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: cefaclor attending: chief complaint: s/p atv accident with traumatic brain injury major surgical or invasive procedure: right bolt placed right chest tube for pneumothorax history of present illness: this is a 22 y/o patient who was transferred from osh s/p fall off dirt bike at approximate speed of 35 mph. he was wearing a helmet and fell over the handlebars. he was found to be combative by ems with gcs 6. he was intubated and sedated at osh, no imaging was performed. he was transferred to for further management. mannitol 75 mg given prior to admission. past medical history: none social history: + tobacco etoh - family history: non contributory physical exam: on admission: temp 98 hr47 bp 152/93 intubated heent blood in both ears and oropharynx, right pupil 2mm and reactive, left pupil 4mm and non reactive neck cervicle collar in place chest clear and equal breath sounds bilat, no deformities cor rrr abd no masses, right and left flank abrasions ext toes upgoing on left, feet warm pertinent results: 06:05pm wbc-21.6* rbc-4.85 hgb-15.0 hct-43.6 mcv-90 mch-30.9 mchc-34.4 rdw-13.0 06:05pm plt count-292 06:05pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:07pm glucose-88 lactate-1.4 na+-138 k+-3.3* cl--101 tco2-23 08:11pm glucose-100 urea n-14 creat-1.0 sodium-136 potassium-4.6 chloride-101 total co2-23 anion gap-17 head ct :1. bilateral subarachnoid hemorrhage. possible tiny left cerebral subdural hemorrhage measuring less than 2 mm. 2. hemorrhage within the prepontine cistern and in the pons (anteriorly). linear hyperdensity anterior to the pons is likely extraaxial. 3. bilateral longitudinal temporal bone fractures extending to the right carotid canal. left lateral and medial orbital wall fractures and left zygomatic fracture. cta is recommended to exclude carotid injury. 4. sinus opacification with fractures of the sphenoid sinus. abd/chest ct : 1. et and ng tubes positioned adequately. 2. consolidation in the superior segment of the right lower lobe and complete consolidation of the left lower lobe which reflect aspiration. 3. anterior mediastinal density which is most compatible with residual thymic tissue. no evidence of aortic injury. 4. nonspecific hypodense lesions in the liver and right kidney which are incompletely characterized c spine ct : 1. no cervical spine fracture. 2. bilateral skull base fractures, better evaluated on dedicated head ct. 3. secretions within trachea surrounding endotracheal balloon concerning for aspiration. left forearm : no fracture of the left forearm is detected. assessment of the left wrist is limited on these views. allowing for this, the left wrist is grossly unremarkable. however, if there is specific clinical concern for wrist injury, dedicated views of the wrist would be recommended. cta head : 1. no evidence of carotid artery dissection. 2. focal abnormality of the right aca just superior to the aca/acom junction. this likely represents tortuosity of vessel, although tiny focal aneurysm cannot be excluded. repeat cta or mra could be performed in two to three weeks for further evaluation. 3. multiple bilateral skull base fractures, unchanged. 4. bilateral subarachnoid hemorrhage and hemorrhage anterior to the pons within the interpeduncular cistern is better appreciated on non-contrast head ct performed earlier. head ct : 1. apparent resolution of subarachnoid hemorrhage. 2. persistence of possible left cerebral subdural hemorrhage. 3. bilateral longitudinal temporal bone fractures and left lateral medial orbital wall fractures and left zygomatic fracture (see ct fromseptember 20, for details). 4. sphenoid sinus opacification and sphenoid fractures. 5. high-density material in the bilateral maxillary sinuses is likely hemorrhage. ct sinus/mandible : there is partial opacification of bilateral mastoid air cells as well as fluid seen within the left external auditory canal. high-density material is seen within the bilateral maxillary sinuses and sphenoid sinuses compatible with blood. the right skull base fracture extends longitudinally through the temporal bone (series 2, image 39; series 401b, image 16). there is also a fracture that extends from the right posterior wall of the sphenoid sinus (series 401b, image 41; series 2, image 41) into the right carotid canal. a longitudinal left temporal bone fracture is noted that extends into the left parietal bone superiorly series 2, image 4).there is a minimally displaced fracture of the left zygoma (series 2, image 35) as well as the left lateral wall of the left orbit. a thin lucency noted at the superomedial aspect may represent a subtle fracture. no obvious extension into the tmj is noted, the lucency noted on the studies in the posterior aspect of the tmj relating to the site of of the mastoid and squamous portions of the temporal bone and seen on both sides. thin non-displaced fracture of the lateral pterygoid is noted on the left. scattered foci of air are noted including the right side of the neck , related to the trauma. evaluation for any other subtle fractures may be limited. cta chest : 1. enlarged now moderate-to-large left pneumothorax. left chest tube terminates in the anterolateral subcutaneous soft tissues of the chest wall. slight rightward shift of midline structures. 2. pneumomediastinum. subcutaneous gas along bilateral anterior chest wall, tracking up to the thoracic inlet on the left. right chest wall laceration. 3. multifocal consolidation involving all lobes of the lungs, likely due to aspiration and pneumonia. 