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: percocet attending: chief complaint: back pain, buttock pain and exacerbated leg pain major surgical or invasive procedure: 1. bilateral l3 laminotomies, medial facetectomies and foraminotomies of the l4 nerve root. 2. bilateral laminectomy of l5 with medial facetectomy of l4-l5 and foraminotomies bilaterally at the l5 nerve roots. 3. complex repair and allograft placement of a dural tear. 4. placement of lumbar drain l1-2. history of present illness: mrs. was having anterior quads symptoms and leg symptoms that were on top of her acute chronic back pain. she is currently on ms contin and neurontin. she is at rest, with activity. however, she is almost 90% back pain and this is what stops her and not leg pain. she has had significant benefit from mild ablation in her back previously. her thigh pain has certainly settled down on the neurontin. past medical history: asthma copd hypothryroidism depression hyperlipidemia social history: currently married, smokes cigarettes family history: colon ca physical exam: on discharge: a+ox3 nad tmax: 99.2 bp:120/70 p:58 o2:93% heart: rrr lungs: slight crackles at bases abd: soft non-tender cn 2-12 intact extremities: b/ue is throughout, silt, distal pulses intact b/le: 5/5 strength, silt, distal pulses intact pertinent results: 02:30am blood wbc-7.4 rbc-3.05* hgb-9.6* hct-29.3* mcv-96 mch-31.5 mchc-32.9 rdw-12.8 plt ct-207 02:19am blood wbc-5.8 rbc-3.10* hgb-9.8* hct-29.3* mcv-94 mch-31.5 mchc-33.4 rdw-13.1 plt ct-207 01:25am blood wbc-7.7 rbc-3.23* hgb-10.5* hct-30.6* mcv-95 mch-32.6* mchc-34.3 rdw-12.5 plt ct-232 02:27am blood wbc-9.1 rbc-3.23* hgb-10.3* hct-30.5* mcv-94 mch-31.8 mchc-33.7 rdw-12.4 plt ct-237 08:00pm blood wbc-7.9 rbc-3.24* hgb-10.4* hct-30.6* mcv-94 mch-32.1* mchc-34.0 rdw-12.4 plt ct-233 04:30am blood wbc-7.0 rbc-3.21* hgb-10.2* hct-30.5* mcv-95 mch-31.8 mchc-33.5 rdw-12.9 plt ct-254 04:30am blood wbc-6.3 rbc-3.43* hgb-10.8* hct-31.8* mcv-93 mch-31.4 mchc-33.8 rdw-12.8 plt ct-286 11:25pm blood ck(cpk)-1588* 08:10am blood ck(cpk)-866* 11:25pm blood ck-mb-25* mb indx-1.6 ctropnt-<0.01 08:10am blood ck-mb-14* mb indx-1.6 ctropnt-<0.01 04:30am blood tsh-1.5 04:30am blood vitb12-597 folate-8.7 3:04 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. 3:04 am mrsa screen source: rectal swab. **final report ** mrsa screen (final ): no mrsa isolated. 8:58 am mrsa screen source: rectal swab. **final report ** mrsa screen (final ): no mrsa isolated. 8:58 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. 10:53 am urine source: catheter. **final report ** urine culture (final ): no growth. echo the left atrium is mildly dilated. there is asymmetric left ventricular hypertrophy (basal septal wall thickness 2.0 cm). the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). there is no resting lvot obstruction, but with the valsalva manuever, a small (12 mmhg) gradient is elicited. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: asymmetric septal left ventricular hypertrophy with preserved biventricular systolic function. mild lvot gradient with valsalva maneuver. moderate pulmonary hypertension. ct scan head 1. no acute intracranial pathology. 2. apparent effacement of the right parietal and temporal sulci are likely due to motion and artifact, particularly in light of the patient's resolving delirium and lack of focal neurologic deficits. these findings were discussed with dr. at 9 p.m. on . brief hospital course: mrs. was admitted for her elective lumbar spine surgery for spinal stenosis. she was indentified in the holding area and brought back to the or for her lumbar decompression. the procedure was complicated by a large dural tear. she did tolerate the procedure well. she was then brought to the pacu and then brought to the general floor. once on the floor, she had o2 saturation into the 70-80s with hypercarbic blood gas and lethergy secondary to her morphine pain meds. chest radiographs and symptoms were consistant with chf. she was given narcan and transfered to the tsicu and intubated. she remaind in the tsicu were she was kept intubated for five days. there were no event in the tsicu and she remained hemodynamically stable. once extubated, she was brought to the floor. once to the floor medicine was consulted to workup her chf vs copd symptoms. she was d/c'd from morphine and her mental status improved. she did work with physical therapy. the rest of her hospital course was unremarkable. 1. chf- echo showed asymmetric septal left ventricular hypertrophy consistant with cardiomyopathy with sinus pause secondary to sleep apnea. 2. menatl status changes- there was concern for meningitis concerning her intra-op dural tear and intracranial pathology. ct was negative for pathology and her status did return once out of the tsicu and off morphine. medications on admission: xalatan 2.5ml qhs advair 250/50 albuterol prn gabapentin 300mg tid morphine 30mg q6hrs levothyroxine 0.125mcg daily paroxetine 40mg daily discharge medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed. 2. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 3. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 8. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): continue till ambulatory. 10. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: six (6) puff inhalation q6h (every 6 hours). 11. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 12. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 13. alprazolam 0.25 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for anxiety. discharge disposition: extended care facility: - discharge diagnosis: 1. severe lumbar stenosis, l4-l5. 2. moderate left lateral recess stenosis, l2-l3. 3. severe back and leg pain. 4. she had dural adhesions to the bone and dural defect found and identified at the time of surgery. discharge condition: stable discharge instructions: please keep incision clean and dry. you may shower in 48 hours, but please do not soak the incision. change the dressing daily with clean dry gauze. if you notice drainage or redness around the incision, or if you have a fever greater than 100.5, please call the office at . please resume all home mediciation as prescribed by your primary care physician. have been given additional medication to control pain. please allow 72 hours for refills of this medication. please plan accordingly. you can either have this prescription mailed to your home or you may pick this up at the clinic located on 2. we are not allowed to call in prescriptions for narcotics to the pharmacy. if you have questions concerning activity, please refer to the activity sheet. physical therapy: activity as tolerated treatments frequency: please change dressing daily. staples will be removed at post op visit on followup instructions: please follow up with pa-c. you have an appointment scheduled for at 09:00am. if you have questions, please call . please follow up with your primary care physician . at the next available appointment. you can make this appointment by calling (. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal other repair and plastic operations on spinal cord structures diagnoses: obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified unspecified acquired hypothyroidism cardiac complications, not elsewhere classified unspecified transient mental disorder in conditions classified elsewhere other nervous system complications other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic obstructive asthma, unspecified spinal stenosis, lumbar region, without neurogenic claudication 

Answer: The patient is high likely exposed to