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: s/p pedestrian struck major surgical or invasive procedure: 1. application of halo vest 2. open reduction and internal fixation of right tibial plateau fracture with 5-hole plate. 3. open reduction and internal fixation of the left medial malleolar fracture. history of present illness: 44 yo male pedestrian struck by auto; + loc. he was taken to an area hospital and found to have a left clavicle fracture, multiple c-spine fractures, fractures of the right tibia and left ankle fractures. he received steroids at the referring hospital and was transferred to for continued care. past medical history: heart murmur social history: etoh + tobacco married family history: noncontributory physical exam: upon admission: t100.0, hr89, bp108/70, rr18, sat99on2l a+ox3, ccollared eomi, perrl, no hemotympanum l mid clavicular tenderness with ecchymosis cta bl. rrr s1/s2 soft, nt,nd nl rectal tone, guiac negative 5/5 strength bl u+le's no c/c/e pertinent results: 07:46pm wbc-6.1 rbc-3.03* hgb-9.4* hct-28.6* mcv-94 mch-31.1 mchc-33.1 rdw-13.9 07:46pm plt count-141* 05:50pm pt-12.6 ptt-28.6 inr(pt)-1.1 05:27pm glucose-154* lactate-1.5 na+-136 k+-4.5 cl--110 08:26am lactate-1.5 04:52am asa-neg ethanol-109* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg chest (portable ap) reason: please assess chest for infiltrate medical condition: 44 year old man with increased secretions, poor cough, hypoxia reason for this examination: please assess chest for infiltrate indication: increased secretions, cough, hypoxia. evaluate for infiltrate. comparison: . portable chest radiograph portable chest: study is limited by overlying hardware related to halo fixation device. cardiac and mediastinal contours appear stable. pulmonary vascularity remains within normal limits. no new focal consolidations are seen. no evidence of pleural effusion. impression: no evidence of acute cardiopulmonary process. ct c-spine w/o contrast reason: assess for fracture, repair stability and alignment. please medical condition: 44 year old man pedestrian struck s/p orif reason for this examination: assess for fracture, repair stability and alignment. please do 3mm cuts. thanks. contraindications for iv contrast: none. ct of the cervical spine: comparison is made with . the patient is status post interval anterior fusion from c3 through c5. there is partial corpectomy of the c4 with a bone strut fusion at this level. there is satisfactory appearance of surgical hardware. alignment is satisfactory. there is widening of the fracture line involving the dens extending to the left aspect of the body of c2. there is fracture of the right c2 lamina extending to the inferior articular process, unchanged. there is a fracture of the right c4 lamina extending to the articular pillar and subluxation of the facet joints, unchanged. there is an unchanged nondisplaced fracture of the c6 spinous process. there are unchanged nondisplaced fractures of the c5 and c6 right anterior tubercles of the foramen transversaria. there is no bony retropulsion noted within the canal. the evaluation of the canal content is limited by artifact and surgical hardware, however, no large hematoma is seen. impression: status post c3 through c5 fusion and partial corpectomy of c4 with placement of a bony strut. alignment is satisfactory. slightly increased distraction at the fracture line of c2. a wet read was provided into ccc by the resident at the time of exam completion. cardiology report ecg study date of 2:08:22 pm normal sinus rhythm, rate 85. no diagnostic abnormality. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 85 160 102 394/436.14 65 68 63 mra neck w&w/o contrast reason: evaluate fractures & cord, evaluate for arterial dissection contrast: magnevist medical condition: 44 year old man pedestrian stuck with multiple c-spine fractures, neuro deficit in rue with absent biceps reason for this examination: evaluate fractures & cord, evaluate for arterial dissection the study done on , 6:14 a.m., was available for interpretation at on at 2:30 p.m. indication: 44-year-old man, pedestrian struck, with multiple c-spine fractures, neural deficit in the right upper extremity, to evaluate for cord, arterial dissection. prior study: ct of the c-spine done on the same day, earlier. technique: contrast enhanced mr angiogram of the neck vessels, including fat sat _sequences performed. findings: the origins of the arch vessels for patent. bilateral vertebral arteries, including the origins and the intracranial segments are patent and normal in caliber with no abnormal foci of signal intensity on the t1 fat saturated images. there is no evidence of vertebral artery dissection. bilateral common carotid, cervical intra- and extracranial carotid arteries are patent and normal in caliber. impression: no evidence of arterial dissection in the neck vessels. brief hospital course: he was admitted to the trauma service. repeat ct imaging was performed which confirmed extensive cervical spine fractures involving c2, c4, c5 and c6. there is retropulsion of c4 fragments into the central spinal canal, and disk or hematoma at c4-5 compressing the cord. additionally, oblique fracture of the proximal right tibial metaphysis and fracture of the left medial malleolus. he was admitted to the tsicu for close observation and was taken to the or with dr. for c4 corpectomy and c2-c5 anterior fusion. a halo was placed at the bedside without incident. orthopedics was consulted for his extremity fractures. he was taken to the operating room returned for open reduction and internal fixation of right tibial plateau fracture with 5-hole plate and open reduction and internal fixation of the left medial malleolar fracture. he was extubated on hd 3 and remained in tsicu through hd 4, requiring ciwa scale for etoh withdrawal at approx 10mg/hour; otherwise no active issues during his icu stay. he did initially require 1:1 sitter for close observation because of delirium; the sitters were eventually discontinued. his mental status improved significantly. on hd 6 his serum sodium found to be low and urine lytes were checked, a renal consultation was ordered. diagnosis of mild siadh due to either surgical stress or episodic haldol dosing made per renal and plan for monitoring for resolution. he was placed on a 1 liter free water fluid restriction. a speech and swallow evaluation was ordered and he was cleared for an oral diet. physical and occupational therapy were also consulted and have recommended short term rehab. medications on admission: none discharge medications: 1. enoxaparin 30 mg/0.3 ml syringe sig: one (1) injection subcutaneous q12h (every 12 hours). disp:*60 injection* refills:*2* 2. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours for 7 days. disp:*30 tablet(s)* refills:*0* 3. colace 100 mg capsule sig: one (1) capsule po twice a day for 7 days. disp:*14 capsule(s)* refills:*0* 4. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for sbp <100; hr <60. 8. hydromorphone 2 mg tablet sig: 2-3 tablets po q3-4h (every 3 to 4 hours) as needed for pain. 9. milk of magnesia 800 mg/5 ml suspension sig: ml's po twice a day as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: s/p pedestrian struck c2,c4 vertebral body fractures c5,c6 transverse process fractures c6 spinous process fracture r tibial plateau fracture l medial malleolar fracture discharge condition: stable discharge instructions: do not put any weight on either of your lower extremities. followup instructions: follow up with dr. regarding the halo and the fractures of your cervical spine the number is (. you will need to follow up with dr. regarding the fractures of your legs in 2 weeks. the number is (. procedure: enteral infusion of concentrated nutritional substances other cervical fusion of the anterior column, anterior technique open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula transfusion of packed cells repair of vertebral fracture insertion or replacement of skull tongs or halo traction device plastic operation on pharynx insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae diagnoses: tobacco use disorder motor vehicle traffic accident involving collision with pedestrian injuring pedestrian other disorders of neurohypophysis other and unspecified alcohol dependence, unspecified closed fracture of upper end of tibia alone closed fracture of c5-c7 level with unspecified spinal cord injury alcohol withdrawal delirium closed fracture of acromial end of clavicle fracture of medial malleolus, closed closed fracture of c1-c4 level with unspecified spinal cord injury concussion, with loss of consciousness of 30 minutes or less 

Answer: The patient is high likely exposed to