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: amoxicillin attending: chief complaint: s/p unrestrained driver in mva vs telephone pole major surgical or invasive procedure: : icp monitor placement : tracheostomy and peg placement history of present illness: this is a 25 year old male who is status post motor vehicle accident and was found at the scene with a gcs 3. he was brought to an outside hospital and intubated and transferred here for further care.his parents arrive to the emergency department after the initial patient evaluation.at the outside hospital the patient recieved dilantin 1 gram, rocuronium, propofol. past medical history: none social history: parents mom- cell / dad cell . patient does not live at home with his parents. family history: unknown physical exam: gen: intubated- gcs=6t heent: right head laceration pupils:l nr 4mm, right 4-3.5 sluggish reaction eoms no eye opening neck: hard cervical collar extrem: warm and well-perfused. neuro: mental status: intubated no eye opening, non verbal orientation: not oriented person, place, and date. recall/language:intubated non verbal cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 3.5 mm bilaterally.visual fields unable to test iii, iv, vi, v, vii, viii,ix, x,,xii:unable to test motor: strength withdraws x4. pronator drift-unable to test toes downgoing bilaterally physical exam upon discharge: movesd all extremities, pupils 8mm/5mm, eo to noxious, follows simple commands pertinent results: ct head w/o contrast 1. multiple punctate foci of hemorrhage. while some of these may be in the subarachnoid space, some appear at the -white junction, raising the question of . 2. right frontal subgaleal and subcutaneous hematoma with several foreign bodies. no underlying fracture. ct c-spine w/o contrast no acute fracture or malalignment ct head 1. right frontal lobe bolt placement with small foci of hemorrhage along it. 2. multiple foci of punctate hemorrhages at the -white matter junction, consistent with diffuse axonal injury. 3. newly visualized subarachnoid hemorrhage in the interhemispheric fissure and in bilateral frontal lobes, consistent with shifting of blood. 4. unchanged right frontal subgaleal hematoma ct head this study is significantly limited by motion. however, in the visualized portions, the intraventricular hemorrhage appears unchanged. fluid in the ethmoidal air cells and sphenoid sinuses which could be related to intubation cta chest : bilateral upper, lower and lingular consolidations have now progressed. these likely represent areas of pneumonia. ett is very high and should be advanced by 3-4 cm mri head : impression: 1. multiple foci of hemorrhagic diffuse axonal injury in the bifrontal and left posterior temporal subcortical white matter, as well as abutting the temporal of the right lateral ventricle. non-hemorrhagic diffuse axonal injury in the posterior limb of the left internal capsule and in the splenium of the corpus callosum. 2. bilateral subarachnoid hemorrhage again noted along the convexities. small amount of intraventricular hemorrhage also again noted mri c-spine : impression: no findings suggestive of ligamentous injury or cord injury in the cervical spine. mild cervical spondylosis as above. mri/a brain & c-spine : impression: 1. no evidence of dissection in the vertebral, or carotid artery. 2. diffuse axonal injury, and small amount of blood in the occipital of the lateral ventricles, better evaluated on dedicated mr head from . mri shoulder :impression: 1. limited exam due to suboptimal technique. infraspinatus edema and probable bursal surface fraying of the infraspinatus tendon. this is nonspecific and most likely represents posttraumatic musculotendinous tear. lower in the differential diagnosis are etiologies such as early denervation and inflammatory etiologies. 2. possible small tear of the anteroinferior labrum. lack of joint fluid limits evaluation of the labrum. brief hospital course: 25 y/o m s/p mva vs telephone pole presents to with a gcs of 3. ct head concerning for and punctate hemorrhages. mannitol bolus was given in the ed and will continue at 50q6h. on examination, patient is more brisk with his l side spontaneous and purposeful, on the r he flexes and w/d to noxious stimuli, no eye opening or commands. he was admitted to the icu and a bolt was placed with an icp of 23. his icp was subsequently medically managed with hyperosmlar therapy. repeat head ct was stable. repeat ct head on remained stable and his icp remained stable on hyperosmolar therapy. on he was started on vancomycin, cefepime,flagyl and cipro for significant hospital aquired pneumonia and respiratory failure. he reamined intubated. he had a cta chest that was negative for a pe. on - his icps remained <20 and his exam remained stable. his icp monitor was discontinued on . an mri in the afternoon revealed multiple foci of hemorrhagic diffuse axonal injury in the bifrontal and left posterior temporal subcortical white matter. his mannitol was weaned to 12.5mg qd, and sqh was started that evening. on , his mannitol was discontinued. due to persistent ventilation requirement, a consult for a peg/treach by general surgery was obtained, and he went to the or on to have these placed. pt's antibiotics changed to vancomycin only per id recommendation on . pt was febrile on and blood cultures were obtained. he was transferred to the sdu on . on & pt remained neurologically stable and afebrile. infectious disease team recommended discontinuing antibiotics as the pt had completed sufficient course. pt and ot were consulted for assistance with discharge planning and acute rehab was recommended. on the patient was again stable and cleared for discharge to rehab facility pending bed availability. he remained stable following this and on the morning of he was discharged to for rehab medications on admission: none discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. clonidine 0.3 mg tablet sig: one (1) tablet po tid (3 times a day). 3. white petrolatum-mineral oil 56.8-42.5 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for dry eyes. 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 5. oxycodone 5 mg/5 ml solution sig: ml po q3h (every 3 hours) as needed for pain. 6. quetiapine 50 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). 9. lorazepam 2 mg/ml syringe sig: 0.25 ml injection q4h (every 4 hours) as needed for agitation. 10. hydralazine 20 mg/ml solution sig: 0.5 ml injection q6h (every 6 hours) as needed for sbp greater than 160. 11. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever. 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 13. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 14. ziprasidone hcl 20 mg capsule sig: one (1) capsule po bid (2 times a day). 15. lorazepam 1 mg iv q4h:prn agitation agitation discharge disposition: extended care facility: - discharge diagnosis: , punctate hemorrhages, rivh discharge condition: mental status: confused - always. activity status: bedbound. level of consciousness: lethargic but arousable. discharge instructions: ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast prior to your appointment. this can be scheduled when you call to make your office visit appointment. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] temporary tracheostomy closure of skin and subcutaneous tissue of other sites intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: alcohol abuse, unspecified open wound of scalp, without mention of complication anoxic brain damage ventilator associated pneumonia motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle subarachnoid hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration physical restraints status 

Answer: The patient is high likely exposed to