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: patient recorded as having no known allergies to drugs attending: chief complaint: multiple facial fractures, skull fractures s/p mvc major surgical or invasive procedure: bilateral craniotomy for repair of skull fracture, pericranial flap, extraction of frontal sinus and skull base repair evacuation of bifrontal cranitomy for evacutaion of hematoma history of present illness: 41 yo s/p high speed mvc, intoxicated, brief loc, gcs 15 at scene. initially seen in osh. ct of the head reveals multiple face fractures, r frontal sinuses fracture, depressed skull fractures. transferred to with med flight for further evaluation and treatment. past medical history: none social history: unmarried, carpenter, 4-5 beers/day x 20 years, no tobacco family history: n/c physical exam: o: t:101.4-> 98.1 orally bp:145/90 hr:84 r:16 o2sats:100%ra gen: lying in stretcher, nad, multiple facial lacerations heent: remains in c-collor, midfrontal stures in osh intact, dry blood in mouth/nose. no otorrhea, rhinorrhea. right orbital ecchymotic with mild peri-orbital edema. laceration inside into the mouht(down the lips). neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. no c/c/e. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger rub bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally. reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 toes downgoing bilaterally coordination: normal on finger-nose-finger. pertinent results: 01:57pm phenytoin-12.5 01:57pm hct-38.2* 03:00am glucose-114* urea n-8 creat-0.7 sodium-141 potassium-4.0 chloride-104 total co2-22 anion gap-19 03:00am calcium-8.2* phosphate-3.5 magnesium-1.5* 03:00am wbc-16.1* rbc-4.19* hgb-13.4* hct-39.6* mcv-95 mch-32.0 mchc-33.8 rdw-12.4 03:00am plt count-372 01:24am urine hours-random 01:24am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 01:24am urine color-straw appear-clear sp -1.004 01:24am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:22am glucose-107* lactate-2.5* na+-146 k+-4.1 cl--104 tco2-24 01:21am glucose-106* urea n-8 creat-0.8 sodium-140 potassium-4.7 chloride-103 total co2-20* anion gap-22* 01:21am amylase-63 01:21am asa-neg ethanol-193* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:21am wbc-16.3* rbc-4.70 hgb-15.2 hct-43.8 mcv-93 mch-32.3* mchc-34.7 rdw-12.4 01:21am plt count-376 01:21am pt-11.9 ptt-21.7* inr(pt)-1.0 01:21am fibrinoge-281 . ct c-spine: impression: no evidence of cervical spine fracture. . ct head: there is redemonstration of the comminuted fracture of the frontal sinus involving both the anterior and posterior bony walls, with contiguous pneumocephalus. the present study also demonstrates a linear fracture to the left of midline involving the planum sphenoidale and extending into the sphenoid sinus along its left lateral wall. the bifrontal hemorrhagic contusions are redemonstrated and do not appear to have altered substantially in extent. however, there also appears to be a small area of hemorrhage within the left occipital lobe, which was also demonstrated, in retrospect, on the prior study. presumably this is a contrecoup injury. . tls: anterior wedging of the mid thoracic vertebral body anteriorly, likely t8 or t9. age of this finding is indeterminate. comparison to old films if available would be helpful to establish stability. . ct face: there is a depressed comminuted fracture through the right frontal sinus involving the posterior table with resultant pneumocephalus. multiple osseous fragments are seen in the area of the right frontal sinus. there appears to be involvement of the superior aspect of the right orbit. there is concern for involvement of the right cribriform plate. fracture line is seen traversing through the ethmoid air spaces. no displaced fractures are seen in the left maxillary sinus, however, there is fluid level with gas likely representing blood. again noted is large amount of pneumocephalus. there is soft tissue swelling seen in the frontal scalp. there is a fracture of the planum sphenoidale. there is a fracture of the right ethmoid roof. there is a fracture of the anterior maxillary spine. there are foreign bodies anterior to the mandible. . brief hospital course: the patient was admitted to the trauma service, initially to the t-sicu. plastic surgery and neurosurgery were consulted. a lip laceration was repaired by plastics. he was loaded with dilantin and then started on maintenance dosing for seizure prophylaxis. he was started on vanco/flagyl/gentamicin for broad antimicrobial coverage. ortho-spine was consulted and cleared the spine. he was transferred to the floor. he remained hemodynamically stable throughout his course. he tolerated a po diet well. he spent 2 days in the trauma sicu where his ct scans were followed and his brain contusions remained stable he was neurologically intact. on he underwent a bicoronal, bifrontal craniotomy for complex repair with elevation of frontal lobes, repair of skull base fragmentation, exenteration of frontal sinus, repair of orbital roof, orbital rim, ethmoidal cells, frontal cells, closure of csf leak, pericranial graft, dural graft,cranioplasty. in conjunction with neurosurgery and plastic surgery. he was monitored overnight in the pacu overnight and was neurologically intact, he had a ct scan with no sign of intracranial hemorrhage. he had a lumbar drain in place draining 10-15cc/hr working well. he was transferred to the floor on . this afternoon, the patient was on the floor and the lumbar drain got disconnected. an unclear amount of csf was drained. the patient then became somnolent and was found to be drowsy. a repeat cat scan was performed which showed a bifrontal hematoma in the resection cavity, extending from subgaleal into the portion just underneath the bifrontal bone flap. the patient was therefore urgently taken back to the operating room for urgent re-exploration. post operatively he was transferred to the trauma sicu, he was awake, alert and orientated x3 no cranial nerve deficits, with good motor strength. post op ct had no reaccumulation of hemorrhage. on he was transferred to the neurostep down unit for q2 hour vital signs and monitoring. he reamined on flat bed rest to prevent csf leak. a repeat ct on showed pneumocephlus with no reaccumulation of blood. his nasal stures removed on labial-madibular juction laceration sutures are disolvable by plastic surgery there does not require removal. patient remains neurologicaly stable. patient discharged home with follow up and discharge instruction in stable condition. discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. motor vehicle crash 2. closed head injury 3. bifrontal pneumocephalus 4. right frontal and left frontal contusions 5. right frontal comminuted right sinus fracture with posterior table fracture 6. superior orbital fracture 7. nasal bone fracture 8. facial lacerations/abrasions discharge condition: good discharge instructions: 1.keep insicion site dry and clean, do not wet. report any drainage, swelling or redness or fever greater tahn 101.5. 2.take medications as prescribed. 3. follow up with neurosurgery/plastic surgery as below. 4. call your doctor or go to the er for: uncontrollable pain, nausea/vomiting, headache, weakness, dizziness, or other troubling concerns. followup instructions: * neurosurgery: follow up with dr on friday for staple removal call for appointment at . * plastic surgery: follow up with dr , in plastic surgery clinic 1-2 weeks after discharge, call for an appointment at procedure: other incision of brain other cranial osteoplasty other repair of cerebral meninges elevation of skull fracture fragments formation of cranial bone flap application or administration of an adhesion barrier substance suture of laceration of other part of mouth diagnoses: hematoma complicating a procedure other specified complications of procedures not elsewhere classified other disorders of neurohypophysis other and unspecified alcohol dependence, continuous other motor vehicle traffic accident involving collision with motor vehicle injuring passenger in motor vehicle other than motorcycle closed fractures involving skull or face with other bones, with cerebral laceration and contusion, with brief [less than one hour] loss of consciousness open wound of mouth, unspecified site, without mention of complication 

Answer: The patient is high likely exposed to