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: 69-year-old male with a one-year history of progressive syndrome consistent with cervical spondylotic myelopathy. major surgical or invasive procedure: 1. anterior cervical decompression and fusion c3-c4. 2. anterior cervical decompression and fusion c5-c6. 3. anterior cervical corrective osteotomy c5-c6. 4. anterior cervical arthrodesis with interbody devices. 5. posterior cervical laminectomy c4-c7. 6. posterior cervical arthrodesis c3 to t1. 7. posterior cervical instrumentation c3 to t1. history of present illness: is a 70-year-old male who has had a one-year history of numbness in both of his arms and both of his legs. he also has had bilateral shoulder pain, right greater than left, which has been resolved to some extent with injections. this is considered to be related to degenerative pathology of his rotator cuff. in terms of his numbness however, he reports that this is most bothersome in his fingertips in the palms of his hands. the numbness in his legs and feet, is also problem; he reports a sensation of having "" under foot when he walks. associated with this numbness, he has also had intermittent burning pain in his arms and also in his right thigh. he also complains that his hands feel "sleepy and heavy." past medical history: +ppd from bcg vaccine, polycythemia , pud, prostate ca, ed, dm diet controlled, oa, depression, neuropathy, osa (does not tolerate bipap), gout r knee, syphillis social history: rare etoh, no tob denies hiv risk factor originally from , married but separated from his wife family history: nc physical exam: physical examination today in the office, the patient is able to perform fluid gait, but he demonstrates broad-based stance and a broad-based gait with his neck flexed and head stooped in order to watch the ground with his progression. he demonstrates a slow velocity of progression. he does not demonstrate any prolonged stance phase or trendellenberg. when asked to perform heel-to-toe in line gait, the patient is unable to perform this. he exhibits severe difficulty with balance in attempting to perform an in-line gait. palpation of the posterior elements of the cervical, thoracic spine are nontender. there is no tenderness of the paraspinal musculature either. there are no skin lesions, changes or scars here. on range of motion testing, the patient is able to flex his cervical spine such that he can nearly touch his chin to his chest. on extension however, he can only extend to approximately 5 to 10 degrees beyond neutral. on lateral bending, he can lateral bend only 20 degrees in either direction and he can rotate 35 degrees in either direction. these does not cause pain or exacerbate his numbness. lhermitte's test exacerbates his upper extremity numbness. spurling sign is negative, however. sign is positive. he exhibits two beats of clonus bilaterally at the ankle. babinski is downgoing. motor muscle testing reveals intrinsic strength, grip, wrist extension, , wrist flexion bilaterally, triceps extension on the right with 5/5 triceps extension on the left, biceps on the right , biceps on the left and shoulder abduction bilaterally. he exhibits numbness on sensory provocation in bilateral upper and lower extremities, pertinent results: 08:16pm blood wbc-9.3 rbc-4.36*# hgb-13.3*# hct-38.2*# mcv-88 mch-30.6 mchc-35.0 rdw-15.2 plt ct-178 02:26am blood wbc-14.4*# rbc-4.58* hgb-13.4* hct-40.1 mcv-88 mch-29.2 mchc-33.4 rdw-14.6 plt ct-192 08:40am blood wbc-15.9* rbc-4.14* hgb-12.2* hct-36.5* mcv-88 mch-29.5 mchc-33.4 rdw-14.5 plt ct-188 12:27am blood wbc-17.1* rbc-4.09* hgb-12.1* hct-37.7* mcv-92 mch-29.6 mchc-32.1 rdw-14.1 plt ct-260 03:30am blood wbc-16.8* rbc-4.05* hgb-12.0* hct-35.4* mcv-87 mch-29.6 mchc-33.9 rdw-14.5 plt ct-219 03:30am blood wbc-16.8* rbc-4.05* hgb-12.0* hct-35.4* mcv-87 mch-29.6 mchc-33.9 rdw-14.5 plt ct-219 03:26am blood wbc-10.5 rbc-3.76* hgb-11.3* hct-33.1* mcv-88 mch-30.0 mchc-34.1 rdw-14.3 plt ct-178 02:36am blood wbc-10.3 rbc-4.28* hgb-12.8* hct-37.2* mcv-87 mch-29.8 mchc-34.3 rdw-14.3 plt ct-239 06:30am blood wbc-9.4 rbc-4.25* hgb-12.6* hct-37.2* mcv-88 mch-29.6 mchc-33.8 rdw-14.4 plt ct-273 06:10am blood wbc-9.2 rbc-4.75 hgb-13.8* hct-41.7 mcv-88 mch-29.0 mchc-33.0 rdw-14.5 plt ct-343 03:30am blood ck-mb-18* mb indx-10.7* ctropnt-0.03* 11:00am blood ck-mb-4 ctropnt-0.02* 04:38pm blood ck-mb-notdone ctropnt-0.02* 09:30pm blood ck-mb-notdone ctropnt-0.03* 09:40am blood ck-mb-notdone ctropnt-<0.01 06:15am blood ctropnt-<0.01 03:02pm blood type-art po2-195* pco2-44 ph-7.38 caltco2-27 base xs-0 intubat-intubated 04:34pm blood type-art po2-230* pco2-45 ph-7.37 caltco2-27 base xs-0 intubat-intubated 05:48pm blood type-art rates-/10 tidal v-600 fio2-31 po2-138* pco2-49* ph-7.32* caltco2-26 base xs--1 intubat-intubated vent-controlled 08:38pm blood type-art po2-85 pco2-44 ph-7.38 caltco2-27 base xs-0 12:25am blood type-art po2-54* pco2-199* ph-6.90* caltco2-43* base xs--1 12:43am blood type-art po2-154* pco2-84* ph-7.17* caltco2-32* base xs-0 12:25am blood type-art po2-54* pco2-199* ph-6.90* caltco2-43* base