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: 1. status post fall from roof at work. 2. t3 burst fracture with evidence of complete spinal cord injury and spinal instability. 3. c6, c7 spinous process fracture, t1 spinous process fracture, t2 spinous process fracture and t4 spinous process fracture. 4. left displaced distal radius fracture. 5. sternal manubrial fx. dissociation major surgical or invasive procedure: 1. anterior fusion t2 to t4 with application of interbody cage and morselized autograft . 2. posterior c5 to t9 arthrodesis . 3. posterior c5 to t9 nonsegmental instrumentation . 4. corpectomy of t3 with from the posterior approach decompression from t2-3 to t3-t4 . 5. posterior decompression laminectomy, medial facetectomy t1-2 to t3-4 . 6. right posterior iliac crest bone graft with application of morselized autograft . 7. application of morselized allograft . 8. closed reduction of left distal radius fracture . 9. tracheostomy . 10. percutaneous endoscopic gastrostomy 11. inferior vena caval filter 12. transesophageal echocardiogram 13. percutaneous drainage of fluid collection by interventional radiology . history of present illness: 45year old, spanish speaking male s/p fall from roof while working. fell 15-20 feet. landed on head. no loc. unable to feel or move le, sensation below nipples on arrival. given 2.5g salumedrol in field by ems. past medical history: none social history: from . in united states for work. living with cousin and her husband. wife and children live in . family history: noncontributory pertinent results: 05:25pm glucose-114* lactate-1.5 na+-143 k+-3.9 cl--107 tco2-24 05:22pm wbc-11.3* rbc-4.47* hgb-14.0 hct-38.0* mcv-85 mch-31.3 mchc-36.8* rdw-13.1 05:22pm fibrinoge-226 05:22pm fibrinoge-226 01:04am blood wbc-25.2* rbc-3.71* hgb-11.3* hct-31.8* mcv-86 mch-30.6 mchc-35.6* rdw-14.8 plt ct-143* 02:01am blood wbc-26.5*# rbc-3.02* hgb-9.0* hct-25.9* mcv-86 mch-30.0 mchc-34.9 rdw-15.0 plt ct-637* 02:20am blood wbc-10.8# rbc-2.84* hgb-8.2* hct-25.0* mcv-88 mch-29.0 mchc-32.9 rdw-15.0 plt ct-686* 03:32am blood wbc-8.4 rbc-3.11* hgb-9.6* hct-26.9* mcv-87 mch-30.9 mchc-35.7* rdw-15.3 plt ct-341 03:32am blood plt ct-341 03:32am blood glucose-101 urean-21* creat-0.6 na-136 k-3.7 cl-105 hco3-23 angap-12 03:30am blood alt-126* ast-54* ck(cpk)-304* alkphos-187* totbili-0.6 04:32am blood lipase-60 05:22pm blood ck-mb-15* mb indx-2.1 05:22pm blood ctropnt-<0.01 01:11am blood ck-mb-31* mb indx-1.7 ctropnt-<0.01 03:32am blood calcium-8.2* phos-3.8 mg-2.0 10:10am blood hbsag-negative hbsab-negative hbcab-negative hav ab-positive igm hav-negative 09:17pm blood hiv ab-negative 05:22pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 10:10am blood hcv ab-negative : mrsa screen : bl cx -> mr s. aureus coag neg : sputum: p. aeruginosa, k. pneumoniae, m. catarrhalis : acinetobacter pansens. : c. diff neg, bl//sputum neg, vanco trough 5.8 : lfts elevated, wbc 14.6, hct 28, vanco trough 6.9 : wbc 26.5, na 132, bal gs -/cx p : cl tip cx p., vanco trough 15.4 : vanco 9.9 bal: g+ cocci pairs/clusters, g- rods. id p : acinetobacter in sputum : afb neg x 3 : leg. urine neg : o&p: neg : mrsa neg (nasal) back cx: gs - , cx- radiology: ct head: no evidence of intracranial hemorrhage or mass effect. ct c-spine: burst fracture of the t3 vertebral body. multiple fractures of the posterior elements of c6, c7, t1, and t2. no impingement on the bony cervical spinal canal. ct thorax: burst fracture of t3, retropulsion of fragments into canal. multiple fractures of the distal cervical and upper thoracic posterior elements. no aortic injury seen, sternal dislocation. no abd/pel injury. old fx in the inferior ribs bilaterlly. ct pelvis: no fractures of the lumbar spine, sacrum, or pelvis are identified. mri c/t spine: t2-t3 fx-disloc c intraspin/pll disrupt. c txn of cord. intraspinal hematoma. r wrist/elbow/shoulder: 1. r colles fx. 2. r ulnar styloid pr. : ct thorax: bilat pl. eff., pneumonia : l lung atelectasis improved; new opacification r lung ? lg aspiration; incr small r pleural effusion r wrist post-cast port cxr: worsening llung air space opacity, ?asp pna : ruq us neg ct torso: diffuse ground glass opacities, ? pna, wedge shaped kidney infarcts : tee >55%, nl. mri: demonstrating no definite discitis/osteomyelitis. small irregularly enhancing region in what appears to be right sided epidural space at t2/t3 level, as described above, which could be postoperative scar or a phelgmon. two additional peripherally enhancing fluid collections, one in the posterior epidural space at t2 level; the larger one in the posterior paraspinal soft tissues at approximately the same level, as described above, which may