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: codeine attending: chief complaint: fall down stairs major surgical or invasive procedure: decompressive laminectomy c3-c7, posterior instrumented fusion using bilateral mass screws and rods from c5, c6, c7, t1. history of present illness: this is an 88-year-old woman who was in her usual state of health until she fell at home approximately 8 steps downstairs. she had no loss of consciousness. the patient was brought to the medical center er for examination. workup included a full trauma evaluation that revealed a c7 burst fracture. in addition to the burst fracture, the patient had sustained a severe ligamentous posterior injury as well as an epidural hematoma. the patient had neurological deficits in bilateral triceps as well as bilateral lower extremities in the sense of a myelopathy. the patient was taken urgently to the or on the morning of , . past medical history: dm2, shingles, knee surgery, appendectomy social history: widowed for 30 years, lives with a daugter, smoked 1 ppd for 50 year, quit 15 year ago. etoh; none. retired waitress. has 8 healthy children family history: nc physical exam: vs: hr 78, bp 210/80, rr 21, o2sat 99% gen: nad heent: c-collare on, sclerae anicteric lungs: cta b/l heart: rrr, s1s2 abd: soft, nt/nd, bs+ ext: no c/c/e neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t fe ff ip q h at g r 5 4+ 5 5 4+ 4+* 5 4+* 5 5 5 l 5 4+ 5 5 5- 4+* 5 4+* 5 5 5 *limited exam due to patient cooperation. sensation: intact to light touch, and pinprick bilaterally. reflexes: b t br pa ac right left toes downgoing bilaterally pertinent results: 09:19pm blood wbc-13.9*# rbc-4.17* hgb-11.0* hct-31.6* mcv-76* mch-26.4* mchc-34.8# rdw-16.8* plt ct-179 03:29pm blood wbc-6.1 rbc-3.38* hgb-9.3* hct-26.7* mcv-79* mch-27.4 mchc-34.8 rdw-16.5* plt ct-161 05:29pm blood wbc-6.6 rbc-3.32* hgb-8.9* hct-25.8* mcv-78* mch-26.9* mchc-34.6 rdw-16.5* plt ct-156 01:19am blood wbc-13.3*# rbc-3.59* hgb-9.7* hct-27.8* mcv-77* mch-27.0 mchc-34.9 rdw-16.8* plt ct-188 06:50am blood wbc-16.5* rbc-3.70* hgb-9.5* hct-29.4* mcv-80* mch-25.8* mchc-32.4 rdw-16.8* plt ct-182 12:52pm blood type-art po2-173* pco2-43 ph-7.25* calhco3-20* base xs--8 08:26pm blood type-art temp-36.4 rates-/14 tidal v-550 peep-5 fio2-40 po2-137* pco2-36 ph-7.35 calhco3-21 base xs--4 intubat-intubated vent-spontaneou brief hospital course: the patient was admitted to on after having fallen down the stairs. a ct from an outside hospital revealed a compression fracture of the c7 vertebral body with no listhesis, spinous process fractures of c4 and c6, a right lamina fracture of c5, and a flexion injury of c7. x-rays of the chest and pelvis were normal. x-rays of her left foot revealed a cortical irregularity of the base of 5th proximal phalanx and head of the 4th proximal phalanx, which are of uncertain age, and may represent acute fractures. ct of her head was normal. ct of her t-spine and l-spine were normal except for degenerative changes. an mr of her c-spine revealed multilevel dorsal epidural hematoma in association with multiple cervical spine fractures and ligamentous injuries (please see full report for details). the patient was admitted to the trauma surgery service with neurosurgery as a consult service. she was admitted to the trauma icu on morphine for pain and a solumederol taper for her spinal injury. she was kept in a c-collar. on hd2, a repeat ct scan showed an anterior wedge fracture of c7 with associated distraction fracture of the c6 spinous process and extension into the fused right c6-7 lamina, as well as a small amount of high density material within the posterior spinal canal suggestive of an epidural hematoma. she was taken to the or by dr. that morning for a decompressive laminectomy c3-c7 and posterior instrumented fusion using bilateral mass screws and rods from c5, c6, c7, t1. the operation went well with no complications (please see operative note for details). she was started on peri-operative gentamycin and vancomycin. a postoperative ct scan was unremarkable. she was transferred to the pacu intubated and sedated. she was extubated in the pacu and transferred back to the icu on pod 1. she was transferred to the floor later that day. on pod 2, she was noted to be confused by the physical therapist. her morphine pca was discontinued because she might have been over-narcotized. she was afebrile but her wbc climbed form 13 to 16. on pod 3 she was awake, alert, oriented x 3, pain issues continue. her wbc was down to 11. started on low standing dose valium and low dose vicodin po with improvement. she was seen by pt who felt that she needs acute rehab. she was tolerating a regular diet. on pod 4 she was doing well and was discharged to rehab. she was fitted for a new c-collar first. medications on admission: asa, metoprolol discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 7. prochlorperazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 8. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 10. diazepam 2 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 days. discharge disposition: extended care facility: rehab & nursing center - discharge diagnosis: c7 burst fracture, c7 laminar fracture, c6-c7 spinous process fracture, epidural spinal hematoma, cervical spinal stenosis c3-c7 discharge condition: neurologically stable. discharge instructions: please call or come to the ed with any fevers > 101, redness around your incision, increased drainage from your incision, headache, worsening pain, numbess or tingling, weakness, or any other worrisome issies that may arise. your dose of lopressor was increased. please follow up with your pcp about this. please do not drive whila taking pain medications. followup instructions: please call the office of dr. to schedule a follow-up appointment in 2 weeks () have staples removed at rehab facility. procedure: repair of vertebral fracture other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled accidental fall on or from other stairs or steps closed fracture of seventh cervical vertebra home accidents spinal stenosis in cervical region 

Answer: The patient is high likely exposed to