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: no known allergies / adverse drug reactions attending: chief complaint: traumatic brain injury/ multiple brain contusions major surgical or invasive procedure: none history of present illness: this is a 22 year old male presents with etoh level 259 status post ejected passenger in motor vehicle accident. the patient reportedly exhibited agonal breathing on the scene. he was taken to emergency room where he was intubated. the patient was a difficult intubation and during intubation became bradycardic to the 40s. he o2 saturation was never below 98%. past medical history: none social history: student; mother and father at bedside family history: nc physical exam: gen:intubated gcs 10t off sedation for 5 minutes heent: clear fluid right ear. pupils: 5-4mm eoms:not able to comply with exam- disconjugate gaze neck: hard cervical collar extrem: warm and well-perfused. neuro: mental status/orientation: opens eyes to loud voice, grips and opens eyes to command, non verbal intubated cranial nerves: i: not tested ii: pupils equally round and reactive to light, 5 to 4 mm bilaterally. visual fields- unable to test iii, iv, vi: extraocular movements- unable to test v, vii,viii,ix, x, , xii: unable to test due to poor mental status motor:the patient is moving all extremities purposefully with good strength. he does not participate in a motor exam. he is localizing and has made multiple attempts to sit up in bed off sedation toes downgoing bilaterally physical exam upon discharge: pertinent results: ct c-spine no acute overt vertebral body fracture. linear lucency within the left lateral mass seen only on coronal images may represent nutrient foramina, however nondisplaced fracture, though less likely, cannot be completely excluded in the setting of trauma. final attending comment: above finding likely represents a nutrient foramen and not a fracture. ct head at 02:30 1. fracture extending from the right occipital into the right temporal bone (petrous and squamous portions) with mild medial displacement of fracture fragment involving squamous temporal bone. overlying subgaleal hematoma and soft tissue swelling. 2. extra-axial blood layering over the right middle cranial fossa concerning for epidural hematoma. 3. extra-axial hyperdensity layering over the left cerebral hemisphere concerning for left subdural hematoma. 4. subarachnoid hemorrhage particularly within the left frontal lobe. 5. left frontal parenchymal contusion cannot be completely excluded, although difficult to evaluate in setting of trauma. 6. right subfalcine herniation and 2mm rightward shift of the midline structures. 7. blood in the external auditory canal. fluid, likely blood in right mastoid air cells. ct torso no acute fractures. no evidence of traumatic injury to chest, abdomen or pelvis. minimal periportal edema likely due to volume resuscitation. ct head at 06:00 parenchymal contusions (left frontal, right frontal and right temporal). new layering blood along the posterior falx and and along the tentorium bilaterally. these findings are more obvious on today's study and evaluation of hemorrhage however these findings may have been masked by motion degradation on the prior study. other findings similar to the prior examination with similar degree of shift of normally midline structures. ct head at 07:55 parenchymal contusions in the left frontal, right frontal, and right temporal lobes. the frontal contusions are increased since the prior study. similar amount of layering blood seen along the posterior falx and along the tentorium bilaterally. slight increase in the shift of the normally midline structures compared to the prior study, although this is not dramatically different ct head at 02:13 impression: 1. stable intraparenchymal contusions in the inferior frontal lobes and right temporal lobes. 2. subdural and subarachnoid hemorrhage appears similar in distribution compared to prior examination. degree of midline shift appears similar. 3. unchanged appearance of minimally displaced right skull fracture as described above. ct head at 07:53 multiple intraparenchymal contusions are redemonstrated within the inferior bilateral frontal lobes. overall, distribution and severity appear similar to the most recent exam. punctate right temporal contusion as well as minimal left subdural hematoma are unchanged. layering hemorrhage along the posterior phalanx and extending to the tentorium bilaterally is also again present. diffuse subarachnoid hemorrhage filling the suprasellar cistern is again present as is the midline shift of approximately 3 mm. there may also be a small amount of epidural hematoma overlying the skull fracture. in comparing multiple prior cts, there does appear to be an increase in the amount of effacement of the suprasellar cistern concerning for progressive downward tentorial herniation. minimally displaced right parietotemporal skull fracture is unchanged. impression: 1. stable hemorrhages including subdural, subarachnoid, epidural and intraparenchymal. 2. dating back to exam, increased effacement of the suprasellar cisterns. ct head at 07:06 1. unchanged bifrontal and right temporal hemorrhagic contusions. 2. expected evolution of subdural and subarachnoid hemorrhage. 3. mild improvement in cisternal effacement. 