represent postoperative seromas versus abscess. : ir percutaneous drainage of subcutaneousx tissue brief hospital course: 45 year old spanish speaking male admitted to t/sicu status post fall from 15-20 feet at work. landed on head with resultant injuries including, traumatic burst fracture of the t3 vertebral body with retropulsion of multiple fragments posteriorly as well as angulation of the spinal canal at this level, fracture of the posterior elements of t1 and t2 -> s/p fusion, right transverse distal radial fracture, sternal manubrial fracture dissociation, and a head laceration. patient underwent c5-t10 posterior spinal fusion with l1-l4 posterior decompression as well as open reduction and internal fixation of his right wrist fracture . he was given 7 liters of crystalloid and 1200 cc of red blood cells in the operating room during the spinal fusion. see operative reports for procedure details. patient tolerated both procedures reasonably well but was found to be hypotensive after spinal fusion and was transfused 2 additional units of packed red blood cells when transported back to the trauma/sicu after surgery. he was placed on spinal precautions and given a brace to wear after extubation. the patient's respiratory status was managed on a ventilator. on , patient was transfrused 2 units of packed red blood cells and was febrile to 104 with a whit blood cell count to 16.4 he was started on vancomycin and zisyn for broad spectrum coverage. physical and occupational therapy were consulted on and followed patient throughout hospital course with satisfactory results. on , patient was taken to operating room for orif of right distal radius fracture without event. see operative reports for procedure details. infectious disease was consulted for continued fevers and recommended standard fever workup including pan culture, d/c lines fpr 2 days with central line exchange, stool studies, sputum cultures (patient underwent multiple bronchial alveolar lavages for sputum collection), and strongyloides. please see microbiology results above for details. an ascaris worm was removed from patient's nostril in entirety and sent to pathology for identification. id followed patient throughout hospital stay and recommendations were followed. levoquin was added to antibiotic regimen on . vanco/zosyn discontinued on . patient is to continue levaquin until for sputum culture positive for acintobacter 10/24 per id recommendations. on , arterial line was reinserted and received 2 untis prbc for hematocrit of 23 and ct of spine was performed to eval for abscesses. please see results section for details. nutrition followed patient throughout course and recommendations followed regarding tube feeds/tpn. on social work wrote letter to mexican vice consul in regarding patient's status and was instrumental in obtaining family contact and visas. social work was actively involved in patient's care throughout stay. on had spontaneous breathing trail but tired after 4 hours and was placed back on mechanical ventilation. please note patient had multiple fever spikes throughout course, was pan cultured with each spike > 102. please see above culture data for details. on the final spike before discharge, he underwent an interventional radiology drainage of a superficial fluid collection over t2 and t3. fluid was cultured and found to be without infection. he was also tested for tuberculosis, hepatitis a/b/c, cmv, hiv, legionella, which were all negative. afb was negative x 3. on he underwent tracheostomy, peg, and ivc filter placement for spinal cord injury with prolonged respiratory dependency, malnutrition and right risk for venous embolic disease. see operative reports for details. he tolerated that procedure without complication. initially after tracheostomy, the patient's respiratory status was managed with assist control ventilation. however, as he recovered and gained muscle strength, he was weaned over to cpap with pressure support and remained stable throughout the rest of his hospital stay. his pressure support was slowly weaned to 5. forehead staples removed on and arterial line was removed. on , a fiberoptic endoscopic evaluation of swallowing was performed which showed mild oral pharyngeal dysphagia with minimal aspiration. with recommendation to repeat swallowing evaluation at rehab facility. on patient underwent a tee which showed no evidence of subacute bacterial endocardiditis. on , patient complained of a visual field defect and ophthalmology was consulted with no recommendations for intervention. thoughts were consistent with traumatic maculopathy which should slowly improve. patient should follow up in clinic as an outpatient in weeks. patient remained stable, cooperative, and cordial throught duration of hospital stay. he was afebrile for > 48 hours before discharge. medications on admission: none discharge medications: 1. brace sig: one (1) at all times. disp:*1 * refills:*0* 2. