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: penicillins attending: chief complaint: csf rhinorrhea major surgical or invasive procedure: s/p intracranial repair of skull base defect history of present illness: ich, sah, depressed skull fracture s/p trauma in returns with persistent csf leak. past medical history: as stated above social history: non-contributory family history: non-contributory physical exam: avss ncat, nad eom full, anicteric neck supple chest clear heart rrr, no mrg abdomen soft ntnd ext 2+ dp, no edema neuro: a&o x3, language fluent. naming intact. cn 2-12 intact. motor: throughout upper and lower extremities. sensation intact throughout. fine motor normal. brief hospital course: pt admitted postoperatively. neurologically he did well without any neurological development. on the floor his diet was advanced and he was able to void without problems. received vancomycin and gentamycin x 3 doses each. he remained afebrile, and his pain was controlled with percocet. on pod2, ent removed the nasal packing and after 6 hours he passed a csf rhinorrhea challenge without evidence of discharge. medications on admission: keppra 500 pantoprazole discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 4. levetiracetam 250 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: csf leak, skull base defect discharge condition: good, neurologically intact discharge instructions: discharge instructions for craniotomy/head injury ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please return to the office in days for removal of your staples/sutures please call to schedule an appointment with dr. to be seen in 4 weeks. you will need an mri of the brain with and without gadolidium call ( to arrange followup with dr. once you are discharged from the hospital. procedure: reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue other repair of cerebral meninges diagnoses: disruption of internal operation (surgical) wound other nervous system complications other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to