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: no known allergies / adverse drug reactions attending: chief complaint: trauma: s/p fall down stairs major surgical or invasive procedure: placement of left-sided chest tube open reduction internal fixation right intra-articular distal radius fracture 2 or more fragments. history of present illness: 44f w/ hx of polysubstance abuse, fell down 15 stairs. the event was unwitnessed. she was transferred from an osh with a hematoma on her forehead, periorbital ecchymoses b/l, and l leg laceration. her scans showed multiple facial fractures, iph, sah, sdh, and distal radius fracture. past medical history: polysubstance abuse, etoh, depression, anxiety social history: unemployed lives at home with grandmother and friend history of polysubstance abuse family history: non-contributory physical exam: on transfer to : hr: 78 bp: 122/79 resp: 15 o(2)sat: 100% on vent normal constitutional: comfortable heent: bilateral. orbital ecchymosis and edema, pupils equal, round and reactive to light, extraocular muscles intact oropharynx within normal limits c-spine collar is on chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender, nondistended extr/back: pelvis is stable and nontender, has full range of motion through all major joints skin: bilateral periorbital ecchymosis, scattered abrasions neuro: pupils equal react to light, moving all 4 extremities when sedation light pertinent results: ct torso : 1. no acute intra-abdominal, intrapelvic, or intrathoracic process detected. 2. hepatic steatosis. cta head : 1. in comparison to study obtained five hours prior, there is significant interval progression of extensive intracranial hemorrhage including bilateral hemorrhagic contusions, areas of intraparenchymal, subarachnoid and subdural hemorrhage. there is no evidence of hydrocephalus or herniation. stable appearance of numerous cranial fractures. 2. no evidence of dissection, stenosis, or aneurysm formation. chest xray: moderate left pneumothorax following left subclavian line that is well positioned. cta head : 1. minimal change in size and appearance of multiple intraparenchymal hematomas. subdural and subarachnoid collections are less conspicuous. 2. numerous facial bone fractures, described in detail on the 6:15 a.m. examination. wrist x-ray (right): mild volarly displaced impacted intraarticular distal radius fracture. chest xray: in comparison with the earlier study of this date, with the chest tube on waterseal there is no evidence of pneumothorax. atelectatic changes are again seen at the left base. endotracheal tube and nasogastric tube have been removed. 03:35am wbc-12.8* rbc-3.33* hgb-10.5* hct-31.4* mcv-94 mch-31.6 mchc-33.5 rdw-12.5 03:35am pt-11.3 ptt-28.8 inr(pt)-1.0 03:35am plt count-204 03:35am fibrinoge-131* 03:35am asa-neg ethanol-309* acetmnphn-neg bnzodzpn-pos barbitrt-neg tricyclic-neg 03:35am phenytoin-32.5* 03:35am lipase-25 03:35am urea n-5* creat-0.5 03:50am glucose-121* lactate-3.4* na+-130* k+-3.5 cl--97 tco2-20* 11:25am calcium-6.1* phosphate-3.1 magnesium-1.5* brief hospital course: ms. was admitted intubated and sedated on under the acute care surgery service to the tsicu for close monitoring. her injuries included: - sdh - sah - comminuted r distal radius fx - l thigh lac - displaced fracture of l zygomatic body extending posterior into temporal bone, fracture at zygomatic-sphenoid suture she was extubated on and transferred to the floor that afternoon hemodynamically stable. see below for hospital course by details: neuro: she was initially intubated and sedated. when sedation was weaned, she woke up and was responsive and moving all extremities. for her head injuries, neurosurgery was consulted and she was started on dilantin for seizure prophylaxis which was continued for 1 week total. her head ct was stable and she was getting q4h neuro checks. she was on oxycodone and dilaudid for pain control. she had a c-collar in place. her c-spine was cleared after extubation. she was responsive to commands but confused intially after extubation. she was thought to be withdrawing from alcohol and was placed on a ciwa protocol. by hospital day 7 she was no longer on the ciwa scale or requiring benzo administration. her mental status cleared significantly. she did have intermittent episodes of anxiety for which she was started on zyprexa. she was also started on ambien to regulate her sleep/wake cycle which was effective in doing so. she was evaluated by occupational therapy who recommended outpatient follow up with cognitive neurology and 24 hours supervision at home. pulm: a l subclavian was placed. she developed a l pneumothorax and a chest tube was placed. after her surgery, she was transferred back to the icu and successfully extubated. she saturated well on nasal cannula and eventually room air. her chest tube was removed and she continued to remain without respiratory compromise. her supplemental oxygen was weaned and her oxygen saturation remained within normal limits on room air. cardiovascular: she was initially on phenylepherine but that was successfully weaned. she remained hemodynamically stable. her vital signs were monitored