4. assessment is slightly limited due to respiratory motion, particularly along the lingula, but no evidence of pe seen. mri c spine ; negative cervical spine mri scan. incomplete study of the thoracic spine. mri head and orbits : 1. punctate hemorrhagic diffuse axonal injury in the left parietal subcortical white matter, and possibly also in the left posterior frontal subcortical white matter. extensive diffuse axonal injury in the splenium of the corpus callosum and associated infarction, with a small hemorrhagic component. 2. probable evolving acute/early subacute infarct in the right pons, which is nonspecific but could be related to nonhemorrhagic axial injury. 3. bilateral small retrocerebellar subdural hematomas. 4. subarachnoid hemorrhage again demonstrated. 5. unremarkable appearance of the orbits. cxr : near resolution of left apical pneumothorax. brief hospital course: was admitted to the trauma icu for management of his traumatic brain injury. his gcs at the scene was 3 and 7 at the time of admission. he was seen by the neurosurgical service for evaluation and placement of a bolt for icp monitoring.his initial icp was 10. his left pupil was fixed and dilated and he had a left hemiparesis. his right upper and lower extremities were moving. he did require sedation while he was intubated as he was very agitated. from a neurologic standpoint he has had marked improvement during his hospitalization. he was treated with dilantin for 12 days and had no seizure activity. following his extubation from the respirator he was able to speak and understand, respond to commands and his left sided weakness improved. he continued to have a left hp though this had been improving daily. most recent mri of the c and t spine showed no cord contusion. mri of his brainshows axonal injury parietal and frontal white matter on left aswell as in the left corpus collosum and the right pons infarct,likely the cause of his left hemiparesis. his left cn iii palsey is unchanged. with the help of physical therapy he is up and walking but needs to refocus and needs reminders to concentrate. developed drainage from his right ear about 1 week ago and the consistency was old blood. he was reevaluated by the neurosurgery service to assure that it was not csf. his drainage gradually decreased and resolved 48 hours ago. he will continue to follow up with neurosurgery as an outpatient. he was treated with antibiotics in the icu for a presumed pneumonia. his cxr is notable for b/l atelectesis and he has remained afebrile off antibiotcs for 24 hours. he is using his incentive spirometer. on a right chest tube was placed for a hemothotax and this drained and was removed without difficulya few days later. there is no effusion or pneumothorax on his post pull film. his nutritional status is being monitored and he is tolerating a regular diet with nectar thick liquids. he has been seen by the speech and swallow service who recommend strict aspiration precautions and a repeat study after he gets settled in rehab. during his hospitalization his family has been with him 24/7 and are very supportive, attentive and concerned for his future recovery. they will appreciate updates as his condition improves or changes. medications on admission: none discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. docusate sodium 50 mg/5 ml liquid sig: ten (10) mls po bid (2 times a day). 4. white petrolatum-mineral oil 42.5-56.8 % ointment sig: one (1) appl ophthalmic prn (as needed) as needed for dry eyes. 5. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever/pain. 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 7. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 8. olanzapine 10 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po at bedtime. 9. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush: thru . discharge disposition: extended care facility: hospital - discharge diagnosis: traumatic brain injury s/p atv accident with 1. sah 2. sdh 3. temporal bone fractures b/l 4. sphenoid sinus fracture 5. maxillary fracture 6. right pneumothorax 7. pneumonia 8. left eye fixed and dilated secondary to left 3rd nerve pupillary fibers affected by orbit fracture discharge condition: improved, stable hemodynamics, walking with assistance,eating a soft diet but needs direction and supervision discharge instructions: ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. follow the physical therapists's recommendations ?????? 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. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change 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: call clinic at for a follow up appointment in 4 weeks. call dr. at for a follow up appointment in 6 weeks call the plactic surgery clinic at for a follow up appointment in wks. call clinic at for a follow up appointment in 2 weeks call clinic at for a follow up appointment in 4 weeks procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: tobacco use disorder traumatic pneumohemothorax without mention of open wound into thorax pneumonitis due to inhalation of food or vomitus methicillin susceptible pneumonia due to staphylococcus aureus nontraffic accident involving other off-road motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of other facial bones hemiplegia, unspecified, affecting unspecified side optic nerve injury open wound of chest (wall), without mention of complication open fracture of malar and maxillary bones closed fractures involving skull or face with other bones with subarachnoid, subdural, and extradural hemorrhage, unspecified state of consciousness 

Answer: The patient is high likely exposed to