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 55 year old white male who with a known history of seizure disorder since , bulbar amyotrophic lateral sclerosis diagnosed in , depression, mild mental retardation, dysphagia, dysarthria, recent forty pound weight loss over the prior five month period, restrictive lung disease and hypertension. he was admitted to the trauma surgery service on after having suffered a general tonic-clonic seizure and subsequently a fall which caused multiple facial fractures as well as a c5 vertebral fracture. at the time of admission, he was also found to have a low anti-epileptic medication (depakote) level. the patient at the time of admission was noted to have multiple areas of periorbital ecchymoses and a nasal laceration. nose packing was in place due to his facial injuries suffered from his fall. he had no other remarkable physical findings on the exam. the patient was then also noted to have the following admission labs: white count 11.5, hematocrit 45.8, platelet count 294. valproate level was less than 3.0. the patient also was noted to have had a ct scan of the head and neck, which showed right sided maxillary and orbital wall fractures, pterygoid plate fracture, and nasal fractures. his ct of the c-spine showed a fracture at the level of c5, and he was also noted to have a facet fracture at c5 as well. a concise review of the hospital course included a prolonged intensive care unit stay secondary to the patient's respiratory status, poor ability to swallow on his own, and the vertebral fracture that he suffered. the patient was subsequently treated with a gastrojejunal feeding tube by the trauma surgery service, and tracheostomy by the trauma surgery service, and he also had his c5 fracture fixated by the orthopedic spine service. additionally, he had his facial fractures repaired with the assistance of both the oral maxillofacial service and the neurosurgical service. the patient, after having spent most of his hospitalization in the intensive care unit, was slowly weaned to a trach collar and noted to be more alert, awake, and following commands. he was subsequently transferred to the floor, and continued to improve until approximately , when he suffered a cardiac arrest in the late evening. resuscitation efforts included cardioversion and chemical cardioversion, and he was stabilized with stable vital signs and then brought to the intensive care unit for monitoring. shortly after resuscitative efforts, it was noted that his pupils were fixed and dilated, and he was unresponsive to noxious stimuli. the patient's family was contact and made aware of the patient's deterioration and present clinical condition. after extensive discussion with them, it was decided that he would be placed on comfort measures only. he was subsequently pronounced dead at 12:29 p.m. on . the patient's family did agree to a postmortem examination to further evaluate the potential causes for the patient's demise. discharge diagnoses: 1. multiple facial fractures. 2. cervical spine fracture. 3. respiratory failure requiring tracheostomy. 4. dysphagia requiring gastrojejunal feeding tube placement. , procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other electric countershock of heart temporary tracheostomy other cervical fusion of the anterior column, anterior technique percutaneous [endoscopic] gastrojejunostomy closed reduction of nasal fracture repair of vertebral fracture insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae suture of laceration of nose diagnoses: other convulsions unspecified fall amyotrophic lateral sclerosis cardiac arrest other pulmonary embolism and infarction closed fracture of c5-c7 level with unspecified spinal cord injury closed fracture of nasal bones closed fracture of base of skull without mention of intra cranial injury, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level open wound of nose, unspecified site, complicated 

Answer: The patient is high likely exposed to