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: tramadol attending: chief complaint: s/p assault major surgical or invasive procedure: none history of present illness: 42m s/p assault, +etoh, agitated on scene, transfer from with multiple facial fractures. there was bright red blood that came out once intubated past medical history: pmh: htn, scoliosis psh: umbo hernia repair social history: he is homeless and currently staying at the emmaus shelter in ma. he has been saving up money to try to make a trip down to see his daughter. of note, pt also has a 1 yo son in fl. family history: non-contributory physical exam: on admission: temp: 97.8 hr: 110 bp: 147/104 resp: 28 o(2)sat: 88% low constitutional: agitated heent: bilateral periorbital edema and ecchymosis, pupils equal, round and reactive to light, chemosis of the left eye but no proptosis, able to see finger motion from left eye dried blood in bilateral nares chest: clear to auscultation cardiovascular: tachycardic, regular abdominal: soft, nontender, nondistended gu/flank: no costovertebral angle tenderness extr/back: no cyanosis, clubbing or edema skin: laceration over forehead neuro: slurred speech, moving all extremities psych: intoxicated heme//: no petechiae pertinent results: ct sinus/mandible/maxillofacial w/o contrast 1. complex facial fractures as described above including the frontal bone (both anterior and posterior lamina), the cribriform plate, bilateral lamina papyracea, bilateral orbital floors (left is depressed by 8 mm, non-depressed on the right), the left anterior and posterior maxillary sinus walls, the right anterior maxillary sinus wall, and the nasal bones. 2. bilateral preseptal periorbital hematomas, more on the left than the right, and extending inferiorly into the left premaxillary soft tissue region. ct head w/o contrast study date of 7:36 pm impression: 1. no acute intracranial hemorrhage. 2. multiple facial bone fractures as described above and better assessed on the concurrent facial bone ct. ct c-spine w/o contrast study date of 7:37 pm impression: no acute fracture or malalignment 07:36pm wbc-31.0* rbc-4.78 hgb-14.7 hct-44.7 mcv-94 mch-30.7 mchc-32.8 rdw-13.1 07:36pm plt count-345 07:36pm pt-10.9 ptt-26.5 inr(pt)-1.0 07:36pm fibrinoge-352 07:36pm urine color-straw appear-clear sp -1.050* 07:36pm urine rbc-2 wbc-<1 bacteria-none yeast-none epi-0 07:36pm urine mucous-rare 07:36pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 07:36pm asa-neg ethanol-87* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:36pm lipase-33 07:36pm urea n-5* creat-0.5 07:45pm freeca-1.09* 07:45pm hgb-15.0 calchct-45 o2 sat-92 carboxyhb-5 met hgb-0 07:45pm glucose-216* lactate-3.5* na+-143 k+-3.7 cl--107 tco2-20* 07:45pm ph-7.31* comments-green tube 09:50pm o2 sat-96 09:50pm type-art rates-18/7 tidal vol-550 peep-5 o2-100 po2-126* pco2-44 ph-7.26* total co2-21 base xs--6 aado2-547 req o2-90 intubated-intubated brief hospital course: the patient was transferred to the icu for close monitoring. he was extubated in the morning and was responsive. his facial lacerations were sutured by plastic surgery. he was placed on sinus precautions with head of bed elevation and antibiotics. ophthalmology saw the patient given orbital fractures. the patient reported no change in vision. follow up was recommended 2-3 weeks after discharge. he was breathing well on room air and his diet was advanced to regular. tertiary survey did not reveal further injuries. he was stable and transferred to the floor on hd3. on the floor he remained alert and oriented. his vital signs and respiratory status remained stable. he was tolerating a regular diet and voiding adequate amounts of urine without difficulty. occupational therapy was consulted for cognitive evaluation who recommended outpatient follow up with cognitive neurology after discharge. social work was consulted given the circumstances around the accident and +etoh use. he was provided provided with victim's compensation info and contact info for . he was discharged home with plans to stay with his sister on . medications on admission: none discharge medications: 1. acetaminophen 1000 mg po q6h 2. oxycodone (immediate release) 5-15 mg po q4h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every four (4) hours disp #*50 tablet refills:*0 3. tramadol (ultram) 50 mg po qid rx *tramadol 50 mg 1 tablet(s) by mouth every six (6) hours disp #*40 tablet refills:*0 4. docusate sodium 100 mg po bid discharge disposition: home discharge diagnosis: s/p assault: multiple facial fractures discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after an assault. you sustained multiple broken bones in your face. you were seen by the plastic surgeons and ophthalmologists to evaluate your injuries. please follow up at the appointments scheduled for you below. it is recommended that you maintain sinus precautions because of your injuries. sinus precautions means: 1. do not smoke for several days. 2. do not use straws for several days. 3. do not forcefully blow your nose for at least 2 weeks, even though your sinus may feel ??????stuffy?????? or there may be some nasal drainage. 4. try not to sneeze; it will cause undesired sinus pressure. if you must sneeze, keep your mouth open. 5. eat only soft foods for several days, always trying to chew on the opposite side of your mouth. 6. do not rinse vigorously for several days. gentle salt water swishes may be used. 7. keep your head elevated at at least 30 degrees to decrease the swelling and pressure in your face. you will receive a prescription for pain medicine to take by mouth. it is important to take this medicine as directed. do not take it more frequently than prescribed. do not take more medicine at one time than prescribed. do not drink alcohol or drive while taking narcotic pain medication. your pain medicine will work better if you take it before your pain gets too severe. constipation is a common side effect of narcotic pain medications. if needed, you may take a stool softener (such as colace, one capsule) or gentle laxative (such as milk of magnesia, 1 tbs) twice a day. you can get both of these medicines without a prescription. followup instructions: department: div of plastic surgery when: friday at 2:45 pm with: , md building: lm bldg () campus: west best parking: garage department: center when: wednesday at 3:00 pm with: , md building: sc clinical ctr campus: east best parking: garage please call the greater family health center for further medical assistance at: , phone:( please call dr. office in behavioral neruology to schedule an appointment to be seen withinthe next 2-3 weeks. his office number is , ask for his administrative to assist you with booking this appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours closure of skin and subcutaneous tissue of other sites diagnoses: unspecified essential hypertension open wound of forehead, without mention of complication closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) assault by unspecified means lack of housing closed fracture of base of skull without mention of intra cranial injury, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to