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: s/p pedestrina struck major surgical or invasive procedure: orif facial fx percutaneous tracheostomy peg removal of right femoral wire history of present illness: 41 yo female pedestrian who was struck by a moving vehicle; +loc and unresponsive at scene. she was transported via ems to for further care. her gcs was 4 in the ed and she was subsequently intubated because of multiple facial fractures. past medical history: appendectomy low back pain l wrist fusion social history: family history: non contributory pertinent results: upon adamission: 11:27pm type-art po2-382* pco2-49* ph-7.29* total co2-25 base xs--3 11:27pm lactate-1.4 11:11pm glucose-131* urea n-14 creat-0.5 sodium-138 potassium-4.1 chloride-107 total co2-26 anion gap-9 11:11pm calcium-6.7* phosphate-3.1 magnesium-1.7 11:11pm wbc-15.5* rbc-3.23* hgb-11.1*# hct-31.2* mcv-97 mch-34.2* mchc-35.4* rdw-13.4 11:11pm plt count-252 11:11pm pt-12.6 ptt-28.4 inr(pt)-1.1 08:18pm glucose-156* lactate-3.0* na+-139 k+-5.6* cl--108 tco2-20* 08:15pm urea n-18 creat-0.6 08:15pm asa-neg ethanol-neg acetmnphn-24.2 bnzodzpn-neg barbitrt-neg tricyclic-neg ct head w/o contrast reason: please compare head ct in comparison to scan on medical condition: 41 year old woman with sdh s/p fall reason for this examination: please compare head ct in comparison to scan on contraindications for iv contrast: none. ct of the head without contrast dated . history: 41-year-old woman with sdh, status post fall; please compare to scan dated . technique: contiguous 5 mm axial tomographic sections were obtained from the skull base to the vertex and viewed in brain and bone window on the workstation. note that the study is somewhat motion-limited, despite several attempts. findings: this study is compared with the non-contrast examination obtained roughly 26 hours earlier. the thin, approximately 5 mm, crescentic left parietovertex low-attenuation collection is unchanged over the short-interval. this demonstrates little mass effect, with only slight flattening of the subjacent gyri, and no shift of the midline structures, or effacement of the ipsilateral lateral ventricle. no new extra- or intraaxial hemorrhage is seen. as reported previously, the left frontal extra-axial and right parietal parenchymal hemorrhages, demonstrated on , have since resolved. the ventricles and cisterns are unchanged since the recent study but, as noted previously, there has been a significant change in their appearance since the examination. impression: 1. no significant short-interval change in the appearance in the left parietovertex extra-axial, likely subdural, collection with minimal mass effect. 2. no new hemorrhage seen. 3. stable configuration of the ventricular chain, which appears uniformly enlarged compared to the study. as suggested previously, this may represent either development of communicating hydrocephalus (though there was no intraventricular or subarachnoid hemorrhage demonstrated in early ) or re-expansion of previously-compressed ventricular system. 3. status post repair of multiple bilateral facial fractures with bracket plates in situ, as reported previously. chest (portable ap) reason: eval for acute process medical condition: 41 year old woman pedestrian struck with fever now w/ tachypnea on vent reason for this examination: eval for acute process ap chest 6:40 a.m. history: fever and tachypnea. impression: ap chest compared to through 15. lungs clear. heart size normal. no pleural abnormality. tracheostomy tube in standard placement. ct sinus/mandible/maxillofacia reason: r/o bleeding/entrapment of structures. please do 3d reconst medical condition: 41 year old woman with multiple facial fractures. reason for this examination: r/o bleeding/entrapment of structures. please do 3d reconstructions please. contraindications for iv contrast: none. history: status post repair of facial fractures. technique: axial non-contrast images through the facial bones with multiplanar reformats. comparison: and . findings: the patient is status post repair of the lateral wall of the right orbit, anterior walls of both maxillary sinuses, and bilateral inferior orbital rims. there are multiple persistent facial fractures including the left orbit lateral wall, roofs of both orbits, and bilateral cribriform plates. there is also a persistent depressed skull fracture of the left calvarium, which is stable. there appears to be slightly less encroachment of the right optic nerve. there is persistent subcutaneous emphysema anteriorly as well as high attenuation fluid, likely hemorrhage in the maxillary sinuses, sphenoid sinuses, and ethmoid air cells. again seen is a left subdural hematoma. impression: 1. status post repair of several facial bone fractures, with persistent fractures in both orbital ribs, cribriform plates, and left orbit and calvarium. close clinical followup is warranted to evaluate for bilateral optic nerve damage. 2. persistent left subdural hematoma. sinus rhythm. t wave flattening in lead avf. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 86 164 82 350/393.28 62 17 23 , e. f41 - blood specimen results, hematology test name value units reference range 07:00am complete blood count white blood cells 5.6 k/ul 4.0 - 11.0 red blood cells 3.45* m/ul 4.2 - 5.4 hemoglobin 11.8* g/dl 12.0 - 16.0 hematocrit 34.0* % 36 - 48 mcv 99* fl 82 - 98 mch 34.3* pg 27 - 32 rdw 14.6 % 10.5 - 15.5 basic coagulation (pt, ptt, plt, inr) platelet count 313 k/ul 150 - 440 brief hospital course: she was admitted to the tsicu once stabilized in the emergency department. during her initial trauma resuscitation, a right femoral central venous line was attempted. there was resistance with passage of the wire, and upon withdrawal, the wire tip was lost. it was seen in the right cfv on ct scan and was removed in the operating . vascular surgery was consulted and an ivc filter was placed. a bronchoscopy was performed on the evening of her admission which showed a moderate amount of blood in her tracheobronchial tree as well as some particulate food