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: past medical history: status post craniotomy five months ago for an injury caused by a lead pipe assault. admission medications: none. allergies: social history: positive tobacco. positive alcohol. physical examination on admission: vital signs: 98.7 temperature, heart rate 100, blood pressure 140/palpable, respirations 18, 100% on room air. general: the patient was agitated and noncompliant. he was found to be in a hard collar on a rigid backboard, awake, alert, and did smell of alcohol. he was oriented to person and date. heent: pupils were equal and reactive to light and accommodation. the face was symmetric. spine: mild tenderness on palpation of upper c-spine. no tenderness to the rest of the spine. neurologic: his motor function on the left side revealed deltoids 5, biceps 5, triceps 5, grasp 5, ip 5, anterior tibialis 5, gastrocnemius 5, extensor hallucis longus 5. on the right side, his deltoids were 5, biceps 5, triceps 5, grasp 5, ip 5, anterior tibialis 5-, gastrocnemius 5, extensor hallucis longus 5-. jpf joint position sensation intact bilaterally. it was thought that some of his motor examination was limited to pain of his ankle and his foot. able to accurately locate what part of his body was being touched from sacral area up to his head. the patient was too intoxicated to clearly understand the pinprick test. he had a good rectal tone. laboratory data/studies: plain films of the c-spine showed a bilateral pars fracture with a fracture through the left part of the posterior aspect of c2 vertebral body. no clear cord compression. white count 17.9, hematocrit 41.4, platelets 294,000, 142 sodium, 3.9 potassium, bun 11, creatinine 8. etoh 209 which was down from 261 at the outside hospital. hospital course: the patient was admitted to the trauma icu. our recommendation was to keep in cervical hard collar at all times, keep flat in bed until the thoracic, lumbar, and sacral films were interpreted and negative. use log roll precautions. was on solu-medrol protocol. he received a 30 mg/kg bolus over the first 15 minutes and then 5.4 mg/kg an hour for 23 hours. he was placed on ppi and received a full trauma workup. the patient was monitored in the icu. on , he received an angiogram for question of vertebral or cerebral injury and there was no injury. the patient was seen by psychiatry. they were questioning his mva to be question of suicidality, who recommended a 1:1 sitter and also gave some medication recommendations for sedation and he was monitored closely within the icu setting. the patient did threaten to leave ama and again psychiatry was consulted at that time. he continued to have the hard collar in place and it was recommended by neurosurgery that he would need a halo traction when his mental status improved. the patient remained neurologically intact in the unit. he was transferred out of the unit on at 3:30 a.m. on , the patient had a halo applied for his hangman fracture. there were no complications. he was recommended to be discharged on that day recommending depending on the psychiatry evaluation who felt that he had a depressed mood and was not suicidal. he was given numbers to follow-up for the emergency service team help team and he was discharged again on . discharge instructions: he was given instructions on halo traction care. he is to follow-up with dr. in one month. he is to have light activity, to avoid any further alcohol or drugs. the patient was discharged neurologically intact. , m.d. procedure: arteriography of cerebral arteries spinal traction using skull device diagnoses: depressive disorder, not elsewhere classified dysthymic disorder closed fracture of second cervical vertebra abrasion or friction burn of trunk, without mention of infection other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle other and unspecified open wound of head without mention of complication other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to