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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p fall major surgical or invasive procedure: halo vest placement tracheostomy history of present illness: this is a 49 year-old man who fell down a flight of stairs (approx 15) on with uncertain loss of consciousness. he went to bed and woke up with a headache, so he went to a hospital. there he was noted to have a fracture of c2 and was transferred to by ambulance. on arrival at he was on a backboard with a cervical collar in place and comlained of neck pain. past medical history: s/p c4-6 fusion after fall () s/p cabg htn angina ms () social history: +tobacco etoh: drinks 1-3x/wk no drugs family history: noncontributory married physical exam: on arrival: t98.9 p111 bp 171/108 r20 94%ra gen: awake, gcs=15, able to speak full sentances heent: perrl (2-3bilat) paresthesias/numbness over back of head. neck: c-collar in place, trachea midline. c-spine tender. chest: atraumatic. equal breath sounds bilaterally cv: rrr, s1s2, no murmurs appreciated abd: atraumatic. mild diffuse tenderness, no rebound/guarding. fast negative. pelvis: stable rectal: normal tone, no blood. ext: no deformities noted. abrasion over right tibia. left arthroscopy scars. decresed sensation in distribution of left axillary nerve (patient reports this is old). 4/5 strength l median nerve distribution (patient reports prior hand injury). back: no enderness or step-offs. atraumatic. nro: everywhere except thumb abduction (as noted above). complains of neck pain with le movement. 2+ reflexes all extremities, sensation grossly intact. pertinent results: 02:00pm glucose-92 urea n-5* creat-0.8 sodium-140 potassium-4.2 chloride-103 total co2-26 anion gap-15 12:45pm urine hours-random 12:45pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:45pm urine color-yellow appear-clear sp -1.015 12:45pm urine blood-tr nitrite-neg protein-tr glucose-neg ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:45pm urine rbc-0 wbc-0 bacteria-none yeast-none epi-notdone 12:45pm urine hyaline-* 12:30pm glucose-93 urea n-5* creat-0.9 sodium-140 potassium-6.1* chloride-101 total co2-25 anion gap-20 12:30pm urea n-5* creat-1.0 12:30pm amylase-53 12:30pm asa-neg ethanol-neg acetmnphn-10.1 bnzodzpn-pos barbitrt-neg tricyclic-neg 12:30pm wbc-16.0* rbc-4.60 hgb-16.5 hct-48.6 mcv-106* mch-35.8* mchc-33.9 rdw-13.0 12:30pm plt count-302 12:30pm blood wbc-16.0* rbc-4.60 hgb-16.5 hct-48.6 mcv-106* mch-35.8* mchc-33.9 rdw-13.0 plt ct-302 02:30am blood wbc-10.6 rbc-4.60 hgb-16.0 hct-47.7 mcv-104* mch-34.7* mchc-33.5 rdw-13.2 plt ct-308 01:35am blood wbc-18.6*# rbc-3.65* hgb-12.7*# hct-37.2*# mcv-102* mch-34.9* mchc-34.2 rdw-13.2 plt ct-259 02:30am blood wbc-17.2* rbc-3.73* hgb-12.9* hct-38.5* mcv-103* mch-34.6* mchc-33.5 rdw-13.0 plt ct-258 05:17pm blood wbc-17.6* 01:53am blood wbc-15.9* rbc-3.84* hgb-13.1* hct-39.4* mcv-103* mch-34.2* mchc-33.3 rdw-13.4 plt ct-229 01:24am blood wbc-21.2* rbc-3.93* hgb-14.0 hct-40.5 mcv-103* mch-35.7* mchc-34.7 rdw-13.0 plt ct-181 02:35am blood wbc-22.3* rbc-3.74* hgb-13.3* hct-37.7* mcv-101* mch-35.6* mchc-35.3* rdw-13.1 plt ct-208 01:48am blood wbc-19.0* rbc-3.51* hgb-12.6* hct-35.3* mcv-101* mch-35.9* mchc-35.7* rdw-13.0 plt ct-323# 02:44am blood wbc-21.3* rbc-3.48* hgb-12.2* hct-35.5* mcv-102* mch-35.1* mchc-34.4 rdw-13.0 plt ct-382 04:41am blood wbc-26.0* rbc-3.37* hgb-11.3* hct-34.1* mcv-101* mch-33.5* mchc-33.1 rdw-13.1 plt ct-534* 01:54am blood wbc-29.4* rbc-3.34* hgb-11.7* hct-34.7* mcv-104* mch-35.1* mchc-33.9 rdw-13.0 plt ct-667* 01:55am blood wbc-23.0* rbc-3.21* hgb-10.9* hct-33.3* mcv-104* mch-34.0* mchc-32.8 rdw-13.0 plt ct-705* 08:00am blood wbc-25.8* rbc-3.39* hgb-11.5* hct-34.9* mcv-103* mch-33.9* mchc-32.9 rdw-13.2 plt ct-971* 04:51am blood wbc-23.7* rbc-3.24* hgb-11.1* hct-33.5* mcv-104* mch-34.2* mchc-33.1 