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: gun shot wound to the head major surgical or invasive procedure: right sided hemi-craniectomy, temoral lobectomy, evacuation of epidural and subdural hematoma, duroplasty. history of present illness: the patient is a 25 year old female who sustained a gunshot wound to right check, exit wound r tempora-parietal area. she was reportedly moving everything in arrival to osh. she was intubated in osh, no bp initially, briefly placed on a dopa drip, after intubation she was moving her right upper extremity spontaneously to med flight and pupils were equal and reactive. head ct osh showed displaced parietal bone fracture, with hyperdensity material temporal lobe along with subarachnoid blood. patient medflighted to after securing her airway for further care. past medical history: none social history: noncontributory family history: noncontributory physical exam: admission gen: intubated, unresponsive. heent: bleed coming from right parietal region where the skull fracture is, no scleral hemorrhage, c collor in place. cvs: rrr, s1 s2 chest: cta, no crepitus abd: nt, nd, bs+ extr; no edema , cool to touch with mild cyanosis lower extremities. neuro: initially unable to examine her due to sedation. after 45 minutes of off sedation she started to move all extremities spontaneously. pupils are 2-1.5 mm reactive, gag+. pertinent results: 12:33am blood wbc-16.7* rbc-3.40* hgb-11.1* hct-31.6* mcv-93 mch-32.8* mchc-35.2* rdw-15.1 plt ct-145* 12:33am blood pt-13.8* ptt-27.9 inr(pt)-1.2* 06:38am blood glucose-213* urean-12 creat-0.8 na-137 k-4.1 cl-111* hco3-21* angap-9 02:10am blood alt-13 ast-30 ld(ldh)-199 alkphos-38* amylase-32 totbili-0.3 brief hospital course: the patient is a 25 year old female who was transferred from an outside hospital after having been shot in the head by a gun. a ct of her head revealed extensive intraparenchymal and extraaxial hemorrhage in right temporal, parietal, and frontal lobes, and right cerebellum, with edema and herniation of brain through skull fractures. there was minimal midline shift. there were extensive fractures of right skull overlying area of brain injuryas well as base of skull fractures. in addition, there were small bone fragments in middle cranial fossa, with no other retained foreign bodies. a ct of her sinuses revealed multiple comminuted fractures of the facial bones and the skull base. a ct of her c-spine and x-rays of her chest and pelvis were within normal limits. she recieved 8 liters of crystalloid and 3 units of red blood cells during preoperative resussitation. she was taken to the operating room emergently shortly therafter by dr. (please see operative note for details). in the or, she underwent a right sided hemi-craniectomy, temoral lobectomy, evacuation of epidural and subdural hematoma, and duroplasty. she recieved 12 units of rbcs, 2 units of platelets, 8 units of ffp, and 3 liters of ns intraoperatively for significant hemorrhage, with an ebl of approximately 6 liters after the bled down to a hematocrit of 16 (blood loss anemia). post operatively she was transferred to the icu intubated and sedated in critical condition. there she recieved neurologic checks every hour. dilantin was given for prophylaxis as a 1 gram load and then 100 mg q 8 hours. she recieved 100 grams of mannitol peroperatively and a postoperative mannitol taper. she also received a postoperative decadron taper. she was started on empiric gentamycin, flagyl, vancomycin, and cefrtiaxone. a ct of her head done immediately post op showed interval progression of extensive edema and mass effect associated with multilobar hemorrhagic injury of the right brain. a repeat head ct 12 hours later showed no interval change. on pod 1, she was noted to have purposeful movements of her left upper and lower extremities. she was moving her right lower extremity slightly at the hip. she was started on subcutaneous heparin. her parents and grandparents came to visit her. an ent consult was obtained for possible closure of her defect, as she was draining csf from her entry wound at her right maxilla. they felt that the defect could not be closed through an endoscopic approach. a plastic surgery consult was then obtained for her orbital fractures and facial wound closure, but they declined to close the wound due to the risk of subsequent retrograde infection. her wound was then closed by the neurosurgery team on pod 2 and antibiotics were stopped. she was more awake and followed commands on the right. mannitol was weaned to 12.5 g iv q 6 hours. tube feeds through her ng tube were advanced to goal. on pod 3, mannitol was discontinued. her ventillator was weaned to cpap with pressure support. she was arousable and followed commands