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: penicillins attending: chief complaint: 55m s/p 15' fall from tree onto truck, + loc, seen at st. . transfused 2 units. transferred to by major surgical or invasive procedure: history of present illness: 55 y.o. male who fell off a ladder approximately 15 feet on and experienced loc. evaluated at where he was found to have multiple rib fractures, a right pneumothorax, and a right retroperitoneal bleed. he was transfused 2 units of prbcs at and transferred to by for further management. past medical history: htn, seizure disorder, bph social history: patient is married, presently smokes 2 ppd. denies etoh or drug abuse. family history: noncontributory physical exam: t: 98.3 hr: 82 bp: 96/58 rr: 16 97% ra gen: no apparent distress heent: normocephalic, atraumatic, anicteric, neck supple, no masses card: regular rate and rhythm, without murmurs, rubs, or gallops lungs: clear to auscultation bilaterally, no wheezes, rales, or rhonchi abd: soft, nontender, , tube site clean, dry, and intact ext: no clubbing, cyanosis, or edema neuro: cnii-xii grossly intact pertinent results: cxr and pelvis xray 1. multiple right rib fractures, with associated subcutaneous emphysema, and opacity along the right chest which may represent extrapleural fluid versus hematoma. 2. asymmetrically increased right lung opacity likely represents layering right pleural fluid, likely hemothorax given associated trauma. 3. suggestion of loss of height of the l4 vertebral body. ct c/a/p 1. small right-sided hydropneumothorax predominating at the right base with high-density fluid likely representing a component of hematoma 2. right-sided subcutaneous emphysema associated with rib fractures 3. large right retroperitoneal hematoma 4. fractures of the transverse processes of t1 and l5 through l1 5. multiple rib fractures bilaterally including ribs 6 through 9 on the left and ribs 2 through 12 on the right 6. left scapula is fractured in multiple sites 7. multilevel degenerative disc changes are seen throughout the thoracic and lumbar spine with multiulever compression deformities of unknown chronicity 8. subtle craniocaudad linear lucency of the l5 vertebral body which likely represents an acute fracture. oropharyngeal videofluoroscopic swallowing evaluation mr. presented with a mild oral and moderate pharyngeal dysphagia resulting in aspiration of liquids and solids and in significant amounts of pharyngeal residue. the deficits seen were somewhat concerning for a neurological condition, as they are not completely consistent with deconditioning, although no significant delay was seen in swallow initiation. the pt may also have an impairment of the vocal cords, but this could not be assessed today as the pt went into v tach and the study had to be cut short. the pt will need to remain strictly npo, including medications and will either need to have an ng or placed. we will wait until the pt is better able to manage his before we repeat his swallow evaluation. it is also recommended he been seen by ent and consider a repeat scan if there are any other changes /signs to suggest a neurological event. this swallowing pattern correlates to a dysphagia outcome severity scale (doss) rating of 1, not safe for any pos. recommendations: 1. suggest the pt remain strictly npo including all medications. 2. place ng tube or tube for alternate means of nutrition, hydration and medication. 3. recommend ent consult to evaluate vocal cord closure. 4. consider repeat head ct if there are any other changes / signs to suggest a neurological event. 5. please reconsult when the pt's ms have cleared. brief hospital course: after initial trauma evaluation the patient was admitted to the trauma icu. neuro: neurosurgery was cosulted and recommended conservative treatment, no neurosurgery needed, lso as needed for comfort. follow-up in clinic in weeks. pt's pain was controlled on an epidural. he was gradually transitioned to p.o. pain meds. he was treated with methadone 3x daily and haldol prn. cv: pt was tachycardic in the icu. his tachycardia was controlled with beta blockers. resp: initially intubated and admitted to icu. he was gradually weaned off the vent and extubated. gi: ent was consulted and recommended starting ppi at dosing to minimize laryngopharyngeal reflux, safe diet recommendations per speech and swallow, and follow up to repeat in weeks to evaluate for resolution of mass, improvement