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: fall from roof major surgical or invasive procedure: 1. irrigation and debridement of open tibia fracture with an inclusive of level of bone. 2. open reduction and fixation right tibia proximal fracture with 55 mm locking plate. 3. open reduction internal fixation of left distal radius fracture with locking plate. 4. closed treatment of radius fracture without manipulation. 5. inferior vena cava filter placement history of present illness: 71 year old man who fell 25 feet off a roof. was brought to from the scene of the accident. says he was cleaning out gutters and the ladder fell out from under him. no loss of consciousness. past medical history: pmhx: multiple admissions for falls from roofs, severe kyphoscoliosis surgical history: fixation left pelvic fracture , bilateral sinus, right nasal/ethmoid fractures social history: worked as a construction worker. married. family history: non-contributory physical exam: afebrile, hr 90, bp 99/50, rr 12, o2 sat 100% via 2l nc gen: awake, alert, oriented, recalls accident cv: rrr no m/r/g resp: clear to ausculation bilaterally abd: soft/nt/nd heent: obvious left facial trauma ext: deformity of left wrist, left leg pertinent results: 09:56am pt-12.7 ptt-24.8 inr(pt)-1.1 09:56am plt count-250 09:56am wbc-11.5* rbc-4.20* hgb-13.3* hct-38.0* mcv-91 mch-31.8 mchc-35.1* rdw-13.7 09:56am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:05am glucose-121* lactate-2.8* na+-141 k+-4.1 cl--104 tco2-22 11:30am urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:30am urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 05:47pm wbc-13.1* rbc-2.99*# hgb-9.6*# hct-27.6*# mcv-92 mch-32.2* mchc-34.8 rdw-13.3 05:47pm calcium-7.7* phosphate-4.1 magnesium-1.5* 05:47pm glucose-160* urea n-16 creat-0.8 sodium-139 potassium-4.4 chloride-109* total co2-23 anion gap-11 06:31pm type-art temp-35.9 rates- tidal vol-600 o2-50 po2-217* pco2-44 ph-7.34* total co2-25 base xs--2 intubated-intubated vent-imv ekg : sinus rhythm ct head : impression: 1. no acute intracranial hemorrhage. 2. extensive fractures of the right facial bones with evidence of old injury s/p hardware fixation. please refer to dedicated facial bone ct for furtherdetail. ct c-spine : impression: 1. exaggerated cervical lordosis with levoscoliosis. no fracture or malalignment. 2. extensive fractures involving the right maxilla with premaxillary hematoma. please refer to dedicated ct of the facial bones for further detail. 3. cervical spine degenerative changes with multilevel neural foraminal stenosis. ct torso : impression: 1. no acute sequelae of trauma in the chest, abdomen, or pelvis. 2. bilateral renal hypodensities, likely cysts. 3. right lower lobe nodular opacity, stable from , likely rounded atelectasis. 4. chronic right rib cage deformity, right scapular deformity, left acetabular hardware with advanced arthritis at the left hip joint. no evidence of acute fractures. 5. moderate sized hiatal hernia is present. ct facial bones : impression: 1. acute fractures involving the right maxilla as described with extensive premaxillary soft tissue swelling. 2. acute fracture through the medial and lateral right orbital wall with extraconal hematoma along the medial orbit and blood noted within the ethmoid air cells. 3. right nasal bone fracture. possible fracture of the nasal septum. 4. possible right zygomatic arch fracture. 5. chronic injury to the frontal bone with hardware in place. 6. fractured upper incisor. periapical lucency along the right canine tooth - correlate clinically. left leg xrays : 1. markedly comminuted fracture of the left tibial plateau with associated lipohemarthrosis. ct is recommended to further evaluate prior to surgical repair. 2. post-surgical changes at the left acetabulum with advanced degenerative disease at the left hip joint. right wrist xr : impression: 1. right distal radius intraarticular and impacted acute fracture. 2. acute fracture of the right third metacarpal shaft. 3. limited views of the left wrist with acute fracture (probably intra- articular) of the left distal radius. 4. possible foreign bodies in the soft tissues of the mid forearm. ct left lower extremity : impression: 1. markedly comminuted, depressed, intra-articular fracture of the tibial plateau, with separation of the articular fragments from the proximal tibia, consistent with a schatzker type vi fracture. 2. displacement of intercondylar eminence fragment with possible associated acl injury. 3. comminuted fracture of fibular head and neck, and associated injury to the "posterolateral corner" structures should be considered. 4. rotated, displaced fracture fragment, in close proximity to the popliteal artery. although fat plane exists, possible injury to the popliteal artery should be entertained. right upper extermity : impression: 1. right distal radius intraarticular and impacted acute fracture. 2. acute fracture of the right third metacarpal shaft. 3. limited views of the left wrist with acute fracture (probably intra- articular) of the left distal radius. 