rdw-13.3 plt ct-840* 07:10am blood wbc-18.3* rbc-3.44* hgb-11.6* hct-36.0* mcv-105* mch-33.8* mchc-32.3 rdw-13.2 plt ct-902* 06:55am blood wbc-16.4* sputum: gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 3+ (5-10 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (preliminary): sparse growth oropharyngeal flora. staph aureus coag +. sparse growth. catheter tip: no growth (final) c diff: negative blood cultures (): negative x 2 of note: mri of the cervical spine. clinical history: fracture after trauma. now upper extremity weakness. technique: sagittal t1-weighted, t2-weighted and stir images and axial gradient echo and t2-weighted images were obtained. findings: the study is degraded by patient motion. the c2 fracture shown on the ct of the same day is again visualized, primarily on the stir images. at the level of the base of c2, where the posterior inferior corner of c2 is displaced slightly into the spinal canal, there is t2 hyperintensity in the spinal cord dorsally, suggesting a contusion. osteophytes are noted at c3-4 level. there appears to be some edema in c4, where there is an anterior fusion and metallic artifact from a cage. no fracture was seen on the ct. there is also metallic artifact from the cage at c5-6. the disc space osteophyte seen at c6-7 on the ct is visible. impression: 1. the study is limited by motion, but there appears to be edema in the dorsal aspect of the spinal cord at the level of the inferior aspect of c2, suggestive of a spinal cord contusion. 2. the known fracture through the c2 pedicles and the base of c2 is visualized. there is minimal displacement of the fragment from the posterior inferior aspect of c2 into the canal, but the csf around the spinal cord remains patent. 3. the postsurgical and degenerative disc disease changes at other levels are visualized to some extent. liver or gallbladder us (singl indication: elevated bilirubin. right upper quadrant ultrasound: limited views of the liver are unremarkable. there is no evidence of ascites. the gallbladder is decompressed and the wall is thickened. there is no evidence of cholelithiasis or pericholecystic fluid. there is no intra or extrahepatic biliary dilatation and the common bile duct measures 3 mm. the flow within the portal vein is hepatopetal. impression: decompressed gallbladder with wall thickening. no evidence of acute cholecystitis. chest (portable ap) 11:49 am chest: tracheostomy tube is present. the tip of the dobhoff tube lies within the second part of the duodenum. the tip of the central line lies in the region of the junction of the right atrium and svc. hazy opacity seen in the right lower lobe probably representing an area of atelectasis. an early infiltrate in this region could not be excluded. elsewhere, the lung fields appear clear. impression: atelectasis or possible pneumonic consolidation, right lower lobe. brief hospital course: the patient was hemodynamically stable on arrival. he was seen on arrival in the ed by the trauma surgery service and the orthopedic surgery service, and his initial evaluation confirmed the hangman's type c2 fracture. although his intiial neurologic examination was essentially normal, a repeat exam revealed strength in the right upper extremity and decreased pinpick sensation in all extremities. he underwent a stat c-spine mri which showed possible spinal cord contusion but no evidence of cord compression by fracture of epidural hematoma. the patient was started on steroids and admitted to the trauma icu. he was taken to the or for a halo vest application. prior to the surgery he was delusional and combative, issues that reoccurred multiple times during his hospital stay. in the or he was a difficult intubation because of his prior c4-6 surgery. during his time in the icu he there was concern that he