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: trauma: mvc cerebral edema l occipital nodisplaced condyle fx comminuted fx of lt facet of c6 major surgical or invasive procedure: none history of present illness: 23 y/o m was in high speed rollover mva, few details regarding circumstances or mechanics available. pt was unrestrained passenger, ejected from vehicle. driver also ejected, killed. pt received by ems unresponsive but spontaneously respirating. received in er with gcs 6 per initial trauma surgey, moving 4 extremities and agitated. intubated for trauma eval. pt had radiographic work-up including head ct, which showed possible bilateral cerebral edema. neurosurgery called for consult. pt seen in tsicu, intubated. no documented/observed hypotensive or hypoxic events. past medical history: none social history: social hx: etoh level 230 in ed. family history: nc physical exam: physical examination: upon admission constitutional: collar and back board. heent: he has a 4 cm laceration at the zygomatic arch. there is a deformity there. , extraocular muscles intact collar chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender extr/back: he has multiple abrasions of the right shoulder, right knee, right wrist. he is otherwise neurovascularly intact these areas. there is no open fractures. neuro: he withdraws to pain only. pertinent results: 01:42am blood wbc-16.3* rbc-4.86 hgb-14.7 hct-40.8 mcv-84 mch-30.2 mchc-36.0* rdw-12.8 plt ct-272 03:56pm blood hct-42.7 01:00am blood wbc-14.2* rbc-5.28 hgb-16.0 hct-44.4 mcv-84 mch-30.4 mchc-36.2* rdw-13.4 plt ct-380 01:42am blood plt ct-272 01:42am blood pt-14.4* ptt-31.9 inr(pt)-1.2* 01:00am blood pt-12.2 ptt-23.2 inr(pt)-1.0 01:42am blood fibrino-328 01:42am blood glucose-121* urean-8 creat-0.9 na-139 k-4.0 cl-105 hco3-24 angap-14 03:56pm blood glucose-92 urean-10 creat-1.0 na-140 k-4.4 cl-106 hco3-23 angap-15 01:42am blood calcium-8.9 phos-3.3 mg-2.0 03:56pm blood calcium-8.8 phos-4.4 mg-2.0 01:00am blood asa-neg ethanol-230* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 01:06am blood glucose-117* lactate-1.9 na-144 k-3.8 cl-102 calhco3-26 : cat scan of sinus mandible: impression: 1. no facial or nasal fractures. left occipital condyle fracture, better evaluated on subsequent c-spine ct. 2. bilateral maxillary sinus disease, but no evidence of intrasinus hemorrhage. : cat scan of the head: impression: 1. extensive vertex, right scalp, and preseptal and left parietal soft tissue swelling with a few lacerations, with evidence of retained foreign bodies. a small dense focus at the vertex onto the right side of the supeiror sagittal sinus, may relate to dural ossification- however, attention on f/u to exclude a foreign body. 2. left occipital condyle fracture, better described on c-spine ct. 3. bilateral maxillary sinus disease, but no evidence of intrasinus hemorrhage or facial fractures. 4. no acute intracranial hemorrhage or calvarial fractures. possible mild cerebral edema. given severe mechanism of injury and low gcs, consider mr for dti/microhemorrhage if necessary and not contra-indicated. : cat scan of the c-spine: impression: 1. mildly displaced fracture of the left occipital condyle, with continued patency of the spinal canal. 2. comminuted left c6 transverse process fracture with possible extention into the facet. although the neural foramen appears patent, neck cta is recommended to exclude vertebral artery injury. mr can be considered if not contra-indicated if felt necessary to cord, ligaments, epidural space, etc. 3. 3-mm right upper lobe pulmonary nodule. pl. see details on concurrent ct chest. : cat scan of the pelvis: impression: 1. no evidence of fractures or visceral injury. 2. ett 2.7 cm from carina, please retract 2-3 cm. : cta head: impression: 1. no acute vascular injury. 2. unchanged left occipital condylar fracture with underlying lucency raises concern for a pathological fracture related to an underlying lesion. 3. right large subgaleal evolving hematoma is unchanged. 4. small amount of secretions within the trachea likely represent aspiration. : x-ray of the right humerus: impression: limited views of the right shoulder and elbow demonstrates no evidence of dislocation or fracture. : x-ray of the right shoulder: impression: limited views of the right shoulder and elbow demonstrates no evidence of dislocation or fracture. : x-ray of left elbow: three views of the left elbow are not technically optimal due to difficulty positioning. there is no fracture or osseous abnormality. there is no joint diffusion, soft tissue calcification or radiopaque foreign body. : mr of cervical spine: impression: 1. no additional bone bruise or fracture in addition to the ct diagnosis of left c7 superior articular facet and occipital condyle fracture. 