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: back and leg pain major surgical or invasive procedure: anterior/posterior lumbar fusion with instrumentation history of present illness: mr. has a long history of back and leg pain. he has attempted conservative therapy and has failed. he now presents for surgical intervention. past medical history: pmh: htn, headaches, seizure d/o (last 2 yrs ago), pud, back pain psh: orif left tib/fib, orif left heel, orif r ankle, social history: previous smoker family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd bue- good strength at deltoid, biceps, triceps, wrist flexion/extension, finger flexion/extension and intrinics; sensation intact c5-t1 dermatomes; - , reflexes symmetric at biceps, triceps and brachioradialis ble- good strength at hip flexion/extension, knee flexion/extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact l1-s1 dermatomes; - clonus, reflexes symmetric at quads and achilles; + sciatica pertinent results: 05:45am blood wbc-21.2* rbc-3.69* hgb-10.7* hct-31.8* mcv-86 mch-29.1 mchc-33.6 rdw-13.4 plt ct-764* 01:46am blood wbc-16.4* rbc-3.14* hgb-9.0* hct-26.9* mcv-86 mch-28.7 mchc-33.5 rdw-13.3 plt ct-652* 06:35am blood wbc-16.7* rbc-3.48* hgb-10.0* hct-29.9* mcv-86 mch-28.6 mchc-33.3 rdw-13.4 plt ct-541* 06:15am blood wbc-12.7* rbc-3.69* hgb-10.3* hct-30.5* mcv-83 mch-27.8 mchc-33.7 rdw-14.0 plt ct-519* 05:45am blood plt ct-764* 09:55am blood plt ct-504* 01:46am blood glucose-108* urean-7 creat-0.5 na-133 k-4.0 cl-94* hco3-29 angap-14 06:15am blood glucose-128* urean-6 creat-0.5 na-136 k-4.0 cl-99 hco3-30 angap-11 01:46am blood calcium-8.7 phos-3.5 mg-1.7 brief hospital course: mr. was admitted to the spine surgery service on and taken to the operating room for l4-s1 interbody fusion through an anterior approach. please refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were given per standard protocol. initial postop pain was controlled with a pca. on hd#4 () he returned to the operating room for a scheduled l4-s1 decompression with psif as part of a staged 2-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the pacu in a stable condition. postoperative hct was low and he was transfused prbcs with good effects. a bupivicaine epidural pain catheter placed at the time of the posterior surgery remained in place until postop day one. evening of his posterior surgery, mr. experienced uncontrollable pain and was transfered to the t/sicu for pain control. his pain was better controlled over the next 36 hours and he was transfered back to the . he was kept npo until bowel function returned then diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#2 from the second procedure. he was fitted with a lumbar warm-n-form brace for comfort. physical therapy was consulted for mobilization oob to ambulate. he experienced a post-op fever and incentive spirometer was encouraged with good effect. he was diagnosed with a uti and given cipro. hospital course was otherwise unremarkable. on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. medications on admission: prilosec, prozac, hctz, lisinopril, po dilaudid discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). disp:*60 * refills:*2* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. hydrochlorothiazide 12.5 mg capsule sig: 0.5 capsule po daily (daily). 4. fluoxetine 20 mg capsule sig: two (2) capsule po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. amitriptyline 25 mg tablet sig: two (2) tablet po hs (at bedtime). 7. tizanidine 2 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 8. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). disp:*180 capsule(s)* refills:*2* 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days. disp:*6 tablet(s)* refills:*0* 10. hydromorphone 4 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 12. diazepam 10 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for spasms. disp:*90 tablet(s)* refills:*0* 13. tizanidine 2 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: lumbar disc degeneration and spondylosis post-op fever post-op acute blood loss anemia urinary tract infection discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior lumbar decompression with fusion immediately after the operation: -activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without getting up and walking around. -rehabilitation/ physical therapy: o2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. you can walk as much as you can tolerate. olimit any kind of lifting. -diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. -brace: you have been given a brace. this brace is to be worn for comfort when you are walking. you may take it off when sitting in a chair or while lying in bed. -wound care: remove the dressing in 2 days. if the incision is draining cover it with a new sterile dressing. if it is dry then you can leave the incision open to the air. once the incision is completely dry (usually 2-3 days after the operation) you may take a shower. do not soak the incision in a bath or pool. if the incision starts draining at anytime after surgery, do not get the incision wet. cover it with a sterile dressing. call the office. -you should resume taking your normal home medications. no nsaids. -you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. followup instructions: with dr. in 10 days. procedure: lumbar and lumbosacral fusion of the anterior column, posterior technique other excision of joint, other specified sites lumbar and lumbosacral fusion of the anterior column, anterior technique insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: other iatrogenic hypotension esophageal reflux urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia epilepsy, unspecified, without mention of intractable epilepsy lumbosacral spondylosis without myelopathy acquired spondylolisthesis other acute postoperative pain postprocedural fever 

Answer: The patient is high likely exposed to