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: demerol attending: chief complaint: motor vehicle crash. major surgical or invasive procedure: none on this admission. history of present illness: 53yo f transfer from , s/p highspeed mvc, ?restrained, ?ejection, ?loc, +cocaine. work-up + for c2 hangman's fx. l scalp lac stapled at osh. past medical history: none social history: patient lives alone. denies smoking, drinking or recreational drug usage. family history: noncontributory. physical exam: physical exam: o: t:99.2 bp: 122 / 80 hr: 70 r 16 o2sats 100 ra gen: wd/wn, agitated, in restraints, writhing on bed, in c-collar. heent: pupils: perrl eoms: grossly intact neck: supple. lungs: cta bilaterally. cardiac: rrr. abd: soft, nt, nd extrem: warm and well-perfused. no c/c/e. . neuro: mental status: awake and alert,non-cooperative with exam. orientation: oriented to person and place. motor: strength 5/5 biceps, triceps, ip, sensation: intact to light touch bue, ble . reflexes: could not assess, patient would not relax for exam. . proprioception: could not assess, patient not cooperative. no babinski elicited. rectal exam normal sphincter control. . pertinent results: 07:15am blood wbc-8.7 rbc-3.08* hgb-9.4* hct-27.5* mcv-89 mch-30.5 mchc-34.2 rdw-13.1 plt ct-303 08:06am blood hct-30.3* 07:15am blood plt ct-303 03:00am blood plt ct-290 07:15am blood glucose-103 urean-7 creat-0.7 na-142 k-4.1 cl-107 hco3-29 angap-10 08:06am blood glucose-115* urean-13 creat-0.8 na-139 k-4.1 cl-106 hco3-23 angap-14 07:15am blood calcium-9.1 phos-3.0 mg-2.2 09:49pm blood ph-7.31* comment-green top 09:49pm blood glucose-124* lactate-2.3* na-142 k-3.5 cl-106 calhco3-25 09:49pm blood hgb-12.3 calchct-37 o2 sat-67 cohgb-3.5 methgb-0.3 09:40pm urine color-yellow appear-clear sp -1.030 09:40pm urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 09:40pm urine rbc-0-2 wbc-0-2 bacteri-occ yeast-none epi-0-2 09:40pm urine bnzodzp-neg barbitr-neg opiates-pos cocaine-pos amphetm-neg mthdone-neg . . 12:36 am mrsa screen site: rectal rectal. **final report ** mrsa screen (final ): no staphylococcus aureus isolated. . . cta neck w&w/oc & recons 10:12 pm hangman's fracture with bipedicular fracture through the transverse foramina at c2, anterior atlantoaxial subluxation. suggestion of possible intimal injury to the vertebral arteries, pinching on the right vertebral artery and irregularity of contour of the left vertebral artery at the level of the fractured transverse foramina. no obvious hematoma or definite evidence of dissection. enlarged heterogeneous thyroid, which could be due to hematoma versus thyroid disease. recommend further evaluation. . . ct pelvis w/contrast 9:12 pm impression: 1. questionable tiny pneumothorax. 2. non-displaced rib fractures. 3. left transverse processes fractures of the lumbar spine. 4. reflux of contrast into the right upper extremity veins. although this appearance may be normal, an ultrasound of the right upper extremity is suggested to evaluate further. 5. small lung nodule. in the absence of known malignancy, 12 and 24 month follow-up examinations are recommended in order to ensure stability or resolution. . . ct c-spine w/o contrast 8:24 pm impression: bipedicular c2 fracture (hangman type fracture). fracture lines extend into both vertebral foramina. ct angiogram is recommended to further assess the vertebral arteries. findings relayed immediately to the ed dashboard and discussed with dr. . . . ct head w/o contrast 8:24 pm impression: left parietal scalp contusion. no evidence of intracranial hemorrhage or calvarial fracture. . . chest (portable ap) 5:51 am impression: no radiographically evident pneumothorax seen. this is not unexpected given size and location of tiny pneumothorax on recent ct. no acute pulmonary process. brief hospital course: this patient was brought to on and admitted the same day. she was brought to the trauma bay where she was evaluated as per trauma protocol. after undergoing the appropriate and necessary scans, she was admitted under the trauma surgery service for further observation (as she was toxic screen positive for cocaine). . her injuries consisted of the following: --bipedicular c2 fx (hangman type fracture) --miniscule non-dependent rt ptx --l parietal scalp contusion/lac . she was seen by the neurosurgery service, whose reccomendations included the following: 8 weeks in hard collar, f/u with with repeat ct c-spine after. no nsaids. initially, the patient was in the trauma sicu, but then transfered to the floor, as q1h neurology checks were no longer necessary. on the floor, she continously attempted to remove her c-collar, and hence, she had to be restrained. she was fed via nursing staff on the floor; she remained incooperative and difficult during her stay at . discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna se mass discharge diagnosis: c2 hangman's fx discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, 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. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 100.4 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. *any change in strength or sensation in your extremities followup instructions: please visit your primary care provider or visit the emergency department within the next 2-3 days to have the staples in your head to be removed. follow up with neurosurgery in 7 weeks. call to schedule an appointment. follow up with your primary care provider for mass that was identified on your thyroid during a ct scan performed during your hospital stay. procedure: arteriography of cerebral arteries diagnoses: cocaine abuse, unspecified open wound of scalp, without mention of complication closed fracture of second cervical vertebra closed fracture of rib(s), unspecified closed fracture of lumbar vertebra without mention of spinal cord injury motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to