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: sulfa (sulfonamide antibiotics) / penicillins / latex / codeine attending: chief complaint: high-speed mcv car vs tree major surgical or invasive procedure: -icp bolt placement -l ear avulsion repair -craniectomy for decompression. -partial frontal lobotomy. -durotomy with onlay dural allograft duraplasty. -evacuation of associated hematomas. history of present illness: 22m unrestrained driver in mvc vs tree. underwent prolonged extrication with gcs 3 at the scene. he was intubated by ems at the scene and brought to by med-flight. head ct revealed comminuted right frontal skull fracture with significant mass effect and right subdural and epidural hematomas. past medical history: bipolar disorder social history: works in father's machine shop. uses alcohol, unknown amount. no tobacco. family history: non-contributory. physical exam: gen: intubated, hard collar, nasal packing, bleeding from bilateral nares and mouth cardiac: rrr. s1/s2. abd: soft, nt extrem: warm and well-perfused. neuro: cranial nerves: i: not tested ii: pupils equally round and reactive to light initially 4 to 2mm bilaterally, 10 min after initial exam, left pupil fixed and dilated at motor: purposeful and attempts to localize with bilateral upper extremities, followed commands and wiggles toes bilateral lower extremities. pertinent results: admission labs: wbc-26.1* rbc-4.53* hgb-14.7 hct-41.3 mcv-91 mch-32.5* mchc-35.7* rdw-13.2 plt ct-289 pt-13.1 ptt-24.1 inr(pt)-1.1 glucose-111* urean-13 creat-0.7 na-140 k-3.3 cl-109* hco3-16* angap-18 asa-neg ethanol-194* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg - (cta head/neck): 1. extensive sah & hemorrhagic contusions. 2. comminuted depressed right frontal skull fx. 3. extensive facial fx's. 4. no vascular dissection or occlusion. 5. small right edh associated w/ the depressed skull fx. - (ct ch/abd/pelv): 1. new interval collapse of the rll compared to the cxr suggesting aspiration in the interval. 2. nondisplaced fx through transverse processes of t12. - (ct head): 1. post-surgical changes from interval right hemicraniectomy. 2. stable iph in the right & left frontal lobes. 3. opacification of the suprasellar cistern w/ subarachnoid blood. 4. minimal shift of the usual midline structures 4mm to the right. - (ct sinus//maxillofacial): 1. extensive right frontal & -orbito-ethmoid complex fx's, w/ involvement of both tables of the right frontal sinus, the ethmoid & sphenoid roof, entering the anterior cranial fossa, as well as the left paramedian basisphenoid & basiocciput, exiting at the foramen magnum. 2. interval right hemicraniectomy w/ expected post-surgical changes, & icp bolt in situ. - (ct head): 1. interval removal of left frontal icp bolt w/ no new hemorrhage. 2. evolving iph's in the b/l frontal lobes & sah in the right frontal lobe. unchanged ivh in the occipital horns of the lateral ventricles. 3. displaced fx w/ fx of the clivus extending to the left carotid canal. unable to rule out dissection on the previous cta. would recommend mr for further evaluation despite there being no flap visible on the cta. - (cxr): rll collapse with retrocardiac atelectasis. : cxr: impression: since , right lower lobe collapse has completely resolved with residual consolidation/re-expansion edema. pleural effusion, if any, is minimal on the right side. the right upper and the left lung are clear without consolidation. cardiomediastinal shadow is normal. brief hospital course: mr was brought to the ed via med-flight after an mvc, car vs tree, with prolonged extrication and gcs 3 at the scene. he was intubated at the scene. ct scan upon arrival to revealed a right skull fracture with mass effect and hematomas, and he was taken emergently to the or with neurosurgery for decompression. neuro: he underwent emergent decompressive hemi-craniectomy, partial frontal lobotomy, and evacuation of hematomas upon arrival to . he also had an icp bolt placed, and required mannitol for elevated intra-cranial pressures. his pressures improved and the mannitol was weaned. his bolt was removed on hd 3. his mental status improved quickly post-operatively. he was given dilantin for seizure prophylaxis, and has a helmet to wear whenever he is out of bed. he is receiving pt and ot services, which will continue upon discharge. cv: his vital signs were routinely monitored. he was hypertensive during his stay in the ticu, which was treated with labetalol and hydralazine. he otherwise had no cardiovascular issues. pulm: he was intubated at the scene of the accident, and kept intubated for airway protection and due to his neurologic status