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: patient is a 35-year-old male with a history of substance abuse with subarachnoid intercerebral hemorrhage. by report on , he was initially found down on the grounds of and was intoxicated. later that day he had a witnessed fall with loss of consciousness. he was taken to , where he was described as being combative and agitated, however, his initial coma score was 15. he eventually required intubation for airway protection due to his extreme combativeness and agitation. a head ct subsequently revealed bilateral left greater than right subarachnoid hemorrhage and intracerebral hemorrhage. there was no documented hypotension or hypoxia at . he was therefore transferred to for further care. past medical history: 1. polysubstance abuse. 2. prior head trauma. medications: none. allergies: no known drug allergies. physical exam on admission: is reported as temperature of 99.8, blood pressure 150/palp, pulse 105, o2 saturation 100% intubated and ventilated. in general, he was intubated and sedated. his heent examination showed no hemotympanum. his cardiac examination showed a regular rate and rhythm without murmurs, rubs, or gallops. his lungs were clear to auscultation bilaterally. his abdomen was soft, nontender, nondistended. his extremities showed no deformities. on neurologic examination, his pupils are 2 mm and trace reactive bilaterally. his eyes were opened spontaneously. he moved all four extremities to stimulation. he has spontaneous bilateral lower extremity movements, antigravity, but less spontaneous movements in bilateral upper extremities. hospital course by systems: 1. neurologic: initial head ct showed a large hemorrhage contusion temporal lobe with edema and subarachnoid hemorrhage. there is a small hemorrhagic contusion in the anterior right frontal lobe. there was also a nondisplaced right occipital fracture. c spine ct was negative for fracture. head cta showed no evidence of aneurysm. therefore, the likely etiology of his intracranial hemorrhages were traumatic. an interventricular catheter was not placed. the patient was therefore followed clinically and with serial head ct scans. his head ct scans were followed and were stable until . on , a head ct showed worsening global edema with new hypoattenuation areas in the left frontal, bilateral temporal-parietal areas suspicious for infarct. mri showed increased flare signal and dwi in the right insula, right frontal-temporal region, left internal capsule, and left temporal regions suspicious for infarct. this may have been related to vasospasm induced by the subarachnoid hemorrhage. despite the neuroimaging findings, the patient's neurologic examination slowly improved over the course of his admission. with regards to his neurologic management, he was initially loaded with dilantin, and this was stopped after one week. his pco2 was adjusted with a goal of maintaining between 35 and 40. he had a goal of being euvolemic, but at times was fluid positive. his blood pressure was initially tightly controlled to be less than 130 with continuous hemodynamic monitoring and this parameters was gradually liberated over the course of admission. he initially needed significant sedation with both propofol and ativan, and the propofol was eventually discontinued. his neurologic examination was followed closely throughout his admission and slowly improved, although he still continues to have significant deficits. at discharge, his neurologic examination was significant for being awake and alert, unable to make eye contact and visually track. he had no speech output. he was not able to follow commands. he was able to lift his arm up in the air and move his fingers individually. he was able to flex at the right elbow and shrug his shoulder, but did not have antigravity on the right. he withdrew both legs spontaneously lifted them off the bed. he was seen by the neuro-rehabilitation service, who found this to be consistent with global aphasia and mild right hemiparesis mostly in the arm. they expected that the blood and edema in the left temporal-parietal area resolved. that he had a significant chance of recovering language and right arm function. they expected that he would be ambulatory after recovery. they expect that he would obtain significant benefit from ot, pt, and speech therapy at rehab. 2. cardiovascular: there were no significant issues. his blood pressures were controlled as above as needed. at discharge, he was on lopressor prn. 3. respiratory: he was initially intubated and ventilated. he had significant problems with secretions due to either sinusitis or pneumonia. chest x-ray on revealed a right lung base infiltrate consistent with pneumonia. he was treated with both vancomycin and ceftriaxone. the infiltrate had resolved on x-ray by . the patient had two trials of extubation, but failed due to significant respiratory secretions. he therefore underwent tracheostomy placement on , and was successfully weaned off the ventilator. at discharge, he was receiving albuterol and acetylcysteine nebulizers as needed. he was stable from a respiratory standpoint on a trache mask. 4. fluids, electrolytes, and nutrition: the patient as above had a goal of being euvolemic, but was at times fluid positive. his electrolytes were repleted as needed. his sugars were followed closely and controlled with an insulin-sliding scale. 5. gi: patient initially had nasogastric tube feedings and on , a peg was placed. his goal feedings are impact with fiber at 40 cc/hour at this time. reglan was given to promote gi motility. 6. infectious disease: the patient was persistently febrile for most of his admission. cultures were obtained. blood culture on from his arterial line showed alpha strep. sputum from grew hemophilus influenzae, mrsa and beta strep. he was treated with vancomycin from to . he was also treated with ceftriaxone from to . he had been afebrile for the day prior to discharge. 7. orthopedics: he did sustain a right sided transverse process fractures of l3, l4, and l5. 8. prophylaxis: he is on subcutaneous heparin for dvt prophylaxis. discharge condition: stable. discharge status: hospital. discharge diagnoses: 1. bilateral left greater than right intracerebral hemorrhage and subarachnoid hemorrhage. 2. right lumbar three, four, and five transverse process fractures. 3. status post trache. 4. status post peg. 5. pneumonia. 6. alcohol abuse. medications: 1. heparin 5,000 units subq b.i.d. 2. reglan q.8. 3. regular insulin-sliding scale. 4. medications prn including tylenol, mucomyst nebulizers, albuterol nebulizers, magnesium supplementation, potassium supplementation, calcium supplementation, and lacrilube ointment. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified 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 insertion of other (naso-)gastric tube temporary tracheostomy diagnoses: pneumonia, organism unspecified other, mixed, or unspecified drug abuse, unspecified unspecified fall cerebral edema closed fracture of lumbar vertebra without mention of spinal cord injury alcohol abuse, continuous aphasia closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration closed fracture of base of skull with other and unspecified intracranial hemorrhage, unspecified state of consciousness 

Answer: The patient is high likely exposed to