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: patient recorded as having no known allergies to drugs attending: chief complaint: head trauma s/p motorcycle accident major surgical or invasive procedure: none, only angiography, ct scans, xrays and mri history of present illness: 56m s/p motorcycle vs. car, tx from . tbi c/ sm sdh, mult facial fx. + loc, amnestic of events. pt ran into an auto going 30-40 mph and flew 50 feet, per report. wearing a helmet, but landed on r face. suffered road rash over r side of body, mainly rue. past medical history: htn social history: lives with wife, social etoh, no smoking, no illicit drugs family history: nc physical exam: gen: in distress, verbally responsive heent: perrl, r temporal abrasion, op clear neck: trach midline pulm: ctab cv: rrr gi: soft, nd gu: foley in neuro: grossly intact psych: appropriate pertinent results: 04:57pm type-art temp-37.1 rates-/16 o2 flow-3 po2-85 pco2-41 ph-7.46* total co2-30 base xs-4 intubated-not intuba 04:57pm glucose-117* lactate-1.9 04:57pm freeca-1.05* 04:39pm glucose-120* urea n-10 creat-0.8 sodium-138 potassium-3.6 chloride-102 total co2-27 anion gap-13 04:39pm calcium-8.0* phosphate-3.5 magnesium-2.1 04:39pm wbc-10.5 rbc-3.94* hgb-12.1* hct-35.0* mcv-89 mch-30.6 mchc-34.5 rdw-13.5 04:39pm plt count-263 04:39pm pt-12.5 ptt-24.2 inr(pt)-1.1 08:29am glucose-190* urea n-10 creat-1.0 sodium-138 potassium-4.1 chloride-100 total co2-25 anion gap-17 08:29am calcium-8.4 phosphate-2.5* magnesium-2.0 08:29am wbc-12.5* rbc-4.30* hgb-13.1* hct-37.4* mcv-87 mch-30.5 mchc-35.0 rdw-13.6 08:29am plt count-286 08:29am pt-12.8 ptt-20.9* inr(pt)-1.1 02:35am glucose-186* urea n-10 creat-0.9 sodium-138 potassium-4.5 chloride-99 total co2-26 anion gap-18 02:35am calcium-8.7 phosphate-2.1* magnesium-2.0 02:35am wbc-16.8* rbc-4.53* hgb-13.8* hct-40.0 mcv-88 mch-30.3 mchc-34.4 rdw-13.3 02:35am plt count-325 12:21am comments-green top 12:21am glucose-186* lactate-3.4* na+-139 k+-4.1 cl--97* 12:21am hgb-14.7 calchct-44 o2 sat-97 12:21am freeca-1.05* 12:05am glucose-200* urea n-12 creat-1.1 sodium-139 potassium-4.7 chloride-99 total co2-28 anion gap-17 12:05am estgfr-using this 12:05am amylase-24 12:05am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:05am urine hours-random 12:05am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 12:05am wbc-20.9* rbc-4.48* hgb-13.6* hct-39.3* mcv-88 mch-30.4 mchc-34.7 rdw-13.6 12:05am plt count-310 12:05am pt-12.3 ptt-20.5* inr(pt)-1.0 12:05am fibrinoge-392 12:05am urine color-yellow appear-clear sp -1.021 12:05am urine blood-neg nitrite-neg protein-tr glucose-tr ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:05am urine rbc-1 wbc-1 bacteria-rare yeast-none epi-0 renal epi- 12:05am urine mucous-rare 12:05am urine hyaline-0-2 ct head: 1. multiple right-sided facial fractures, small right subdural hematoma within the right middle cranial fossa. extensive hemorrhage within the maxillary sinuses and sphenoid sinuses. 2. fracture line extending into the sella turcica is concerning for injury to the carotid arteries. ct torso: 1. no acute intrathoracic, abdominal or pelvic injury. 2. fatty infiltration of the liver. 3. diverticulosis. ct c-spine: possible widening of the anterior interspace at the c5-6 level. if there is any concern for cervical spine injury, an mri of the cervical spine is recommended. apparent fracture of the anterior portion of the vertebral artery canal at the level of c2. cta of the neck is recommended to exclude vertebral artery injury. ct face: 1. multiple facial fractures, predominantly right-sided. concerning fracture to the sella and area of the cavernous sinus. this raises concern for carotid injury. followup cta of the head and neck is recommended. 