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: found hanging in jail cell, brought to er by ems major surgical or invasive procedure: endotracheal intubation history of present illness: pt is a 32y/o male brought to er by ambulance s/p hanging in his cell at the jail. pt had reportedly used the elastic band on his underwear to hang himself. pt was in jail for a drinking in public charge. was found by ems to be "blue" and having agonal respirations, cpr was initiated. on arrival he had pulses, in sinus rhythm, and systolic pressure in the 130s. he was intubated after arrival. past medical history: aortic mechanical valve replacement in for endocarditis secondary to ivdu . social history: unemployed roofer. lives with family. smokes 1 ppd. etoh and polysubstance abuse family history: . dm in mom and sister. denies cad, stroke. grandparents died of lung ca . physical exam: on arrival vitals: p 90, bp 130/p, rr 16, sat 98% on bvm, gcs 8 heent: pupals dilated but reactive, c-collar in place chest: cta bilaterally anteriorly cv: nl s1, s2 no murmurs ext:moving all extremities, 2+dp pulses skin: no lacerations pertinent results: ct c-spine w/o contrast 3:46 pm non-contrast cervical spine: no fracture or acute alignment abnormality identified. vertebral body and disc heights appear well preserved. there is preservation of cervical lordosis. evalauation of soft tissues is limited with endotracheal and nasogastric tube in place however no obvious abnormality is noted. nasogastric tube is coiled in nasopharynx. impression: 1) no evidence of fracture or acute alignment abnormality. 2) ng tube coiled in nasopharynx. ct head w/o contrast 3:45 pm non-contrast ct head: exam is mildly limited due to motion artifact. allowing for this, no intracranial hemorrhage, shift of normally midline structures, or evidence of acute major vascular territorial infarct is apparent. 7 x 13 mm linear left cerebellar hypodensity may represent a chronic infarct. an ng tube is coiled within the nasopharynx and a mild- to- moderate amount of nasal mucosal thickening and ethmoid sinus air cell opacification is seen. there is a modertae sized right bullosa. mastoid air cells are well aerated and no fracture is identified. impression: 1) no intracranial hemorrhage or evidence of acute traumatic injury. 2) possible small left cerebellar chronic infarct, unusual in a patient of this age. please correlate clinically. cta chest w&w/o c&recons, non-coronary 1:13 pm impression: 1) total left lower lobe and partial right lower lobe consolidation with additional ground-glass opacities in the superior segment of the right upper lobe and right middle lobe, findings suspicious for aspiration. superimposed infection cannot be excluded. 2) no evidence of pulmonary embolism. cta neck w&w/oc & recons 9:26 am impression: 1) no specific evidence for vertebral artery injury, though please note that this study is insensitive in evaluating for vertebral artery dissection. 2) ng tube remains coiled in the nasopharynx. 3) pansinus opacification, presumably from intubation. 4) small chronic appearing left cerebellar hemisphere infarction. ct head w/o contrast 12:20 pm impression: 1. no intracranial hemorrhage or evidence of acute traumatic injury. 2. persistent and unchanged small left cerebellar chronic infarct which is unusual for the patient's age. 3. right sphenoidal, ethmoidal, and maxillary mucosal thickening as described above. echo study date of impression: no vegetations or significant valvular regurgitation seen, but study is inadequate to exclude endocarditis. preserved global biventricular systolic function. bileaflet mechanical aortic valve prosthesis present, but function cannot be fully assessed. 06:02pm wbc-6.4 rbc-3.88* hgb-12.6* hct-35.4* mcv-91 mch-32.5* mchc-35.6* rdw-15.9* 03:32pm glucose-111* lactate-3.7* na+-144 k+-4.0 cl--105 tco2-24 brief hospital course: mr. was brought to the er after an attempted hanging/suicide in jail on . on arrival to the er he was intubated and transferred to the trauma sicu. he had ct scans of his head which showed no evidence of injury and a small left cerebral infarct that was chronic in nature. a ct scan of his c-spine was obtained which showed no evidence of fracture or alignment abnormality. he remained intubated and sedated in the tsicu and received a subclavian central line. his c-spine was cleared by a negative 64 slice ct scan and his hard collar was removed. he was started on a heparin drip in the icu for his mechanical aortic valve. he never responded to the heparin appropriately and was started on lovenox and coumadin. his inr on discharge was 1.4. an echocardiogram was obtained and was negative for valvular vegetations. a cta of the neck was negative for carotid injury. he was started on tube feeds on which he tolerated well. he remained intubated due to respiratory failure. on he was extubated but required reintubation due to respiratory failure. a second attempt at extubation was successful on . he was then transferred to the floor on . on the floor he complained of chest pain. a workup showed some st changes on ekg, but cardiac enzymes were negative. he was also hypertensive which was controlled with pain control, hydralizine, metoprolol and lisinopril. his blood pressure was stable at 117/81 on hospital discharge. while in the hospital he was also treated for alcohol and benzo withdrawal. he had a one to one sitter the entire time on the floor. psychiatry consult was obtained once he made it to the floor. they recommend psychiatry hospitalization due to his suicide attempt and substance abuse. on discharge from the trauma surgery service he was medically stable. he will be directly transferred to the psychiatry service on discharge. he was instructed to follow up with his pcp /or coumadin clinic for management of his inr and hypertension. medications on admission: coumadin 5mg po qday discharge medications: 1. warfarin 5 mg tablet sig: one (1) tablet po daily (daily): please resume home dose. 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. hexavitamin tablet sig: one (1) cap po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. acetaminophen 500 mg tablet sig: one (1) tablet po every hours as needed for pain. discharge disposition: extended care facility: 4 discharge diagnosis: suicide attempt/hanging with resulting respiratory failure discharge condition: medically stable, to inpatient psychiatric facility discharge instructions: inform your pcp or go to the nearest er if you experience fever >101.5, severe pain that is uncontrollable with your medications, shortness of breath or other problems with your breathing or any other symptoms that are concerning to you. followup instructions: please follow up with your primary care physician for hypertension and coumadin management for your mechanical heart valve. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube other electric countershock of heart insertion of other (naso-)gastric tube diagnoses: tobacco use disorder aortic valve disorders heart valve replaced by other means acute respiratory failure long-term (current) use of anticoagulants pneumococcal pneumonia [streptococcus pneumoniae pneumonia] accidents occurring in residential institution other, mixed, or unspecified drug abuse, continuous other and unspecified alcohol dependence, continuous alcohol withdrawal hemophilus influenzae [h. influenzae] infection in conditions classified elsewhere and of unspecified site suicide and self-inflicted injury by hanging asphyxiation and strangulation 

Answer: The patient is high likely exposed to