on the right, but with no eye opening. she did withdraw the left lower extremity to pain. her left upper extremity was in extensure posturing. opthamology saw her for her right eye and found no evidence of a ruptured globe or any intraoccular pathology. they recommended lacrilube while intubated and then artificial tears thereafter. on pod 4 she was extubated and weaned off of propofol. dexamethasone was weaned off. her exam was largely unchanged. on pod 5, a repeat head ct showed . evolving hemorrhage and edema within the right cerebral hemisphere, with left mass effect upon the right lateral ventricle since the prior study of , as well as features of early obstructive hydrocephalus involving the left lateral ventricle. since she was very stable, she was then transferred to the step down unit from neuro icu. her right facial wound stures removed on , patient tolarated well. no more leakage noted from the site. id recommended vancomycin and cetriaxone 10 day course whic will be ending respectively. since she is been in the bed, and not moving very much her left side, obtained on bilateral lower extremity and left upper extremity doppler study which showed no dvt. neurologically she is progressivelly cotinued to be more awake, following commands, moving right side spontaneusly, occacianally moved left upper extremity, wiggles left to painful stimuli. ent redcommended cipro dropp to right ear for 10days, audiogram as an outpatient, dental evalluation and follow with them in 4 weeks as arranged in follow up instructions. patient went speech and swallow evaluation several times, now she can be fed at upright position under supervision with cues to swallow, pure diet, nectar thick, continue with ng for meds and hydration. physical theray and occupational therapy felt that she needs acute rehab placement. patient discharged to rehab with discharge instruction and follow up instraction in stable condition. discharge medications: 1. cipro hc 0.2-1 % drops, suspension sig: three (3) drops otic tid (3 times a day) for 10 days: three drops into the right ear tid. last dose . disp:*1 bottle* refills:*0* 2. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 3. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 5. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic tid (3 times a day) as needed. 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 160 mg/5 ml solution sig: four (4) po q4-6h (every 4 to 6 hours) as needed. 9. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily): hold for a loose stool. 10. acetaminophen-caff-butalbital mg capsule sig: tablets po q4-6h (every 4 to 6 hours) as needed for pain. 11. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours). 12. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for anxiety. 13. diphenhydramine hcl 12.5 mg/5 ml liquid sig: one (1) po q6h (every 6 hours) as needed for itching. 14. vancomycin in dextrose 1 g/200 ml piggyback sig: one (1) intravenous q 12h (every 12 hours) for 10 days: last dose . 15. rocephin in dextrose (iso-osm) 1 g/50 ml piggyback sig: one (1) intravenous q24h (every 24 hours) for 9 days: last dose . 16. phenytoin 100 mg/4 ml suspension sig: two (2) po q8h (every 8 hours): please check level at least twice a week. keep level above 10. 17. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). discharge disposition: extended care facility: of - , nh discharge diagnosis: gun shot to head discharge condition: neurologically stable discharge instructions: monitor right skull insicion site for redenss, swelling, drainge. report fever greater than 101.5, increased headache, visual changes, weakness, numbess, thingling or any other neurologic symptoms that are concerning. discuss dilantin continuation at the time of follow up with dr . followup instructions: follow up with dr in 4 weeks with a noncontrast head ct. call for an appointment at audiogram (hearing test), friday, , 2:00pm. (in the kinko's building), , ma. please arrive 15 minutes early. dr. (ent), tuesday, :15am. (in the kinko's building), , ma. please arrive 15 minutes early. benefit from dental evaluation per ent service. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain incision of cerebral meninges enteral infusion of concentrated nutritional substances transfusion of packed cells other repair of cerebral meninges other craniotomy diagnoses: iron deficiency anemia secondary to blood loss (chronic) hemorrhage complicating a procedure closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness other and unspecified cerebral laceration and contusion, with open intracranial wound, unspecified state of consciousness injury by handgun, undetermined whether accidentally or purposely inflicted 

Answer: The patient is high likely exposed to