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: no known allergies / adverse drug reactions attending: chief complaint: mvc, spine fracture major surgical or invasive procedure: : 1. posterior spinal instrumentation t8 to t10. 2. posterior lateral arthrodesis t8 to t10. 3. application of local autograft. 4. application of allograft and demineralized bone matrix. 5. open tx posterior fracture dislocation three column injury of t9 without spinal cord injury. history of present illness: 26yo rhd man who presents to as a transfer from osh where he presented s/p mvc. he was driving (unrestrained) while intoxicated, hit a pole and was ejected through the windshield and onto the ground. no airbag deployment. currently he is having numbness and tingling in his hands and feet, as well as the entire left arm. he also has some pain throughout, worse in his left arm. he feels that his left arm is weak throughout. past medical history: pmh: asthma psh: none : none social history: sh: +for etoh and tobacco family history: fh: father with cad physical exam: on admission: vs: 97.7 76 128/50 22 95% 2l nc pe: gen - a&ox3, nad cv - rrr pulm - ctab abd - s/nt/nd ext - warm, well perfused, weakness in the upper extremities bilaterally, left weaker than the right, sensation intact bilaterally, neuro and motor intact in lower extremities pulses: carotid rad fem dp pt r palp palp palp palp palp l palp palp palp palp palp sensory: ue c5 c6 c7 c8 t1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) r intact intact intact intact intact l intact intact intact intact intact t2-l1 (trunk) intact le l2 l3 l4 l5 s1 s2 (groin) (knee) (med calf) (grt toe) (sm toe) (post thigh) r intact intact intact intact intact intact l intact intact intact intact intact intact motor: ue dlt(c5) bic(c6) we(c6) tri(c7) wf(c7) ff(c8) finabd(t1) r 4 4 5 5 5 5 5 l 3 3 3 3 3 3 3 le flex(l1)add(l2) quad(l3)ta(l4) (l5) per(s1) gs(s1-2/t) r 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 reflexes bic(c4-5)br(c5-6)tri(c6-7)pat(l3-4)ach(l5-s1) r 1 1 1 1 1 l 1 1 1 1 1 clonus: none perianal sensation: intact rectal tone: decreased estimated level of cooperation: moderate estimated reliability of exam: moderate normal proprioception in upper and lower extremities on discharge: vitals: 98.7 110/60 66 16 96%ra neuro: a&ox3, speech clear and coherent lue 4/5 strength, +sensation, +pp rue reports mild tingling sensation in hand, no numbness, strength, +pp chest: normal s1s2, lungs ctab abd: soft, nontender, nondistended le: +pp/csm, no edema pertinent results: 04:45am wbc-19.8* rbc-4.62 hgb-14.5 hct-40.8 mcv-88 mch-31.4 mchc-35.6* rdw-12.3 04:45am plt count-338 04:45am pt-10.7 ptt-25.3 inr(pt)-1.0 04:45am asa-neg ethanol-117* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:53pm glucose-88 urea n-10 creat-0.7 sodium-139 potassium-3.8 chloride-108 total co2-21* anion gap-14 01:53pm calcium-8.3* phosphate-4.2 magnesium-1.7 ct chest/abd/pelvis w/contrast (): 1. no intrathoracic injury. 2. small subcapsular hematoma of liver; no free fluid in abdomen or pelvis. 3. horizontally-oriented fx through posterior elements of t9 w/ minimal hematoma around right/anterior vertebral body column at that level recommend mr for ligamentous, disc, and cord injury. cta head and neck (): r vertebral artery occlusion mri c-spine w/contrast (): c4 facet fracture and c2 signal abnormality labs at discharge: 06:06am blood wbc-10.8 rbc-3.35* hgb-10.4* hct-29.1* mcv-87 mch-31.1 mchc-35.8* rdw-12.5 plt ct-500* 06:06am blood plt ct-500* 02:14am blood pt-13.3* ptt-25.6 inr(pt)-1.2* 06:06am blood glucose-105* urean-15 creat-0.6 na-136 k-4.1 cl-101 hco3-26 angap-13 06:06am blood calcium-9.1 phos-3.1 mg-2.1 brief hospital course: mr. arrived on to the icu inebriated but protecting his airway well. patient went to cta head and neck, mri c-spine w/contrast to evaluate possible central cord and/or c-spine fracture. he was seen by vascular surgery and neurosurgery as a r vetebral art occlusion was picked up on that scan. a heparin gtt and asa 325 were started for that occlusion with the understanding that the heparin drip would be stopped post-operatively when the spine surgery team was able to repair his thoracic fracture. he did well overnight after started on dilaudid pca. he was kept on log-roll precautions in a c-collar overnight. the following morning () a chest showed complete opacification of the left lung. at this point he was intubated and subsequent bronchoscopy showed large mucus plug. abg after intubation showed resp acidosis. he developed possibly new lle weakness. stat mri/mra head and neck were ordered which further characterized the r vertebral artery occlusion as intramural dissection v. thrombosis could not be ruled out. the scan also showed slow diffusion of the right hemisphere. neurosurg recommended continuing heparin gtt with goal ptt 50-60. a repeat bronch on showed no mucus plugs, bal sent 2+ gpc, coccobaccilus, started on vanc/cef/cirpo for vap coverage. he spiked a fever to 103.3 and cultures were sent. the following day on a repeat bronch showed rll mucus plug, and cxr now with diffuse haziness. on he was taken to the or by dr (spine surgery) for psif thoracic spine. the procedure went well and his logroll restrictions were removed. he was transferred back to the tsicu. --: postoperative course c/b bilateral pneumonias and acute lung injury requiring prolonged