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: procedures: 1. open reduction internal fixation of bilateral maxillary lefort i fracture with multiple approaches 2. open reduction internal fixation of right orbital floor blow out fracture with titanium plate. 3. open reduction internal fixation of nasoorbitoethmoid fracture 4. open reduction internal fixation of nasal fracture 5. open reduction internal fixation of nasomaxillary complex fracture, lefort ii, right with multiple approaches. 6. complex layerered closure laceration, nasal dorsum tracheostomy 1. posterior cervicothoracic arthrodesis, c5 to t1. 2. instrumentation, posterior, c5 to t1. 3. c7 and c6 laminectomy. 4. t1 laminotomy. 5. open reduction of fracture-dislocation. 6. application of local autograft. 7. application of allograft for fusion augmentation. history of present illness: 48 f s/p fall down 13 stairs at home sustaining significant facial trauma; +etoh. intubated for airway protection because due to combativeness. transported to for further care. past medical history: htn, psoriasis social history: alcoholism family history: noncontributory physical exam: pe: (in icu) on exam, the patient is intubated and sedated. she reveals a 4 x 3 cm stellate laceration over her nasal bridge with exposed bone and muscle. she has a 4 cm transverse subciliary laceration down to muscle. the patient has a full thickness partial avulsion of to of her right upper lip. the patient demonstrates bilateral peri-orbital ecchymosis. no facial step offs. bony instability at nasal bridge. no nasal septal hematoma. significant intra-oral lesions associated with partial avulsion of upper lip. edentulous. midface instability noted. pertinent results: 11:37pm type-art po2-149* pco2-47* ph-7.40 total co2-30 base xs-3 11:37pm lactate-0.7 k+-3.4* 07:34am glucose-113* urea n-8 creat-0.6 sodium-141 potassium-4.3 chloride-108 total co2-23 anion gap-14 07:34am alt(sgpt)-35 ast(sgot)-58* alk phos-61 tot bili-0.3 07:34am lipase-107* 07:34am pt-11.4 ptt-26.2 inr(pt)-0.9 04:56am wbc-18.2* rbc-3.50* hgb-12.3 hct-35.7* mcv-102* mch-35.2* mchc-34.5 rdw-12.2 04:56am plt count-276 ct head impression: 1. no intracranial hemorrhage. 2. extensive midface trauma detailed in the separately reported ct of the facial bones and paranasal sinuses. ct c-spine impression: fracture of the posterior elements of c6. no acute cervical spine malalignment. ct sinus/mandible impression: status post repair of bilateral le fort i fractures and right le fracture. high-density fluid within all the paranasal sinuses consistent with blood. proptosis of the right eye when compared to the left with no evidence of retrobulbar hemorrhage, and intact globe and lens. repeat ct sinus/mandible impression: essentially stable appearance status post repair of bilateral le fort i and right le fractures, with high-density fluid within paranasal sinuses representing blood. proptosis of the right eye when compared to the left continues, although there is slight diminution of the low-density fluid anterior to the right eye. no signs of an infection are demonstrated, though this (non-enhanced) study is certainly not the most sensitive method. t-spine findings: on the current study, there is some anterior displacement of c4 with respect to c5 with slight angulation at this intervertebral disc space. minimal residual prominence of the anterior soft tissues are seen. posterior fusion device is again noted at c5 and t1. brief hospital course: she was admitted to the trauma service. orthopedic spine and plastic surgery were initially consulted. she was taken to the operating room on for repair of her multiple facial fractures; a tracheostomy was also performed at that time by trauma surgery. postoperatively she was taken to the trauma icu where she remained sedated and vented. on she was taken to the operating room by orthopedic spine surgery for stabilization of her spine fractures. there were no intraoperative complications. postoperatively she remained in the trauma icu and was eventually weaned from sedation and extubated. a dobbhoff was placed early on and tube feedings were initiated. during her icu stay she intermittently had high fever spikes and was pan cultured. infectious disease was consulted given the leukocytosis and elevated lipase and amylase levels. it was felt the fever spikes were secondary to acute pancreatitis which did resolve and also because of sputum came back positive for klebsiella and she was started on a 10 day course of levofloxacin. she was eventually transferred to the regular nursing unit where her mental status slowly showed improvement. a swallow evaluation was done for which she initially failed. the dobbhoff remained and tube feeding continued until patient self removed the dobbhoff. a trial with oral diet was done for which she was able to eat without any overt signs of aspirating. her diet was then upgraded t regular with supervision for all meals. her tracheostomy was downsized to a 6 french, fenestrated, cuffless. she tolerated this without difficult. she was evaluated by physical and occupational is being recommended or acute rehab after her hospital stay. medications on admission: atenolol 50', lisinopril 10', hctz 12.5', hydroxizinge qhs discharge medications: 1. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 2. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qthur (every thursday). 3. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane (2 times a day). 4. fentanyl 25 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 5. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po every hours as needed for fever or pain. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 10. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 11. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 12. multivitamins tablet, chewable sig: one (1) tablet po daily (daily). 13. bisacodyl 10 mg suppository sig: one (1) supp rectal daily (daily) as needed for constipation. 14. levofloxacin 750 mg tablet sig: one (1) tablet po once a day for 7 days. 15. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. discharge disposition: extended care facility: cape & islands discharge diagnosis: s/p fall multiple facial fractures - leforte fracture right orbital fracture avulsion laceration right lip t7 compression fracture discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. discharge instructions: call your doctor or go to the er if you experience any high fevers, increased pain, or purulent drainage from your wounds. followup instructions: follow up in 2 weeks with dr. , trauma surgery for evaluation of tracheostomy removal. call for an appointment. follow up in 2 weeks with dr. , orthoepdic spine; call for an appointment. follow up in 2 weeks in plastics surgery, call for an appointment. procedure: temporary tracheostomy suture of laceration of lip linear repair of laceration of eyelid or eyebrow open reduction of maxillary fracture open reduction of maxillary fracture insertion of synthetic implant in facial bone repair of vertebral fracture elevation of skull fracture fragments other cervical fusion of the posterior column, posterior technique other open reduction of facial fracture other open reduction of facial fracture other open reduction of facial fracture open reduction of nasal fracture fusion or refusion of 4-8 vertebrae suture of laceration of nose diagnoses: unspecified essential hypertension accidental fall on or from other stairs or steps closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) closed fracture of other facial bones open wound of lip, without mention of complication acute pancreatitis alcohol withdrawal closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness closed fracture of nasal bones closed fracture of cervical vertebra, unspecified level acute alcoholic intoxication in alcoholism, continuous other specified open wounds of ocular adnexa open wound of nose, unspecified site, without mention of complication 

Answer: The patient is high likely exposed to