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 major surgical or invasive procedure: anterior fusion l3-s1 anterior fusion t11-l3 posterior fusioin t3-s1 history of present illness: ms. has a long history of back pain due to scoliosis. she is electing to proceed with surgical intervention. past medical history: scoliosis, liver disease, history of ulcer, mumps, measles, chicken pox as child, hepatitis a, psh: r inguinal hernia repair at age 8, laparoscopic tubal ligation, r knee arthroscopy, r foot surgery, l 3rd digit cyst removal, tonsillectomy social history: denies tobacco, occassional etoh; denies illicit drug use family history: n/a physical exam: a&o x 3; nad rrr cta b abd soft nt/nd 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: 08:11am blood wbc-6.6 rbc-3.70*# hgb-11.2*# hct-32.5*# mcv-88 mch-30.1 mchc-34.3 rdw-14.5 plt ct-189 05:24am blood wbc-6.0 rbc-2.83* hgb-8.7* hct-24.7* mcv-87 mch-30.7 mchc-35.1* rdw-14.8 plt ct-150# 02:32am blood wbc-5.5 rbc-3.52*# hgb-10.9*# hct-30.2* mcv-86 mch-31.1 mchc-36.1* rdw-15.3 plt ct-98* 02:55pm blood wbc-7.4 rbc-2.43* hgb-7.5* hct-21.5* mcv-89 mch-30.8 mchc-34.7 rdw-15.2 plt ct-91* 11:24am blood wbc-7.7 rbc-3.13* hgb-9.4* hct-27.9* mcv-89 mch-30.1 mchc-33.7 rdw-14.8 plt ct-111* 01:17am blood wbc-6.8 rbc-3.54* hgb-11.3* hct-31.9* mcv-90 mch-31.9 mchc-35.4* rdw-14.0 plt ct-117* brief hospital course: ms. was admitted to the spine surgery service on and taken to the operating room for l3-s1 interbody fusion through an anterior approach. please 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 given per standard protocol. initial postop pain was controlled with a pca. on hd#2 she returned to the operating room for a scheduled t11-l3 anterior fusion through a thoracotomy as part of a staged 3-part procedure. a chest tube was placed at the time of this surgery. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the pacu in a stable condition. postoperative hct was low and she was transfused prbcs with good effect. a bupivicaine epidural pain catheter placed at the time of the posterior surgery. she was transfered to the t/sicu for hemodynamic monitoring. she 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#2 from the third procedure. she was fitted with a tlso brace for ambulation. 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: tramadol discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. bisacodyl 5 mg tablet sig: one (1) tablet po daily (daily). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 5. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 6. morphine 30 mg tablet extended release sig: one (1) tablet extended release po q8h (every 8 hours). discharge disposition: extended care facility: hospital - discharge diagnosis: scoliosis acute post-op blood loss anemia 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 walking. you may take it off when sitting in a chair or while 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: out of bed w/ assist thoracic lumbar spine: when oob treatment frequency: please continue to change the dressing daily. followup instructions: wtih dr. in 10 days procedure: venous catheterization, not elsewhere classified dorsal and dorsolumbar fusion of the anterior column, anterior technique suture of vein excision of intervertebral disc excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique lumbar and lumbosacral fusion of the anterior column, anterior 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 insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 4-8 vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein insertion of recombinant bone morphogenetic protein diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) unspecified pleural effusion acute posthemorrhagic anemia personal history of other infectious and parasitic diseases accidental puncture or laceration during a procedure, not elsewhere classified osteoporosis, unspecified scoliosis [and kyphoscoliosis], idiopathic other and unspecified coagulation defects lumbosacral spondylosis without myelopathy accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to