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 on coumadin major surgical or invasive procedure: none history of present illness: patient is an 85 yo male with complex pmh significant for cerebrovascular accident x 2 on home coumadin who presents to s/p mechanical fall from standind. he was working in his front yard when he tripped over a garden hose and fell to the pavement, striking his abdomen, right hand and his head. no loss of consciousness. denies antecedent chest pain/dyspnea/lightheadedness, but noted increased sob after fall. he was brought by ems to where he was hemodynamically stable with gcs of 15 and complaining of mild l abdominal pain. a limited trauma workup was notable for ct scans demonstrating r orbital floor fracture, maxillary sinus opacification, free fluid collection around spleen. the patient was given vitamin k and transferred to via . past medical history: colon cancer s/p resection x 2 cvax2 hypothyroidism s/p appendectomy inguinal hernia repair ventral hernia repair idiopathic thrombocytopenic purpura social history: 15+ pack year tobacco, quit 50 years ago heavy etoh, abstinent x 2 years no ivdu former dye factory worker retired lives in with wife and daughter family history: noncontributory physical exam: 74 120/80 16 100% 2lnc nad, a+ox3 ecchymoses over r orbit, eomi, perrl rrr cta b, trachea midline abdomen soft, mildly distended, ,mildly tender reducible incisional hernia, bilaterally reducible inguinal hernias extremities wwp no edema sensation x 4, mae x 4 spontaneously r wrist in splint, nv intact pertinent results: 03:15pm fibrinoge-310 03:15pm pt-22.4* ptt-27.8 inr(pt)-3.3 03:15pm plt smr-very low plt count-59* lplt-3+ 03:15pm wbc-11.3* rbc-2.72* hgb-7.7* hct-23.0* mcv-85 mch-28.4 mchc-33.5 rdw-14.2 03:15pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:15pm amylase-75 03:15pm urea n-50* creat-2.9* 03:23pm glucose-193* lactate-2.9* na+-142 k+-5.1 cl--115* tco2-20* 03:23pm glucose-193* lactate-2.9* na+-142 k+-5.1 cl--115* tco2-20* 03:43pm urine rbc-* wbc-0-2 bacteria-occ yeast-none epi-0 03:43pm urine blood-lg nitrite-neg protein-neg glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:43pm urine color-straw appear-clear sp -1.013 03:43pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 03:43pm urine gr hold-hold 03:43pm urine hours-random 03:43pm urine hours-random 06:28pm plt count-77* 06:28pm hct-18.8* 08:59pm pt-16.1* ptt-20.5* inr(pt)-1.7 xr right wrist- comminuted fracture distal radius with probable intra-articular extension. ct head - negative at outside hospital ct facial - right inferior orbital wall blow-out fracture with herniation of fat into the maxillary sinus . no evidence of herniation of the inferior rectus muscle. nondisplaced fracture of the lateral wall of the right maxillary sinus. probable small right lamina papyrecea fracture also. ct cspine - degenerative change within the cervical spine. no evidence of fracture or malalignment. ct abd/pelvis -heterogeneously attenuating collection, which extends from surrounding the spleen in the left upper quadrant through the mid abdomen and down into the left inguinal canal consistent with a large intra-abdominal hematoma. no other significant abnormality identified. an underlying mass cannot be excluded and a followup study is recommended to assess for resolution. 08:59pm calcium-8.2* phosphate-3.7 magnesium-1.8 08:59pm ck-mb-3 ctropnt-0.04* 08:59pm ck(cpk)-105 brief hospital course: patient was admitted to the trauma icu for further monitoring of his hematocrit, which trended downward over the inital days of his stay. his hematocrit stabilized with transfusion of several units of prbc over the course of several days. on hd#5 he was transferred to the floor with stable hematocrits. on hd#5, the patient was noted to be in atrial fibrillation, which was rate controlled. previously in his hospital stay, he had been in regular sinus rhythm. the patient, his family, and his primary care doctor , and none corroborated a history of afib, so it was presumed to be of new onset. cardiology was consulted, and reccomended rate control with lopressor, which was performed. anticoagulation, although indicated for this diagnosis, was held due to the patient's splenic laceration. the patient will follow the question of whether to be on coumadin with his primary care provider as an outpatient. coumadin was held, and he was not discharged on coumadin. the patient also experienced a slight bump in his bun and cr on hd#7, which appeared to be prerenal in origin. the patient has only one kidney, and has a baseline chronic renal failure (cr~3.0), and this increased acutely to 3.5. the patient was volume rescusitated and his renal function was improving. on discharge, he was almost back to his intake creatinine. orthopedics was consulted regarding the r wrist fracture, and after evaluation, declined urgent/emergent operative repair. place patient in wrist splint and reccomended outpatient follow up once medical condition was stabilized. plastic surgery was consulted regarding the facial bone fractures, and advised delayed operative management until the patient became symptomatic, or elective repair as outpatient. the ophthomology service also saw the patient and, as he was aymptomatic from his orbital floor fractures, reccomended that the patient follow up in eye clinic in 2 weeks for repeat eye exam. medications on admission: coumadin levoxyl calcitriol folate terazosin prednisone discharge medications: 1. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. levothyroxine sodium 88 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. terazosin 1 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*2* discharge disposition: extended care facility: discharge diagnosis: 1. splenic laceration 2. comminuted radial head fracture (right) 3. right inferior orbital wall blow-out fracture 4. left maxillary sinus fracture 5. new onset atrial fibrillation 6. acute on chronic renal failure (resolving) 7. idiopathic thrombpocytopenic purpura 8. hypothyroidism discharge condition: stable. discharge instructions: it is very important that you continue to maintain as much liquid intake as you can, especially with drinks which are not plain water. this will help to protect your kidney. you must speak with your primary care doctor your coumadin medication. it was stopped because of the bleeding you had in your abdomen. take care not to cause any further trauma to your left side for at least 6 months, because you are at an elevated risk of having your spleen bleed again over this time. call or come back to the emergency department if you have any of the following: fevers, chills, mental status changes, chest pain, increasing shortness of breath, abdominal pain, lightheadedness or any other symptom which followup instructions: 1. follow up with trauma clinic in 2 weeks. call 1- for appointment. 2. follow up with dr. (orthopedics) for wrist fractures in 1 week. call ( for an appointment. 3. follow up with plastic surgery clinic in 2 weeks regarding your facial bone fractures. call ( for an appointment. 4. follow up with your primary care provider regarding your atrial fibrillation and anticoagulation in 1 week. call his office for an appointment. 5. follow up with clinic in 1 week. call ( for an appointment. procedure: transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation long-term (current) use of anticoagulants personal history of malignant neoplasm of large intestine fall from other slipping, tripping, or stumbling closed fracture of orbital floor (blow-out) closed colles' fracture closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness injury to spleen without mention of open wound into cavity, unspecified injury 

Answer: The patient is high likely exposed to