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: history of the present illness: the patient is an 81-year-old lady with a past medical history significant for hypertension who fell down steps, unwitnessed fall, but the relatives in the house heard her and immediately rushed to the scene to find her lying on the ground awake but confused and emt arrived on the scene and placed her on a c collar and transported her to the emergency room as hemodynamically stable. at the emergency room, she had a gcs of 13. past medical history: 1. hypertension. 2. depression. past surgical history: breast biopsies in the past. admission medications: 1. atenolol. 2. trazodone. social history: she is taking occasional alcohol and she had a gcs of 14 in the emergency room. physical examination on admission: vital signs: heart rate of 90, blood pressure 118/56, saturating at 96%. general: she was alert, oriented, and following commands. she had right temporal and parietal scalp laceration and frontal contusion and ecchymosis, right periorbital ecchymosis but full range of extraocular motor. the trachea was midline. the chest was clear. no bruises. no ecchymosis. heart: regular rate and rhythm. abdomen: soft, nontender, nondistended. pelvis stable. rectal: normal tone. back: she was nontender, no step-off. extremities: she had a right wrist deformity but she had palpable pulses and neurovascularly intact. hospital course: while in the emergency room, the patient underwent chest x-ray and pelvic x-ray which showed no widened mediastinum and no fractures in her pelvis. she had a ct scan of the head which showed bilateral subarachnoid hematoma. no subdural. she had a ct of the abdomen which showed a grade iv liver lac. she had a ct of the c spine which was negative. on the ct of the head, the patient also had infraorbital rim fracture and lateral orbital fracture. the patient's bun was 10, creatinine 0.8 on admission. the patient's alcohol level was 180. given the patient's liver lac, she was brought into interventional radiology for an attempt at arterial embolization and subsequently was admitted to the surgical intensive care unit for further care and observation. the embolization was successful and the patient's hematocrit has been stable throughout the night. the patient was placed on ciwa scale for alcohol withdrawal. the patient also had bilateral wrist films done which showed bilateral wrist fracture. orthopedics was consulted. neurosurgery was consulted for her bilateral subarachnoid hematoma. the patient had to undergo a repeat head ct on which showed no change of her bilateral subarachnoid hematoma. omf came by to examine her eyes and her orbital fracture which they advised to manage conservatively. the patient was placed on ten days of clinda for her overload fracture and no surgical intervention was required at the time. the patient was doing well; however, on hospital day number three, the patient's mental status began to change. although her repeat ct scan showed no change in her subarachnoid hematoma, she began to develop a lot of secretions and required frequent suctioning. however, her respiratory status continued to deteriorate. on , the patient was intubated due to desaturations and the patient was placed on a mechanical ventilator for respiratory failure. the patient also spiked a fever to 101.5. the patient was pan cultured and sputum was sent off for culture and cell counts. on , the patient underwent a bronchoscopy which showed a lot of thick secretions and specimens were also sent off for culture. the patient was being treated for a presumed pneumonia and was placed on cipro, zosyn, and vancomycin. the patient's fever defervesced and her respiratory condition improved. she remained afebrile. a feeding tube was then placed and tube feeds were starting. she was tolerating tube feeds at goal, .................... with fiber at 80 cc an hour. neurosurgery signed off the patient given her stable subarachnoid hemorrhage on multiple repeat ct scans. the orthopedic surgeon agreed to taking her to the operating room. she underwent an orif of her right wrist on . the patient did well postoperatively. however, her mental status still altered and she was not quite following commands. therefore, she remained on the ventilator. at the same time, she was also being treated for ventilator-associated pneumonia. pseudomonas was grown out from her sputum cultures, although her blood cultures have been negative. she was to be given a full 14 day course of cipro, zosyn, and vancomycin. the patient's condition remained stable and her mental status became cleared over the next few days and the patient was getting daily spontaneous breathing trials and her respiratory rate was 60. on , the patient underwent left wrist orif and postoperatively the patient was extubated and tolerated extubation well and subsequently the patient was transferred to the floor on . however, the patient still had a lot of secretions and the patient was readmitted back to the unit on for further suctioning, although mental status wise, the patient was alert, oriented, and followed commands. the patient still continued to require frequent suctioning. the patient is to finish a full course of antibiotics. to the date of dictation, the patient is to receive a swallow evaluation on to assess for the patient's ability to eat and drink on her own. current medication wise, the patient is to be discharged to rehabilitation on zantac 150 mg p.o. b.i.d. and zosyn 4.5 grams iv q. eight hours, vanco 1 gram q. 24 hours, and cipro 400 mg iv b.i.d., heparin subcutaneously 5,000 units b.i.d., lopressor 25 mg p.o. b.i.d., and albuterol nebulizers p.r.n. the patient is to receive chest pt q. four hours and suction p.r.n. the patient's antibiotics were for a 14 day course for which they will end on . discharge diagnosis: 1. status post fall with multiple trauma. 2. status post open reduction and internal fixation of the bilateral wrist. 3. facial fracture. 4. hypertension. 5. depression. 6. respiratory failure requiring intubation. 7. pneumonia. follow-up: the patient is to follow-up with her primary care doctor two weeks. the patient is to be followed-up with the trauma clinic in two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of other therapeutic or prophylactic substance closed [endoscopic] biopsy of bronchus open reduction of fracture with internal fixation, radius and ulna open reduction of fracture with internal fixation, radius and ulna diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute respiratory failure accidental fall on or from other stairs or steps closed fracture of malar and maxillary bones closed colles' fracture injury to liver without mention of open wound into cavity laceration, unspecified other closed fractures of distal end of radius (alone) closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with no loss of consciousness 

Answer: The patient is high likely exposed to