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: intubated and sedated major surgical or invasive procedure: left frontal bur hole and placement of ventriculostomy. 1. percutaneous tracheostomy. 2. percutaneous endoscopic gastrostomy placement. closed reduction of mandible fractures with intermaxillary fixation. 12/4/0 bronchoscopy history of present illness: pt is a 19 y/o male who was the driver in a mvc, his vehicle was struck by another car. he was conscious at the seen but his mental status declined and he was intubated and paralyzed for transport. ct head done at osh showed sdh, sah. he was transported to for further treatment. past medical history: none social history: lives with parents, unable to assess etoh or tobacco use family history: non contributory physical exam: temp 96 bp 149/90 hr 93 rr 16 o2 sat 100% gcs 3 at scene gen: intubated, sedated. c-collar in place. heent: pupils: 2.5 and nr neck collar in place chest clear cor rrr abd soft, non distended, diminished rectal tone, no gross blood ext no lacerations neuro: mental status: pupils 2.5 mm and nr.l corneal present. toes downgoing bilaterally wd le's to noxious stimuli. no ue wd. pertinent results: 05:30pm wbc-30.2* rbc-5.03 hgb-14.5 hct-45.3 mcv-90 mch-28.9 mchc-32.0 rdw-13.9 05:30pm plt count-324 05:30pm pt-18.0* ptt-27.7 inr(pt)-1.6* 05:30pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 05:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:40pm glucose-185* lactate-5.4* na+-141 k+-3.4* cl--104 tco2-20* 05:30pm urea n-14 creat-1.1 10:04pm type-art po2-432* pco2-48* ph-7.31* total co2-25 base xs--2 09:09pm alt(sgpt)-26 ast(sgot)-86* alk phos-89 tot bili-0.5 head ct : 1. stable left-sided cerebral subdural hematoma measuring up to 3.5 mm in thickness. 2. extensive subarachnoid hemorrhage, better assessed on prior study given the presence of residual iv contrast on the current exam from outside hospital ct injection. 3. scattered foci of parenchymal hemorrhage in the right frontal lobe are worrisome for shear injury and appear more conspicuous on this exam. 4. multiple right-sided facial bone fractures as detailed, right pterygoid fracture. please correlate with outside hospital facial bone ct for further details. 5. fracture line traversing the sella turcica, extending into the left carotid canal. a cta is needed to evaluate for carotid injury. 6. no midline shift or evidence of transtentorial herniation. please note, given the presence of extensive subarachnoid hemorrhage and areas of presumed shear injury, close monitoring/followup is advised. c spine : no acute cervical spine fracture or malalignment. rib fractures involving the posterior arch of left and right first ribs. ct chest/abd/pelvis : 1. tiny biapical pneumothoraces with extensive ground-glass and patchy posterior consolidation in the right lung compatible with aspiration and contusion. 2. posterior mediastinal hematoma at the level of the thoracic inlet likely related to adjacent rib fractures and associated hematoma. no evidence of great vessel injury. 3. bilateral first rib fractures as detailed, left proximal clavicular fracture. ct mandible : 1. multiple fractures as described above, not significantly changed since the prior study. left mandibular ramus fracture remains significantly displaced, but slightly less so than on the prior study. 2. increase in blood within the facial sinuses and slight increase in opacification of the left mastoid air cells. cta neck : normal ct angiography of the neck. no evidence of injury to the carotid artery is identified. multiple facial fractures and skull base fracture are identified. a posterior lung contusion is identified for which correlation with chest ct recommended. head ct : 1. post-surgical changes including right frontal bolt placement. 2. no significant change in subarachnoid and intraparenchymal hemorrhages particularly within the bifrontal lobes. no new foci of hemorrhage identified. 3. multiple facial bone fractures and opacification of the paranasal sinuses, not significantly changed. 4. no shift of normally midline structures. head ct : 1. improvement in overall degree of vasogenic edema and swelling of the brain, as evidenced by slightly increased size of the ventricles and extra-axial spaces. 2. resolving subarachnoid hemorrhage, evolving contusions, and multiple punctate or linear hyperdense foci at the -white matter junction, consistent with diffuse axonal injury, unchanged. no new foci of hemorrhage. 