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: tracheostomy craniotomy and resection of colloid cyst cyst gastrostomy and g-j tube placment history of present illness: 51 year old male driver s/p motorcycle crash with loss of consciousness at the scene requiring intubation; + etoh. he was found to have left frontal sah, left parafalcine sdh, right rib fractures, right scapular fracture and lung contusions. he was transported to for further care. past medical history: pmh: diabetes, htn, dyslipidemia psh: right craniotomy for benign tumor resection social history: etoh abuse family history: noncontributory physical exam: upon admission: gen: wnwd intubated with cervical collar in place. neurologic examination: gcs e=1, v=1t, m= 5 = 7t mental status: intubated - coming off of sedation / no eye opening to voice or noxious stim. pupils equal and round bilaterally / conjugate gaze without eye contact or tracking of examiner. + corneals bilaterally. no battles, no raccoon's signs / no hemotympanum or csf rhinorrhea/otorrhea noted. ncat. localizes bilateral upper extremeties l slightly greater than r. appears to be more purposeful with lue and lle as well. no commands. w/d's lle greater than rle. pertinent results: 04:31am blood wbc-15.9* rbc-3.10* hgb-8.9* hct-28.5* mcv-92 mch-28.7 mchc-31.2 rdw-12.4 plt ct-371 05:40am blood glucose-133* urean-28* creat-1.0 na-139 k-4.4 cl-103 hco3-26 angap-14 05:40am blood calcium-8.9 phos-3.6 mg-2.3 04:15pm blood asa-neg ethanol-239* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg imaging: cxr: left infrahilar consolidation is stable and there is continued enlargement of the cardiac silhouette with a probable small bilateral effusions. le dvt study: negative for clot. p/op head ct: impression: interval reduction of the large pneumocephalus noted previously with small persistent pneumocephalus. right frontal subarachnoid and probable small subdural hematoma, slightly smaller than the prior examination. no new hemorrhagic foci. p/op head mri: 1. intraventricular hemorrhage- close f/u with non-contrast ct to assess stability/progression; mildly increased from prior mr but stable from recent ct of - in the occipital horns. 2. persistent dilatation of the lateral ventricles related to the previous obstruction from the colloid cyst. 3. moderate amount of pneumocephalus bifrontally as well as in the left temporal and moderate amount of fluid in the sphenoid, mastoid air cells being new compared to the prior study. trauma ct scan: torso 1. right adrenal hemorrhage with associated small hemoperitoneum. 2. right middle lobe pulmonary contusion. bibasal atelectasis. 3. multiple rib fractures and right scapular fracture/ 4. distended stomach. consider ngt decompression. 5. large pancreatic cystic lesions in the setting of chronic pancreatitis likely represent pseudocysts though clinical correlation is advised. recommend correlation with prior studies if available. mri may be performed to further assess. 6. abdominal varices. recommend clinical correlation for portal venous htn and cirrhosis. head: 1. acute subarachnoid hemorrhage in the left frontoparietal region towards the vertex. 2. acute small left parafalcine subarachnoid hematoma. no midline shift. 3. hyperdensity at the level of the foramen of , represent colloid cysts. craniotomy and a surgical tract is seen likely associated with this. plan: brief hospital course: he was admitted to the trauma service and transferred to the trauma icu where he remained vented and sedated. he underwent tracheostomy on secondary to failure to wean. on he was noted with right upper extremity swelling and underwent an ultrasound which revealed partial nonocclusive thrombus in one of the paired right brachial veins and occlusive thrombus in the right basilic vein. anticoagulation was initiated. neurosurgery was consulted for his head injuries and for the colloid brain cyst noted on ct and mri imaging. he was taken to the operating room on for craniotomy and resection of colloid cyst. on infectious disease was consulted for persistent fevers and leukocytosis. he was cultured and underwent a bal and was treated for pneumonia with vancomycin, cipro, and cefepime. he was eventually weaned off of the ventilator and transferred to the regular nursing unit. he began working with physical and occupational therapy who were recommending rehab after his acute hospital stay. on he was then taken to the operating room for pancreatic cyst gastrostomy and placement of gastrojejunal feeding tube. his tube feeds were started and increased to goal. on he was noted to have increased secretions, tachypneic