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 3. artificial tear with lanolin 0.1-0.1 % ointment sig: one (1) appl ophthalmic prn (as needed). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed. 6. ranitidine hcl 15 mg/ml syrup sig: one (1) po bid (2 times a day). 7. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 8. acetaminophen 160 mg/5 ml solution sig: po q4h (every 4 hours) as needed for fever>101.5. 9. ibuprofen 100 mg/5 ml suspension sig: one (1) po q6h (every 6 hours) as needed for fever>101.5. 10. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4-6h (every 4 to 6 hours) as needed. 11. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous q 24h (every 24 hours). 12. potassium chloride oral 13. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 14. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for agitation. 15. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days: through . disp:*4 tablet(s)* refills:*0* 16. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift 17. calcium gluconate 2 gm / 100 ml d5w iv prn please administer for ionized calcium less than 1.12 18. magnesium sulfate 2 gm / 100 ml d5w iv prn mg<2.0 19. sodium chloride 0.9% flush 3 ml iv daily:prn peripheral iv - inspect site every shift discharge disposition: extended care facility: - discharge diagnosis: 1. traumatic burst fracture of the t3 vertebral body with retropulsion of multiple fragments posteriorly as well as angulation of the spinal canal at this level. status post fusion. 2) fracture of the posterior elements of t1 and t2 . status post fusion 3) right transverse distal radial fracture. status post orif. 4) sternal manubrial fracture. dissociation discharge condition: good discharge instructions: go to an emergency room if you experience new and continuing nausea, vomiting, fevers (>101.5 f), chills, or shortness of breath. also go to the er if your wound becomes red, swollen, warm, or produces pus. if you experience clear drainage from your wounds, cover them with a clean dressing and stop showering until the drainage subsides for at least 2 days. narcotics can cause constipation. please take an over the counter stool softener such as colace or a gentle laxative such as milk of magnesia if you experience constipation. be sure to take your complete course of antibiotics. you may resume your regular diet as tolerated. you may resume all of your previously prescribed medications. you may take showers. you should wear your back brace at all times. followup instructions: with dr. in orthopedic spine clinic in 1 month. please call to make that appointment. location 2, deaconness. with dr. in general orthopedic surgery for right radial fracture and shoulder pain in 2 weeks. call to make that appointment. with clinic for visual field defect in weeks. call to make that appointment. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart interruption of the vena cava enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization other exploration and decompression of spinal canal temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus dorsal and dorsolumbar fusion of the anterior column, anterior technique closure of skin and subcutaneous tissue of other sites excision of bone for graft, other bones transfusion of packed cells dorsal and dorsolumbar fusion of the posterior column, posterior technique closed reduction of fracture without internal fixation, radius and ulna repair of vertebral fracture other cervical fusion of the posterior column, posterior technique aspiration of other soft tissue insertion of interbody spinal fusion device fusion or refusion of 9 or more vertebrae infusion of vasopressor agent diagnoses: pneumonia due to other gram-negative bacteria open wound of scalp, without mention of complication bacteremia infection and inflammatory reaction due to other vascular device, implant, and graft seroma complicating a procedure other and unspecified alcohol dependence, unspecified traumatic shock closed fracture of t1-t6 level with complete lesion of cord closed fracture of c5-c7 level with unspecified spinal cord injury accidental fall from or out of building or other structure closed colles' fracture closed fracture of t7-t12 level with unspecified spinal cord injury ascariasis closed dislocation, sternum visual field defect, unspecified pain in joint, shoulder region acute alcoholic hepatitis 

Answer: The patient is high likely exposed to