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: fall of approximately 8 feet from ladder. mid throacic pain and neck pain major surgical or invasive procedure: 1. posterior instrumented fusion thoracic spine, t1 - t7. 2. laminectomies of t4 and t5 3. lamino-foraminotomies c7, t1, t2, t3 3. closed treatment c1 fracture. 4. halo application. history of present illness: mr. was brought to after a fall from approximately 8 feet off of a ladder. he reported cervical and mid back pain. ct scan showed c1 ring fracture with t3 & t4 fracture. past medical history: coronary artery disease with history of myocardial infarction hypertension diabetes-insulin dependent social history: per pt he lives in a house with his wife on the community of christ in ma. he has 3 children - 2 daughters in ages 41 and 46, one son age 38 who lives in . he has two grandchildren ages 25 and 27 and two great grandchildren ages 12 and 8. he has been an elder at community of christ since age 27. physical exam: on physical exam mr. was awake and in no acute distress. his breathing was regular. musculoskeletal exam revealed no obvious bony abnormality or decrease in strength. rectal tone was normal, refelxes were equal throughout. he showed no neurologic compromise. he was negative for clonus, hoffmans sign, saddle anesthesia. pertinent results: ct c-spine: impression: 1. comminuted type c1 fracture through the right and left anterior arch and lateral masses, as well as right posterior arch, with floating fragment adjacent to the dens (c2). 2. possible c7 spinous process fracture. ct chest: impression: 1. t3 and t4 vertebral body (and t4 transverse process) fractures with no evidence of retropulsion or listhesis. 2. bilateral posterior 2nd rib fractures 3. no evidence of soft organ injury. 4. very small bilateral pleural effusions. mri of cervical, thoracic & lumbar spine: impression: 1. edema of the t2 and t3 vertebral bodies as well as intervening disc space with paraspinal edema/hematoma. a fracture line through the posterior superior corner of the t3 vertebral body is also seen. there may be minimal retropulsion but without significant canal stenosis. 2. edema related to the c1 burst fracture with prevertebral hematoma/edema extending from the skull base to the c6 level. 3. edema of the posterior cervical soft tissues extending from the skull base to t1 is noted, and injury to the interspinous and supraspinous ligaments cannot be excluded. ct head : impression: 1. multiple dural-based lesions as described above, of which the left frontal is definitively a calcified meningioma. statistically, the additional two right parafalx lesions represent meningiomas in varying stages of calcification. although the right frontal parafalx lesion could also theoretically represent a small subdural collection, the multiplicity of dural-based lesions strongly favors meningiomas. further characterization with mr brain with contrast would provide further clarification. 2. stable very small bifrontal low-density subdural collections (hygromas versus chronic subdural hemorrhages versus enlarged csf spaces). brief hospital course: mr. was brought to after 8 foot fall from ladder. ct & mri images showed c1, t3 & t4 fractures with soft tissue damage from t2-t6. he was neurologically intact on exam. he was placed in a c-collar and placed on log roll precautions. he was concented for posterior thoracic stabilization and halo placement. 1. spine fractures- mr. a t1-t7 posterior thoracic stabilization with halo placement. after his surgical procedure, mr. was transfered to the pacu. at that time he could not tolerated extubation. he was transfered to the sicu for monitoring. after two days in the sicu, he was transfered to the floor. the rest of his hospital course was unremarkable. 2. mental status changes- on his third night of admission, mr. experienced mental status changes and was hostile towards the nursing staff. psychiatry was consulted and a ct of his head was ordered to rule out changes. 3. metabolic alkalosis-mr. had an episode of alkalosis on . his lasix & hctz were held and he was given iv fluids. medicine was consulted. they recomended continued current care. his bicarb began to trend down. he showed no signs of alkalosis during this time. medications on admission: asprin 325mg atenlol 100mg avalide 300/25mg lipitor 20mg flomax 0.4mg glubmetformin 1.25/250 verapamil 240mg discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). 4. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 5. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 6. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 7. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): may d/c if pt is up and moving. 8. verapamil 80 mg tablet sig: two (2) tablet po q8h (every 8 hours). 9. irbesartan 300 mg tablet sig: one (1) tablet po daily (). 10. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 11. lisinopril 10 mg tablet sig: two (2) tablet po daily (daily). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 14. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours) as needed for pain. 15. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. 16. glyburide-metformin 1.25-250 mg tablet sig: one (1) tablet po daily (daily). 17. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours): d/c on . discharge disposition: extended care facility: hospital of & islands - discharge diagnosis: 1. c1 fracture. 2. t3 fracture. 3. t4 fracture. 4. t4 and t5 lamina fractures. discharge condition: stable to outside facility discharge instructions: please keep incision clean and dry. you may shower in 48 hours, but please do not soak the incision. change the dressing daily with clean dry gauze. if you notice drainage or redness around the incision, or if you have a fever greater than 100.5, please call the office at . please resume all home mediciation as prescribed by your primary care physician. you have questions concerning activity, please refer to the activity sheet. physical therapy: activity as tolerated by pain. treatments frequency: please change dressing daily with dry gauze. followup instructions: please follow up with dr. at two weeks from the date of surgery. you can make that appointment by calling procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances other exploration and decompression of spinal canal dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture insertion or replacement of skull tongs or halo traction device plastic operation on pharynx fusion or refusion of 4-8 vertebrae diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alkalosis bacteremia old myocardial infarction closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury closed fracture of one rib accidental fall from ladder delirium due to conditions classified elsewhere other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms personal history of other diseases of digestive system closed fracture of c1-c4 level with unspecified spinal cord injury myoglobinuria 

Answer: The patient is high likely exposed to