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: no known allergies / adverse drug reactions attending: chief complaint: back pain and kyphosis major surgical or invasive procedure: l1 corpectomy with cage and t12-l2 fusion (lateral approach) posterior t9-l4 fusion with instrumentation history of present illness: 80m s/p l2-l4 fusion with laminectomy and l1-l4 fusion for chronic back pain with failure of hardware presents for elective revision of fusion. past medical history: pmhx: -htn/hld -dm pshx: -hernia repair social history: denies tobacco family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd kyphosis /l junction bue- good strength at deltoid, biceps, triceps, wrist flexion/extension, finger flexion/extension and intrinics; sensation intact c5-t1 dermatomes; - , reflexes symmetric at biceps, triceps and brachioradialis ble- good strength at hip flexion/extension, knee flexion/extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact l1-s1 dermatomes; - clonus, reflexes symmetric at quads and achilles pertinent results: 05:25am blood wbc-10.8 rbc-3.19* hgb-9.6* hct-29.4* mcv-92 mch-30.1 mchc-32.7 rdw-13.5 plt ct-372 06:40am blood wbc-13.0* rbc-3.95* hgb-11.6* hct-37.9*# mcv-96 mch-29.3 mchc-30.6* rdw-13.7 plt ct-349 05:35am blood wbc-10.1 rbc-3.19* hgb-9.5* hct-29.6* mcv-93 mch-29.7 mchc-32.0 rdw-13.7 plt ct-291 02:11pm blood wbc-10.8 rbc-3.11* hgb-9.2* hct-29.1* mcv-94 mch-29.4 mchc-31.5 rdw-13.9 plt ct-296 06:45pm blood wbc-16.7* rbc-4.05* hgb-12.3* hct-37.3* mcv-92 mch-30.3 mchc-32.8 rdw-14.0 plt ct-224 01:16pm blood wbc-14.1*# rbc-3.91* hgb-11.7* hct-36.0* mcv-92 mch-29.9 mchc-32.5 rdw-13.2 plt ct-286 05:25am blood glucose-216* urean-32* creat-1.2 na-140 k-4.1 cl-112* hco3-20* angap-12 06:40am blood glucose-173* urean-43* creat-1.4* na-141 k-4.3 cl-111* hco3-18* angap-16 05:35am blood glucose-164* urean-53* creat-1.5* na-139 k-4.4 cl-111* hco3-19* angap-13 05:25am blood calcium-7.3* phos-2.6* mg-2.2 05:35am blood calcium-8.0* phos-2.9 mg-2.3 01:54am blood albumin-2.7* calcium-8.4 phos-3.3 mg-2.3 brief hospital course: mr. was admitted to the spine surgery service on and taken to the operating room for l1 vertebrectomy through a lateral approach with a t12-l2 fusion. please refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the t/sicu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were given per standard protocol. initial postop pain was controlled with a iv pain medication. on hd#2 he returned to the operating room for a scheduled t9-l4 decompression with psif as part of a staged 2-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the t/sicu in a stable condition. postoperative hct was low and he was transfused prbcs with good effect. a bupivicaine epidural pain catheter placed at the time of the posterior surgery remained in place until postop check when it was removed. he developed post-op confusion and his narcotics were decreased. he was kept npo until bowel function returned then diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#4 from the second procedure. he was fitted with a tlso brace for comfort. physical therapy was consulted for mobilization oob to ambulate. hospital course was otherwise unremarkable. 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: olanzapine oxycodone ketoprolol insulin ativan discharge medications: 1. olanzapine 5 mg tablet, rapid dissolve sig: 0.5 tablet, rapid dissolve po q4h (every 4 hours) as needed for agitation . 2. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 7. insulin regular human 100 unit/ml solution sig: one (1) syringe injection asdir (as directed). 8. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 9. lorazepam 0.5 mg tablet sig: one (1) tablet po q12 () as needed for anxiety. discharge disposition: extended care facility: life care center of discharge diagnosis: l1 fracture post-op confusion discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior thoracolumbar decompression with fusion 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 or stand more than ~45 minutes without getting up and walking around. -rehabilitation/ physical therapy: o2-3 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. olimit any kind of lifting. -diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. -brace: you have been given a brace. this brace is to be worn when you are out of bed. you may take it off when lying in bed. -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. cover it with a sterile dressing. call the office. -you should resume taking your normal home medications. no nsaids. -you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please 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 or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: activity: activity: out of bed w/ assist thoracic lumbar spine: when oob treatments frequency: please continue to change the dressing daily with dry sterile gauze followup instructions: with dr. in 10 days procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique other excision of joint, other specified sites dorsal and dorsolumbar fusion of the posterior column, posterior technique insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein insertion of recombinant bone morphogenetic protein refusion of lumbar and lumbosacral spine, posterior column, posterior technique diagnoses: acidosis nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of malignant neoplasm of prostate unspecified transient mental disorder in conditions classified elsewhere chronic kidney disease, unspecified other and unspecified hyperlipidemia long-term (current) use of insulin surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation hypovolemia diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy pathologic fracture of vertebrae other mechanical complication of other internal orthopedic device, implant, and graft kyphosis, postlaminectomy 

Answer: The patient is high likely exposed to