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: this is a 55-year-old woman status post a fall off her bicycle where she fell over the handlebars and landed on her right face. there was positive loss of consciousness, with a gcs of 12 on the scene. intubation in the field was attempted but failed. the patient was hemodynamically stable on transport, brought to with a gcs of 12, combative and thrashing. the patient was intubated in the trauma bay for airway protection. past medical history: 1. alcohol abuse. 2. bipolar disorder or questionable depression. medications: 1. prozac. 2. trazodone. allergies: penicillin causes a rash. physical examination: vital signs were gcs of 12, blood pressure at first 88/46, repeat at 130/61, pulse 65, respiratory rate 23, oxygen saturation 100%. pupils were 4 to 2 mm bilaterally. there were large ecchymoses noted over the right eye. there was an approximately 2 cm laceration noted over the right eye. the mandible was stable. the trachea was midline. no crepitus was noted. the chest was stable and clear to auscultation bilaterally. heart was regular rate and rhythm. abdomen was soft, nontender, nondistended. the pelvis was stable. rectal examination had normal tone, no gross blood, guaiac negative. back had no step-offs, and no other external injuries noted. at the time of the examination the patient was waving all four extremities but not following any commands. laboratory data: white count 8.3, hematocrit 34, coagulation studies 13.2 for pt, ptt 23.8, inr 1.2. blood gases were 7.42, co2 42, o2 217, bicarbonate 28, base deficit 3. lactate was 2.6. alcohol level was 146, otherwise toxicology screen was negative. amylase was 71. chest x-ray was normal showing no pneumothorax and no widening of the mediastinum, however it did show a slight density at the right lung apex. pelvis x-ray showed a slightly irregular right superior pubic ramus, but no obvious fractures noted. ct of the pelvis and abdomen showed no injuries or fractures noted. ct of the cervical spine showed no fractures. ct of the face showed a right-sided tripod fracture with a right-sided zygoma fracture, and blow-out fracture of the right orbit, fracture of the left maxillary sinus with hemorrhage into both maxillary sinuses. mr of the cervical spine showed a mild increased signal from trauma to soft tissue between the posterior arch of c1 and the spinous process of c2 with no evidence of epidural hematoma or cord compression. ct of the head showed scattered foci of subarachnoid hemorrhage, a question of basilar skull fracture given the air-fluid levels in the sphenoid sinus. plane films of the left hand showed no fracture. plane films of the right foot showed no fracture. hospital course: the patient was intubated and sedated in the trauma bay. neurosurgery was consulted for the head injury and per their evaluation dilantin was started, however no intracranial monitor was placed given the gcs of 12. there were recommendations given for control of systolic blood pressure. plastic surgery was also consulted for the facial lacerations as well as operative management of the facial fractures. the lacerations were repaired early in the hospital course, however given the continuing cervical spine immobilization and the possibility of ligamentous injury, the operative management of the facial fractures was delayed until , when the patient underwent repair of the right zygomatic fracture. the patient was also kept on clindamycin and keflex for 14 days due to the facial fractures and the operative repair. ophthalmology was consulted for some noted differences in pupillary size, and per their evaluation it was decided that this was traumatic pupillary dilation with no evidence of optic nerve injury. gi was consulted for during the hospital course the patient developing bloody tracheal aspirates. an egd was done. the egd showed localized - tears with adherent clots, no signs of active bleeding, and a normal stomach and duodenum. nutrition as well as speech and swallow were also consulted for nutritional aspects and evaluation of feeding possibilities as the patient initially had a dobbhoff for tube feeds. per the speech and swallow evaluation and the video swallowing study, the patient was discontinued from tube feeds after being started on soft foods and nectarized liquids, which the patient has been tolerating well without any signs of aspiration. the patient was extubated successfully on hospital day number 11 after being weaned from sedating medications. the patient did recover a significant amount of cognitive abilities during her hospital stay, eventually being fully alert and oriented, however with occasional temporary periods of confusion throughout the hospital course, as well as continuing abnormality in gait and ability to care properly for herself. the patient did have a sitter through most of the hospital course, which was discontinued after the patient was placed in a canopy bed. through hospital day number 17 the patient remained stable with improving neurologic status and no further issues as far as neurosurgery or facial fracture repair was concerned. she demonstrated no further signs of infection except for a persistently elevated platelet count which was thoroughly investigated with serial white count examinations as well as blood cultures, urine cultures, and serial stool cultures for c. difficile. at the time of dictation, the cultures for c. difficile had not returned, therefore the patient had not been started on any other antibiotics, however if these cultures do come back positive, we will start the patient on either flagyl or vancomycin depending on proper treatment at the time. given the patient's improving condition, the patient was screened for acceptance to rehabilitation facilities, and will be discharged to one of the rehabilitation facilities as soon as acceptance is determined. discharge diagnoses: 1. status post bicycle accident. 2. alcohol abuse. 3. bipolar disorder/depression. 4. subarachnoid hemorrhage. 5. right-sided tripod fracture with right-sided zygoma fracture. 6. blow-out fracture of the right orbit. 7. fracture of the left maxillary sinus. 8. possible ligamentous injury posteriorly to c1-2. 9. traumatic pupillary dilation. 10. localized - tears with no evidence of active bleeding. discharge medications: at the time of this dictation her discharge medications have not been completely determined and will be added to a discharge addendum immediately prior to discharge of the patient from the hospital. follow-up plans: 1. the patient will receive follow up with neurosurgery. the specific follow up will be included in the final discharge addendum. 2. plastic surgery, and again the specifics will be included in the final discharge addendum. 3. trauma surgery in two weeks following discharge from the hospital. 4. psychiatry, the patient will follow up as an outpatient, date to be determined. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization closure of skin and subcutaneous tissue of other sites insertion of synthetic implant in facial bone open reduction of malar and zygomatic fracture suture of laceration of external ear diagnoses: alcohol abuse, unspecified gastroesophageal laceration-hemorrhage syndrome closed fracture of malar and maxillary bones closed fracture of other facial bones street and highway accidents alcohol withdrawal closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration pedal cycle accident injuring pedal cyclist open fracture of orbital floor (blow-out) 

Answer: The patient is high likely exposed to