2. nondisplaced right lateral wall orbital fracture with tiny foci of intraorbital air. xray pelvis, r femur, r knee, r tib/fib: no fx cta head/neck: irregular and diminutive caliber of the right cavernous and supraclinoid ica concerning for vascular injury. numerous skull base and facial fractures as detailed on the recent ct of the facial bones. stable right middle fossa subdural hematoma without significant mass effect on the underlying brain. b/l carotid imaging: very slight narrowing of a portion of the right cavernous carotid artery without evidence of intimal flap or pseudoaneurysm formation. although considered unlikely, dissection is not entirely excluded. the left internal carotid artery and left vertebral arteries are normal. xray r shoulder: moderate glenohumeral joint osteoarthritis. mri lumbar spine: the lumbar vertebral bodies are normal in signal intensity, morphology and alignment. the conus is grossly unremarkable. there is no evidence for epidural hematoma or compression. no significant canal stenosis is seen. there is mild lumbar spondylosis in the lower lumber spine. no acute posttraumatic sequela in the lumbar spine seen. mri c-spine: the study is somewhat motion degraded. within limits of this examination, there is no evidence for compression fracture or abnormal marrow signal. no evidence for ligamentous injury or cord contusion is seen. there is a left paracentral disk protrusion at c5- c6 which narrows the left neural foramen. there are and disk-osteophyte complexes at c3-c4 and c4-c5 without significant stenosis. no evidence for acute posttraumatic injury to the cervical spine. cervical spondylosis most prominent at c5-c6. brief hospital course: pt was transferred by to the ed and admitted to the trauma surgery service under attending physician . . the patient spent the first night in the tsicu for frequent neuro checks. he was not intubated at any time. he was loaded on dilantin for small sdh. there was initial concern for carotid injury per the intial ct scan of the head and neck, but further angiography and finally mri was able to deny the presence of carotid injury. the patient's spine was cleared clinically and he was transferred to the floor without incident. did well the following day and pt was consulted and recommended no rehab at this time. the patient had plastic surgery, ortho spine and neurosurg consults, and each service will follow the patient as an outpatient. his facial fractures were non-operative at this time. medications on admission: unk htn medication discharge medications: 1. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). disp:*40 capsule(s)* refills:*2* 2. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day) for 5 days. disp:*15 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: large r frontal subgaleal hematoma r greater sphenoid fx extending into the sellae 1.7 cm fragment fx of the right temporal process small right sdh in middle cranial fossa mult facial fx, predominantly r-sided, incl. fx of the right zygomatic arch and pterygoid plates. nondisplaced r lat wall maxillary sinus fx with tiny foci of intraorbital air. discharge condition: good, tolerating po, ambulating and voiding without difficulty, pain well-controlled discharge instructions: please be careful when riding your motorcycle. always wear a helmet. please take your medications as directed. you need to take dilantin for 5 more days to prevent seizures. call your doctor or return to the emergency department right away if any of the following problems develop: * prolonged nausea * vomiting * confusion, drowsiness, change in normal behavior * trouble walking, or speaking (slurred speech) * numbness or weakness of an arm or leg. * severe headache * convulsions or seizures * any other worrisome symptoms followup instructions: please call to make an appointment with dr. in the trauma clinic in weeks to assess your injuries. the number is (. please call the plastic surgery clinic to schedule a follow up appointment for this friday () to recheck your facial fractures. the number is (. also tell them that you need to have the stitches taken out of your leg. please make a follow up appointment with clinic, dr. , in 8 weeks to get a repeat cat scan of your head to make sure your recovery is progressing. you need to tell the office that they need to order a 'non-contrast head ct with 2.5 millimeter cuts'. the number is: (. procedure: arteriography of cerebral arteries arterial catheterization diagnoses: unspecified essential hypertension other motor vehicle traffic accident involving collision with motor vehicle injuring motorcyclist closed fracture of malar and maxillary bones closed fracture of other facial bones open wound of knee, leg [except thigh], and ankle, without mention of complication closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to