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: 78-year-old male, unrestrained passenger in a motor vehicle crash, questionable loss of consciousness, complaining of neck pain at an outside hospital where he was found to have a displaced c-spine fracture. he also was reported to have a v-tach arrest, which responded to two shocks and lidocaine at the outside hospital. on arrival, he was intubated. past medical history: chf, ejection fraction 20%, coronary artery disease, hypercholesterolemia. past surgical history: left carotid endarterectomy two years ago, left hernia repair. allergies: no known drug allergies. medications: 1. prinivil 20 mg p.o. q.day. 2. lasix 20 mg p.o. q.day. 3. digoxin 0.125 mg p.o. q.day. 4. atenolol 12.5 mg p.o. q.day. 5. aspirin 325 mg p.o. q.day. 6. lipitor 40 mg q.day. 7. zestril 20 mg q.day. 8. kcl 20 meq q.day. physical examination: heart rate between 80 and 20, blood pressure 160/80, saturations 100%, respiratory rate - on the vent. general: intubated. gcs: 11-t. opens eyes, follows commands, moves all extremities to command. superficial abrasion on forehead. perrla, 2 - 3 mm. trachea midline. cardiovascular: regular rate and rhythm. lungs clear to auscultation bilaterally. abdomen: bowel sounds present, nontender, flat. pelvis stable. extremities warm, no deformities. palpable dp pulses bilaterally. initial labs: 14.7, 34.6, 16.8. chem-7: 136, 4.4, 104, 19, 25, 1.2, 147. abgs: 7.29, 45, 167, 23, and -4. coags: 12.9, 28, 1.2. fibrinogen 381. initial radiology: the patient has a chest x-ray which showed opacities at bilateral upper lobes, consistent with contusion. ct of chest confirms pulmonary contusion. pelvis exam negative. ct of the chest otherwise unremarkable except for findings noted above. ct of abdomen and ct of pelvis negative. ct of the head showed no intracranial hemorrhage. ct of the c-spine showed a c3-c4 fracture with extensive soft tissue swelling, fusion secondary to ankylosing spondylosis. no cord abnormality. ct of the t-spine was done on which showed ankylosis but no fractures on the ct of t-spine and ct of l-spine. hospital course: the patient was admitted to the trauma surgical icu. in the surgical icu for the v-tach arrest the patient was placed on lidocaine drip. swan-ganz was placed. the patient had an angiogram to evaluate carotids, vertebral arteries, which was negative for injury. a-line was placed. orthopaedic spine was consulted, recommended steroid course for the patient. the patient was subsequently placed on methylprednisolone. the patient went to the o.r. on for a c3 to c4 vertebrectomy with open reduction of c3 to c4 fracture dislocation, and c3 to c4 fusion with an allograft. in the surgical icu, the patient had repeat episodes of decreased blood pressure and was given multiple fluid boluses. the patient's hematocrit decreased to 28. the patient was given two units of packed red blood cells on . on , the patient returned to the operating room for a c2 to c6 posterolateral fusion with instrumentation with dr. . he was transfused four units of red blood cells, no complications. on , the patient was weaned and extubated. on , the patient had an episode of decreased o2 sat, cyanosis, unresponsive, patient in asystole with a pulse, not responding to commands. the patient was reintubated, given 1 amp of atropine, 1 amp of epi. cpr continued. sternal pacing was initiated. baseline rhythm was present after code. left radial a-line was placed . after code episode, the patient developed weakness in the left upper extremity. head ct was performed which showed no infarct and no bleed, no changes from previous ct. tpn was started. ent was consulted for patient after three episodes of failed extubation. ent evaluated this patient for copious secretions, possible upper airway obstruction. bronch showing minimal secretions. laryngeal exam showed minimal to moderate edema, which would be expected in an intubated patient. the patient was placed on zosyn for uti and sputum culture positive for pseudomonas. the patient was weaned off tpn on , changed to tube-feeds. the patient failed extubation a total of three times in the unit and was reintubated. trach was placed on by dr. . the patient had passe muir speaking valve trial, which was successful. the patient had a swallow evaluation on , which patient failed. the patient had non-functional pharyngeal swallow reflex, thought secondary to cervical hardware and soft tissue swelling, which significantly limited the patient's swallowing ability. recommended peg tube. the patient is currently scheduled for a peg placement on . the patient subsequently stepped down to the floor on . right subclavian line was changed on . the patient was noted to have guaiac-positive stool on . hematocrit was checked, hematocrit decreased from 31.1 to 21. the patient was given two units of packed red blood cells, placed on sucralfate, and proton pump inhibitors. hematocrit remained stable. did not do upper endoscopy secondary to hardware in posterior neck. ng lavage was done, negative for blood. will refer patient for outpatient workup for lower gi bleeding source colonoscopy. will hold on gi consult as hematocrit is currently stable. while in hospital, the patient was also evaluated by cardiology on for questionable v-tach arrest. cardiology electrophysiology attending evaluated, reported v-tach arrest on arrival, questioned if true given baseline left bundle branch block. he is a candidate for coronary evaluation once improved, not recommended during this admission unless clinical situation changes. recommend increasing atenolol to 25 mg p.o. q.day, dc digoxin and aspirin q.d. once hematocrit is stable. discharge diagnoses: 1) c3-c4 fracture, status post c2 to c-6 posterolateral fusion, status post c3-c4 vertebrectomy with open reduction of c3-4 fracture dislocation and c3-c4 fusion with allograft. 2) status post arrest. 3) non-functional pharyngeal swallow. 4) failed extubation thought secondary to upper airway edema. 5) chf, ejection fraction 20%. 6) coronary artery disease. 7) hypercholesterolemia. 8) status post left carotid endarterectomy. discharge plan: 1) for the c3-c4 fracture, the patient should wear a hard collar for three months, follow up with dr. , orthopaedic spine physician, one month after discharge. 2) coronary artery disease, status post v-tach arrest. follow up with cardiology as outpatient. 3) gi bleed, follow up with gastroenterology for colonoscopy. 4) trauma clinic two weeks after discharge, . discharge medications: 1) atenolol 50 mg p.o. q.day. 2) pantoprazole 40 mg iv q.24. 3) sucralfate 1 gram p.o. q.i.d. per g-tube. 4) lisinopril 20 mg per ng q.day. 5) benadryl 25 mg q.h.s. p.r.n. insomnia. 6) tylenol 325 - 650 mg p.o. q. p.r.n. pain. 7) colace 100 mg p.o. b.i.d. 8) artificial tears 1 - 2 drops to left eye p.r.n. 9) dulcolax 10 mg per rectum p.r.n. constipation. discharge condition: stable. discharge disposition: to rehab. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube percutaneous [endoscopic] gastrostomy [peg] arteriography of cerebral arteries arterial catheterization laryngoscopy and other tracheoscopy temporary tracheostomy pulmonary artery wedge monitoring other cervical fusion of the anterior column, anterior technique cardiopulmonary resuscitation, not otherwise specified repair of vertebral fracture other cervical fusion of the posterior column, posterior technique diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified pneumonia due to pseudomonas cardiac arrest contusion of lung without mention of open wound into thorax motor vehicle traffic accident of unspecified nature injuring passenger in motor vehicle other than motorcycle closed fracture of c1-c4 level with unspecified spinal cord injury ankylosing spondylitis 

Answer: The patient is high likely exposed to