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: transfer from micu (s/p fall with c-spine and nasal fractures, etoh intoxication) major surgical or invasive procedure: peripherally inserted central catheter history of present illness: 51-year-old homeless male, h/o etoh abuse presented with altered mental status after a fall. by report, the pt was sitting at a t stop and fell forward off a bench while sitting, striking his left forehead against the concrete. he was brought to the ed by ems for eval of left frontal hematoma, but was agitated and combative in the ed, requiring restraints and sedation to complete head ct. he was treated w/ 5mg haldol iv, and 2mg ativan iv, and then returned from ct somnolent and unable to protect his airway. he was intubated for airway protection. . also in the ed, head ct showed anterior c3 osteophyte fracture with soft tissue thickening concerning for possible ligamentous injury, also with c-spine fx, nasal fractures. the pt was initially hypothermic w/ rectal temp 93 f, but improved w/ warming blanket. utox and stox negative except for alcohol. given banana bag. admitted to the micu for further care. . in the micu, the patient was stabilized and extubated on . he was seen by plastics, neurosurg, and ent. his nasal fracture were reduced and will need 1 more day of clinda s/p nasal manipulation. plan for c-spine collar for 6 weeks. initially required significant amounts of valium for etoh withdrawal but now improved (last dose 2/16). also with mild hypernatremia, now resolved, and hypertension that was not treated as he will not follow-up. transferred to the medical floor for continued care. . currently complaints of bilateral 'burning' foot pain. denies other pain, sob, tremulousness, hallucinations, or other complaints. past medical history: - homeless - etoh abuse - pneumonia () - h/o scabies, lice - seizure disorder - htn - peripheral neuropathy social history: homeless; multiple ed visits with alcohol intoxication over the past 2 years; further history unavailable. family history: unavailable physical exam: t 99.2 hr 86 bp 120/90 rr 24 o2sat 98% ra gen: thin, lying flat, sleeping, nad heent: perrl, supraorbital hematoma, left supraorbital abrasion, op clear, poor dentition, mmm cv: rrr, mo m/r/g, no jvd pulm: decreased air movement bilat, coarse expiratory breath sounds, no wheeze or crackles abd: +bs, soft, nt, nd gu: foley draining dark yellow urine ext: warm, 2+ dp, no edema, foot exam without ulcers neuro: sleepy but arousable and appropriate, speech muffled, uncooperative with exam, moves all 4 extremities pertinent results: hematology: 09:40pm blood wbc-5.2 rbc-4.55* hgb-11.5* hct-35.7* mcv-78* mch-25.2* mchc-32.2 rdw-15.6* plt ct-183 09:40pm blood neuts-40.7* lymphs-53.3* monos-4.0 eos-1.4 baso-0.5 . chemistry: 09:10pm blood glucose-105 urean-6 creat-0.6 na-146* k-3.7 cl-108 hco3-25 angap-17 07:00am blood alt-13 ast-42* ld(ldh)-331* alkphos-44 amylase-52 totbili-0.2 06:20am blood alt-19 ast-29 alkphos-83 amylase-142* totbili-0.2 09:10pm blood ck(cpk)-104 07:00am blood lipase-20 06:20am blood lipase-50 07:00am blood calcium-3.6* phos-1.4* mg-0.8* iron-14* 04:52am blood vitb12-1037* 07:00am blood caltibc-189* ferritn-15* trf-145* 04:52am blood tsh-1.2 09:10pm blood asa-neg ethanol-381* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 09:48pm blood ethanol-neg 05:19am blood type-art po2-439* pco2-39 ph-7.41 caltco2-26 base xs-0 comment-i.d. by ri 11:06am blood freeca-0.69* 10:03pm blood freeca-1.08* 02:42am blood freeca-1.12 rpr non-reactive . urine: 07:00pm urine color-yellow appear-clear sp -1.003 07:00pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:00pm urine rbc-0 wbc-0 bacteria-0 yeast-none epi-0 07:00pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg . ekg: nsr @ 95 bpm, nl axis, lvh, unchanged from prior tracing . . cxr (): there is no pleural effusion or pneumothorax. no focal consolidation is identified. chronic deformity of the distal right clavicle is again noted and likely due to prior trauma. . cxr (): no evidence of focal consolidation or significant change from prior. . cxr (): the right-sided picc line is unchanged in position. endotracheal tube has been removed. there are no focal consolidation, pleural effusions, or signs for acute pulmonary edema. bony structures are intact. impression: extubated without signs for acute cardiopulmonary process. . ct head: no evidence of acute intracranial hemorrhage. left orbital floor fracture and nasal fractures. the orbital floor fracture is age indeterminate, while the nasal fractures are clearly acute. large soft tissue hematoma of the left forehead and periorbital region. . ct c-spine: no fracture or malalignment. c4-5 prominent anterior osteophytes there is a broken anterior c3 osteophyte, indeterminate age. althogh there is no fracture, there is increased prevertebral soft tissue thickening. mri would be helpful to look for soft tissue/ligamentous injury not visible on ct. . mri c-spine: acute fracture through large anterior osteophyte at the c3/4 interspace. extensive surrounding prevertebral soft tissue swelling likely represents ligamentous injury, although no overt tear in the anterior longitudinal ligament is seen. brief hospital course: 51m homeless presented s/p fall with c-spine and nasal fractures, etoh intoxication. intubated for airway protection initially and admitted to micu, then extubated, stablized, and tranferred to floor for further care. . # alcohol withdrawal: serum ethanol over 300 on presentation. denies h/o alcohol withdrawal, seizures, and dts, but records notable for h/o seizure disorder nos possible related to etoh given the overwhelming number of visits to this hospital for etoh intoxication. continued folate, thiamine, mvi. received significant valium in micu, then tapered off on floor. ciwa scales <10 x 48 hours and discontinued. the patient was intermittently agitated on the floor demanding to leave requiring code , haldol prn, and 1:1 