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: history of present illness: this is a 19-year-old male, status post motor vehicle collision. the patient was an unrestrained passenger who states that he was passed out in the car prior to the crash due to alcohol ingestion that evening. he was ambulating at the scene with a gcs of 15 and taken to complaining of neck pain. the patient was found to have a c2 fracture and transferred to . there is no related history of neurodeficit prior to transfer. after transfer, the patient remained hemodynamically stable with no neurologic deficits, also continuing to complain of neck pain. past medical history: spina bifida. the patient straight caths three times daily for ineffective bladder movement. past surgical history: the patient is status post a partial neobladder with the stomach. medications: none. allergies: no known drug allergies. social history: occasional alcohol ingestion. vital signs: gcs 15, blood pressure 144/palp, pulse 90, respirations 18, satting 99% on room air. physical examination: pupils equally, round and reactive to light. extraocular movements intact. tms clear. mandible stable. face stable. neck in c-collar. trachea midline. clear to auscultation bilaterally. no crepitus. cardiovascular - regular rate and rhythm. abdomen soft, nondistended, nontender. fast exam negative. rectal - slightly decreased tone. no gross blood. back nontender, no stepoffs, no injuries. no extremity deformities. neurologic exam - strength 5/5 bilaterally upper and lower extremities. sensation intact bilaterally upper and lower extremities. no focal deficits. alert and oriented x 3. laboratories: significant for a hematocrit stable at 43, and normal coags, and an alcohol level of 68. no other significant laboratory findings. radiology: a chest x-ray showed a widened mediastinum with a blurring of the aortic knob. no pneumothorax. pelvis - no fractures. head ct showed no fracture, no bleed. the chest cta was negative for great vessel injury, or other mediastinal abnormalities. the c-spine ct showed a type 3 c2 or dens fracture that was unstable. the tls x-ray showed no fracture. hospital course: in the emergency department, we attempted to place a foley and had difficulty placing the foley due to what was considered to be urethral strictures most likely attributed to the patient having a neobladder and self-cathing three times a day. we were successful in getting the coud?????? inserted into the urethra after multiple attempts, and the foley was left in place until hospital day #2. from that point on, the patient remained able to self-cath three times per day. a urology consult was obtained for this problem, and the results of the urology consult were that no acute dilation needed to be done, but the patient would follow-up with his normal urologist for any further recommendations for management. for the type 3 c2 fracture, neurosurgery was consulted. first, they recommended obtaining a four-vessel angiography to rule out any paravertebral vessel injury. this study was obtained on hospital day #1 and was normal with no signs of any vessel injury. they also recommended obtaining an mri of the c-spine. the mri of the c-spine demonstrated increased signal intensity within the c1-2 facet joints possibly secondary to traumatic injury, some neural foraminal injury at c3-c4, but no signs of injury to the spinal cord. there were also no acute disk or ligament changes within the c-spine. on hospital day #2, neurosurgery placed a halo around the patient's neck which was attached to his torso. there were no complications throughout placement of the halo. on hospital day #3, neurosurgery readjusted the screws attached to the head and followed up with c-spine films to confirm placement. given proper placement of the halo and alignment of c2, the patient was suitable for discharge with neurosurgery follow-up. the patient remained stable throughout his hospital course. he was considered suitable for discharge on hospital day #3, with follow-up in trauma clinic, as well as with neurosurgery. final discharge diagnoses: 1. type fracture of c2 vertebra (dens), status post halo placement. 2. spina bifida. 3. partial neobladder. discharge medications: 1. percocet 5 mg 1-2 tabs po prn pain. 2. ibuprofen 600 mg q 8 h prn pain. follow-up: 1. the patient is to follow-up in clinic in 2 weeks. 2. the patient is to follow-up with trauma clinic in 2 weeks. 3. the patient was given instructions to make a follow-up appointment with his urologist at for evaluation of the likely urethral strictures. it was suggested to the patient that if he was not able to make a follow-up appointment with his urologist at , that a urology follow-up would be provided at . , m.d. dictated by: medquist36 procedure: insertion or replacement of skull tongs or halo traction device plastic operation on pharynx diagnoses: alcohol abuse, unspecified closed fracture of second cervical vertebra neurogenic bladder nos motor vehicle traffic accident involving collision with other vehicle injuring passenger in motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to