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: right frontal skull fracture secondary to motor vehicle accident major surgical or invasive procedure: 1. bifrontal craniotomy for repair. 2. elevation of right-sided depressed skull fracture. 3. reconstruction of right-sided orbital rim. 4. reconstruction of orbital roof and posteromedial wall. 5. exenteration of frontal sinus with obliteration, packing and sealing. 6. ethmoidal sinus repair with packing and sealing. 7. duraplasty. 8. plastic cranioplasty. history of present illness: pt. is a 23 y/o male unrestrained passenger in mva vs. stationary object. pt was combative and moving all four extremities at the scene of accident, ?loc, restrained and transported to . pt. was intubated and sedated in the ed. initial head ct showed open r frontal depressed skull fracture and r superior lateral orbital fracture, possibly communicating. past medical history: non-contributory social history: ethanol of 231 on admission to ed. pt is speaking only. family history: non-contributory physical exam: physical exam: o: t: nr bp: 167/93 hr: 95 r 12 o2sats 93 ra gen: intubated, sedated; pt was moving all four extremities at accident scene. heent: pupils: 4->2 bilat lips: lac to lower and upper lips on l side. neck: in collar lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. mental status: intubated and sedated. cranial nerves: cnii-xii not grossly examined due to sedation. motor: reportedly moving all four extremities at the scene and in the ed upon arrival. sensation: withdraws slowly to painful stimuli x all four extremities reflexes: b t br pa ac right 1+ throughout left 1+ throughout toes downgoing bilaterally pertinent results: ct sinus impression: 1. there has been placement of a plate with improved alignment of the right frontal bone, right orbital rim and orbital roof. the fracture fragments appear to be in anatomic position following fixation. 2. there are post- surgical changes with pneumocephalus anterior to the right frontal lobe, as well as hypodensity involving the right frontal lobe. 3. there continues to be fracture of the cribriform plate. ct head impression: 1. there has been placement of a plate with improved alignment of the right frontal bone, right orbital rim and orbital roof. the fracture fragments appear to be in anatomic position following fixation. 2. there are post- surgical changes with pneumocephalus anterior to the right frontal lobe, as well as hypodensity involving the right frontal lobe. 3. there continues to be fracture of the cribriform plate. ct sinus impression: comminuted right frontal bone fracture with 4 mm depression of fracture fragments and extension of the fracture to the right frontal sinus, ethmoid air cells and sphenoid sinus on the left. a fracture line extends through the left optic canal, raising concern for possible injury to the left optic nerve. nondisplaced fracture of the left carotid canal is visualized, cta is recommended if clinically warranted there is a depressed right orbital roof fracture with no evidence of retrobulbar hematoma. ct head impression: incompletely imaged depressed right frontal skull fracture which extends through the frontal, ethmoid and sphenoid sinuses. high attenuation in the adjacent frontal lobes consistent with parenchymal contusion. ct c-spine impression: no evidence of fracture or malalignment of the cervical vertebrae. maxillary sinus fluid levels. ct abdomen with contrast impression: 1. no evidence of traumatic injury within the chest, abdomen or pelvis. 2. 6-mm noncalcified pulmonary nodule in the posterior left upper lobe. in the absence of a history of smoking or other known risk factors, followup ct is recommended in 12 months to assess stability. 3. periportal edema likely secondary to fluid resuscitation given the distended inferior vena cava. 4. right renal cortical scarring. no evidence of obstruction or hydronephrosis. a/p chest indication: 23-year-old status post motor vehicle accident. comparison: none. ap chest: underlying trauma board limits assessment of fine detail. an endotracheal tube is seen with its tip 2.5 cm above the carina. cardiac, mediastinal and hilar contours appear normal. lungs are grossly clear. there is no pleural effusion or pneumothorax. the visualized osseous structures of the thorax appear intact. ap pelvis: no fracture or dislocation. sacroiliac joints and pubic symphysis are intact. the sacrum is obscured by overlying bowel gas. impression: no evidence of traumatic injury within the chest or pelvis. 08:59pm type-art po2-163* pco2-48* ph-7.37 total co2-29 base xs-2 07:00pm sodium-143 potassium-3.8 07:00pm calcium-8.2* phosphate-4.2# magnesium-2.4 brief hospital course: pt. is a 23 y/o male unrestrained passenger in mva vs. stationary object on . pt was combative and moving all four extremities at the scene of accident, ?loc, restrained and transported to . pt. was intubated and sedated in the ed. initial head ct showed open r frontal depressed comminuted skull fracture and r superior lateral orbital fracture, possibly communicating. pt was stablized in the ed and transferred to the trauma sicu for monitoring. on the pt. underwent the following procedures after consent was obtained: 1. bifrontal craniotomy for repair. 2. elevation of right-sided depressed skull fracture. 3. reconstruction of right-sided orbital rim. 4. reconstruction of orbital roof and posteromedial wall. 5. exenteration of frontal sinus with obliteration, packing and sealing. 6. ethmoidal sinus repair with packing and sealing. 7. duraplasty. 8. plastic cranioplasty. there were no intraoperative complications and the pt. tolerated this procedure well. he was extubated in the transferred to the pacu for monitoring overnight, and ultimately transferred to 5 for recovery. the patient made steady progress during his stay on 5 and at the time of discharge was afebrile, tolerating a regular diet, had a non-focal neuro exam with no new visual or sensory changes, and was complaining only of a mild headache that was well controlled with oral pain medication. the pt. was instructed to follow up with dr. in 4 weeks with a non-contrast head ct, to continue taking his current dosing of dilantin, and to stay in a c-collar at all times. medications on admission: none. discharge medications: 1. phenytoin 50 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). disp:*180 tablet, chewable(s)* refills:*2* 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*30 tablet, delayed release (e.c.)(s)* refills:*3* 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*45 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 5. colace 100 mg capsule sig: one (1) capsule po twice a day for 3 weeks. disp:*42 capsule(s)* refills:*0* discharge disposition: home with service discharge diagnosis: right frontal skull fracture discharge condition: stable discharge instructions: ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f on a ct of the torso, a 6-mm noncalcified pulmonary nodule in the posterior left upper lobe was seen. please get a ct of the chest in 12 months. followup instructions: please return to the office in 10 days for removal of your staples/sutures please call to schedule an appointment with dr. to be seen in 4 weeks. you will need a cat scan of the brain without contrast procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube suture of laceration of lip other repair of cerebral meninges elevation of skull fracture fragments insertion of skull plate frontal sinusectomy other open reduction of facial fracture other repair of nasal sinus diagnoses: alcohol abuse, continuous closed fracture of orbital floor (blow-out) open wound of lip, without mention of complication contusion of eyeball other motor vehicle traffic accident involving collision on the highway injuring passenger in motor vehicle other than motorcycle other open skull fracture with cerebral laceration and contusion, unspecified state of consciousness 

Answer: The patient is high likely exposed to