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: aspirin / phenobarbital attending: chief complaint: hand numbness major surgical or invasive procedure: : c3-4 acdf history of present illness: patient is a 60 year old gentleman who is a patient of dr . he is followed by him for epilepsy which began following a head injury when he was 17 years of age. he was being seen by dr recently when he was noted to have weakness and sensory deficit most likely attributable to cervical spine disease. as such an mri scan of the cervical spine was obtained which showed he had disc herniations at multiple levels of varying severity. the patient describes numbness in both hands in a c7/8 distribution. he also describes numbness in both legs beginning at the knee and radiating down to his ankle. in addition he says he has had recent visual changes which are being evaluated by an eye doctor and that he has had a few episodes of urinary urgency. of note he was diagnosed with carpal tunnel by an orthopod following nerve conduction studies however he does not have clinic signs consistent with the diagnosis. he denies nausea, headache, vomiting, dizziness, changes in hearing or speech, or changes in bowel habits. past medical history: htn, hep c, seizures, deviated septum, cervical spondylosis, add, left vi nerve palsy, depression, right shoulder surgery , gonorrhea, syphilis, trigger finger, gerd, barretts esophagitis, peripheral neuropathy social history: works as insurance rep at , no tobacco, rare etoh, no drugs family history: non-contributory physical exam: discharge exam: motor was bilaterally, sensory intact to light touch, incision is c/d/i with steri strips. trachea is deviated to the left. hard collar in place pertinent results: cervical x-ray - multiple lateral views of the cervical spine from the operating room demonstrates interval placement of anterior fusion plate and graft material at c3-c4 and at c5-c6. please refer to the operative note for additional details. there are no signs for hardware-related complications. cspine ct - no evidence of acute fracture or malalignment. cervical hardware appears appropriately positioned. cxr - the et tube tip is 4.5 cm above the carina. ng tube tip is in the stomach. heart size and mediastinum appear to be stable. mild pulmonary edema is still present, although improved since the prior study. bibasal opacities have improved as well, most likely consistent with atelectasis. cxr - 1. endotracheal tube remains approximately 3 cm above the carina. lung volumes remain low with patchy streaky opacities throughout, suggestive of residual edema superimposed on chronic interstitial disease or areas of patchy atelectasis. bilateral pneumonia would be much less likely. multiple right-sided old rib fractures are again seen. the heart remains stably enlarged. the mediastinum also remains widened but is unchanged since , and therefore may be related to patient positioning rather than representing a true finding. no pleural effusions. no large pneumothorax. cxr - there has been removal of endotracheal tube. there is fusion plate within the lower cervical spine. there is cardiomegaly with left ventricular prominence. there is atelectasis at the lung bases, right side worse than left. there is mild prominence of the pulmonary interstitial markings suggestive of fluid overload. small right cp angle blunting is suggestive of a small effusion brief hospital course: 60yo gentleman electively presented for c3-4 acdf. surgery was without complication and he tolerated it well. he was extubated and transferred to the pacu. while in the pacu he developed significant tracheal edema and required re-intubation which was very difficult and required multiple attempts. he was then started on decadron and transferred to the icu. on he was eo but remained intubated. he was able to mae's antigravity and follow simple commands. a ct c-spine was requested and showed intact hardware. he was transferred to floor on in stable condition. a cxr was obtained on and showed evidece of slight pulmonary edema vs. penumonia. he was diuresed according and maintained oxygenation. on he was stable for discharge. medications on admission: lopressor, norvasc, quinapril, hydralazine, triamterene/hctz, omeprazole, dilantin, neurontin, flonase, ambien, hydroxychloroquin, ritalin discharge medications: 1. outpatient occupational therapy please evaluate and treat hand weakness 2. outpatient physical therapy peripheral neuropathy / poor position sense please evaluate and treat pt uses a cane at baseline 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet : one (1) tablet po every 4-6 hours as needed for pain . disp:*80 tablet(s)* refills:*0* 5. amlodipine 5 mg tablet : one (1) tablet po bid (2 times a day). 6. phenytoin sodium extended 100 mg capsule : two (2) capsule po qam (once a day (in the morning)). 7. phenytoin sodium extended 100 mg capsule : three (3) capsule po qpm (once a day (in the evening)). 8. gabapentin 100 mg capsule : one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*0* 9. hydroxychloroquine 200 mg tablet : one (1) tablet po bid (2 times a day). 10. triamterene-hydrochlorothiazid 37.5-25 mg capsule : one (1) cap po daily (daily). 11. methylphenidate 10 mg tablet : one (1) tablet po bid (2 times a day). 12. quinapril 20 mg tablet : two (2) tablet po bid (2 times a day). 13. metoprolol tartrate 50 mg tablet : 1.5 tablets po bid (2 times a day). 14. hydralazine 50 mg tablet : one (1) tablet po q8h (every 8 hours). 15. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 16. dexamethasone 2 mg tablet : taper po tid () for taper days: 3 tabs po tid x 2 days 2 tabs po tid x 2 days 1 tab po tid x 2 days .5 tab po tid x 2 days then discontinue. disp:*35 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cervical stenosis laryngeal edema pulmonary edema deviated trachea discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? if you have steri-strips in place. do not pull them off. they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? if you are required to wear one, wear your cervical collar or back brace as instructed. ?????? you may shower briefly without the collar or back brace; unless you have been instructed otherwise. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any medications such as aspirin unless directed by your doctor. - we have increased your metoprolol to 75mg po bid. thus, please take an extra tab twice daily. follow up with your pcp . followup instructions: follow up instructions/appointments ??????please return to the office in days (from date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. to be seen in 6 weeks. ??????you will/will not need x-rays/ct-scan prior to your appointment. - please follow-up with your pcp upon discharge from the hospital regarding your blood pressure. procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc fusion or refusion of 4-8 vertebrae diagnoses: esophageal reflux unspecified essential hypertension chronic hepatitis c without mention of hepatic coma depressive disorder, not elsewhere classified epilepsy, unspecified, without mention of intractable epilepsy unspecified hereditary and idiopathic peripheral neuropathy barrett's esophagus acute edema of lung, unspecified attention deficit disorder without mention of hyperactivity edema of larynx intervertebral disc disorder with myelopathy, cervical region 

Answer: The patient is high likely exposed to