4. mildly increased compression of the temporal horns of the lateral ventricles, which may reflect increased temporal lobe edema. nchct:no significant interval change in the size and extent of multiple hemorrhagic contusions causing diffuse cerebral edema. no change in the degree of ventricular and basal cistern effacement. labs : 05:50am blood glucose-114* urean-15 creat-0.7 na-135 k-4.2 cl-97 hco3-28 angap-14 brief hospital course: this is a 22 year old male who presented with etoh level of 259 status post ejected passenger in motor vehicle accident. the patient reportedly exhibited agonal breathing on the scene. he was taken to emergency room where he was intubated. he was given dilantin and mannitol on arrival and continued on dilantin. he was monitored closely in the icu. he was initially placed on spine precautions while a hard cervical collar but ct of spine did not reveal any fractures so the collar was removed. he self-extubated the morning of admission but his repiratory status remained stable to he remained on room air. repeat imaging on am showed expected evolution of the contusions. he was kept in the icu. repeat imaging on showed a slight increase in midline shift, but otherwise stable. the patient remained stable- awake, alert, oriented to self only, following commands, and mae. the patient was transferred from the icu to the step down unit. early around 2am, the patient was noted to be more confused and agitated. the nurse noted that his r pupil was dilated but remained reactive. a stat head ct was performed which showed some increase swelling. on return to the sdu from ct, his right pupil was dilated and fixed. he received 50gm of mannitol and his r pupil became reactive. he was kept in the sdu. at 0730 the rn noted that bilateral pupils were dilated and fixed. neurosurgery was called and assessed the patient- he was agitated and restless. he was moving all over the bed. r pupil was larger than the left by 2mm but both did not react. mannitol 50gm was given and transfer to the icu was requested. serum na was 128. the patient became less responsive and demonstrated respiratory distress, a code blue was called. the patient was successfully intubated, his hemodynamics remained stable throughout. he was taken immediately to ct where the ct showed worsening edema. he was then taken to the icu for monitoring. on repeat examination his left pupil was smaller and reactive, he continued to mae spont. a repeat na was 129 and salt tabs were ordered. his right pupil remained fixed so the patient received another dose of mannitol 100 gm. he put out almost 6l of urine and his r pupil came down in size and began to react. his afternoon serum na was 139, salt tabs were discontinued but he remained on ns. he was successfully extubated in the evening and remained stable overnight. on , a repeat head ct showed improvement to his edema. on exam he was awake, alert, oriented to self only, bilateral pupils reactive, mae, and following commands. morning serum na was 142, and his ns was reduced by half and able to be discontinued when taking sufficient pos. the patient remained in the icu for observation. on his na 136 and his exam remained stable. he was kept in the icu for observation. on he was less confused and agitated. it was noted that he had difficulty closing his right eye and opthomology was consulted. they recommended artifical tears and follow up as an outpatient. he was transfered to the sdu. overnight he was noted to have increased agitation. upon finally sleeping his agitation was resolved. a routine head ct was performed on that was stable, no change in contusions. he was cleared for transfer to the regular floor. pt and ot were consulted for assistance with discharge planning and recommended acute neuro rehab. on the day of discharge , the patient was tolerating a regular diet, ambulating without difficulty, afebrile with stable vital signs. his serum na on the day of discharge is stable at 135. medications on admission: adderol xr 30mg daily discharge medications: 1. acetaminophen-caff-butalbital tab po q6h:prn ha 2. adderall xr *nf* (amphetamine-dextroamphetamine) 30 mg oral qd adhd reason for ordering: wish to maintain preadmission medication while hospitalized, as there is no acceptable substitute drug product available on formulary. 3. artificial tear ointment 1 appl right eye hs 4. artificial tears 1-2 drop right eye prn irritation 5. bisacodyl 10 mg po/pr daily 6. docusate sodium 100 mg po bid 7. heparin 5000 unit sc tid 8. hydromorphone (dilaudid) 1-2 mg po q3h:prn pain rx *hydromorphone 2 mg half - 1 tablet(s) by mouth every 3 hours prn pain disp #*40 tablet refills:*0 9. nicotine patch 14 mg td daily 10. phenytoin sodium extended 200 mg po tid 11. senna 1 tab po bid discharge disposition: extended care facility: - discharge diagnosis: subdural hematoma right occipital fracture cerebral edema altered mental status hyponatremia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: nonsurgical brain hemorrhage ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? **you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . followup instructions: follow-up appointment instructions ?????? please call ( to schedule an appointment with dr. , to be seen in ___4____weeks. ?????? you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. ?????? we recommend you see dr in the traumatic brain injury (tbi) clinic the phone number is . if you have any problems booking this appointment please ask for . the patient needs to be followed up for neuro-oph consult after he leaves the hospital. call the eye department to schedule consult with dr procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube insertion of endotracheal tube arterial catheterization diagnoses: hyposmolality and/or hyponatremia other convulsions other specified cardiac dysrhythmias cerebral edema bell's palsy other and unspecified special symptoms or syndromes, not elsewhere classified other and unspecified alcohol dependence, unspecified delirium due to conditions classified elsewhere leukocytosis, unspecified other respiratory abnormalities closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle third or oculomotor nerve palsy, partial closed fracture of base of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to