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: the patient is a 20-year-old gentleman who fell five feet off a porch with loss of consciousness and unresponsiveness. the patient had been on a week-long binge of heroin and ethanol. the patient presented to an outside hospital unresponsive to pain with stimulation and was intubated and paralyzed. a head computed tomography showed a basilar skull fracture and a subarachnoid hemorrhage. the patient was transferred to for further management. physical examination on presentation: on admission, the patient's temperature was 99.6 degrees fahrenheit and his blood pressure was 145/palp. he was intubated and sedated but was moving all four extremities spontaneously. he was opening his eyes. his pupils were 2 mm down to 1 mm. his lungs were clear to auscultation. he was bradycardic with a regular rhythm. his abdomen was soft. the pelvis was stable. extremities with multiple tattoos. no abrasions. spine with no stepoff. pertinent laboratory values on presentation: laboratories on admission revealed the patient's white blood cell count was 33.6, his hematocrit was 41.9, and his platelets were 377. the patient's chemistry-7 revealed sodium was 142, potassium was 3.7, chloride was 103, bicarbonate was 21, blood urea nitrogen was 11, creatinine was 0.1, and his blood glucose was 136. pertinent radiology/imaging: a chest x-ray showed no pneumothorax. a head computed tomography revealed a subarachnoid hemorrhage and left frontotemporal contusion, and intraparenchymal hemorrhage, and multiple basal skull fractures. a computed tomography of the spine was negative. a computed tomography angiogram of the head and neck revealed no evidence of neurovascular injury. concise summary of hospital course: the patient was admitted to the trauma surgical intensive care unit for close neurologic and vital sign observation. the patient had blossoming of contusions on repeat computed tomography scan 24 hours after his admission. the patient continued to move his extremities spontaneously and purposefully. his pupils were 6 mm down to 3 mm and symmetric. he was opening his eyes spontaneously. on , the patient's condition deteriorated. he became less responsive. a head computed tomography showed further blossoming of contusions, and a ventricular drain was placed on . on , the patient's intracranial pressure continued to climb and his hydrocephalus was worse despite ventricular drain placement. the patient was taken to the operating room for evacuation of the subdural hematoma, the left frontotemporal hematoma, and craniectomy. postoperatively, he lifted his lower extremities off the bed to sternal rub with the left upper extremity. no movement of the right upper extremity. withdrew the lower extremity. the right upper extremity was flaccid and areflexive. the pupils were equal and reactive. the brain flap was very tight. on , the patient was intubated, off propofol, slightly sedated, withdrew his left upper extremity and lower extremities to painful stimulation localized on the left. there was still no movement of the right upper extremity. the pupils were equal and reactive to light. he had a diagnostic angio to rule out vascular malformation which was ruled out. postoperatively, the patient's condition was stable. on , the patient was still intubated and was moving the left side spontaneously. his eyes were slightly open. the pupils were 4 mm down to 3 mm. the gaze was not conjugant. the brain flap was tense. we continued to be monitored with a ventricular drain in place leveled at 10 cm above the tragus. the patient continued to be worked up for fevers. currently on oxacillin for ventricular drain coverage. the patient was on no other antibiotics at this point. levofloxacin was added for gram-negative blood cultures that were positive from and gram-negative rods in his sputum. the cerebrospinal fluid remained negative (culture wise). on , the patient had tracheotomy and percutaneous endoscopic gastrostomy tube performed without complications. postoperatively, his vital signs were stable. he continued to spike a temperature to 102.3 degrees fahrenheit. he had enterobacter grow out from his blood cultures from and staphylococcus aureus from his sputum from . the cerebrospinal fluid continued to remain stable and without infection on the tracheostomy mask. on off the ventilator, his vital signs remained stable. he continued to be awake. he was moving the left side spontaneously. the right side with a right facial droop and was moving right upper extremity slightly. he was following commands on the left side, localizing in the right upper extremity. he continued to improve neurologically. santalol was discontinued on . on , the ventricular drain was raised to 18 cm above the tragus. the patient tolerated this well. he remained neurologically awake and alert. he was following commands in all extremities. the patient was opening his eyes. on , the patient spiked a temperature to 102.1 degrees fahrenheit and was fully cultured. the patient had 2+ gram-positive cocci in his sputum. urine cultures were pending. blood cultures were pending. the patient was started on vancomycin for gram-positive cocci in his sputum, and oxacillin was discontinued. the patient was awake and alert. he was following commands and was moving all extremities spontaneously and purposefully. the brain flap was soft but prominent. the patient's ventricular drain was clamped at this point (on ). on , the patient pulled out his ventricular drain. it was replaced without complications. the patient was taken to the operating room on for cranioplasty and replacement of bone flap. the patient tolerated the procedure well. postoperatively, the patient remained neurologically stable status post cranioplasty and status post bone flap replacement. he tolerated that without any changes in his neurologic status, and his ventricular drain was eventually clamped and discontinued. the ventricular drain was discontinued on along with the - drain that was in place. the patient was seen by the rehabilitation service and was followed by the physical therapy service and occupational therapy service. he was transferred to the regular floor on . he has remained neurologically stable to date. he was alert, awake, and oriented times three. he was moving all extremities. he was walking with some assistance. his vital signs have been stable. he has been afebrile. his gastrojejunostomy tube had been removed. his foley catheter was out. he was voiding spontaneously. he was tolerating a regular diet and walking with some assistance. discharge disposition: the patient was to be discharged to the hospital with followup with dr. in one month. the patient's staples should be removed on postoperative day fourteen from his cranioplasty surgery incision (which was on ). condition at discharge: the patient's condition on discharge was stable. medications on discharge: (his medications at the time of discharge included) 1. ? one to two tablets by mouth q.4h. as needed. 2. colace 100 mg by mouth twice per day. 3. trazodone 50 mg by mouth at hour of sleep as needed. 4. levofloxacin 500 mg by mouth q.24h. 5. lacri-lube one application both eyes four times per day as needed. 6. artificial tears 1 to 2 drops both eyes as needed. 7. famotidine 20 mg by mouth twice per day. 8. metoprolol 50 mg by mouth three times per day (hold for a heart rate of less than 60 or blood pressure less than 100). 9. heparin 5000 units subcutaneously q.12h. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries intravascular imaging of intrathoracic vessels other nonoperative replacements temporary tracheostomy other cranial osteoplasty transfusion of packed cells transfusion of other serum diagnoses: obstructive hydrocephalus alcohol abuse, unspecified cocaine abuse, unspecified bacteremia methicillin susceptible pneumonia due to staphylococcus aureus streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] opioid abuse, unspecified accidental fall from or out of building or other structure closed fracture of base of skull with cerebral laceration and contusion, with loss of consciousness of unspecified duration 

Answer: The patient is high likely exposed to