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: bactrim / sulfa (sulfonamides) / seroquel / heparin agents attending: chief complaint: neck pain s/p fall major surgical or invasive procedure: t3 vertebrectomy, trans-sternal stage ii t2-t5 posterior instrumentation segmental and fusion. history of present illness: hpi: 51 m s/p left knee fusion s/p fall off deck this afternoon while reaching for his cat. denies loc. reports severe pain in the back. pt notes slight numbess in left foot. past medical history: past medical history: 1. cardiac risk factors: (+) diabetes, ? dyslipidemia, ? hypertension . 2. cardiac history: -cabg: endoscopic bypass lima to lad . -percutaneous coronary interventions: , single vessel cad,(report below) . 3. other past medical history: - cad s/p mi - stemi with lad occlusion, s/p endo bypass as above. - cva ;thalamo-capsular infarct related to small vessel disease - hepatitis b - hepatitis c genotype 1, (viral load ) - thrombocytopenia - gerd - ptsd - bph - depression - former ivda, on methadone - obstructive sleep apnea - : l knee gun shot wound; : l knee total arthroplasty; - : l knee fusion social history: he smokes ppd. he denies any current or past etoh. lives alone, is on methadone. per medical record history of non compliance and prior substance abuse. family history: there is no family history of premature coronary artery disease or sudden death. mother died of lung cancer when he was 3 years old. father was murdered. physical exam: pe: f 100 145/98 16 100% ra nad, in c-collar, a&ox3 pearl, eomi rrr cta soft, nontender le warm- motor and sensory intact. toes downgoing pertinent results: labs: 5.2 >----< 61 33.1 n:81.1 l:13.5 m:4.1 e:1.3 bas:0 141 / 105 / 10 --------------< 100 4.6 / 27 / 0.8 ca: 8.7 mg: 1.8 p: 4.2 pt: 23.4 ptt: 41.1 inr: 2.2 imaging: ct head: no acute intracranial process. ct neck: 1. comminuted unstable fracture of the t3 vertebral body with retropulsion of the posterior fragment. this is consistent with a hyperflexion injury and is morphologically similar to the hyperflexion teardrop configuration seen in cervical spine fractures. fractures extend to involve the posterior elements. there is an associated anterior paraspinal hematoma. 2. fractures of the c3 and t2 spinous processes ct chest: fractures 1st 2nd r and 2nd 3rd post ribs c4 sp process fracture, opacities l lung aspiration brief hospital course: pt was admitted to the ticu and monitored closely. he was kept at flat bedrest. he was seen and followed by pain management for severe pain issues. he was readied for the or requiring blood product tarnsfusions. on /o9 he was taken to or for transternal t3 vertebrectomy. he did well post op, remaining intubated til next morning. he was transferred to stepdown on . his jp drain that was placed intra-op was removed . once again he was readied for the or with transfusions due to elevated coags from chronic liver problems. on he underwent planned stage 2 posterior thoracic fusion. he tolerated that well, transferred to pacu intubated but was then extubated in several hours, he remained in pacu overnight and transferred back to stepdown . pain management continued to assist with pain meds. jp placed intra-op on second surgery was removed . he was seen by pt/ot and recommended for rehab.wounds were clean and dry. his neuro exam remained full strength throughout his hospital stay. his pain medication regiman was tailored by our acute pain service he was transitioned to oral meds on with good effect they should not be immediately altered. he worked with pt using his brace with cervical extension. on night before discharge he spiked a fever to 101.4, cxr showed no pneumonia, wbc was 6, u/a was negative. on discharge he was neurologically intact. medications on admission: clonazepam 1 mg tablet three times a day clonidine 0.3 mg tablet twice a day doxepin 300 mg capsule at bedtime insulin glargine 5 units subcutaneously at bedtime lactulose 30 ml by mouth 2-3 times daily ensure bm's lisinopril 5 mg tablet once a day methadone 200 mg tablet once a day metoprolol 25 mg daily naproxen 500 mg twice a day nitroglycerin 0.4 mg tablet, sublingual prn oxycodone 5 mg tablet q4hrs promethazine 50 mg tablet at bedtime for nausea simvastatin 80 mg daily aspirin 81 mg tablet daily docusate sodium 100 mg capsule twice a day as needed thiamine hcl 100 mg tablet discharge medications: 1. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 2. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qfri (every friday). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed for constipation. 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. methadone 40 mg tablet, soluble sig: two (2) tablet, soluble po tid (3 times a day). 10. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 11. acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for prn pain/t>100/ha. 12. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 13. doxepin 25 mg capsule sig: twelve (12) capsule po hs (at bedtime). 14. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 15. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 16. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 17. methocarbamol 500 mg tablet sig: 1.5 tablets po tid (3 times a day). 18. morphine 30 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain . discharge disposition: extended care facility: - discharge diagnosis: t3 unstable fracture discharge condition: stable discharge instructions: discharge instructions for spine cases ?????? do not smoke ?????? keep wound clean / no tub baths or pools until seen in follow up/ take daily showers ?????? you have steri-strips in place ?????? keep dry x 72 hours. do not pull them off. they will fall off on their own or be taken off in the office ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting for two weeks. ?????? limit your use of stairs to 2-3 times per day ?????? have your incisions daily for signs of infection ?????? you are required to wear back brace with cervical extension whenever sitting up in bed (greater than 45 degrees) or out of bed. ?????? you may shower briefly without the back brace. ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. for 3 months. ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits followup instructions: please have your staples removed at rehab or return to the office for removal of your staples. call for appt if needed please call to schedule an appointment with dr. to be seen in 6 weeks. you will need xrays prior to your appointment procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique dorsal and dorsolumbar fusion of the posterior column, posterior technique other partial ostectomy, other bones insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 4-8 vertebrae diagnoses: thrombocytopenia, unspecified obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified essential hypertension cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury closed fracture of multiple ribs, unspecified other accidental fall from one level to another posttraumatic stress disorder postprocedural fever 

Answer: The patient is high likely exposed to