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 fall 16ft major surgical or invasive procedure: - 1. open reduction internal fixation of right ulna with 3.5mm plate. 2. closed reduction of radial head dislocation. history of present illness: 37 yo male s/p 16 ft. fall from a ladder. there was no reported loc and no witnesses present. he was taken to an area hopsital where found to have t9 and l1 fractures without canal compromise. he was then transported to for further care. upon admission he denies any incontinence, weakness, numbness and/or tingling in his extremities . past medical history: etoh abuse social history: +etoh family history: noncontributory physical exam: bp: 150 / 92 hr: 124 rr 16 o2sats 100 on 4l gen: wd/wn, comfortable, nad. heent: mmm, in hard collar neck: hard collar. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ back: 1 area mild tenderness lower thoracic spine. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, following commands, but mildly confused and trembling. orientation: oriented to person, place, and date. motor: 5/5 strength bilaterally at /tri/d/fe/ff/ip/q/hs/df/pf sensation: intact to light touch, pinprick and vibration bilaterally. reflexes: b t br pa ac right 2+ throughout bilaterally left propioception intact toes downgoing bilaterally rectal exam normal sphincter control and perineal sensation intact pertinent results: 07:00pm wbc-2.8* rbc-2.54* hgb-9.6* hct-25.8* mcv-101* mch-37.6* mchc-37.0* rdw-13.8 07:00pm plt smr-very low plt count-28* 07:00pm pt-14.2* ptt-25.0 inr(pt)-1.2* 07:00pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:00pm alt(sgpt)-106* ast(sgot)-414* ld(ldh)-619* alk phos-130* amylase-52 tot bili-1.3 ct head findings: there is no acute intracranial hemorrhage, shift of normally midline structures, hydrocephalus, major or minor vascular territorial infarction. the density values of the brain parenchyma appear maintained. the soft tissues and osseous structures are intact. the paranasal sinuses and mastoid air cells appear well aerated. impression: no acute intracranial hemorrhage. ct cervical spine impression: 1. possible epidural hematoma posterior to the c2 and c3 vertebral bodies. correlation with cervical mri is recommended. 2. possible anterior wedging of the t1 vertebral body, incompletely visualized, likely acute. thoracic mri is recommended. mr cervical, thoracic and lumbar spine impression: findings indicative of acute right-sided subligamentous disc herniation at c2-3 level with elevation of the posterior longitudinal ligament. no evidence of ligamentous disruption or abnormal signal seen within the vertebral bodies. no evidence of intraspinal hematoma or extrinsic spinal cord compression. thoracic spine: technique: t1, t2 and inversion recovery sagittal and t2 axial images of the thoracic spine were acquired. findings: there is acute mild compression fracture of t9 vertebra identified. no significant retropulsion or spinal stenosis seen. no evidence of disruption of the anterior or posterior longitudinal ligament or ligamentum flavum identified. mild soft tissue prominence in the region indicates minimal paraspinal hematoma. the spinal cord shows normal intrinsic signal without extrinsic compression. impression: mild acute compression fracture of t9 vertebra without retropulsion. other findings as described above. lumbar spine: technique: t1, t2 and inversion recovery sagittal and t2 axial images of the lumbar spine were acquired. findings: there is mild-to-moderate compression fracture of l1 vertebra identified. there is minimal retropulsion seen of the posterior-superior margin of the compressed vertebral body without spinal stenosis. there is no significant thecal sac compression seen. from l1-2 to l3-4, no significant abnormalities are identified. at l4-5, disc bulging and degenerative changes are seen. at l5-s1 level, bilateral spondylolysis of l5 is seen with grade 1 spondylolisthesis of l5 over s1. there is moderate narrowing of the left and severe narrowing of the right foramen seen at this level secondary to uncovering of disc bulging and spondylolisthesis. the paraspinal soft tissues are unremarkable. impression: 1. acute mild-to-moderate compression fracture of l1 vertebra with minimal retropulsion without spinal stenosis or high-grade thecal sac compression. 2. bilateral grade 1 spondylolisthesis of l5 over s1 with severe right-sided and moderate right-sided foraminal narrowing. echocardiography report left atrium - long axis dimension: 3.6 cm <= 4.0 cm left atrium - four chamber length: *5.3 cm <= 5.2 cm left atrium - peak pulm vein s: 0.6 m/s left atrium - peak pulm vein d: 0.7 m/s right atrium - four chamber length: 4.2 cm <= 5.0 cm left ventricle - septal wall thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.7 cm <= 5.6 cm left ventricle - systolic dimension: 2.9 cm left ventricle - fractional shortening: 0.38 >= 0.29 left ventricle - ejection fraction: >= 60% >= 55% left ventricle - stroke volume: 83 ml/beat left ventricle - cardiac output: 6.48 l/min left ventricle - cardiac index: 3.31 >= 2.0 l/min/m2 left ventricle - lateral peak e': 0.11 m/s > 0.08 m/s left ventricle - septal peak e': 0.12 m/s > 0.08 m/s left ventricle - ratio e/e': 7 < 15 aorta - sinus level: *3.7 cm <= 3.6 cm aorta - arch: *3.2 cm <= 3.0 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec aortic valve - lvot vti: 24 aortic valve - lvot diam: 2.1 cm mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 1.33 mitral valve - e wave deceleration time: 181 ms 140-250 ms tr gradient (+ ra = pasp): 22 mm hg <= 25 mm hg findings left atrium: normal la and ra cavity sizes. right atrium/interatrial septum: normal ivc diameter (<2.1cm) with >55% decrease during respiration (estimated ra pressure (0-5mmhg). left ventricle: normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). estimated cardiac index is normal (>=2.5l/min/m2). tdi e/e' < 8, suggesting normal pcwp (<12mmhg). transmitral doppler and tvi c/w normal lv diastolic function. