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: dilantin attending: chief complaint: s/p motor vehicle crash major surgical or invasive procedure: exploratory laporotomy with small bowel resection and control of mesenteric hemorrhage history of present illness: 61 yo male driver with history of seizures s/p motor vehicle crash. he was taken to an area hospital where found to have bilateral subdural hemorrhages and was then transferred to for further care. past medical history: seizure disorder family history: noncontributory physical exam: upon admission: bp:130 / 80 hr: r 14 o2sats: 100% cmv gen: intubated, sedated with propofol, j collar heent: pupils:5 to 3 mm eoms: unable to asses neck: j- collar extrem: warm and well-perfused. mental status: 5 min off sedation, pt. opens eyes to stimulation and nox stimuli, nods head. cranial nerves: i: not tested ii: pupils equally round and reactive to light 5 to 3mm to bilaterally. viii: hearing intact to voice. motor: following commands with bilateral upper extremities, moves lowers spontaneously toes: equivocal clonus: negative pertinent results: 04:05pm type-art temp-37.3 rates-14/ tidal vol-500 peep-5 o2-50 po2-215* pco2-42 ph-7.31* total co2-22 base xs--4 intubated-intubated 03:37pm glucose-192* urea n-22* creat-0.9 sodium-142 potassium-4.4 chloride-115* total co2-19* anion gap-12 03:37pm ck(cpk)-605* 03:37pm ck-mb-20* mb indx-3.3 ctropnt-<0.01 03:37pm wbc-17.0* rbc-3.30* hgb-10.8* hct-31.7* mcv-96 mch-32.8* mchc-34.1 rdw-13.5 03:37pm plt count-173 03:37pm pt-13.2 ptt-25.3 inr(pt)-1.1 10:16am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:16am wbc-17.9* rbc-4.00* hgb-13.0* hct-39.1* mcv-98 mch-32.6* mchc-33.3 rdw-13.5 ct head impression: 1. bilateral subdural hematoma, larger on the right, with sulcal effacement on the right. no significant shift of normally midline structures. 2. subdural hematoma at the falx. 3. soft tissue hematoma at the left frontal bone. 4. no definite fracture is seen ct cervical spine impression: no sign of a definite fracture or abnormal alignment. ct chest/abdomen/pelvis impression: 1. no evidence of active extravasation into the mesentery. thickening of the bowel wall in the ileum and stranding in adjacent mesentery may represent hemorrhage into the bowel wall. this is not significantly changed from earlier the same date. free fluid around the liver and in the pelvis is similar. fluid in the left upper quadrant is new surrounding the descending colon in the splenic flexure. 2. multiple rib fractures. 3. small lung contusion in the right middle lobe. trace atelectasis at the lung bases. video swallow : indication: a 61-year-old man status post trauma with aspiration. evaluate for aspiration. comparison: video oropharyngeal swallow study from . swallowing videofluoroscopy: oropharyngeal swallowing videofluoroscopy was performed in conjunction with speech and swallow division. multiple consistencies of barium were administered. barium passed freely through the oropharynx and the esophagus without evidence of obstruction. however, there was frank aspiration of nectar thick and pudding consistencies. the examination was terminated early due to aspiration. impression: frank aspiration. for further details, please refer to speech and swallow division note in omr. the study and the report were reviewed by the staff radiologist. neurophysiology report eeg study date of object: seizures. referring doctor: dr. . findings: background: was generally of low voltage and sometimes fast. no clear alpha patterns emerged. hyperventilation: could not be performed. intermittent photic stimulation: could not be performed. sleep: most of the record was performed in drowsiness. no normal sleep patterns were evident. cardiac monitor: showed a generally regular tachycardia with a rate of approximately 110. impression: largely normal eeg for drowsiness. there were no areas of prominent focal slowing, and there were no clear epileptiform features. a tachycardia was noted. the excessive drowsiness may also represent a mild encephalopathy. ct torso : indication: 51-year-old man with new fevers, diarrhea and abdominal pain. comparison is made to the prior study of . technique: axial mdct images of the abdomen and pelvis were obtained after administration of 100 ml of optiray intravenously. sagittal and coronal reformatted images were then obtained. ct of the abdomen with iv contrast: new consolidative changes of the left lung base. atelectasis of right lung base. small left pleural effusion is visualized. the liver, gallbladder, adrenal glands, spleen, pancreas, stomach, duodenum and loops of small bowel and large bowel have normal appearance. the previously noted thickened small bowel loops has been removed. both kidneys contain multiple small hypodense lesions which are too small to characterize. simple cyst is arising from the lower pole of the right kidney measuring 3.6 x 3.7 cm. incidental note is made of fluid-containing left inguinal hernia. no free air or fluid is noted within the abdomen. small amount of air is noted in the left paracardiac region above the diaphragm, most likely postsurgical. a 20 x 19 mm lymph node is noted within the mesentery, seen on series 2, image 48, which is most likely inflammatory in origin. ng tube distal tip is noted within the stomach. ct of the pelvis with iv contrast: urinary bladder contains a foley catheter. the left distal ureter has normal jet. the right distal ureter is not well opacified. mild rectal wall thickening is noted. bone windows: no concerning lytic or sclerotic lesions are identified. impression: 1. status post exploratory laparotomy with segmental enterectomy and resolution of intraperitoneal hemorrhage. 