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: this is a 67-year-old otherwise healthy female who was brought in by ems after sustaining an approximately 12 feet fall down stairs and falling on her back. she resides in but was visiting her son in who had construction going on at his house. apparently, mrs. lost her footing at the top of the landing and fell down the stairs landing on a wooden floor. she had a one minute loss of consciousness and was found lying on back. on the scene she demonstrated retrograde amnesia not remembering the incident and not quite knowing how or where she was specifically, how she got from to . she was complaining of back pain and shortness of breath and was transported to the by the ems. she arrived to the emergency room in hemodynamically stable condition, alert and oriented times three. her gcs was 15 and she was afebrile with vital signs stable. past medical history: none. past surgical history: none. medications at home: 1. evista. 2. aspirin. allergies: sulfa. physical examination: on presentation, vital signs included blood pressure of 131/70. heart rate of 106. oxygen saturation 94% on room air, 100% on four liters of oxygen with a respiratory rate of 18. in general, this is a pale female, alert and oriented times three who was clearly in pain with any movement. her head, eyes, ears, nose and throat exam showed a developing hematoma on the right side of her head. her pupils equally reactive to light. her oropharynx was clear. her tympanic membranes were clear. her heart was a regular rate and rhythm without any murmur. her lungs had decreased breath sounds on the right. her left side was clear. her abdomen was soft, nontender, otherwise benign. extremities showed no obvious deformities and she was moving all extremities well. this patient was also tender to palpation of the upper mid portion of the thoracic spine. initial laboratories: white blood cell count of 15 and a hematocrit of 33, platelet count of 142,000. sodium 145, potassium 3.8, chloride 107, bicarbonate 28. glucose 108. calcium 1.2. inr 1.1. her serum toxicology was negative. her lactate was 2.2, amylase 118. initial radiology: a chest x-ray was performed which showed a right hemathorax with multiple rib fractures on the right side. there was a small left hemothorax as well. the pelvis film was within normal limits. a ct of the head was negative. a ct of the neck was negative as well. imaging of the tls spine later confirmed with ct showed transverse process fractures of l2, l3 and l4, a compression fracture of l1 and fracture of l4. ct of the chest showed bilateral pulmonary contusions with a small right pneumothorax and a small right hemothorax consistent with chest x-ray. ct of the abdomen was negative. emergency department course: a right chest tube was placed while in the trauma bay due to the decreased breath sounds on the right and the hemothorax and no pneumothorax from the imaging. the patient was transferred to the intensive care unit and neurosurgery was consulted for her multiple spinal fractures. the following day on hospital day number two, the patient's c spine was cleared and she was considered stable and transferred to the floor. hospital course: by problem: 1. right pneumothorax and right hemothorax: a chest tube was placed in the emergency department with immediate drainage. the patient was put on aggressive pulmonary toilet. she was placed on oxygen by nasal cannula, serial hematocrits were obtained. on hospital day four, the chest tube was discontinued as its drainage was minimal, however, later that day it was noted that there was a significant hematocrit drop reaching a nadir of 25.8. the patient was transfused two units of red blood cells, repeat imaging showed increase in the hemothorax and a chest tube was subsequently replaced. re-imaging showed the chest tube to be in the subcutaneous tissue and this chest tube was withdrawn and another chest tube was properly placed. on hospital day seven, chest tube was removed due to minimal drainage, moderate sized pneumothorax was noted on the chest x-ray, however, the patient remained clinically stable with no increase work of breathing and oxygen saturations between 97-100% on room air. she was placed on nasal cannula oxygen and at time of dictation, serial chest x-ray's show the size of this pneumothorax to be improving. 2. thoracic spine injuries: neurosurgery was consulted to manage this patient's thoracic spine injuries. she received an mri and ct of the l spine. it was decided by the neurosurgery team that she would benefit from a tlso brace which was delivered on hospital day three after she was fitted for it, however, because she had a chest tube in place at that time, she was unable to wear this brace, thus, she was maintained on bedrest with strict log roll precautions lying supine. on hospital day seven after her chest tube was removed, mrs. was able to wear her tlso brace and was assisted with physical therapy to get out of bed to chair and to walk with assistance. when she was able to sit up wearing the brace, her diet was advanced from clear liquids to a normal diet. neurosurgery plans to see mrs. in two to four weeks after discharge for follow-up of her spinal fractures. 3. delirium: mrs. was given a combination of narcotics and benzodiazepines to help treat her pain. she began to become disoriented late on hospital day four. she became suspicious of nursing staff refusing blood draws, refusing to take medication, refusing to eat food. at that time, all benzodiazepines and narcotic medications were discontinued. on hospital day number six, her delirium had cleared by nighttime and she was alert and oriented times three, pleasant and cooperative. pain in controlled with tylenol. 4. urinary tract infection: on day six, mrs. complained of bladder spasms. a urinalysis was sent which was positive and she was started on levofloxacin. she should continue this for seven days. her foley was discontinued on hospital day seven after she was able to demonstrate with physical therapy her ability to be mobile. discharge status: mrs. will be discharged to an extended rehabilitation facility in stable condition. she is alert and oriented times three, able to ambulate with assistance, wearing the tlso brace. she is eating a regular diet. discharge diagnoses: 1. right pneumothorax and right hemothorax. 2. multiple right rib fractures. 3. thoracic spine fractures: l2, l3, l4, transverse process fractures, l1 compression fracture, l4 burst fracture. 4. closed head injury. 5. urinary tract infection. discharge medications: 1. colace 100 mg po b.i.d. 2. aspirin 1 gram every six hours as needed. 3. levofloxacin 500 mg q.d. for a total of seven days. last day on . discharge follow-up: 1. mrs. is to follow-up at the trauma clinic in two weeks. she can call to make an appointment. at that time, her lungs will be evaluated and the wound on her right side will be evaluated as well. 2. mrs. needs to follow-up with neurosurgeon, dr. , in two to four weeks. she may call to make an appointment. she will need to arrange for ap and lateral films of the thoracic spine prior to her appointment and she can call the same number to make arrangements for this. dr., 02-923 dictated by: medquist36 procedure: insertion of intercostal catheter for drainage transfusion of packed cells diagnoses: urinary tract infection, site not specified acute posthemorrhagic anemia traumatic pneumohemothorax without mention of open wound into thorax accidental fall on or from other stairs or steps drug-induced delirium closed fracture of lumbar vertebra without mention of spinal cord injury closed fracture of multiple ribs, unspecified closed fracture of clavicle, unspecified part contusion of face, scalp, and neck except eye(s) 

Answer: The patient is high likely exposed to