xs--1 12:43am blood type-art po2-154* pco2-84* ph-7.17* caltco2-32* base xs-0 01:44am blood type-art po2-156* pco2-59* ph-7.27* caltco2-28 base xs-0 03:10am blood type-art po2-93 pco2-40 ph-7.47* caltco2-30 base xs-4 04:38am blood type-art po2-88 pco2-38 ph-7.45 caltco2-27 base xs-2 08:01am blood type-art po2-154* pco2-27* ph-7.55* caltco2-24 base xs-3 09:25am blood type-art po2-144* pco2-45 ph-7.43 caltco2-31* base xs-5 11:06am blood type-art po2-98 pco2-54* ph-7.41 caltco2-35* base xs-7 01:04pm blood type-art po2-121* pco2-48* ph-7.40 caltco2-31* base xs-4 01:04pm blood type-art po2-121* pco2-48* ph-7.40 caltco2-31* base xs-4 02:25pm blood type-art po2-101 pco2-48* ph-7.40 caltco2-31* base xs-3 05:22pm blood type-art po2-104 pco2-44 ph-7.42 caltco2-30 base xs-3 08:43pm blood type- ph-7.43 07:16am blood type-art po2-82* pco2-45 ph-7.41 caltco2-30 base xs-2 07:16am blood type-art po2-82* pco2-45 ph-7.41 caltco2-30 base xs-2 10:56am blood type-art po2-118* pco2-41 ph-7.44 caltco2-29 base xs-4 12:29pm blood type-art po2-123* pco2-52* ph-7.36 caltco2-31* base xs-3 echo : the left atrium is elongated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. mild mitral regurgitation in a structurally-normal valve. ecg : atrial flutter with predominantly 4:1 block and a single wide complex beat which is probably ventricular. since the previous tracing of the rate is slower and flutter waves are more apparent. clinical correlation is suggested. brief hospital course: is a 70-year-old male with a one year history of upper and lower extremity numbness with progressive balance difficulty, causing ambulatory dysfunction. he was consented in the office for his anterior and posterior cervical fusion. he tolerated the procedure well and was transfered to the pacu and then to the tsicu while intubated for overnight care. he was then transfered to the floor. on mr. was found unresponsive on the floor. a code was called and he was transfered to the sicu. once stabilized in the sicu, he was transfered back to the floor. the rest of his hospital course was unremarkable. he was discharged to home with physical therapy. medications on admission: multivitamin discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for breakthrough pain. :*100 tablet(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 3. warfarin 5 mg tablet sig: one (1) tablet po daily16 (once daily at 16): target inr 2.0-3.0 clinic, , - . :*30 tablet(s)* refills:*0* 4. enoxaparin 100 mg/ml syringe sig: one (1) subcutaneous (2 times a day). :*30 * refills:*0* 5. coumadin 2 mg tablet sig: one (1) tablet po once a day: inr 2.0-3.0 clinic, . :*30 tablet(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: 1. cervical spondylotic myelopathy. 2. fixed cervical kyphotic deformity. 3. atypical atrial flutter discharge condition: stable to home with physical therapy discharge instructions: please keep incision clean and dry. you may shower in 48 hours, but please do not soak the incision. change the dressing daily with clean dry gauze. if you notice drainage or redness around the incision, or if you have a fever greater than 100.5, please call the office at . please resume all home mediciation as prescribed by your primary care physician. have been given additional medication to control pain. please allow 72 hours for refills of this medication. please plan accordingly. you can either have this prescription mailed to your home or you may pick this up at the clinic located on 2. we are not allowed to call in prescriptions for narcotics to the pharmacy. if you have questions concerning activity, please refer to the activity sheet. physical therapy: weight bearing/activity as tolerated. gait training treatments frequency: please continue to change dressings daily with dry gauze. there are no sutures or staples to remove. followup instructions: you had a ct scan of the chest during your hospitalization. it showed: '5 mm ground-glass opacity in the right lung along the fissure is slightly more conspicous sine the ct of , similarly there is a new 2 mm ground glass opacity in the left lower lobe. a chest ct in 6 months is advised to assess stability.' please speak with your primary care doctor to get a follow-up ct scan of your chest in 6 months to make sure these spots are not growing (e.g., are not cancerous). procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube non-invasive mechanical ventilation other cervical fusion of the anterior column, anterior technique excision of intervertebral disc cardiopulmonary resuscitation, not otherwise specified other cervical fusion of the posterior column, posterior technique insertion or replacement of skull tongs or halo traction device plastic operation on pharynx insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae fusion or refusion of 4-8 vertebrae diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial flutter abnormality of gait cardiac arrest swelling, mass, or lump in head and neck kyphosis (acquired) (postural) cervical spondylosis with myelopathy polycythemia vera 

Answer: The patient is high likely exposed to