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: the patient was a 57-year-old male with a past medical history significant for down syndrome who was status post an unwitnessed fall down 12 stairs. the patient was unresponsive with matter coming out of his left ear. he vomited on arrival to the emergency room at and was emergently intubated. the patient was transferred by ambulance to emergency room for further evaluation. past medical history: down syndrome. past surgical history: not available. medications: 1. cogentin. 2. zyprexa. 3. flomax. 4. seldene. allergies: no known drug allergies. social history: unknown. physical examination: on examination the patient was afebrile. his heart rate was in the 80's initially and then in the 40's after neo-synephrine was started. his blood pressure was in the low 100's. he was satting 100 percent. his gcs was 60. he had matter coming out of his left ear with blood. his pupils were 5 mm and nonreactive. his heart was regular. his lungs were clear bilaterally. his abdomen was soft and non-distended. his back was negative. his extremities were without obvious deformities. his rectal tone was normal. he was guaiac negative. back non-tender, no step-offs. laboratory on admission: hematocrit 36, inr 1.3, lactate 2.1, tox screen negative. abg essentially normal. radiology: ct of his head revealed a right frontal subarachnoid hemorrhage and temporal lobe subarachnoid hemorrhage as well as a left temporal subarachnoid hemorrhage with multiple skull fractures. ct of cervical spine also showed grade 2 anterolisthesis on c7-t1. his chest x-ray was normal. his pelvic x-ray was negative. his ct of the abdomen and pelvis was negative. hospital course: the patient was admitted to the trauma intensive care unit. ventriculostomy was obtained and icps were monitored. given his low cerebral perfusion pressure he was started on neo-synephrine to maintain his blood pressure. he was given intravenous fluids for resuscitation. his neurological examination remained stable; however, he did not become any more responsive. neurosurgery was consulted and felt that he was stable. they recommended keeping his blood pressure normotensive and keeping him euvolemic. given the patient's grave prognosis a discussion was had with the patient's next-of- and it was decided that the patient would be made comfort measures only. the patient expired at 1:39. the case was accepted by the medical examiner. dr., 02-239 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours intravascular imaging of intrathoracic vessels other diagnostic procedures on brain and cerebral meninges diagnoses: accidental fall on or from other stairs or steps down's syndrome unspecified intellectual disabilities closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to