monos-3 eos-1 basos-0 atyps-1* metas-0 myelos-0 03:00pm glucose-149* urea n-24* creat-1.6* sodium-137 potassium-4.3 chloride-103 total co2-20* anion gap-18 pertinent imaging: ct chest w/o contrast reason: 76 year old man s/p fall down stairs field of view: 36 medical condition: 76 year old man s/p fall down stairs reason for this examination: 76 year old man s/p fall down stairs contraindications for iv contrast: none. indication: 76-year-old male status post fall downstairs. comparisons: chest radiograph performed earlier the same date at 1451 hours. technique: mdct contiguous axial images were obtained from the thoracic inlet through the mid abdomen without administration of intravenous contrast. multiplanar reconstructions were performed. ct chest without intravenous contrast: calcifications are seen within the coronary vessels and aortic arch. evaluation of the vascular structures is limited due to lack of contrast, however, there is no evidence for aneurysmal dilatation or aortic intramural hematoma. the esophagus is fluid filled along its entirety and there is a moderate fluid-filled hiatal hernia. no pathologically enlarged mediastinal, hilar, or axillary lymph nodes are noted. there are multiple fractures involving the right lateral fifth, sixth, seventh, eighth, ninth, tenth and eleventh ribs. the six, seventh, eighth and ninth rib fractures are moderately displaced. there is a small amount of right basilar pneumothorax, with a moderate high-attenuation right pleural effusion consistent with a hemopneumothorax. the lungs demonstrate mild focal pleural thickening and a small thin- walled bulla at the right apex. moderate ground-glass and nodular opacification at the right lung base may represent aspiration versus atelectasis. no pericardial effusion is seen. in the upper imaged abdomen, displaced eighth, ninth and tenth rib fractures appear to contact the lateral margin of the liver and underlying hepatic laceration cannot be excluded on this study. there is moderate hyperdense stranding in the retroperitoneum surrounding the inferior liver edge and right kidney consistent with retroperitoneal hematoma, incompletely assessed. there is significant distention of the fluid filled stomach. the imaged spleen appears grossly unremarkable. there is a trace amount of free air inferior to the right liver (series 2, image 47). bone windows: no suspicious osteolytic or sclerotic lesions are identified. in addition to the numerous right-sided rib fractures described above, there are minimally displaced fractures involving the right transverse processes of the t3, t6, t7, t8, vertebral bodies. vertebral body and disc space heights are preserved. impression: 1. multiple right-sided rib fractures, several displaced, with a moderate right hemothorax. small anterior pneumothorax at the right lung base. right basilar ground- glass and nodular opacity may represent aspiration versus atelectasis. 2. small-to-moderate amount of right retroperitoneal hematoma in the imaged portion of the upper abdomen. displaced rib fractures abut the lateral margin of the right hepatic lobe. hepatic laceration cannot be excluded on this study. 3. massive fluid distention of the stomach and esophagus. decompression with a nasogastric tube is recommended. 4. minimally displaced fractures involving multiple right transverse processes as described above. ct head w/o contrast reason: ?ich medical condition: 76 year old man with fall down stairs and retrograde amnesia and nausea & head lac reason for this examination: ?ich contraindications for iv contrast: none. indication: 76-year-old male status post fall presenting with retrograde amnesia and nausea. comparisons: none. technique: mdct contiguous axial images were obtained through the head without intravenous contrast. multiplanar reconstructions were performed. ct head without intravenous contrast: there is no evidence of intra- or extra-axial hemorrhage, shift of normally midline structures, mass effect or hydrocephalus. no major or minor vascular territorial infarct is identified. the ventricles and sulci are normal in caliber and configuration. the basal cisterns are not effaced. no fractures are identified on the bone algorithm windows. soft tissue irregularity, subcutaneous emphysema and subgaleal hematoma along the right convexity at the vertex. there is a small fluid level with mucosal thickening in the right maxillary antrum. mild mucosal thickening is also present within the ethmoid air cells. the remainder of the visualized paranasal sinuses and mastoid air cells are well aerated. impression: 1. no evidence for acute intracranial pathology including hemorrhage or mass effect. 