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 bilateral leg pain major surgical or invasive procedure: 1. posterior spinal fusion l4-5 with instrumentation. 2. l3-4 to l5-s1 lumbar decompression, medial facetectomy and foraminotomy bilaterally. 3. bilateral laminotomy of l3 with medial facetectomy and foraminotomy. 4. application of local autograft, allograft and demineralized bone matrix. history of present illness: i had the pleasure of seeing this patient for evaluation and treatment of her chief complaint, which is back and bilateral leg pain. she has been treated massage therapy and epidural injections. the epidural injections gave her short-term relief. a at rest and with activity. she had a mri done at the , which shows multilevel lumbar stenosis with an l4-l5 grade 1 spondylolisthesis and facet arthropathy. x-rays confirm this. there may be a, grade 1, listhesis at l2-3 as well. no spondylolisthesis was noted. it is certainly worse with walking and she has trouble walking approximately feet. when asked what is bothering her when she walks she points to her buttock and posterior thighs. past medical history: her past medical history of hypertension. she does not have diabetes. social history: french speaking. does not smoke. family history: none physical exam: on physical examination, this is a 5 feet 5 inches, 216 pound female, blood pressure is quite high with a pulse of 74. she is alert and oriented. affect is within normal limits. she is talking to her daughter who serves as interpreter. her affect is within normal limits. she is obese. her gait is in a flexed posture unable to stand in upright position. she has no specific tenderness along her spinous processes. she has no pain with internal rotation of hips. negative straight leg raise bilaterally. she has good strength in bilateral lower extremities and , anterior to gastroc, quads, hamstrings and hip flexors, abductors and adductors. her calves are soft. distal pulses are intact. no skin changes. greater trochanter is nontender to palpation. there is no hyperreflexia. sensation grossly intact to light touch throughout. pertinent results: 05:15am blood wbc-11.7* rbc-3.29* hgb-9.4* hct-27.9* mcv-85 mch-28.6 mchc-33.7 rdw-13.1 plt ct-273 08:23pm blood wbc-13.5* rbc-3.25* hgb-9.1* hct-28.0* mcv-86 mch-28.0 mchc-32.5 rdw-12.7 plt ct-262 12:28am blood wbc-13.1* rbc-3.52* hgb-9.5* hct-30.2* mcv-86 mch-26.9* mchc-31.5 rdw-12.6 plt ct-273 03:14am blood wbc-10.8 rbc-3.24* hgb-9.3* hct-27.0* mcv-83 mch-28.6 mchc-34.4 rdw-12.8 plt ct-303 06:30am blood wbc-8.8 rbc-3.34* hgb-9.4* hct-27.8* mcv-83 mch-28.0 mchc-33.6 rdw-12.9 plt ct-351 12:28am blood alt-16 ast-18 ld(ldh)-165 alkphos-76 totbili-0.8 02:20pm blood type-art po2-252* pco2-45 ph-7.39 caltco2-28 base xs-2 intubat-intubated 04:23pm blood type-art po2-230* pco2-43 ph-7.40 caltco2-28 base xs-1 intubat-intubated 08:37pm blood type-art temp-36.5 rates-/16 po2-265* pco2-51* ph-7.39 caltco2-32* base xs-5 intubat-not intuba 12:32pm blood type-art po2-73* pco2-44 ph-7.45 caltco2-32* base xs-5 ct abdomen/pelvis impression: 1. small subcutaneous fluid and gas collection at the surgical site in the lower back. 2. dilatation of the common bile duct and pancreatic duct. further evaluation with mrcp would be helpful. brief hospital course: ms. was seen in clinic by dr. for her low back and bilateral leg pain. she concented to undergo elective lumbar decompression and fusion. she was identified in the holding area and questions were answered. she was brought back to the or for her procedure, which she tolerated well. after her procedure, ms. was brought to the pacu and then moved to the general floor. on post op day number 2, ms. was triggered for decreased o2 saturation and changes in menatal status. it was thought that she had decreased respirations secondary to narcotics. she was given narcan 0.2mg and transfered to the micu when she did not respond to second dose. she was in the micu overnight where she was monitored. she remained stable in micu. she was transfered back to the general floor after three days in the micu. it was felt that desaturation may be combination of narcotics and obstructive sleep apnea. pulmonary embolus was ruled out with increased saturation after narcan administration. ms. did have episodes of abdominal pain. she was evaluated by the general surgery team who felt that it was not an acute surgical issue. her abdominal pain decrease once ms. had a bowel movement. ms. continued to work with physical therapy who okayed her for discharge to home. the rest of her course was unremarkable. medications on admission: verapamil sr 180mg percocet multi vitamin discharge medications: 1. verapamil 180 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. 2. zaditor ophthalmic 3. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*100 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. lumbar spondylolisthesis l4 on 5. 2. l4-5 lumbar stenosis. 3. l3-4 and l5-s1 moderate stenosis. 4. neurogenic claudication 5. morbid obesity. 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. followup instructions: please follow up with pa-c on at 12:40pm. if you have any questions, please call . procedure: lumbar and lumbosacral fusion of the anterior column, posterior technique other exploration and decompression of spinal canal other exploration and decompression of spinal canal fusion or refusion of 2-3 vertebrae excision or destruction of intervertebral disc, unspecified diagnoses: acidosis unspecified essential hypertension acute posthemorrhagic anemia peripheral vascular disease, unspecified constipation, unspecified morbid obesity other alteration of consciousness other respiratory abnormalities spinal stenosis, lumbar region, without neurogenic claudication acquired spondylolisthesis 

Answer: The patient is high likely exposed to