was having dts (hypertension, tachycardia, agitation). his wbc count increased while hospitalized and he was febrile in the icu. he was started on levofloxacin for what appeared to be an evolving pneumonia; vancomycin was added when his clincal status did not immediately improve, and then he was switched to a combination of vancomycin, flagyl and zosyn. given his pulmonary status, dts, and concern for difficulty with reintubation because of the halo, he underwent a bedside percutaneous tracheostomy on with no complications. he did continue to have periods of agitation and confusion. during the rest of his stay in the icu and on the floor he had no major problems. had further imaging, including a hida scan, and cultures sent to evaluate his high wbc count. he remained afebrile during the last 5 days of his stay while still on zosyn and vancomycin, and his blood cultures and urine cultures were negative. his sputum culture grew coag-positive staph aureus; sensitivities were still pending at the time of discharge. after a discussion with the id fellow, he was discharged on zosyn and vancomycin with plans to complete a full 14-day course. he was seen daily by physical therapy and progressed well. medications on admission: metoprolol isosorbide dinitrate prn discharge medications: 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. disp:*30 suppository(s)* refills:*0* 2. enoxaparin sodium 40 mg/0.4ml syringe sig: forty (40) mg subcutaneous daily (daily) for 1 months. disp:*qs mg* refills:*0* 3. docusate sodium 150 mg/15 ml liquid sig: ten (10) ml po twice a day as needed for constipation. disp:*600 ml* refills:*0* 4. clonidine 0.2 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day): hold for sbp<90, hr<50. disp:*90 tablet(s)* refills:*0* 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. therapeutic multivitamin liquid sig: five (5) ml po daily (daily). disp:*150 ml(s)* refills:*0* 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*30 tablet(s)* refills:*0* 11. oxycodone 5 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 12. trazodone 50 mg tablet sig: 1-1.5 tablets po hs (at bedtime) as needed for insomnia. disp:*45 tablet(s)* refills:*0* 13. piperacillin-tazobactam 4.5 g recon soln sig: 4.5 mg intravenous q8h (every 8 hours) for 4 days. disp:*54 mg* refills:*0* 14. vancomycin 1,000 mg recon soln sig: 1500 (1500) mg intravenous twice a day for 4 days. disp:*qs mg* refills:*0* discharge disposition: extended care facility: hospital - discharge diagnosis: c2 fracture spinal cord contusion c7 left lamina/inferior facet nondisplaced fracture pneumonia s/p fall discharge condition: stable discharge instructions: you should alert a nurse if you have worsening pains, fevers, chills, nausea, vomiting, shortness of breath, chest pain, redness or drainage about the wounds, or if you have any questions or concerns. you should continue to have vigorous pulmonary care with chest pt. the rehabilitaiton center will continue to monitor your white blood cell count and temperature as necessary. you should complete the full course of antibiotics (through ). followup instructions: call dr. at ( for a follow-up appointment in approximately 2 weeks. call the trauma clinic at ( for a follow-up appointment in 4 weeks. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube fiber-optic bronchoscopy temporary tracheostomy insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device diagnoses: pneumonia, organism unspecified unspecified essential hypertension aortocoronary bypass status other and unspecified angina pectoris accidental fall on or from other stairs or steps intestinal infection due to clostridium difficile closed fracture of c1-c4 level with other specified spinal cord injury multiple sclerosis alcohol withdrawal delirium 

Answer: The patient is high likely exposed to