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: neck pain after fall from horse major surgical or invasive procedure: : halo application in the or for c1, c2, c5 fractures. history of present illness: 21yo female fell from a horse on and sustained a neck injury. report of some paresthesias after the fall, but no loc. she was helmeted. she was brought to er for orthopaedic spine surgery evaluation. imaging showed c1, c2 and c5 cervical spine fractures, but no sensorimotor deficits. no vessel injury on c-spine cta. past medical history: none physical exam: well-appearing female in mild distress. some posterior c-spine tenderness to palpation. good strength and sensation in bilateral upper/lower extremities. pertinent results: final report indication: 21-year-old woman thrown off horse onto head and neck. evaluate for dislocation or fracture. comparison: none. technique: axial acquired images were obtained through the neck without contrast. coronal and sagittal reformatted images were also displayed. findings: normal cervical lordosis is maintained. there is grade 1 anterolisthesis of c2 on c3. prevertebral soft tissues are within normal limits. two non-displaced fractures are seen through the left and right posterior arch of c1 (2:13). in addition, the posterior aspect of the body of c2 demonstrates a comminuted fracture which extends to the bilateral transverse foramina, bilateral pedicles, and bilateral transverse processes. the dens is not affected. there is no retropulsion of fracture fragments although there is a tiny ossified density anterior to c2-3 which likely represents an anterior avulsion fracture. a tiny ossified fragment is also noted laterally to the left of c1, although it is unclear if this is a fracture fragment as no donor site is seen. a small broad-based disc bulge is seen at c3-4. there is a minimally displaced c5 fracture involving the left pedicle, left transverse foramen and process, and the left inferior facet. the visualized lung apices are clear. impression: 1. comminuted fracture of vertebral body c2 which extends to the bilateral transverse foramina, transverse processes, and pedicles. cta of the neck is recommended for further evaluation of vascular structures. mri is also recommended to assess for ligamentous injury. 2. non-displaced fractures of the posterior arch of c1. 3. minimally displaced fracture of the left c5 pedicle, transverse foramen, transverse process, and inferior facet. exam: mri of the cervical spine. clinical information: patient with cervical spine fracture, for further evaluation. technique: t1, t2 and inversion recovery sagittal and gradient-echo axial images of cervical spine were acquired. findings: comparison was made with the ct examination of the same day. there is a complex fracture of the body of the c2 identified involving the intra- articular region in the left side. there is edema seen in the posterior interspinous region at c1-2 level. small amount of prevertebral edema is seen extending from c2-3 to c4 level. increased signal is seen within the interspinous region from c2-3 to c4-5 level indicating mild injury without disruption of the ligaments at this level. there is no intraspinal hematoma or spinal cord compression seen. no abnormal signal seen within the spinal cord. impression: c2 fracture with associated adjacent soft tissue edema and edema in the interspinous region between c1 and c2. no intraspinal hematoma or spinal cord compression. mild prevertebral soft tissue edema. abnormal signal within the interspinous region from c2-3 to disc c4-5 indicating interspinous ligament trauma without evidence of disruption of the anterior or posterior longitudinal ligaments or ligamentum flavum. exam: cta of the neck. clinical information: patient with c2 fracture, rule out vertebral artery injury. technique: using departmental protocol ct angiography of the neck was acquired. correlation was made with the previous ct of the cervical spine. findings: in the region of left vertebral artery at the site of fracture involving the intra-articular region no vertebral artery irregularity, occlusion or narrowing identified to indicate trauma. the right vertebral and both carotid arteries demonstrate normal flow without evidence of stenosis or occlusion. both internal carotid arteries are approximately 5 mm in diameter at the distal cervical region. no other soft tissue abnormalities are seen. impression: fracture of the left side of c2 identified. no vertebral artery injury seen in the region. no other abnormalities on ct angiography of the neck. brief hospital course: initially admitted to the trauma service and monitored in the icu with neuro checks and maintained in a hard collar with c-spine precautions. she was taken to the or on by dr. for application of a halo frame under sedation and with fluoroscopy. tolerated the procedure well and transferred to the floor after the procedure. weaned from iv to po analgesia. mobilized with pt. halo pins were tightened 24hrs after application. pin care initiated. patient is comfortable and ready for discharge. medications on admission: ocp discharge medications: 1. desogestrel-ethinyl estradiol 0.15-30 mg-mcg tablet sig: one (1) tablet po daily (). 2. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 3. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* 4. hydromorphone 4 mg tablet sig: - 1 tablet po q3h (every 3 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. discharge disposition: home discharge diagnosis: c1, c2, c5 fractures. discharge condition: stable discharge instructions: you have undergone the following operation: halo application for cervical spine fractures 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. - halo frame: you need to wear the halo at all times. you can unbuckle the halo vest while lying supine in bed to wash your skin under the vest with a wash cloth, but otherwise you need to the have vest buckled at all times. - pin care: continue cleaning your pin sites 1-2 times per day with half-strength hydrogen perxoide and a q-tip. the skin should be loose around the pins and there should not be any scabs around the pins. if erythema or drainage develops around the pins, call the office. - 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 halso and take baseline x rays and answer any questions. please call the office if you have a fever>101.5 degrees fahrenheit, drainage from your pins, or have any questions. followup instructions: call to schedule a follow-up appt with dr. in about 2 weeks. procedure: insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device diagnoses: closed fracture of second cervical vertebra closed fracture of first cervical vertebra closed fracture of fifth cervical vertebra accident involving animal being ridden injuring rider of animal 

Answer: The patient is high likely exposed to