3. right transfrontal icp bolt in unchanged and apparently satisfactory position. right upper extremity ultrasound : -scale, color and pulse doppler evaluation of the right internal jugular, subclavian, axillary, brachial, basilic, and cephalic veins were performed. there is thrombus within the right cephalic vein from the mid upper arm to the antecubital fossa. the right internal jugular, subclavian, axillary, brachial and basilic veins demonstrate normal venous flow, and compressibility. head ct : 1. evolving vasogenic edema in bilateral frontal lobes around areas of presumed diffuse axonal injury. 2. hemorrhagic foci in the frontal lobes at the -white matter junctions appear improved. 3. stable ventricular size and stable position of right-sided ventriculostomy catheter. 4. complete opacification of bilateral mastoid and sphenoid sinuses is noted. opacification of the right frontal sinus appears improved. bilat lower ext duplex : no deep venous thrombosis in either lower extremity. head ct : 1. multiple areas of hypodensity within the bilateral frontal lobes, similar in distribution and configuration consistent with evolving vasogenic edema in the area of presumed diffuse axonal injury. 2. no evidence of acute new hemorrhage. 3. new right frontal subdural hypodense extra-axial fluid collection (2, 11). interval removal of right ventriculostomy catheter. 4. opacities in the paranasal sinuses as described above. cxr : there is a new tracheostomy tube in good location. the right ij line has been removed. there has been interval clearing of the left lower lobe infiltrate. the lungs are clear without focal infiltrate or effusion. a g-tube is in place however the stomach is distended kub : normal boel gas pattern brief hospital course: was evaluated by the trauma and neurosurgery services in the emergency room and admitted to the trauma icu for further management. he remained intubated and sedated. from a neurologic standpoint he initially had movement of his left arm and leg though not spontaneous but did not move his right side. his pupils were equal and reactive. he had bolt placed for icp monitoring and it was initially 20-22. he was sedated with propofol and fentanyl and his icp's were intermittently elevated > 25, usually due to stimulation. he subsequently had no change in his head ct but persistent elevated icp's so he underwent a left frontal bur hole and placement of ventriculostomy on . he received hyperosmolar therapy with mannitol and hypertonic saline and required prolonged sedation and paralytics. after control of his icp his paralytics and sedation was weaned off and his mannitol was slowly weaned. he was slowly making progress and gradually moving all extremities purposefully and tracking. during his icu stay he underwent percutaneous tracheostomy tube placement as well as a peg tube for nutrition given his long term needs. he had a left lower lobe infiltrate and copious secretions and was treated for ventilator acquired pneumonia. during this time he had high fevers and was pan cultured on multiple occasions. thus far all cultures are negative including blood, urine and sputum. his mandibular fracture was repaired on and his post ct scan revealed good alignment. his ventriculostomy tube was removed on and he was gradually displaying purposeful movements. he was able to be quickly weaned from the ventilator and had excellent oxygen saturations on a trach collar. he was tolerating his tube feedings at goal and was transferred to the step down unit on . he developed projectile vomiting following his transfer and his tube feedings were stopped. he had a normal kub, he was having bowel movements and did not seem to grimace upon abdominal exam. he subsequently went to interventional radiology and had his peg switched to a g-j tube. his tube feedings were restarted via the j port and he was tolerating full strength replete with fiber at 70cc/hr. the g port was clamped but used for medication administration. his abdomen remained soft and not distended and he had no further vomiting. he had a positive urinalysis on and was started on ciprofloxicin for a total of 7 days. urine culture grew pseudomonas aeruginosa. did have a j collaron until his c spine was cleared. of note, he developed a stage i pressure sore under his chin which healed with barrier cream. he also has a stage i coccyx ulcer treated with barrier cream and frequent repositioning. was evaluated by both occupational therapy and rehab services physical therapy on a daily basis. he was making improvement on a daily basis as far as tracking and responding to stimulation. he was out of bed daily with a lift and will be transferred to rehab for pt, ot and speech therapy with the hope of gradually returning to his baseline. medications on admission: none discharge medications: 1. acetaminophen 500 mg/5 ml liquid : ten (10) mls po q6h (every 6 hours) as needed for fever. 