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: morphine / penicillins / latex attending: chief complaint: s/p motorcycle crash major surgical or invasive procedure: elevation of left skull fracture; cranioplasty with titanium mesh; repair of frontobasilar fracture, frontal sinus mucosectomy, left orbital reconstruction, repair of scalp/forehead defect. irrigation and debridement open skull fracture, synthesis low profile plate exchange orif left zygomatic maxillary fracture history of present illness: 20 m unhelmeted mcc vs tree. questionable loc. on initial presentation gcs 15,verbal, following commands, and moving all extremities with full strength. however left pupil midriatic, non reactive. degloving injury of the forehead with open skull fracture. electively intubated in ed due to emesis. past medical history: pmh: pectus excavatum, r humeral fracture from bike accident at age 15 psh: r humeral fracture repair at age 15 social history: unknown family history: non-contributory pertinent results: imaging: cta head: 3 cm left frontal calvarial depression into the left frontal lobe with adjacent small intraprenchymal hematoma. no large mass effect or vascular territorial infarction seen. mild pneumocephalus open left frontal fracture/avulsion. cta: patent anterior and posterior circulation, cow, aca, mca, and pca with no dissection, flow limiting stenosis, or vascular malformations detected. active extravasation seen within the superficial soft tissues next to the avulsed frontal bone (4:157). no intracranial active extravasation. ct max-face: 1.large avulsion fracture of the left frontal bone, resulting in exposure of the left frontal lobe and pneumocephalus. 2. extensively comminuted and displaced fractures of the left frontal bone with depression of fracture fragments approximately 3 cm into the left frontal lobe, with a small amount of adjacent intraparenchymal hemorrhage. no shift of intracranial midline structures. 3. extensively comminuted and displaced fractures involving the left face as noted above. 4. proptosis of the left globe, with stretching of the left optic nerve and left lateral rectus muscle secondary to marked lateral and posterior rotation of the orbital plate. a fracture fragment impinges upon the left inferior rectus muscle. left lens is dislocated. 5. blood products within the ethmoid, left maxillary, and sphenoid sinuses. ct c-spine prelim: no acute fx or traumatic malalignment of the cervical spine ct torso prelim: no acute intrathoracic, intraabdominal, or intrapelvic process ct head w/o contrast: post-surgical changes in the left frontal region with mild post-operative hemorrhage and pneumocephalus. minimal local mass effect. persistent left frontal lobe contusion. assessment for subtle cerebral edema can be limited given the noisy iamges- correlate clinically. no intracranial osseous fragments. no evidence of subfalcine or transtentorial herniation. no new hemorrhage or acute large territorial infarction. ct sinus/mandible/maxillofacial: post-surgical repair of the left frontal bone fractures. no osseus fragments remain in the intracranial structures. mass effect upon the left extra-ocular muscles appears decreased. persistent lateral stretch of the left optic nerve. stable multiple fractures of the left orbit and maxillary sinus. hemorrhagic fluid remains in the paranasal sinuses. cxr: right lower lobe opacity worrisome for infectious process is noted, although it could represent atelectasis. mri c spine: 1. no focal signal abnormality noted in the cord. 2. no marrow edema noted in the cervical vertebrae. 3. no evidence of subluxation. 4. hyperintense signal noted on stir images in the interspinous soft tissues from c1-c2 to c6-c7 levels which likely represent edema or injury to the interspinous ligament which is less likely. 5. hyperintense signal noted on stir images in the posterior paraspinal soft tissues from c2 to c7 level which may represent edema. brief hospital course: mr. was transferred to the ticu after going to the operating room with neurosurgery for elevation of the left frontal bone & cranioplasty with titanium mesh as well as orif of the left orbit. dilantin prpohylaxis was initiated. he remained intubated post-operatively. left globe pressures were monitored but were not felt to be elevated. his anti-seizure propylaxis was recommended to continue after discharge until follow up as outpatient with neurosurgery. on pod 2 he retuned to or with plastics for washout and plate replacement. postoperatively he spiked a fever to 101.5 and a full workup was perfomed. his hematocrit was 20 and he was transfused 2u prbc's. he was not extubated due to significant facial swelling. on a spine consult was called given possible interspinous ligament injury and it was determined that he did not have ligamentous injury and the hard collar was then removed. he extubated on pod 4 and a code purple was called given severe agitation. he then stabilized over the course of the next several days with zyprexa and was transferred to the floor. once transferred to the regular surgical floor he continued to progress. his mental status improved significantly during his floor course and there were no further issues with agitiation and/or aggressive behaviors for the remainder of his stay. his zyprexa dose was decreased. he was seen by opthmaology for the shattered left orbit with left blowout fracture traumatic mydriasis and for evaluation before undergoing repair of his facial fractures by plastics. several eye drops were recommended and clearance to proceed with his plastics procedure was given. he was taken to the operating room on by plastics for open reduction and internal fixation of left zygomatic-malar complex fracture. there were no complications. he was left with many facial sutures which were treated with bacitracin ointment. he will follow up with plastics for removal of the sutures after discharge. he participated with physical and occupational therapy and intially the thought was that he would require rehab stay. given his significant improvement and after discussions with his family the decison was made that he was safe to transition home with 24 hour supervision that his family was able to provide. medications on admission: none discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 2. