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 motorcycle crash major surgical or invasive procedure: epidural catheter placement history of present illness: 58 yo m driver s/p motorcycle crash at 45mph, unhelmeted, +loc. multiple injuries including: left frontoparietal and parietotemporal iph, right maxillary sinus (lateral wall), right temporal bone (w/ extension to external ear canal) and right parietal bone fracture; small right hemopneumothorax; b/l pulmonary consolidation (?contusion vs asp); multiple right rib fractures (), right scapular fracture (comminuted) and right clavicular fracture (displaced). he was taken to an area hospital and transferred to because of his extensive injuries. past medical history: herpes psh: left knee surgery x2 family history: noncontributory physical exam: upon admission: t: 97.5 bp: 122/36 hr: 79 rr: 18 o2sats: 100% ra gen: nad. heent: r forehead lac, pupils: perrl, eoms intact neck: supple. c-collar lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. r shoulder tenderness neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person and year language: speech fluent with good comprehension and repetition. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 2mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal on l, r side is diminished secondary to pain. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout except for rue which secondary to pain in shoulder. no pronator drift sensation: intact to light touch, pinprick bilaterally. reflexes: b t pa right 2 2 2 left 2 2 2 toes downgoing bilaterally pertinent results: 10:20pm pt-11.9 ptt-20.5* inr(pt)-1.0 10:20pm fibrinoge-268 08:47pm glucose-199* lactate-1.0 na+-140 k+-4.2 cl--101 tco2-22 08:20pm urea n-17 creat-0.8 08:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 08:20pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 08:20pm wbc-20.0* rbc-4.20* hgb-13.1* hct-36.9* mcv-88 mch-31.2 mchc-35.4* rdw-13.9 08:20pm plt count-333 08:20pm pt-12.2 inr(pt)-1.0 : cxr: 1. right apical pleural cap/pleural effusion can be associated with vascular injury in the setting of acute trauma. 2. fracture of the right 5th rib posteriorly and fracture through the mid shaft of the clavicle without evidence of a pneumothorax. : c-spine (osh): no evidence of cervical spine fracture. multiple right-sided rib fractures and small right hemopneumothorax, partially imaged. right skull base fracture partially imaged. : ct head: 1. left frontoparietal and parietotemporal iph without shift of midline structures or hydrocephalus. 2. large right scalp hematoma. 3. fractures of the right maxillary sinus, right temporal bone and right parietal bone. blood identified within the right maxillary and sphenoid sinus. : ct torso: 1. small right hemopneumothorax. tiny foci of air within the epicardial fat pad. no evidence of aortic injury. 2. bilateral consolidations which may represent aspiration versus contusions. 3. multiple right-sided rib fractures, right scapular and right clavicular fractures as described above. 4. enhancing liver lesion likely representing a hemangioma. 5. splenic hypodensity, too small to characterize, although small intrasplenic laceration cannot be excluded. no perisplenic fluid identified. : rue xray: grossly comminuted fracture involving the right scapula, clavicle and posterior right ribs as detailed above. cxr: sm apical ptx head ct: maxillofacial: fx anterior r temporal bone ext middle ear. med displnt of malleus, middle and inner ear structures appear intact mastoid and middle ear opacification likely from hemorrhagic components. brief hospital course: he was admitted to the trauma service. neurosurgery, plastics and ent were consulted given his extensive injuries. his neurosurgical issue were managed non operatively; serial exams and head ct scans were performed and remained stable. he will follow up as an outpatient with dr. for repeat head imaging. plastic surgery was consulted for the facial fractures. there was non operative intervention during his hospital stay. he was placed on sinus precautions and it was recommended to obtain and ent evaluation of temporal bone fractures and right tympanic membrane. ent was then consulted he was placed on csf leak precautions and started on floxin otic/decadron drops for 10 days. he will follow up with plastics for outpatient evaluation and need for possible repair of his facial fractures and as an outpatient with dr. for audiogram and further evaluation. he was also evaluated by orthopedics for his scapula and clavicle fractures; these were managed non operatively. he was placed in a sling and is to remain non weight bearing. he will follow up in weeks in clinic for further imaging. he did have pain control issues associated with his rib fractures. acute pain service was consulted for epidural analgesia. an epidural catheter was placed on and remained for several days. he was transitioned to oral narcotics and discharged on percocet prn. he will follow in trauma clinic with an ap end expiratory chest film. he was evaluated by physical therapy and was cleared for discharge home with his family. social work was also consulted for providing support. medications on admission: valtrex 500' discharge medications: 1. valacyclovir 500 mg tablet sig: one (1) tablet po daily (). 2. dexamethasone 0.1 % drops, suspension sig: one (1) drop ophthalmic (2 times a day): instill right ear. disp:*1 bottle* refills:*1* 3. ciprofloxacin 0.3 % drops sig: four (4) drop ophthalmic (2 times a day): instill in right ear. disp:*1 bottle* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: s/p motorcycle crash right temporal bone fracture extending to external ear canal left frontoparietal hemorrhage right maxillary sinus lateral wall fracture bilateral pulmonary contusions small right hemothorax small anterior right pneumothorax right clavicular fracture, displaced right scapula fracture, comminuted right rib fractures discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. discharge instructions: it is important that you continue to use the incentive spirometer, cough and deep breathe 10x every hour that you are awake. continue to wear the sling because of your fractures and do not bear any weight on your right arm. do not blow your nose or drink through a straw. sleep with your head of bed on at least 2 pillows. take the pain medications as prescribed. avoid any alcohol, illicit drugs, driving and/or operating heavy machinery while taking the narcotics for pain. return to the emergency room if you develop any fevers, chills, headaches, dizziness, productive cough, chest pain, shortness of breath, nausea, vomitng, diarrhea and/or any other symptoms that are concerning to you. followup instructions: follow up in 4 weeks with dr. , neurosurgery. call for an appointment. inform the office that you will need a repeat head ct scan for this appointment. follow up in 4 weeks with np, orthopedics. call for an appointment. follow up with otolaryngology in 2 weeks, call for an appointment. follow up in 2 weeks with plastic surgery for your facial fractures, call for an appointment. follow up in 2 weeks with dr. , trauma surgery for your chest injuries, call for an appointment. inform the office that you will need a standing ap chest xray for this appointment. md, procedure: insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: traumatic pneumohemothorax without mention of open wound into thorax contusion of lung without mention of open wound into thorax closed fracture of multiple ribs, unspecified closed fracture of scapula, unspecified part closed fracture of clavicle, unspecified part motor vehicle traffic accident of unspecified nature injuring motorcyclist closed fracture of base of skull with other and unspecified intracranial hemorrhage, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to