sitter. psych was consulted and deemed him not competent to care for self (see dispo below). . # c-spine fracture: s/p fall from sitting while intoxicated. osteophyte fracture discovered at c3/4 level. also with ligamentous injury but no obvious tear. neurosurgery consulted and recommended aspen c-collar at all times x 6 weeks and follow up with dr. in 6 weeks for evaluation and repeat ct c-spine (call for appointment) neurosurgery will contact the pt. at the pine street shelter to schedule an appointment. the patient continually attempted to remove c-collar and required constant redirection as he did not recall that he had a cervical fracture (see memory loss below). psychiatry consultation obtained to determine capacity for refusing collar. it was determined he lacked capacity for this decision. initially the decision was that we would proceed to guardianship, but given that there is no practical way to force him to wear the collar even with guardianship short of 4-point restraints and sedation for 6 weeks, we consulted legal services. there was consensus that although this is an unstable lesion, that there is nothing to do to force him to wear it, and that we would send him to a shelter with the collar and reiteration to the patient as well as contacting the shelter staff about wearing the collar. . #cervical collar: we strongly stressed to mr. that he must wear the cervical collar for 6 weeks at all times. we have explained to him the seriousness of his injury and the fact that he could suffer from serious spinal cord injury if he does not wear the collar, the patient was agreable to wearing the collar on discharge. . # nasal fractures, left orbital floor fracture: plastics and ent consulted in micu. s/p closed reduction of nasal fracture and nasal packing (dr. . unclear initially if orbital fracture new or old (if old then deemed non-operative), but after limited movement noted on reduction, plastics team believed that these fracutres were likely old. nasal packing removed on . there was no evidence of eye entrapment on ent evaluation. the patient received 5 days clindamycin per ent due to nasal manipulation. . # memory loss: likely due to chronic etoh abuse, however traumatic brain injury possibly contributing. baseline appears to be a&ox2 per records obtained, and notes signify planned outpatient w/u for dementia. despite continued reminders, the patient did not remember that he sustained c-spine fracture. neuropsych testing recommended in 6 weeks once acute issues resolved. . # anemia: microcytic. unknown baseline hct. iron studies c/w iron-deficiency and he was started on iron supplements. hct remained stable in the mid-30s during hospital stay. no prior colonoscopy. the patient will need further gi work-up. . # nausea: unclear cause. no associated abdominal pain, vomiting, or diarrhea. lfts, amylase, lipase without specific abnormalities. resolved spontaneously and was tolerating pos at discharge. . # peripheral neuropathy: patient c/o pain bilat foot pain. neuropathy likely etoh-related. he was given tylenol 500mg q6h and started on gabapentin 300mg tid trial with subjective improvement, but pt. is still complaining of foot pain. therefore, it is unclear if this is really neuropathy, we did not discharge the pt. with neurontin. . # h/o seizure disorder: per records. unclear etiology (?etoh related). never been on medications. . # low grade fever, cough: concern for respiratory infection, especially aspiration given etoh abuse, somnolence, recent intubation. lung exam with coarse breath sounds throughout. cxr without acute process and u/a negative. cough resolved and remained afebrile. . # hypernatremia: likely due to poor access to free water, resolved with hydration. cont to monitor sodium daily. . # ?glaucoma: right eye, discovered on ent eval (elevated iop @ 35, enlarged cup-to-disc ratio). initially on eye drops per their recs but then they recommended d/c as repeat iop when patient more cooperative was normal (11). recommended outpatient comprehensive eye examination (call ). . # dispo: deemed incompetent to care for self by psych team. will be discharged to the pine street shelter. he will also be considered for a bed at the house. medications on admission: medications (at home): none medications (on transfer): clindamycin 600mg iv q8h folate 1mg iv qd thiamine 100mg iv qd heparin 5000 units sc tid ferrous sulfate 325mg qd diazepam 10mg q2h prn ciwa>10 docusate senna prn tylenol prn morphine 2-4mg iv q4h prn dorzolamide 2%/timolol 0.5% 1 drop od latanoprost 0.005% 1 drop od qhs nicotine patch protonix 40mg iv qd discharge medications: 1. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: extended care discharge diagnosis: primary: nasal/orbital/cerivical spine fractures alcohol withdrawal memory loss . secondary: alcohol abuse seizure disorder hypertension peripheral neuropathy discharge condition: good discharge instructions: please take all medications as prescribed. . call your doctor or return to the ed immediately if you experience worsening chest pain, shortness of breath, nausea, vomiting, sweating, fevers, chills, bleeding, or other concerning symptoms. followup instructions: univ family med inc please follow up with dr. , neurosurgery in 6 wks comprehensive eye examination, call gastroenterology procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube closed reduction of nasal fracture diagnoses: thrombocytopenia, unspecified unspecified protein-calorie malnutrition iron deficiency anemia, unspecified epilepsy, unspecified, without mention of intractable epilepsy alcoholic polyneuropathy hyperosmolality and/or hypernatremia closed fracture of orbital floor (blow-out) lack of housing alcohol withdrawal hypothermia closed fracture of nasal bones accidental fall from chair acute alcoholic intoxication in alcoholism, continuous accident due to excessive cold due to weather conditions closed fracture of third cervical vertebra 

Answer: The patient is high likely exposed to