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: pain in neck following fall from horse. major surgical or invasive procedure: c4-c7 laminectomy with c3-t1 posterior instrumented spinal fusion. history of present illness: history of fall from horse back with trauma to head and neck physical exam: tenderness over neck. bilateral upper extremity bilateral lower extremities pertinent results: 09:28pm lactate-1.9 09:28pm lactate-1.9 09:15pm glucose-143* urea n-14 creat-1.1 sodium-139 potassium-3.9 chloride-105 total co2-24 anion gap-14 09:15pm estgfr-using this 09:15pm estgfr-using this 09:15pm wbc-15.7* rbc-4.72 hgb-14.7 hct-41.6 mcv-88 mch-31.2 mchc-35.4* rdw-13.9 brief hospital course: patient was admitted to the spine surgery service and taken to the operating room for the above procedure. refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were continued for 24hrs postop per standard protocol. initial postop pain was controlled with a pca. diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#3. 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. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*120 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: one (1) tablet po every six (6) hours. disp:*120 tablet(s)* refills:*2* 5. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours): one tablet bd for 7 days one tablet od for 7 days. disp:*21 tablet sustained release 12 hr(s)* refills:*0* 6. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* discharge disposition: extended care facility: discharge diagnosis: c6-c7 fracture dislocation. discharge condition: stbale discharge instructions: you have undergone the following operation: posterior cervical decompression and 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 in a car or chair for more than ~45 minutes without getting up and walking around. - rehabilitation/ physical therapy: o 2-3 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. o isometric extension exercise in the collar: 2x/day x 10 times perform extension exercises as instructed. - cervical collar / neck brace: you need to wear the brace at all times until your follow-up appointment which should be in 2 weeks. you may remove the collar to take a shower. limit your motion of your neck while the collar is off. place the collar back on your neck immediately after the shower. - 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. call the office at that time. if you have an incision on your hip please follow the same instructions in terms of wound care. - you should resume taking your normal home medications. - 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 narcotic prescriptions (oxycontin, oxycodone, percocet) to the pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - follow up: o please call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. o at the 2-week visit we will check your incision, take baseline x rays and answer any questions. o we will then see you at 6 weeks from the day of the operation. at that time we will most likely obtain flexion/extension x-rays and often able to place you in a soft collar which you will wean out of over 1 week. please call the office if you have a fever>101.5 degrees fahrenheit, drainage from your wound, or have any questions. followup instructions: follow up with dr in 2 weeks following surgery. procedure: injection of antibiotic repair of vertebral fracture other cervical fusion of the posterior column, posterior technique computerized axial tomography of head fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein other computerized axial tomography excision of bone for graft, unspecified site diagnoses: disturbance of skin sensation morbid obesity closed fracture of c5-c7 level with anterior cord syndrome open wound of tooth (broken) (fractured) (due to trauma), without mention of complication closed fracture of t1-t6 level with unspecified spinal cord injury accident involving animal being ridden injuring rider of animal closed dislocation, multiple cervical vertebrae c5-c7 level with central cord syndrome c5-c7 level with anterior cord syndrome stiffness of joint, not elsewhere classified, other specified sites 

Answer: The patient is high likely exposed to