2. new consolidative changes of the left lung base. differentials include pneumonia and aspiration. small left pleural effusion. 3. fluid-containing left inguinal hernia. 4. equivocal rectal wall thickening. diferentials include infectious and inflammatory etiologies. brief hospital course: he was admitted to the trauma service and transferred to the trauma icu. he developed a tension pneumothorax thought to be secondary to central line placement and required a right chest tube to be placed. neurosurgery and neurology were consulted initially. his subdural hemorrhages were managed non operatively; serial head ct scans were followed and remained stable. keppra was added to his seizure regimen. neurology also evaluated patient given his seizure history; they recommended an eeg and to hold keppra unless had further seizures. he was noted with seizures while in the icu and his depakote levels were checked which were low; his dose was adjusted. a dobbhoff tube was placed and tube feeding were initiated. he would later remove the dobbhoff on several occasions only to be replaced. he remained in the trauma icu for several days and was eventually extubated and transferred to the regular nursing unit. on he experienced a respiratory decompensation, became tachycardic and was acutely agitated pulling his chest tube which required transfer back to the icu. his chest tube was replaced, the leak that he had with previous chest tube persisted with the new one. thoracic surgery became involved and serial chest xrays were followed. the chest tube was eventually removed and sputum culture came back positive for klebsiella pneumonia and he was started on vancomycin, cipro and zosyn. several days later he was noted with high liquid stool output and flagyl was added; vancomycin and zosyn were discontinued because the bacteria was sensitive to cipro. gi was consulted at that time; stool for c-diff was negative x3 and the patient defervesced with several days of flagyl and cipro. ultimately, it was decided that a 14 day course would be appropriate for his pneumonia and presumptive toxin negative c-difficile colitis. he was evaluated by speech for swallowing given his traumatic brain injury. he underwent a video swallow which showed that he was aspirating. discussion took place between patient, his wife and team for peg placement. the peg was placed on and the dobbhoff was removed; tube feeding were initiated. he was evaluated by physical and occupational therapy and is recommended for rehab after his acute hospitalization. his mental status significantly improved and he was discharged to rehab in stable condition on tube feeds and one week of further antibiotics. medications on admission: depakote 1000 mg po bid (recent depakote levels in : 93.22 and 79. in : 98.); topamax 200 mg po am, 300 mg qhs medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing. 2. olanzapine 2.5 mg tablet sig: two (2) tablet po bid (2 times a day): give via dobhoff until taking orals. 3. topiramate 100 mg tablet sig: two (2) tablet po qam (once a day (in the morning)): via dobhoff until taking po's. 4. topiramate 100 mg tablet sig: three (3) tablet po qhs (once a day (at bedtime)): via dobhoff until taking po's. 5. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime). 6. oxycodone 5 mg/5 ml solution sig: five (5) mg po q4h (every 4 hours) as needed for pain. 7. acetaminophen 160 mg/5 ml solution sig: six y (650) mg po q6h (every 6 hours) as needed for pain,fever. 8. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day): via dobhoff until taking po's. holed for hr <60; sbp <110. 9. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. 10. valproate sodium 100 mg/ml solution sig: seven y (750) mg intravenous q6h (every 6 hours). 11. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 12. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 13. protonix 40 mg susp,delayed release for recon sig: forty (40) mg po once a day. 14. insulin regular human 100 unit/ml solution sig: one (1) dose injection four times a day as needed for per sliding scale: see attached sliding scale. 15. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 9 days: via feeding tube. 16. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 9 days: via feeding tube. disposition: extended care facility: - diagnosis: s/p motor vehicle crash bilateral subdural hemorrhages pulmonary contusion rib fractures mesenteric injury klebsiella pneumonia condition: hemodynamically stable, pain adequately controlled, tolerating tube feedings followup instructions: follow up in weeks with dr. , trauma surgery, call for an appointment. follow up in 1 month with dr. , neurosurgery. call for an appointment. inform the office that you will need a follow up head ct scan for this appointment. please follow up with primary neurologist and primary care doctor from rehab. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified other partial resection of small intestine enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] other laparotomy small-to-small intestinal anastomosis diagnoses: epilepsy, unspecified, without mention of intractable epilepsy other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness contusion of lung without mention of open wound into thorax pneumonia due to klebsiella pneumoniae closed fracture of multiple ribs, unspecified spontaneous tension pneumothorax injury to other gastrointestinal sites, without mention of open wound into cavity 

Answer: The patient is high likely exposed to