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: bactrim attending: chief complaint: s/p surgical repair of facial fractures major surgical or invasive procedure: orif zygomatic fracture on left, orbital floor fracture left, orif of leforte fracture bilateral, placement of mmf history of present illness: mr. is a 21 year old male with no significant past medical history who presented to the emergency room on after being hit in the face with a baseball bat. he had a ct of the head at that time which showed numerous facial fractures involving the left orbit, zygoma, left maxillary sinus and bilateral pterygoid plates. at that time he had no signs or symptoms of entrapment or retrobulbar hematoma. he was discharged on clindamycin for prophylactic antibiotic therapy and scheduled for elective surgical repair on the day of admission. he underwent the procedure as scheduled which included fixation of the bones in his face and intramaxillary fixation. he received decadron and cefazolin prior to the procedure. the procedure was uncomplicated but took longer than expected and given that the case finished late at night anesthesia opted to observe him in the overnight prior to extubation. . on arrival to the he is intubated, sedated, unable to answer questions. the next morning he was extubated without event and transferred to the floor. past medical history: none social history: unemployed. quit smoking. occassional alcohol. occassional marijuana. no ivdu. family history: non-contributory. physical exam: on admission to vitals: t: 96.0 bp: 117/43 p: 97 r: 10 o2: 100% (ac 850x10, peep 5, fio2 40%) general: intubated, sedated, no distress heent: bruising over left eye which is sutured shut, nasally intubated, significant facial swelling, mouth wired shut neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley draining clear yellow urine ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema on discharge: vs: afebrile, vss constitutional: moderate facial swelling, l>r with ecchymosis over l periobital region. pt unable to clearly articulate speech b/c of mmf. heent: l eye closed with tarsorrhaphy stitch, however perrla and eomi with medial gaze around stitch. mmf in place, jaw in occlusion without instability. incisions c/d/i neck: no masses cv: rrr, no murmurs resp: ctab, no wheezes or crackles abd: soft, nondistended, +bs ext: warm, distal pulses palpable bilaterally skin: face, neck and chest is normal musculoskeletal: normal to gait and station spine, pelvis and extremities: stable psychiatric: normal to judgment, insight, memory, mood and affect pertinent results: 04:18am blood wbc-13.6* rbc-4.67 hgb-13.8* hct-39.6* mcv-85 mch-29.7 mchc-35.0 rdw-12.4 plt ct-334 10:29pm blood wbc-13.1* rbc-4.91 hgb-14.6 hct-41.9 mcv-85 mch-29.7 mchc-34.8 rdw-12.3 plt ct-334 10:29pm blood pt-14.1* ptt-20.5* inr(pt)-1.2* 04:18am blood glucose-143* urean-13 creat-0.7 na-139 k-4.3 cl-102 hco3-25 angap-16 10:29pm blood glucose-170* urean-16 creat-1.1 na-135 k-5.2* cl-99 hco3-20* angap-21* 04:18am blood calcium-9.0 phos-3.5 mg-2.0 10:29pm blood calcium-9.5 phos-4.1 mg-2.0 05:37am blood lactate-2.1* 10:57pm blood lactate-4.5* brief hospital course: course s/p facial fracture: patient was received at the nasally intubated. patient was on propofol for sedation. procedure was uncomplicated but now admitted to overnight for observation prior to extubation. patient was successfully extubated on with the aid of the anesthesia team. on transfer to the floor: the patient was admitted to the plastic surgery service on and underwent orif zygomatic fracture on left, orbital floor fracture left, orif of leforte fracture bilateral, placement of mmf. the patient tolerated the procedure well and there were no complications. the patient did stay in the overnight, under nasotracheal intubation as above, he was then transferred to the floor without event. neuro: post-operatively, the patient received dilaudid iv/pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral liquid pain medications. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: post-operatively, the patient was given iv fluids until tolerating liquid oral intake. his diet was advanced when appropriate, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement. foley was removed on pod#1. intake and output were closely monitored. id: post-operatively, the patient was started on iv unasyn, then switched to po liquid augmentin at the time of discharge, pod#2. the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on pod#2, the patient was doing well, afebrile with stable vital signs, tolerating a regular liquid diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: lorazepam qhs discharge medications: 1. chlorhexidine gluconate 0.12 % mouthwash sig: fifteen (15) ml mucous membrane tid (3 times a day) for 2 weeks: please use for remainder of time in oral fixation. disp:*630 ml(s)* refills:*0* 2. sodium chloride 0.65 % aerosol, spray sig: sprays nasal q2h (every 2 hours) as needed for dry nose. 3. augmentin 200-28.5 mg/5 ml suspension for reconstitution sig: five (5) ml po twice a day for 10 days. disp:*100 1* refills:*0* 4. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain for 7 days. disp:*150 ml(s)* refills:*0* 5. lorazepam 0.5-1 mg iv hs:prn for sleep discharge disposition: home discharge diagnosis: leforte i fracture, zygomatic fracture left, orbital floor fracture left after baseball bat to face. discharge condition: good. discharge instructions: you are being discharged in oral fixation - this means you will be unable to open your mouth at any time until the wiring is removed in several weeks. you will need to eat liquid foods and should supplement your meals with a protein shake like ensure or boost. *if you have any difficulty breathing you need to return to the emergency room immediately, we can cut the wires to open your jaw in the case of extreme emergency *you should expect to continue to have pain and swelling, you are being given a liquid narcotic pain medication, take it as needed. *you can continue with your nasal saline rinses if they help your breathing. *you have a stitch in your left eyelid that needs to remain in place until your follow up appointment next friday, try not to manipulate the eye or lid to prevent any damage to the eye. return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. followup instructions: please follow up to the plastic surgery clinic on friday , you should call ( to confirm your appointment time. make sure to let them know you were operated on this past week and need to be seen for suture removal. other appointments listed below: provider: , m.d. phone: date/time: 2:30 procedure: open reduction of maxillary fracture insertion of synthetic implant in facial bone other open reduction of facial fracture open reduction of malar and zygomatic fracture diagnoses: closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) accidents occurring in place for recreation and sport striking against or struck accidentally by objects or persons in sports 

Answer: The patient is high likely exposed to