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical tid (3 times a day): apply to facial wounds. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 4. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. olanzapine 2.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for agitation. disp:*60 tablet(s)* refills:*1* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 8. bacitracin 500 unit/g ointment sig: one (1) appl ophthalmic tid (3 times a day): apply to os. disp:*1 tube* refills:*2* 9. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic six times a day (): left eye. disp:*1 bottle* refills:*2* 10. scopolamine hbr 0.25 % drops sig: one (1) drop ophthalmic (2 times a day): left eye. disp:*1 bottle* refills:*2* 11. phenytoin 50 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). disp:*180 tablet, chewable(s)* refills:*1* 12. keppra 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*1* discharge disposition: home with service facility: vna discharge diagnosis: s/p motorcycle crash injuries: depressed left skull fracture degloving injury to left forehead shattered left orbit with left blowout fracture traumatic mydriasis left maxillary sinus fractures delirium acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital on after a motorcyle crash where you sustained a traumatic brain injury and injury to your left eye - both of which required an operation to repair. you will likely need to undergo further surgery and this will be determined when you return to the hospital for your follow up appointments. please follow these discharge instructions: . avoid any activities that may cause injury to your head - do not ride any motorcycles, bicycles or other modes of transportation other than in a car or bus. . medications: * you have been prescribed an anit-seizure medication called keppra to continue for at least a month. you will then follow up with these specilaist to determine how much longer this medication is needed. * resume your regular medications unless instructed otherwise. * you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so do not take these meds with additional tylenol. * take prescription pain medications for pain not relieved by tylenol. * do not drive or operate heavy machinery while taking any narcotic pain medication. * take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication. you may use a different over-the-counter stool softener if you wish. . call the office immediately if you have any of the following: * signs of infection: fever with chills, increased redness, swelling, warmth or tenderness at the surgical site, or unusual drainage from the incision(s). * a large amount of bleeding from the incision(s). * fever greater than 101.5 of * severe pain not relieved by your medication. . activities: * no strenuous activity * exercise should be limited to walking; no lifting, straining, or excessive bending. * it is recommended that you wear a soft collar when out of bed for 4 weeks. * unless directed by your physician, not take any medicines such as motrin, aspirin, advil or ibuprofen etc . comments: * please sleep on several pillows and try to keep your head elevated to help with drainage. * please maintain soft diet until your follow up clinic visit and you can ask your surgeon whether you can advance your diet at that time. avoid soft diet foods with 'little pieces' (ie; oatmeal) that can get stuck in surgical wounds. * please avoid blowing your nose. * sneeze with your mouth open * try to avoid sipping liquids through a straw * use your oral rinse as directed. followup instructions: provider: , md phone: date/time: 1:30 dr. clinic is located on the , building, , surgical specialties. . name: , md specialty: internal medicine location: pmg physician associates address: , , phone: we are working on a follow up appointment with dr. for within the next 2 weeks. you will be called at home with the appointment. if you have not heard within 2 business days or have questions, please call the number listed above. department: center when: monday at 2:15 pm with: , md building: sc clinical ctr campus: east best parking: garage name: , md specialty: neurosurgery location: -division of neurosurgery address: , ste 3b, , phone: we are working on a follow up appointment with dr. for within the next 30 days. you will be called at home with the appointment. if you have not heard within 2 business days or have questions, please call the number listed above. department: cognitive neurology unit when: thursday at 9:30 am with: , md building: ks building (/ complex) campus: east best parking: main garage we are working to have you seen by dr. for within the next 2 weeks, sooner than the appointment booked above. you will be called at home with the appointment. if you have not heard within 2 business days or have questions, please call the number listed above. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain insertion of synthetic implant in facial bone insertion of synthetic implant in facial bone elevation of skull fracture fragments elevation of skull fracture fragments other open reduction of facial fracture open reduction of malar and zygomatic fracture other repair of nasal sinus diagnoses: acute posthemorrhagic anemia closed fracture of malar and maxillary bones delirium due to conditions classified elsewhere optic nerve injury open wound of forehead, complicated open fracture of other facial bones mydriasis (persistent), not due to mydriatics personal history of traumatic fracture contusion of eyeball open fracture of base of skull with cerebral laceration and contusion, unspecified state of consciousness other motor vehicle nontraffic accident involving collision with stationary object injuring motorcyclist open fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness other retained organic fragments 

Answer: The patient is high likely exposed to