2. evidence of scalp laceration and subgaleal hematoma along the vertex. no radiopaque embedded foreign bodies are seen. 3. mucosal thickening and air-fluid level in the right maxillary sinus without evidence for fracture, likely reflecting sinusitis. chest (pa & lat) reason: assess lung expansion, for post pull ptx medical condition: 76 year old man with r. chest tube removed now reason for this examination: assess lung expansion, for post pull ptx chest x-ray history: chest tube removal. check for pneumothorax. three views. comparison with the previous study done . the patient is status post trauma with multiple right rib fractures. a right chest tube has been removed. there are tiny circumscribed lucencies at the periphery of the right lung that may represent minimal pleural air. significant pneumothorax is identified, however. pleural thickening and/or fluid is again demonstrated laterally on the right. there is subsegmental atelectasis or scarring in the right lung. the left lung appears clear except for blunting of the costophrenic sulcus. the cardiomediastinal silhouette is unchanged. degenerative arthritic changes are again noted in the spine. there is a small amount of subcutaneous emphysema on the right, as before. impression: no evidence of significant right pneumothorax post chest tube removal. small lucencies noted in the right chest may represent minimal pleural air on that side. there is evidence for pleural thickening and/or fluid on the right and a small left pleural effusion. there is persistent mild subcutaneous emphysema on the right. brief hospital course: he was admitted to the trauma icu, dr. , attending physician. respiratory status was monitored closely and serial hematocrits were followed. on the morning of hd 2, he was noted to have difficulty maintaining his o2 saturation. a chest x-ray was performed, and an abg was obtained. tension pneumothorax was suspected. he was intubated and needle decompression followed by chest tube placement was performed. a central line was placed and he was placed on the ventilator. subsequent investigations suggested that most of the acute problem had been pulmonary collapse and or pneumonia. on hd 3, acute pain service was consulted for epidural catheter placement; attempts at placement were unsuccessful. he was placed on ketamine drip for pain control. on hd 4, zosyn was started for presumed pneumonia and tube feeds were initiated. urology was consulted because he was noted to have bright red blood from his foley catheter. a three-way catheter was placed for irrigation and he was treated empirically with antibiotics. urine culture on was negative. on hd 5 he remained intubated, with aggressive pain control; his sedation was decreased. he was extubated on hd 6, and continued to make progress. he began to work with pt and it was determined that he would need a rehab facility upon . he was eventually transferred to the regular nursing unit where he continued to progress. he was noted to have increased loose stools; a stool culture was obtained and was positive for c. difficile; flagyl was then initiated. he is now having regular formed bowel movements. his chest tube was removed; respiratory effort was much improved with adequate pain control. a standing dose of ultram was initiated and prn oxycodone. he was placed on a bowel regimen as well. he did have some issues with lower extremity edema and was started on a low dose lasix 20 mg daily; were also ordered. the edema has improved and lasix was stopped. he also had complaints of urinary "dribbling"; reports some problems with this prior to his trauma, but has noted increase during his hospital stay. a post void residual was checked and hid did have approximately 250 cc's remaining. it is being recommended that he have pvr checks along with intermittent straight catheterization. at follow up with dr. it will be determined if a urology consult is warranted. he has been evaluated by physical and occupational therapy and has been recommended for short term rehab. medications on admission: lisinopril 20', simvastatin 40', lexapro 10', buspar 10', asa 325' medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime): hold for loose stools. 3. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stools. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp<110; hr<60. 10. metronidazole 500 mg tablet sig: one (1) tablet po qid (4 times a day) for 3 days: total of 7 days (started on ). 11. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days. disposition: extended care facility: - diagnosis: s/p fall right hemothorax multiple rib fractures (right ) liver laceration (grade i) perinephric hematoma c. difficile colitis urinary retention condition: good instructions: it is important that you continue to take deep breaths, cough and deep breath at least every hour during the day while you are awake. followup instructions: follow up with dr. , trauma surgery, in 1- 2 weeks. call for an appointment. follow up with your primary care doctor from rehab. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus esophagogastroduodenoscopy [egd] with closed biopsy closure of skin and subcutaneous tissue of other sites transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension percutaneous transluminal coronary angioplasty status diaphragmatic hernia without mention of obstruction or gangrene acute respiratory failure traumatic pneumohemothorax without mention of open wound into thorax accidental fall on or from other stairs or steps intestinal infection due to clostridium difficile duodenitis, without mention of hemorrhage pneumonia due to klebsiella pneumoniae home accidents other and unspecified open wound of head without mention of complication ulcer of esophagus without bleeding hip joint replacement injury to liver without mention of open wound into cavity laceration, unspecified long-term (current) use of aspirin other specified retention of urine injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum closed fracture of seven ribs injury to kidney without mention of open wound into cavity, hematoma without rupture of capsule 

Answer: The patient is high likely exposed to