routinely while she was on the floor and remained stable. gi: once extubated, her diet was advanced to a soft diet, per plastic surgery recommendations. she was able to tolerate a soft diet. msk: she was taken to the or on hd 2 by ortho for orif of her distal radius fracture. she was placed in an orthoplast splint postoperative and follow up was scheduled with orthopedics after discharge. on she is afebrile with stable vital signs. her mental status is clear. her pain is well controlled with an oral pain regimen. she is tolerating a regular diet. she is out of bed ambulating with supervision. she is being discharged home under the supervision of her grandmother, who has received teaching regarding the needs of care of the patient. medications on admission: none discharge medications: 1. acetaminophen 1000 mg po q6h:prn pain 2. codeine sulfate 15-30 mg po q4h:prn pain rx *codeine sulfate 15 mg tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 3. docusate sodium 100 mg po bid constipation 4. senna 1 tab po bid:prn constipation 5. olanzapine (disintegrating tablet) 5 mg po bid:prn anxiety rx *olanzapine 5 mg 1 tablet(s) by mouth twice a day disp #*30 tablet refills:*0 6. zolpidem tartrate 10 mg po hs rx *ambien 10 mg 1 tablet(s) by mouth at bedtime disp #*30 tablet refills:*0 discharge disposition: home discharge diagnosis: s/p fall down stairs intraparenchymal hemorrhage subdural hematoma subarachnoid hemorrhage displaced fracture of left zygomatic body fracture at zygomatic-sphenoid suture right intra-articular distal radius fracture. left-sided pneumothorax s/p central line placement acute alcohol withdrawal conjunctival hemorrhage discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after falling down stairs and sustaining facial fractures, a right arm fracture and a head injury. you had your right arm fracture repaired operatively by the orthopedic surgeons. you should keep your arm in the splint that was placed by orthopedics until your follow up appointment which is listed below. you may perform range of motion exercises in your arm as tolerated. please follow up with the plastic surgeons regarding your facial fractures at the appointment scheduled for you below. you should maintain a soft diet because of the facial fractures. you had a central iv line placed while you were in the intensive care unit which resulted in a small collapse in part of your lung. you had a chest tube placed for this which was subsequently removed. you had some bleeding in your brain because of your fall which is stable. you should follow up with neurosurgery at the apppointment scheduled for you below for a repeat head ct scan. take your pain medicine as prescribed. exercise should be limited to walking; no lifting, straining, or excessive bending. increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen, etc. because of your head injury, you should avoid driving/operative heavy machinery, making important or financial decisions and other such activities for some time. please see handout provided on concussions for more specifics. you were evaluated by occupational therapy for your head injury who recommended outpatient follow up with a cognitive neurologist. please see follow up below. call your surgeon immediately if you experience any of the following: new onest of tremors or seizures. any confusion, lethargy or changes in mental status. any numbness, tingling, weakness in your extremities. pain or headache that is continually increasing, or not relieved by pain medication. new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: department: div of plastic surgery when: friday at 1:30 pm with: , md building: lm bldg () campus: west best parking: garage department: radiology when: wednesday at 8:30 am with: cat scan building: cc campus: west best parking: garage department: neurosurgery when: wednesday at 9:30 am with: , md building: lm campus: west best parking: garage department: orthopedics when: tuesday at 12:20 pm with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: tuesday at 12:40 pm with: , np building: campus: east best parking: garage department: cognitive neurology unit when: thursday at 1 pm with: , md building: ks building (/ complex) campus: east best parking: main garage you were evaluated by the ophthalmologists for your blurry vision and conjunctival hemorrhage who recommended that you use artifical tears as needed and follow up with your ophthalmologist as an outpatient within the next month. if you do not have an ophthalmologist and would like to be seen here at you may call the ophthalmology clinic at . md, procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified open reduction of fracture with internal fixation, radius and ulna diagnoses: anxiety state, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iatrogenic pneumothorax accidental fall on or from other stairs or steps closed fracture of malar and maxillary bones conjunctival hemorrhage alcohol withdrawal closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration acute alcoholic intoxication in alcoholism, unspecified other closed fractures of distal end of radius (alone) 

Answer: The patient is high likely exposed to