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: s/p fall major surgical or invasive procedure: none history of present illness: 60 yo male with daily etoh use recently started on gabapentin 2 days ago for neuropathic pain as a result of frostbite to his feet ~5 years ago who became dizzy and reportedly fell. he is a poor historian, unclear if loc, + head strike. pain in posterior neck, throbbing/aching in quality. denies any new numbness/tingling/weakness. he has hyperesthesisa in both feet at baseline and has difficulty moving his toes at baseline. denies incontinence. past medical history: pmh: hypthyroidism, alcoholism, frostbite 5 years ago, denies other medical problems, but is unsure if on meds for anything else social history: sh: homeless activity level: walks for a majority of the day mobility devices: none occupation: currently unemployed tobacco: 2 cigs/day etoh: 1 pint vodka/day, denies other drug use family history: non-contributory physical exam: on admission: vitals: 95.8 88 103/57 18 96% ra general: seems intoxicated, but arouses to voice and able to answer questions mental status: aox2 cranial nerves ii-xii grossly intact. bue , silt c5-s1 1+ symmetric ue dtrs no pathologic reflexes ble - , significant pain dysesthetic pain with ankle and toe motion. silt all dermatomes. 2+ dtr @ quad, 1+ @ achilles no pathologic reflexes, no spasticity, no clonus pertinent results: imaging: ct head 1. no acute intracranial hemorrhage. 2. type fracture of the c1 vertebral body ct c-spine there is type fracture through the anterior and posterior processes of the c1 vertebral body. the atlantoaxial interval is maintained. there are spinous process fractures of c4, c5, and c6. spinal alignment is maintained, no other fracture is seen. visualized soft tissues of the neck and lung apices are unremarkable. ct abd/pelvis : healed l5-6th rib fx, subacute r10 rib fx. hypodensity left kidney too small to characterize. no acute intrabdominal injuries xr facial bones : no displaced fractures or dislocations are seen. the paranasal sinuses are grossly intact. if there is high clinical concern, would recommend facial bones cts. orbital contours are preserved. mri c-spine : ligamentous injury status post fractures in the cervical spine. no evidence for cord contusion or epidural hematoma. no retropulsion of bone into the canal is seen. there is no compression fracture. brief hospital course: he was admitted to the acute care surgery service. he was admitted to the trauma icu given his hypotension in the ed and was given a banana bag and placed on a ciwa scale given his history of alcohol abuse. he was evaluated by the orthopedics spine team. their recommendations included c-spine precautions with cervical collar at all times and mri c-spine to evaluate the craniocervical junction ligaments as well as soft tissue stabilizers of the subaxial spine. the findings revealed ligamentous injury with no evidence for cord contusion or epidural hematoma. no retropulsion of bone into the canal was seen and no compression fracture noted. he will follow up in the spine center in weeks for repeat imaging studies. in the meantime he may shower with the collar on and the pads changed while spine precautions maintained. he was transferred to the floor . early in the day he requested to leave for . there were some concerns for his capacity and a psychiatry consult was placed. it was felt that he did possess the capacity to make decisions. he ultimately did agree to stay. he was evaluated by physical therapy for gait disturbance given his neuropathy and was issued a walker. he is being discharged to the house with instructions for follow up. medications on admission: synthroid, gabapentin discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. gabapentin 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 6. tylenol 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. discharge disposition: extended care facility: house discharge diagnosis: s/p ?fall type fracture of c1 with accompanying spinous process fractures of c4, c5 and 6. rib fractures - right 5th, 6th ribs discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to after a probable fall where you sustained a fracture of the spine bones in your neck (cervical). you seen by the orthopedic spine doctors who have recommended a hard collar which must be worn for at least the next 6-8 weeks when you will follow up in the spine center for xrays. you were also found to have rib fractures which can be painful and limit your ability to take deep breaths. it is important that you cough and deep breathe and use the incentive spiormeter 10 times every hour that you are awake. if you notice a cough with sputum production you should return to the emergency room for evaluation. please call your doctor or go to the emergency department if: *you experience new chest pain, pressure, squeezing or tightness. *you develop new or worsening cough, shortness of breath, or wheeze. *you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience an unusual discharge. *your pain is not improving within 12 hours or is not under control within 24 hours. *your pain worsens or changes location. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *you develop any concerning symptoms. general discharge instructions: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. please take the prescribed analgesic medications as needed. you may not drive or heavy machinery while taking narcotic analgesic medications. you should also avoid alcohol and/or other illicit drugs. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. please also follow-up with your primary care physician. followup instructions: follow up in weeks in acute care surgery clinic for your rib fractures; call for an appointment. you will need a standing end expiratory chest xray for this appointment. follow up with dr. in the spine center in weeks; call for an appointment. procedure: alcohol detoxification application of neck support diagnoses: tobacco use disorder unspecified acquired hypothyroidism other convulsions disturbance of skin sensation other specified hypotension lack of housing other alteration of consciousness closed fracture of fourth cervical vertebra closed fracture of first cervical vertebra closed fracture of fifth cervical vertebra closed fracture of three ribs acute alcoholic intoxication in alcoholism, continuous closed fracture of sixth cervical vertebra activities involving walking, marching and hiking injury due to legal intervention by unspecified means 

Answer: The patient is high likely exposed to