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: penicillins attending: chief complaint: bilateral leg pain major surgical or invasive procedure: full laminectomy l4-l5-s1, partial laminectomy l3 with foraminotomies 1)l4-l5 and l5-s1 bilaterally,lateral recess decompression, instrumented fusion of l4-l5 using pedicle screws and rods with crosslinks, arthrodesis, autologous bone graft harvested from left sided iliac crest,and repair of dura leak. 2)fiberoptic intubation 3)placement suprapubic catheter history of present illness: is a 60-year-old male who seen in dr. office for a 2 year history of lower back pain. the patient had developed bilateral leg pain that is progressing over the last six months. the patient cannot walk any longer for any distance and has aggravated symptoms with standing for a period of time. he presents with classic neurogenic claudication. he has at worst maintained bilateral sensation, but cannot get up for longer periods of time. he is otherwise in good general health. he was worked up including an mri scan and cat scan confirming the diagnosis. past medical history: obesity left carotid endarterectomy. gerd high cholseterol htn ureteral strictures s/p suprapubic catheter bph social history: quit smoking etoh: recreational drug family history: brother who had a recent mi. physical exam: ht; rrr 1/6 murmer lungs: clear abd: soft extrem:no cce neuro:gait normal motor:quads/hams/toes dtr: knee 2+, ankle: 1+ sensation:great toes decreased to pp and lt bilat able to toe and heel walk pertinent results: 04:04pm glucose-102 lactate-1.5 na+-138 k+-4.2 cl--109 04:57pm hgb-12.5* calchct-38 11:00pm pt-12.8 ptt-23.1 inr(pt)-1.1 11:00pm plt count-267 brief hospital course: pt was admitted on and brought to the operating room where he underwent fiberoptic intubation,suprapubic catheter insertion and lumbar laminectomy with fusion, instrumentation, iliac crest graft and repair of dural leak under general anesthesia without complication. post op he was transferred to pacu and then the floor when stable. he was kept flat for 48 hrs to prevent csf leak. he had tlso brace fitted preop which he used when he was out of bed. he did develop some nausea and vomiting on post op day #2. kub did show dilated loops of bowel. he was maintained at clear liquids and symptoms resolved. his diet was advanced and h tolerated this well. the suprapubic catheter was clamped and he was able to void. urology removed the catheter. he was seen by pt and cleared for discharge to home. he was chnaged to all po meds. his wound was clean and dry; did have a blister laterally secondary to tape. his vital signs were stable throughout hospitalization. medications on admission: asa (stopped one week pre op) lipitor protonix lisinopril discharge medications: 1. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 2. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on pain meds. disp:*60 capsule(s)* refills:*0* 6. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for back pain/strain. disp:*60 tablet(s)* refills:*0* 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever or pain. 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of discharge diagnosis: lumbar stenosis and spodylolisthesis urethral strictures difficult intubation ileus discharge condition: neurologically stable discharge instructions: keep incision dry. call for fever or any signs of infection - redness, swelling or drainage from wound. followup instructions: follow up with dr. for suture removal - call for appt. procedure: lumbar and lumbosacral fusion of the anterior column, posterior technique excision of bone for graft, other bones other suprapubic cystostomy other repair and plastic operations on spinal cord structures fusion or refusion of 2-3 vertebrae diagnoses: gout, unspecified accidental puncture or laceration during a procedure, not elsewhere classified hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) paralytic ileus accidents occurring in residential institution lumbosacral spondylosis without myelopathy accidental cut, puncture, perforation or hemorrhage during surgical operation acquired spondylolisthesis urethral stricture, unspecified 

Answer: The patient is high likely exposed to