and to have an elevated wbc count and falling hematocrit. he was transferred back to the trauma icu and underwent another bal and an egd. his antibiotics were changed to treat the pneumonia; vancomycin, flagyl and cipro were started. these will continue for another 7 days post discharge. he was evaluated on by speech and swallow for passy muir valve for which he was able to tolerate for short periods. because his mental status has waxed and waned it was difficult to assess his swallowing. he is currently much more awake and it is being recommended that he have ongoing speech evaluation once at rehab to determine his readiness for an oral diet. for now he will remain npo and continue with tube feedings. medications on admission: januvia, glimeperide discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml's po bid (2 times a day). 2. oxycodone 5 mg/5 ml solution sig: ml's po q3h (every 3 hours) as needed for pain. 3. ciprofloxacin 500 mg/5 ml suspension, microcapsule recon sig: seven y (750) mg suspension, microcapsule recon po q12h (every 12 hours) for 7 days. 4. tobramycin 300 mg/5 ml solution for nebulization sig: three hundred (300) mg inhalation inhalation (2 times a day) for 7 days. 5. metoprolol tartrate 50 mg tablet sig: 2.5 tablets po tid (3 times a day): hold for hr <60; sbp <110. 6. vancomycin in dextrose 1 gram/200 ml piggyback sig: one (1) gm intravenous q 12h (every 12 hours) for 7 days. 7. metronidazole in nacl (iso-os) 500 mg/100 ml piggyback sig: five hundred (500) mg intravenous q8h (every 8 hours) for 7 days. 8. heparin flush (10 units/ml) 2 ml iv prn line flush picc, heparin dependent: flush with 10ml normal saline followed by heparin as above daily and prn per lumen. 9. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation every six (6) hours as needed for wheeze. 10. levetiracetam 100 mg/ml solution sig: 1,000 mg po bid (2 times a day). 11. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 12. multivitamin tablet sig: one (1) tablet po daily (daily). 13. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheeze. 14. dulcolax 10 mg suppository sig: one (1) supp rectal once a day as needed for constipation. 15. protonix 40 mg susp,delayed release for recon sig: forty (40) mg po once a day. 16. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 17. nystatin 100,000 unit/ml suspension sig: five (5) ml's po q8h (every 8 hours): apply to tongue with swab. 18. neomycin-bacitracnzn-polymyxin 3.5-400-5,000 mg-unit-unit/g ointment sig: one (1) appl topical qid (4 times a day): apply ointment topically to road rash ares . discharge disposition: extended care facility: rehab hospital of discharge diagnosis: s/p motorcycle crash colloid brain cyst subarachnoid hemorrhage subdural hematoma rib fractures right lung contusion right scapular fracture pancreatic pseudocyst pneumonia discharge condition: hemodynamically stable, tolerating a regular diet, pain adequately controlled. followup instructions: follow up in 4 weeks with dr. , trauma surgery for evalaution of your rib fractures and to determine if the tracheosotmy and feeding tube can be removed. follow up in 4 weeks with dr. , orthopedics for your scapula fracture; call for an appointment. please call ( to schedule an appointment with dr. to be seen in 4 weeks. you should have a non-contrast head ct prior to your appointment and an mri of the brain with and without contrast. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other endoscopy of small intestine enteral infusion of concentrated nutritional substances other bronchoscopy temporary tracheostomy closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus other repair of cerebral meninges other gastrostomy diagnoses: obstructive hydrocephalus unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] other specified complications of procedures not elsewhere classified ventilator associated pneumonia alcohol abuse, continuous subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness contusion of lung without mention of open wound into thorax cyst and pseudocyst of pancreas subarachnoid hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness closed fracture of scapula, unspecified part closed fracture of eight or more ribs motor vehicle traffic accident due to loss of control, without collision on the highway, injuring motorcyclist other specified congenital anomalies of brain injury to other intra-abdominal organs without mention of open wound into cavity, adrenal gland injury to kidney without mention of open wound into cavity, hematoma without rupture of capsule 

Answer: The patient is high likely exposed to