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: mcc, unhelmeted, thrown into fence major surgical or invasive procedure: i&d of scalp, repair of facial and scalp degloving injuries. ventriculostomy placement. anterior cervical diskectomy and fusion of c5-7 peg tube placement @ bedside orif of leforte iii fx's. tracheostomy history of present illness: 65 y.o. man, unhelmeted, involved in a mcc, who was thrown from his bike into a fence at ~65mph. gcs of 4 on scene, moving all 4 extremities. pt was intubated on scene and taken to ohs. pt was transferred to for management of his massive head and facial trauma. past medical history: none social history: lives with wife family history: non-contributory physical exam: pe on admission vs: temp 37c hr 79 bp 132/50 sat 100% gen: intubated gcs 2i heent: massive right-sided degloving injury to scalp with palpable depressed skull fracture, avulsion of nose tip, mid-face instability, bilateral orbital ecchymosis, per 1mm minimally reactive, tm clear, neck no crepitus chest: stable, no crepitus, equal breath sounds bilaterally cv: rrr abdomen: soft, non-distended, fast neg pelvis: stable to rectal: no tone, guiac neg ext: no visible deformity, paralyzed pertinent results: ct reconstruction 7:00 pm impression: fractures through the basion, c1, c2 and c6. the fracture through the c1 lateral mass extends crossing the vertebral artery foramen. in addition there is slight anterior displacement of the right posterior arch of c1. overall anterior posterior alignment is preserved. ct orbit, sella & iac w/o contrast 9:15 am ct of the facial bones: there has been interval reduction and internal fixation with metallic plates and fixation screws seen along the bilateral zygomatic bones, maxilla, and nasal bone. there has also been placement of mesh material along the right inferior orbit. there is near anatomic alignment of the reduced fractures. a surgical drain is seen in the frontal scalp. there are numerous other facial and skull fractures seen, as described previously. particular note is made of an osseous fragment seen superior to the left cribriform plate which projects into an area of hypodense brain parenchyma. there is persistent opacification of the visualized sinuses. impression: anatomic alignment of multiple fracture reductions with fixation plates and screws, as well as placement of mesh along the inferior right orbit. c-spine (portable) 3:17 pm ap and lateral bedside radiographs of the cervical spine are suboptimal due to portable technique and large patient size. there is anterior fusion of c5-7 with corresponding perforated plate and vertebral body screws. however, the spine is inadequately assessed below the c4-5 level in lateral projection despite several attempts. a tracheostomy tube is in place and an apparent left subclavian line has its tip just reaching the svc. there is a poorly visualized fracture of the posterior elements of c1 and apparent fractures elsewhere in the spine. the visualized upper lungs are clear. the previous apparent intraoperative radiographs also inadequately assessed the fusion. ct sinus/mandible/maxillofacial w/o contrast 11:28 am impression: 1. near-anatomic alignment with multiple facial fractures with microfixation plates and compression screws. there is placement of mesh material in the right inferior orbit. no significant interval change since , examination. 2. left cribriform plate fracture with an osseous fragment which projects into the left inferior frontal lobe. this finding was noted on as well and also discussed with house-staff at that time. this raises concern for an area of potential future cerebrospinal fluid leak and/or meningitis. brief hospital course: overnight to : transfer to . head ct revealed bilateral sah with left frontal lobe contusion, large iph, with ventricular bleed. right occipital bone fx. no midline shift. pt taken to or for i&d of open skull fx, cranialization of frontal sinus, placement of ventricular catheter, and i&d of scalp wound. admitted to tsicu : ortho spine ct c-spine with c1 left lamina fx entering the vertebral foramen, c2 left facet fx, c6 left facet fx. neurosurgery 6 vessel cerebral angio: no carotid or vertebral injury to : tsicu monitoring and icp and abx therapy, zosyn and gent for possible sinus infection. pt remains intubated. : anterior cervical diskectomy and fusion of c5-7. : peg tube placement @ bedside. plastic surgery consult regarding nasal repair. to : orif of leforte iii fx's by omfs, plastics, and neurosurgery. tracheostomy. vancomycin started on for continued fevers. extubated and placed on trach collar. transferred to floor on with continued abx therapy on zosyn and vanc. to : pt stable on floor with 1:1 sitter. neurologic status continued to improve. pt fitted for pmv to enable vocalization. still unable to pass swallow , continued on tube feeds. fevers continued although no source was identified. id consult obtained on --suggested persistent fevers could be related to abx. zosyn/vanc d/c after full 14/7 day course respectively. fevers subsided by day 4 off abx. pt continued with pt and was able to ambulate with assistance. medications on admission: none discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: one (1) 15 ml dose po bid (2 times a day). disp:*60 15 ml dose* refills:*2* 2. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po qd (once a day). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 3. chlorhexidine gluconate 0.12 % liquid sig: fifteen (15) ml mucous membrane tid (3 times a day). disp:*1350 ml(s)* refills:*2* 4. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 mdi* refills:*2* 5. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). disp:*1 months supply* refills:*2* 6. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed. disp:*1350 ml(s)* refills:*0* 7. artificial tear ointment 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). disp:*1 months supply* refills:*2* 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po qd (once a day) as needed. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 9. atenolol 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. haloperidol lactate 2 mg/ml concentrate sig: two (2) ml po tid (3 times a day) as needed for agitation. disp:*1350 ml* refills:*2* 11. acetaminophen 160 mg/5 ml elixir sig: five (5) ml po q6h (every 6 hours). disp:*600 ml* refills:*2* 12. ibuprofen 100 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours). disp:*3600 ml* refills:*2* discharge disposition: extended care facility: hospital - discharge diagnosis: 1. i&d of scalp, repair of facial and scalp degloving injuries. ventriculostomy placement. 2. anterior cervical diskectomy and fusion of c5-7 3. peg tube placement @ bedside 4. orif of leforte iii fx's. tracheostomy discharge condition: improving discharge instructions: the pt should be continued on tube feeds with a goal of 80 cc/hr. oral hygeine is very important in this pt as he has a wound on his hard palate. continue peridex 10-15 cc swish and swallow and ns rinses every 4 to 6 hours. you may brush hard palate gently two to three times a day. continue pt and consider reevaluation of swallowing function when appropriate. pt has pmv to enable speech. followup instructions: omfs: pt should follow-up with oral maxillofacial surgery 2 to 3 weeks after discharge. call the clinic at (. the clinic is located at hospital. when you call they will give you directions to the clinic. opthomology: pt should follow-up in the eye clinic in 4 to 6 weeks. call ( to schedule an appt. they will give you directions to the location of the clinic at that time. neurosurgery: the pt should follow up with dr. in 4 to 6 weeks. prior to this appt the pt should have a repeat head ct. please call ( and ask to schedule an appt and time for head ct. trauma: pt should follow up in trauma clinic in 2 weeks. call ( to schedule an appt for . the clinic is located in the in department 3a on . procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries intravascular imaging of intrathoracic vessels temporary tracheostomy excisional debridement of wound, infection, or burn other cervical fusion of the anterior column, anterior technique excision of intervertebral disc open reduction of maxillary fracture open reduction of mandibular fracture elevation of skull fracture fragments frontal sinusectomy diagnoses: peripheral vascular disease, unspecified closed fracture of second cervical vertebra contusion of lung without mention of open wound into thorax pseudomonas infection in conditions classified elsewhere and of unspecified site closed fracture of first cervical vertebra motor vehicle traffic accident due to loss of control, without collision on the highway, injuring motorcyclist closed fracture of sixth cervical vertebra open fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 

Answer: The patient is high likely exposed to