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. mildly dilated aortic arch. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. normal lv inflow pattern for age. tricuspid valve: normal tricuspid valve leaflets with trivial tr. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: trivial/physiologic pericardial effusion. conclusions the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is 0-5 mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the estimated cardiac index is normal (>=2.5l/min/m2). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). transmitral doppler and tissue velocity imaging are consistent with normal lv diastolic function. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. impression: mildly dilated ascending aorta. no valvular pathology or pathologic flow identified. clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. brief hospital course: he was admitted to the trauma service. he was pancytopenic upon admission which prompted a hematology-oncology consult; it was felt that the pancytopenia was consistent with ethanol toxicity on the bone marrow. his plt count was low; platelet counts can be as low as 10,000/ul with heavy ethanol consumption and given his history of etoh abuse would qualify as this. the anemia was felt to be due to bone marrow toxicity and that he may have a component of iron deficiency if he had gastritis from ethanol. he was started on ppi during his hospital course. it was felt that given this it was likely due to alcohol toxicity on the bone marrow, that his cbc should recover in the next several days. if not a bone marrow biopsy was recommended. he will need to follow up with his primary care doctor and also with hematology-oncology for ongoing monitoring. neurosurgery spine and orthopedics were consulted given his injuries. his spine fractures were managed nonoperative and he was fitted for a tlso brace which needs to be worn while out of bed. operative intervention for his right montaggio fracture was delayed because of his pancytopenia; he did eventually go to the operating room for definitive repair of this fracture. he was placed in a splint postoperatively and will remain non weight bearing until clearance form orthopedics. he will follow up in their clinic as an outpatient. infectious disease was also consulted given his fevers and positive blood cultures with mssa and pneumococci on . a tte and nafcillin 1 gram q 6 hours was recommended. a picc line was placed for this. he was later changed to oral antibiotics prior to discharge and the picc was discontinued. he was evaluated by physical therapy and was eventually cleared for home. social work was also consulted early on given his history with alcohol use; he expressed interest in getting help with his substance issues and was provided information on outpatient alcohol and drug treatments. medications on admission: none discharge medications: 1. percocet 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. keflex 500 mg capsule sig: one (1) capsule po four times a day for 7 days. disp:*28 capsule(s)* refills:*0* 6. milk of magnesia 800 mg/5 ml suspension sig: thirty (30) ml's po twice a day as needed for constipation. 7. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: right montaggio fracture c2-c3 epidural hematoma t1, t9, l1 vertebral body fractures, (l1 w/ 3mm retropulsion) right lower lobe contusion pancytopenia discharge condition: good discharge instructions: please return to the emergency room if you develop headaches, dizziness, chest pain, shortness of breath, fevers, severe abdominal pain or distention, persistent nausea or vomiting, inability to eat or drink, or any other symptoms which are concerning to you. do not drive, drink, operate heavy machinery or take any illicit drugs while on narcotics. do not bear any weight on your right arm. medications: resume your home medications. you should take a stool softener, colace 100 mg twice daily as needed for constipation. pain medication may make you drowsy. no driving while taking pain medicine. followup instructions: please call the office of dr. md(neurosurgery) at ( to schedule a follow-up appointment for the management of your tlso brace please call the office of dr. (orthopaedic surgery) at ( to schedule a follow-up appointment within 1 week for your right arm fracture. you will need to follow up with hematology-oncology in the next 1-2 weeks for moitoring of your hematology studies. you may need to undergo a bone marrow biospsy at some point. please call ( to schedule the appointment. you will need to follow up with your primary care provider for monitoring of your hematology studies. if you do not have a primary care doctor and would like to contiunue your care at medical center please call to request the names of physicans taking on new patients. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube enteral infusion of concentrated nutritional substances open reduction of fracture with internal fixation, radius and ulna closed reduction of fracture without internal fixation, radius and ulna diagnoses: methicillin susceptible staphylococcus aureus septicemia sepsis closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury closed fracture of lumbar vertebra without mention of spinal cord injury accidental fall from ladder contusion of lung without mention of open wound into thorax alcohol withdrawal c1-c4 level with unspecified spinal cord injury closed monteggia's fracture 

Answer: The patient is high likely exposed to