matter which was suctioned free. she remained intubated, and required minimal ventilatory support. however, she was not alert enough to protect her own airway and on a percutaneous tracheostomy was performed with a concomitant peg placement. she was placed on tube feedings and remains on this and is tolerating them well. neurosurgery was immediately consulted because of her injuries. these injuries were non operative; serial head ct scans were followed and remained stable. she was loaded with dilantin and remained on a stable dose for a short period, she has since been discontinued from these medications. there have been no reported or observed seizure activity. she will need to follow up with neurosurgery in 4 weeks for repeat head ct scan. plastic surgery was consulted because of her facial fractures; she was taken to the operating room on open reduction and internal fixation of bilateral maxillary buttress fractures and piriform fractures, bilateral open malar fracture repair via multiple surgical approaches, open repair and internal fixation of a depressed right frontal bone fracture, open reduction and internal fixation of a right -orbital ethmoid fracture, open reduction of a right orbital floor blowout fracture with medpor graft placement. speech language pathology were consulted later during her hospitalization once she was more awake; the evaluation was as follows: trach type: portex #8, cuffed, dic secretions / ability to handle cuff deflation: the pt has been able to cough and clear most of her secretions. her o2 sats were monitored and remained stable at 100% with the tracheal cuff deflated and the pt did not require any suctioning to clear secretions. pmv tolerance / vocal quality / o2 sats: the pmv was placed and her tracheal pressures were measures and were between +/- 10 cm/h2o which are safe tracheal pressures to wear the valve. she did not produce any voicing, however, despite the fact that she was awake, alert and seated fully upright in the bed. she then began to cough and popped the valve off after ~1 minute. the valve was placed again and o2 sats began to drop to 91% and the valve was removed. she coughed out some secretions and the valve was replaced. she then wore the valve for 20 minutes without further desaturation but she produced no voice and no speech. she did not respond to any of my commands. recommendations: 1. always deflate cuff prior to placing the passy-muir valve! 2. monitor o2 sats / respiration while valve is in place. 3. only place the pmv when she is supervised and while monitoring o2 sats. remove valve when you leave the room she initially required 1:1 sitters and restraints for safety measures for concerns over pulling out lines, tubes and her tracheostomy. the sitters were subsequently discontinued; she was started on olanzapine for intermittent restlessness and agitation and prn trazodone to help regulate her sleep wake cycle. physical and occupational therapy were also consulted and have recommended traumatic brain injury rehab. she has continued to make slow progress and should benefit from ongoing intensive rehab. medications on admission: none discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: po bid (2 times a day). 2. ipratropium bromide 17 mcg/actuation aerosol sig: six (6) puff inhalation q4-6h (every 4 to 6 hours) as needed for sob. 3. albuterol 90 mcg/actuation aerosol sig: six (6) puff inhalation q4-6h (every 4 to 6 hours) as needed for sob. 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed for pain. 7. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical (2 times a day). 8. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane tid (3 times a day): please swab mouth with this. 9. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) dose injection tid (3 times a day). 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 12. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 13. oxycodone 5 mg/5 ml solution sig: po q3h (every 3 hours) as needed for pain. 14. acetaminophen 160 mg/5 ml solution sig: twenty (20) ml's po q4-6h (every 4 to 6 hours) as needed for fever or pain. 15. olanzapine 5 mg tablet sig: one (1) tablet po bid (2 times a day). 16. olanzapine 5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for increased agitation. 17. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. discharge disposition: extended care facility: hospital - discharge diagnosis: s/p pedestrian struck right temporal laceration right frontotemporal skull fx right subdural hematoma right subarachnoid hemorrhage bilateral orbital fractures left zygoma fracture left mandible fracture right maxillary sinus fracture discharge condition: stable followup instructions: follow up in trauma clinic in 4 weeks, call for an appointment. follow up with plastic surgery with dr. in 4 weeks, call for an appointment. follow up with neurosurgery in 4 weeks for a repeat head ct scan. call for an appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus open reduction of maxillary fracture insertion of synthetic implant in facial bone incision of vessel, lower limb veins elevation of skull fracture fragments other open reduction of facial fracture open reduction of malar and zygomatic fracture open reduction of nasal fracture diagnoses: tobacco use disorder motor vehicle traffic accident involving collision with pedestrian injuring pedestrian injury to liver without mention of open wound into cavity, laceration, minor pneumonitis due to inhalation of food or vomitus closed fracture of orbital floor (blow-out) mechanical complication of other vascular device, implant, and graft injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum closed fracture of pubis closed fracture of nasal bones closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level open fracture of malar and maxillary bones closed fracture of one or more phalanges of foot closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with prolonged [more than 24 hours] loss of consciousness, without return to pre-existing conscious level 

Answer: The patient is high likely exposed to