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: penicillins / latex / morphine / sulfa (sulfonamide antibiotics) / codeine attending: chief complaint: nonunion c45 major surgical or invasive procedure: stage 1 1. exploration of spinal fusion c4-c5. 2. removal of hardware c4-c5. 3. open deep biopsy, bone. 4. c4 partial corpectomy. 5. c5 vertebral body partial excision, removal of intrinsic lesion. 6. allograft for fusion. 7. c4-c5 arthrodesis. stage 2: 1. exploration of spinal fusion c4-c5, c5-c6, c6-c7. 2. c4-c5 bilateral hemilaminotomy. 3. posterior cervical fusion c4-c5. 4. instrumentation c4 to c5. 5. allograft for fusion. 6. iliac crest bone graft for fusion. history of present illness: in summary, she is a 50-year-old female who underwent anterior cervical discectomy and fusion, , for treatment of disc segment disease. she developed postoperative infection, osteomyelitis, requiring suppressive antibiotics. for that reason in part she wants to become a candidate for hardware removal with a goal of eradicating her infection. we did perform a ct scan for her on to assess the status of her fusion. she also want flexion and extension radiographs. both her ct scan and flexion and extension radiographs are most consistent with a nonunion. since she did not have a healed spinal fusion, revision surgery treatment will require a two-staged approach. we discussed at length the surgical strategy and also the rationale for surgery. we discussed the alternatives, risks and benefits of both surgical and ongoing nonsurgical care. with the goal of eradicating infection, ultimately hopefully desisting the use of antibiotics, she has elected to undergo surgical treatment. this would be a two-staged approach. the first stage would be anterior cervical hardware removal at c4-c5 with debridement of the surgical site. this would then allow cultures to also be taken, and first to follow her inflammatory markers as an inpatient following that surgery. she would then be treated with postoperative antibiotics. if postoperative antibiotics offer to have a normal decline in her crp trend, we may then pursue posterior spinal fusion with iliac crest bone graft in the same hospitalization. if further antibiotics are required, with infectious disease consultation as an inpatient, then we would do a second staged surgery for her some weeks in the future after the goals of _____ sepsis have been achieved in order to decrease the risk of potential wound infection in her posterior cervical spine. past medical history: htn hl . past surgical history s/p revision acdf c4-5 and s/p washout s/p acdf c5-c6 and c6-c7 3 years ago. tubal ligation lithotripsy cholecystectomy partial hysterectomy salivary gland removal social history: nc family history: nc physical exam: intact neuro brief hospital course: patient was admitted to the spine surgery service and taken to the operating room for the stage 1 procedure. 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 continued per id recommendations. initial postop pain was controlled with a pca. : code blue for unresponsive/apneic episode. o2 sat 35%, but with poor wave form. pt never lost pulse. arousable by sternal rub. alert after dose of narcan. transferred to sicu for close monitoring : transferred to floor without event : stage 2 surgery was done (posterior cerivcal fusion) : overnight: temp from 99.9 to 101.7 : hvac drain was remioved. pca and foley were discontinued. : change antibiotic to vancomycin per id : tmax 100 : picc line was placed. : vanco trough low. dose adjusted (increased) : vanco trough 13.9. diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. physical therapy was consulted for mobilization oob to ambulate. 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: gabapentin 1200''', toprol xl 50', omeprazole 20', zofran prn, seroquel 100hs, simvastatin 40', cetirizine 1-', colace prn, minocycline 50'', vitamin d qweek, levothyroxine 25mcg', cymbalta 20'', lasix 20', tomapax 25hs, terazosin 2mg hs, zoloft 50', sertraline 50', lorazepam 0.5''' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: 1-2 tablets po qhs (once a day (at bedtime)) as needed for constipation. 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever, pain. 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 6. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. disp:*80 tablet(s)* refills:*0* 7. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 8. prazosin 1 mg capsule sig: two (2) capsule po hs (at bedtime). 9. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 10. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 11. topiramate 25 mg tablet sig: one (1) tablet po hs (at bedtime). 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 13. duloxetine 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 14. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 15. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 16. quetiapine 100 mg tablet sig: one (1) tablet po hs (at bedtime). 17. gabapentin 400 mg capsule sig: three (3) capsule po tid (3 times a day). 18. vancomycin 500 mg recon soln sig: three (3) recon soln intravenous q 8h (every 8 hours). disp:*180 recon soln(s)* refills:*1* 19. heparin, porcine (pf) 10 unit/ml syringe sig: two (2) ml intravenous prn (as needed) as needed for line flush. disp:*qs ml(s)* refills:*0* 20. outpatient lab work weekly tests 1. esr crp 2. cbc diff 3. bun cr 4. vanco trough results fax to id rns at discharge disposition: home with service facility: vna discharge diagnosis: 1. c4-c5 suspected nonunion. 2. c4-c5 suspected osteomyelitis. 3. retained hardware. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: 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 in a car or chair for more than ~45 minutes without getting up and walking around. - rehabilitation/ physical therapy: o 2-3 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. o isometric extension exercise in the collar: 2x/day x 10 times perform extension exercises as instructed. - swallowing: difficulty swallowing is not uncommon after this type of surgery. this should resolve over time. please take small bites and eat slowly. removing the collar while eating can be helpful ?????? however, please limit your movement of your neck if you remove your collar while eating. - cervical collar / neck brace: you need to wear the brace at all times until your follow-up appointment which should be in 2 weeks. you may remove the collar to take a shower. limit your motion of your neck while the collar is off. place the collar back on your neck immediately after the shower. - 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. call the office at that time. if you have an incision on your hip please follow the same instructions in terms of wound care. - you should resume taking your normal home medications. - you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so 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 narcotic (oxycontin, oxycodone, percocet) prescriptions to the pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - follow up: o please call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. o at the 2-week visit we will check your incision, take baseline x rays and answer any questions. o we will then see you at 6 weeks from the day of the operation. at that time we will most likely obtain flexion/extension x-rays and often able to place you in a soft collar which you will wean out of over 1 week. please call the office if you have a fever>101.5 degrees fahrenheit, drainage from your wound, or have any questions. physical therapy: see discharge instructions treatments frequency: see discharge instructions followup instructions: provider: , md phone: date/time: 11:15 provider: , md phone: date/time: 11:15 opat attending visit and all questions regarding antibiotics please call . please call above number for id fu appointment procedure: other exploration and decompression of spinal canal other excision of joint, other specified sites excision of bone for graft, other bones 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 refusion of other cervical spine, anterior column, anterior technique refusion of other cervical spine, posterior column, posterior technique diagnoses: unspecified essential hypertension unspecified osteomyelitis, other specified sites other and unspecified hyperlipidemia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site retention of urine, unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation obesity, unspecified unspecified sedatives and hypnotics causing adverse effects in therapeutic use other alteration of consciousness cephalosporin group causing adverse effects in therapeutic use cervical spondylosis with myelopathy infection and inflammatory reaction due to other internal orthopedic device, implant, and graft apnea other mechanical complication of other internal orthopedic device, implant, and graft other specified pruritic conditions postprocedural fever 

Answer: The patient is high likely exposed to