of erythema. gu: after adequate fluid resuscitation the patient was diuresed with lasix. he had no significant gu issues during his hospital course. fen: pt was maintained on tube feeds. formal swallow evaluation demonstrated dysphagia and a recommendation to maintain the pt npo was made. in order to maintain the pt on longer-term tube feeds the pt underwent a tube placement on . endo: pt's blood sugars were controlled on an insulin sliding scale. id: pt's sputum grew h. flu and s. pneumo sensitive to levo. pt was treated with an 8 day course of levofloxacin. zosyn was added to the regimen on hd14 (pod2 after tube placement), and the pt received a total of 3 days of zosyn before it was d/c'ed. heme: pt developed a stable anemia which was followed clinically. medications on admission: flomax 0.4, dilantin 260mg qday, lyrica, paxil 20, verapamil 240 discharge medications: 1. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 2. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q4h (every 4 hours) as needed. 3. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation q4h (every 4 hours). 4. artificial tear with lanolin 0.1-0.1 % ointment : one (1) appl ophthalmic prn (as needed). 5. gabapentin 300 mg capsule : one (1) capsule po tid (3 times a day). 6. albuterol sulfate 0.083 % (0.83 mg/ml) solution : one (1) inhalation q4h (every 4 hours) as needed. 7. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 8. thiamine hcl 100 mg tablet : one (1) tablet po daily (daily). 9. folic acid 1 mg tablet : one (1) tablet po daily (daily). 10. cyanocobalamin 100 mcg tablet : 0.5 tablet po daily (daily). 11. metoprolol tartrate 25 mg tablet : one (1) tablet po tid (3 times a day). 12. phenytoin 100 mg/4 ml suspension : two (2) po q12h (every 12 hours). 13. nystatin 100,000 unit/ml suspension : five (5) ml po qid (4 times a day) as needed. 14. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 15. trazodone 50 mg tablet : one (1) tablet po hs (at bedtime) as needed. 16. methadone 10 mg tablet : one (1) tablet po bid (2 times a day). 17. oxycodone 5 mg/5 ml solution : po q4h (every 4 hours) as needed for pain. 18. fentanyl 50 mcg/hr patch 72 hr : one (1) patch 72 hr transdermal q72h (every 72 hours). discharge disposition: extended care facility: rehab discharge diagnosis: 1. lung contusion 2. small right pneumothorax 3. small right hemothorax 4. left comminuted scapula fx 5. retroperitoneal hematoma right 6. t/l spine compression fx: t5,; l 2,4,5 7. transverse process fx r:t1, 8, 11; l1-5 discharge condition: stable discharge instructions: you were admitted from the hospital after you fell from a ladder. you sustained fractures in your spine and your scapula. you had bleeding in your abdomen. you were admitted to the icu and required a tube for breathing. you were seen by neurosurgery who recommended conservative treatment and did not recommend surgery. you were seen by ear, nose and throat doctors did and found a mass in your larynx which is likely due to inflammation. a repeat has been scheduled for to evaluate for resolution of this mass. because you were unable to tolerate food by mouth, a feeding tube was placed and you were started on tube feeds for nutrition. followup instructions: please see your primary care doctor at your earliest convenience. you will need a follow-up in weeks. monday at 2:30 (please arrive at 2:15) dr. , . in (eastbound side of route 9). please bring medical card to appointment phone procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization laryngoscopy and other tracheoscopy closed [endoscopic] biopsy of bronchus diagnoses: anemia, unspecified tobacco use disorder unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) paroxysmal ventricular tachycardia traumatic pneumohemothorax without mention of open wound into thorax closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury epilepsy, unspecified, without mention of intractable epilepsy pneumococcal pneumonia [streptococcus pneumoniae pneumonia] closed fracture of lumbar vertebra without mention of spinal cord injury traumatic subcutaneous emphysema contusion of lung without mention of open wound into thorax pneumonia due to hemophilus influenzae [h. influenzae] closed fracture of scapula, unspecified part closed fracture of eight or more ribs injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum other accidental fall from one level to another 

Answer: The patient is high likely exposed to