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: a 37-year-old male status post assault with mental status changes and right open tibia/fibula fracture. past medical history: (significant for) 1. resection of brain tumor at age 15 with resultant cognitive deficits. 2. history of seizure disorder. 3. idiopathic insomnia. 4. restless leg syndrome. 5. ataxia. past surgical history: significant for previously mentioned brain tumor resection in . medications on admission: folic acid 1 mg p.o. q.a.m., vitamin b 100 mg p.o. q.a.m., peri-colace p.r.n., lithium carbonate 600 mg p.o. b.i.d., requip 0.75 mg p.o. t.i.d., .................... syrup 15 cc b.i.d., trazodone 100 mg p.o. q.h.s., neurontin 300 mg p.o. q.a.m. and 600 mg p.o. q.h.s., mirapex 0.25 mg p.o. b.i.d. allergies: the patient has no known drug allergies. physical examination on admission: gcs 3; the patient was initially responsive at the scene and then gcs dropped to 5 in front of the paramedic team. vital signs in the trauma bay were blood pressure of 110/palp, pulse of 110, 96% to 99% on 100% face mask, and temperature of 99.8. head and neck examination was significant for pupils which were pinpoint bilaterally, tympanic membranes were clear bilaterally. neck was supple with midline trachea. the chest was clear to auscultation bilaterally without crepitus. cardiac examination revealed a regular. abdomen was soft, nontender, and nondistended. the pelvis was stable. rectal examination was normal tone and guaiac-positive. extremity examination showed an obvious open right tibia/fibula fracture and palpable distal pulses. back examination did not show any stepoff. laboratory on admission: his trauma series was negative. the patient's toxicology screen was positive for an ethanol level of 188. radiology/imaging: ct of the head was negative for acute injury. ct of the abdomen and pelvis was also negative. hospital course: the patient was intubated for airway control due to agitation and mental status changes. he was seen by the orthopaedic surgery service who took him to the operating room on hospital day one for open reduction, internal fixation and debridement of his right open tibia/fibula fracture. the patient went the surgical intensive care unit postoperatively and remained intubated until postoperative day two. he was extubated without difficulty and remained hemodynamically stable. he was placed on lovenox for deep venous thrombosis prophylaxis postoperatively. the patient went to the floor on postoperative day three. his mental status was improved; although, per reports, did not quite return to baseline. on the floor hie had one episode of agitation where psychiatry was called to evaluate. the patient was put in restraints and given a one-to-one sitter. he was also started on p.r.n. haldol. the patient did very well after this. sitter was discontinued in one day. psychiatry continued to follow and were concerned about his mental status not returning completely to baseline. they recommended a repeat head imaging, which was obtained and showed no change from his admission head ct. it was felt that it was reasonable for this patient with a history of cognitive deficits from tumor resection with blunt head trauma (although, head ct was negative for serious injury) to take a while to return to mental status. it was felt that he was okay to be discharged to a cognitive or neurologic rehabilitation facility. the patient remained afebrile on the floor. he was on kefzol perioperatively, because the orthopaedic team felt he had some erythema around his right lower extremity incision and wanted him to remain on p.o. keflex for a short course. medications on discharge: 1. trazodone 100 mg p.o. q.h.s. 2. neurontin 300 mg p.o. q.a.m. and 600 mg p.o. q.h.s. 3. .................... syrup 15 cc p.o. b.i.d. 4. zantac 150 mg p.o. b.i.d. 5. multivitamin 1 tablet p.o. q.d. 6. requip 0.75 mg p.o. t.i.d. 7. lovenox 30 mg subcutaneous b.i.d. times six weeks. 8. lithium 600 mg p.o. b.i.d. 9. haldol 1 mg p.o. q.4h. p.r.n. for agitation. 10. keflex 500 mg p.o. q.i.d. times four days. 11. boost 1 can p.o. t.i.d. 12. percocet one to two tablets p.o. q.4-6h. p.r.n. 13. colace 100 mg p.o. b.i.d. 14. dulcolax p.r.n. condition at discharge: he was discharged in stable condition. discharge diagnoses: 1. right open tibia/fibula fracture, status post assault. 2. status post open reduction, internal fixation. discharge instructions: the patient was given instructions to follow up with the clinic in approximately two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube debridement of open fracture site, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula diagnoses: toxic encephalopathy other extrapyramidal diseases and abnormal movement disorders assault by unspecified means insomnia, unspecified toxic effect of unspecified alcohol open fracture of shaft of fibula with tibia poisoning by other and unspecified solid and liquid substances, undetermined whether accidentally or purposely inflicted lack of coordination personal history of malignant neoplasm of brain 

Answer: The patient is high likely exposed to