4. possible foreign bodies in the soft tissues of the mid forearm. chest xr : cardiomegaly, chf, probable small bilateral effusions and underlying collapse and/or consolidation. brief hospital course: traumatic fall: pt brought to ed after 25 foot fall from roof without loss of consciousness. primary and secondary surveys were performed and multiple x-rays and ct scans were performed to determine extent of injuries. trauma surgery, plastic surgery, orthopedic surgery, and ophthalmology evaluated the patient. injuries were identified: non-operative distal right radius fracture, operative left distal radius fracture, left tibial fracture, left facial bone fractures. ophthalmology evaluated the patient because of his periorbital facial trauma and determined that his vision was within normal limits and that no further evaluation or intervention was required from them. plastic surgery evaluated the patient and felt that there was no functional need to operate on his facial fractures, but that comesis would be improved through surgery. he decided not to pursue plastic surgery for his facial bone fractures, so plastic surgery signed off. orthopedic surgery evaluated him and took him to the or on with the following preoperative diagnoses: 1. open left proximal shaft tibia fracture. 2. left distal radius multi-part fracture. 3. right distal radius fracture. they performed the following procedures: 1. irrigation and debridement of open tibia fracture with an inclusive of level of bone. 2. open reduction and fixation right tibia proximal fracture with 55 mm locking plate. 3. open reduction internal fixation of left distal radius fracture with locking plate. 4. closed treatment of radius fracture without manipulation. post-operatively, the patient was tranferred to the while still intubated. he had been a difficult intubation and there was some concern that if reintubation was required, it would be challenging. after several hours of good urine output and stable vitals in the , attempt at extubation was made. pt quickly became agitated and tachypneic so the decision was made to keep him sedated and intubated. he was admitted to the trauma icu for further treatment. in the tsicu, hematocrits were checked and had fallen significantly from pre-operative levels, so 2 units prbcs were transfused and additional fluid resuscitation was provided. subsequent hematocrits were stable. on , patient was successfully extubated and continued to be observed. on , he was tranferred to the floor. he received an ivc filter from interventional radiology in an effort to prevent pulmonary embolisms. his diet was slowly advanced to soft regular, his foley catheter was replaced with a condom catheter because of his severely limited bilateral upper extremity mobility. he was given a bowel regiment and had a bowel movement. his iv fluids were discontinued when he was taking good po. pain was controlled on oral medications. he received physical and occupational therapy evaluation and treatment. he was deemed ready for discharge to a rehabilitation facility on . medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*30 tablet(s)* refills:*0* 3. percocet 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: extended care facility: for the aged - macu discharge diagnosis: traumatic fall from ladders with multiple face fractures, open left tibial fracture, left radius fracture discharge condition: stable, meets discharge criteria to rehab facility, eating soft diet, voiding via condom catheter, pain well controlled on oral medications. discharge instructions: take your medications as prescribed. you will be discharged to a recharge facility where physical and occupational therapists will continue to work with you to improve your strength and mobility. return to the emergency department or see your own doctor right away if any problems develop, including the following: * swelling, pain or redness getting worse. * fingers or toes become pale (whiter) or become dark or blue. * numbness, tingling or coldness of your fingers or toes. * loss of movement. * rubbing sensation, burning or soreness of your skin, especially under a cast. * chest pain, shortness of breath or trouble breathing. * fever or shaking chills. * headache, confusion or any change in alertness. * anything else that worries you. the emergency department is open 24 hours a day for any problems. followup instructions: follow up with dr. in 2 weeks. call ( to schedule an appointment. follow up with the orthopedic trauma clinic in 1 week to have your staples removed. call ( to schedule an appointment. follow up with your follow up with the plastic surgery clinic if you decide you want to pursue reconstructive surgery for your facial bone fractures, call dr. office at ( to schedule an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified interruption of the vena cava debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, radius and ulna transfusion of packed cells closed reduction of fracture without internal fixation, radius and ulna diagnoses: anemia, unspecified diaphragmatic hernia without mention of obstruction or gangrene closed fracture of malar and maxillary bones kyphosis (acquired) (postural) closed fracture of other facial bones conjunctival hemorrhage closed fracture of base of skull without mention of intra cranial injury, with no loss of consciousness closed fracture of nasal bones open fracture of shaft of tibia alone other closed fractures of distal end of radius (alone) history of fall accidents occurring in industrial places and premises open wound of tooth (broken) (fractured) (due to trauma), without mention of complication other accident resulting from conflagration in other and unspecified building or structure closed fracture of shaft of metacarpal bone(s) 

Answer: The patient is high likely exposed to