2. evidence of diffuse injury of dorsal interspinal ligaments. 3. no evidence of significant ligamentous injury at the craniocervical junction. 4. no cord abnormalities. brief hospital course: the patient was admitted to the acute care surgery service on for multiple injuries sustained in a motor vehicle rollover accident. neuro: the patient received dilaudid iv/pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was initially intubated on arrival after a gcs of 6, but extubated later that day. he remained stable from a pulmonary standpoint and vital signs were routinely monitored. gi/gu: the patient was given iv fluids until tolerating oral intake. his diet was advanced when appropriate, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement. foley was removed on pod#1. intake and output were closely monitored. id: initially the patient was started on iv cefazolin, then switched to po ciprofloxacin as per recommendation from plastic surgery. he also had sulfamylon soaks q6h for his right ear laceration. on the day of discharge the patient had a slightly indurated and warm area of tenderness in the area of the antecubital fossa of his right arm, near where there was once an iv line. he was instructed to keep the arm raised and to continue on a 7 day course of cipro. the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. msk: he had a mildly displaced l occipital condyle fx and comminuted fx c6 l tv process; both of which were non operable. he was placed in a neck brace and instructed to wear it for 8 weeks. at the time of discharge on hs # 5, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: nnone discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation : hold for diarrhea. 2. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day): apply to head laceration. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation . 4. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn: for heartburn. 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: trauma: mvc cerebral edema l occipital nodisplaced condyle fx comminuted fx of lt facet of c6 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 the acute care surgery service after you were involved in a motor-vehicle accident. you sustained a bump to your head which resulted in some swelling, and a fracture to a bone in your neck. this did not require surgical repair, but you will need to wear the collar for 8 weeks. you have gradually improved and you are now ready for discharge home with the folliowing instructions: please continue taking the antibiotics as prescribed and keep elevating your right arm until the redness and pain has decreased. please continue with the daily dressing changes with xeroform for your scalp lacerations that are near your right ear. 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 may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 20 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. laceration care: *please call your surgeon or go to the emergency department if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until cleared by your surgeon. *you may shower and wash incisions with a mild soap and warm water. gently pat the area dry. *if you have sutures, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. please remember that you need to wear your collar for 8 weeks. followup instructions: please follow up with dr. at the spine center in 3 weeks. please call them at ( upon your discharge to make an appointment. please follow up with the cognitive neurologist in weeks. the telephone number is # call the acute care clinic at upon discharge to arrange a follow up appointment in weeks. office is located at , medical office building, . please call the plastic surgery clinic on monday for an appointment on friday for removal of your sutures. the number is ( procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closure of skin and subcutaneous tissue of other sites suture of laceration of external ear other incision of external ear diagnoses: open wound of scalp, without mention of complication cerebral edema open wound of external ear, unspecified site, without mention of complication contusion of face, scalp, and neck except eye(s) motor vehicle traffic accident due to loss of control, without collision on the highway, injuring passenger in motor vehicle other than motorcycle open wound of cheek, without mention of complication closed fracture of sixth cervical vertebra closed fracture of base of skull without mention of intra cranial injury, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to