post-operatively. he was extubated on hd 3, and slowly weaned off supplemental oxygen. gi: he was initially kept npo with ivf. his electrolytes were routinely monitored while npo, and repleted as needed. once his mental status improved, he was advanced to a regular diet, which he tolerated well. he was started on a bowel regimen. gu: his foley catheter was removed on hd 4, after which he voided without issue. heme: his hematocrit and coagulation parameters were checked routinely. he did become anemic during his ticu course, likely due to hemodilution from fluids, which did not require transfusion. id: he was given prophylactic antibiotics while his icp bolt was in place, which were dc'd when the bolt was removed. his white count was 26 on admission, and has been trending down steadily. cultures were obtained and have been negative thus far, and he has no obvious source of infection. neuro: bolt d/c , continues to report h/a admitted to the surgical floor on with stable vital signs. speech and swallow consulted after patient reported diffculty swallowing thin liquids. recommendations made for regular diet and thin liquids with 1:1 supervision. nutrition services was consulted because of his poor intake and supplements were added to his diet. he was evaluated by occupational and physical therapy because of his decreased functional mobility. a rehabilitation facility was recommended upon discharge. his vital signs are stable but he has been running a low-grade temperature. his white blood cell count is mildly elevated at 16.1. he is alert and cooperative. he will need to have the staples removed on . he will follow -up with dr. in 4 weeks. plastics will need to be notified after that visit so his surgery can be coordinated with both services. medications on admission: unknown discharge medications: 1. white petrolatum-mineral oil 56.8-42.5 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for eye care. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stool. 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) cc injection tid (3 times a day). 6. oxycodone 5 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain: hold for increased sedation, resp. rate <12. 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: two (2) inh inhalation q6h (every 6 hours) as needed for sob/wheeze. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 9. insulin sc as per sliding scale discharge disposition: extended care facility: hospital - discharge diagnosis: trauma: r frontal, maxillary, orbit fx base of skull fx sah, iph, pneumocephalus, small r sdh t12 transverse process fx discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive ( at times confused) activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital after you were involved in a motor vehicle accident. you sustained facial fractures and a fractured skull. you had swelling in your head from the accident and went to the operating room where you had partial removal of the skull to accomodate the swelling. you were monitored in the intensive care unit where your vital signs stablized and you were then transferred to the surgical floor. you have improved and you are preparing for discharge to an extended rehabilitation facility. followup instructions: please call plastic surgery in weeks to discuss repair of your facial fractures. the telephone number is . the timing of this surgery must be coordinated with the neurosurgeons, and cannot take place until the bone that was removed from your skull is replaced. please follow-up with dr. in 4 weeks. you can schedule this appointment by callling please follow up with neurosurgery with a ct scan of the brain in 4 weeks. you may call them at to make an appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours incision of cerebral meninges enteral infusion of concentrated nutritional substances open reduction of fracture with internal fixation, radius and ulna lobotomy and tractotomy extracapsular extraction of lens by linear extraction technique elevation of skull fracture fragments suture of laceration of external ear intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: tobacco use disorder cerebral edema closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury bipolar disorder, unspecified closed fracture of other facial bones motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration other conditions of brain closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration closed fracture of shaft of ulna (alone) open wound of auricle, ear, without mention of complication other symptoms involving nervous and musculoskeletal systems 

Answer: The patient is high likely exposed to