ventilator support. he underwent daily spontaneous breathing trials which failed due to tachypnea, tachycardia and o2 saturations to the low 80s, high 70s. he continued to spike occasional fevers and a ct scan demonstrated bilateral pneumonias. bal from grew h. flu, for which he was appropriately covered by cefipime. blood and urine cultures remained negative throughout. i&d consultants assisted with antibiotic management and by white count had normalized, he was afebrile and all antibiotics were discontinued. tube feeds were given via ngt (dobhoff) and advanced to goal without difficulty. on he was sucessfully extubated (hd#11 pod#6) and diuresed 3 liters. he remained hemodynamically stable. ngt & foley were removed. he started on po's and tolerated a regular diet. physical therapy and occupational therapy were consulted to evaluate his mobility, and he remained in tlso brace when ambulating and cervical collar at all times. on he was afebrile, hemodynamically stable with stable respiratory status and was transferred to the surgical floor. on the floor he continued to do well. his pain was well controlled with an oral pain regimen and a clonidine patch. his lue remained with 4/5 strength and improving, and neurology was following for this. a splint was placed to prevent contractures to his arm. incentive spirometry and pulmonary toileting were continued and he remained afebrile without an elevated wbc count. the 325 mg of aspirin was continued per vascular surgery for right vertebral artery occlusion. he was tolerating a regular diet and voiding adequate amounts of urine. he remained in the cervical collar as well as the tlso brace when ambulating. his mobility improved while working with physical and occupational therapy. on his physical mobility had progressed and he was ambulating independently. he was discharged home with follow up scheduled with acs, neurology, spine and vascular. medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 4-6 puffs inhalation q4h (every 4 hours) as needed for wheezing. 5. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsat (every saturday). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain/fever. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 8. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: primary: s/p mvc: injuries: 1. right vertebral artery occlusion 2. t9 chance fracture 3. c4 left articular process fracture with c6-7 compression injury 4. small subscapular liver hematoma secondary: ventilator-assisted pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital after a motor vehicle crash. you sustained multiple injuries including fractures in your spine, an occlusion in your right vertebral artery, and small injury to your liver which is stable. please follow up at the appointments listed below. you should continue to wear your cervical collar at all times and the hard back brace when out of bed ambulating. you should continue to take the aspirin 325 mg daily until you follow up with dr. at the appointment listed below. he will discuss at this appointment how long you will need to continue to take the aspirin for. please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications, unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid drinking alcohol, driving or operating heavy machinery while taking pain medications. narcotic pain medications can cause constipation. it is generally recommended that you take an over the counter stool softener such as colace or milk of magnesia to prevent constipation while taking narcotic pain medicine. you should also increase your fluid intake and dietary fiber if possible. followup instructions: department: neurology when: thursday at 1 pm with: drs. & building: sc clinical ctr campus: east best parking: garage department: vascular surgery when: thursday at 3:00 pm with: , md building: lm bldg () campus: west best parking: garage department: general surgery/ when: thursday at 2:00 pm with: dr. in acute care clinic building: lm bldg () campus: west best parking: garage department: spine center when: friday at 2:00 pm with: , np building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances other bronchoscopy other bronchoscopy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture fusion or refusion of 2-3 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: tobacco use disorder asthma, unspecified type, unspecified alcohol abuse, unspecified hypopotassemia pulmonary collapse open wound of forehead, without mention of complication other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure pneumonitis due to inhalation of food or vomitus alkalosis closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury ventilator associated pneumonia injury to liver without mention of open wound into cavity, hematoma and contusion closed fracture of fourth cervical vertebra other chronic sinusitis contusion of shoulder region motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation acute respiratory failure following trauma and surgery hemophilus influenzae [h. influenzae] infection in conditions classified elsewhere and of unspecified site c5-c7 level with unspecified spinal cord injury concussion, with loss of consciousness of 30 minutes or less foreign body in other specified parts bronchus and lung injury to other specified blood vessels of head and neck 

Answer: The patient is high likely exposed to