2. oxycodone 5 mg/5 ml solution : 5-10 mls po q4h (every 4 hours) as needed for pain. 3. ibuprofen 100 mg/5 ml suspension : thirty (30) mls po q6h (every 6 hours) as needed for fevers. 4. heparin (porcine) 5,000 unit/ml solution : 5000 (5000) units injection tid (3 times a day). 5. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed for constipation. 6. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily). 7. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day). 8. polyvinyl alcohol-povidone 1.4-0.6 % dropperette : drops ophthalmic prn (as needed) as needed for dry eyes. 9. prevacid solutab 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr once a day. 10. ciprofloxacin in d5w 400 mg/200 ml piggyback : four hundred (400) mgs intravenous q12h (every 12 hours): thru . discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis s/p motor vehicle crash with diffuse axonal injury 1. subdural hematoma 2. subarachnoid hematoma 3. right frontal interparenchymal hemorrhage 4. right maxillary sinus fracture 5. right zygomatic arch fracture 6. right pterygoid fracture 7. basilar skull fracture through sella 8. displaced left mandible ramus fracture 9. left comminuted clavicle fracture with hematoma 10. bilateral posterior left first rib fractures 11. posterior mediastinal hematoma 12. bilateral apical pneumothoraces 13. right lung aspiration 14. bilateral nasal bone fractures 15. non displaced right mandible ramus fracture 16. right cephalic thrombus discharge condition: level of consciousness: intermittently alert but not following commands; spontaneously moves extremities activity status:out of bed with assistance to chair or wheelchair - fall risk discharge instructions: you have sustained a traumatic brain injury following your motor vehicle crash and you are being transferred to a rehab facility for acute rehab including physical therapy, occupational therapy and speech therapy. you will receive another set of discharge instructions when you leave the rehab facility. follow up appointments are listed below. followup instructions: wednesday at 10am with dr. (omfs) , 3 please call ( to schedule a follow- up appointment in 4 weeks, with a non-contrast ct scan of the head, and repeat ct of the cervical spine with dr. . office is located in the medical building, . , , ma call to make a follow up appointment with dr. , trauma surgery in 4 weeks as well procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances other bronchoscopy percutaneous [endoscopic] gastrostomy [peg] intravascular imaging of intrathoracic vessels arterial catheterization arterial catheterization temporary tracheostomy closed [endoscopic] biopsy of bronchus excisional debridement of wound, infection, or burn linear repair of laceration of eyelid or eyebrow percutaneous (endoscopic) jejunostomy [pej] closed reduction of mandibular fracture closed reduction of mandibular fracture intracranial pressure monitoring magnetic removal of embedded foreign body from cornea diagnoses: urinary tract infection, site not specified unspecified protein-calorie malnutrition open wound of forehead, without mention of complication acute respiratory failure pressure ulcer, other site cerebral edema pressure ulcer, lower back traumatic pneumothorax without mention of open wound into thorax other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle ventilator associated pneumonia closed fracture of two ribs closed fracture of malar and maxillary bones closed fracture of orbital floor (blow-out) contusion of lung without mention of open wound into thorax foreign body accidentally entering other orifice pseudomonas infection in conditions classified elsewhere and of unspecified site contusion of chest wall closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration closed fracture of clavicle, unspecified part closed fracture of nasal bones pressure ulcer, stage i foreign body in main bronchus closed fracture of mandible, ramus, unspecified abrasion or friction burn of hip, thigh, leg, and ankle, without mention of infection closed fracture of mandible, angle of jaw acute venous embolism and thrombosis of superficial veins of upper extremity 

Answer: The patient is high likely exposed to