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: open depressed skull fracture major surgical or invasive procedure: fracture repair and epidural evacuation history of present illness: hpi: 30f s/p fall from horse; possible brief loc; found sitting up, "groggy" but with gcs 15; ox3; moving all 4 ext; large right temporo-zygomatic skin laceration; ct head at osh shows depressed right temporal fracture; transferred to for trauma and neurosurgical evaluation; past medical history: pmhx: s/p c-section 12 yrs prior; social history: social hx: next of : mother: ; has 2 children; family history: not available physical exam: physical exam: 83 122/66 15 100 right temporal/zygomatic laceration, deep; no csf or brain tissue seen mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension. no dysarthria or paraphasic errors. ii: pupils equally round and reactive to light, to mm bilaterally. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing: not tested xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch bilaterally. pertinent results: cta of the head and neck: the carotid and vertebral arteries and their major branches are patent with no evidence of dissection. no significant mural irregularity or flow-limiting stenosis is noted. the distal intracervical portion of the right internal carotid artery measures 5.3 mm on the right side and the distal intracervical portion of the left internal carotid artery measures 4.8 mm. the patient is status post repair of depressed right temporal bone fracture with an unchanged 3-mm depressed fracture fragment. fracture of the lateral wall of the right sphenoid sinus extends into the carotid groove and the carotid canal of the petrous temporal bone; however, this segment of the right ica is unremarkable. there is diffuse opacification of the right sphenoid sinus with high density material, most likely blood. mild mucosal thickening of the posterior ethmoidal air cells and the left sphenoid sinus is also noted. impression: 1. normal cta of the head and neck with no evidence of dissection. 2. stable post-surgical appearance of depressed right temporal bone fracture. unchanged fracture of the sphenoid sinus which extends into that carotid canal, with unremarkable appearance of the petrous (horizontal) segment of that ica. post op ct: impression: 1. status post repair of depressed right temporal bone fracture. a 5-mm fragment remains displaced intracranially by 2 mm. small amount of pneumocephalus. 2. the surgical hardware results in streak artifact, which may obscure a small epidural collection noted on the prior cta. 3. unchanged fracture of the sphenoid sinus and sphenoid bone, with extension to the carotid canal. brief hospital course: pt was admitted to the hospital through the emergency department for right open/depressed skull fracture repair after fall from horse. pt was seen in the ed and brought to the or emergently for fracutre repair and wound washout. she was then put in the icu for close observation. her exam remained stable and post op imaging/ct was stable. a cta of the head was repeated to eval for right carotid injury as sphenoid fracture extends to the right carotid canal, no disruption of the carotid artery was noted. omfs consult was called on hospital day #2 as pt was complaining of right jaw pain with limited mobility. she had dedicated ct of the mandible and sinus which were negative for fracture. their recommendations included nsaids for edema and pain, and f/u with personal dentist once the facial swelling has subsided. she was seen by pt and ot and deemed safe and independant for discharge home. medications on admission: medications prior to admission: occasional ibuprofen discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*40 capsule(s)* refills:*0* 2. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: depressed right temporal bone fracture / repaired sphenoid fracture extending through right carotid canal discharge condition: neurologically intact discharge instructions: general instructions ?????? have a friend/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, or excessive bending. ?????? you may wash your hair only after sutures and/or staples have been removed. ?????? you may shower before this time using a shower cap to cover your head. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. 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, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please return to the office in __10__days for removal of your staples or sutures. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast. md procedure: elevation of skull fracture fragments diagnoses: other accidental fall from one level to another open fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to