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 / neosporin scar solution / bacitracin attending: chief complaint: back pain major surgical or invasive procedure: anterior/posterior thoracolumbar fusion with instrumentation history of present illness: ms. has a long history of back pain. she has attempted conervative therapy and surgical therapy but has developed a flat back syndrome. she is electing to proceed with surgical correction. past medical history: pmhx: hx of afib (currently in sinus rhythm) tia x 3, no neuro deficit spinal stenosis hx skin cancer ankle fracture pshx: anterior portion of surgery yesterday d&c colonoscopy ear lobe surgery social history: denies tobacco family history: n/c 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: 05:20am blood wbc-7.9 rbc-3.38* hgb-11.1* hct-30.9* mcv-92 mch-32.7* mchc-35.7* rdw-16.4* plt ct-147* 05:10am blood wbc-8.4 rbc-2.77* hgb-9.2* hct-25.4* mcv-92 mch-33.4* mchc-36.5* rdw-16.7* plt ct-143* 12:51am blood wbc-7.5 rbc-3.27* hgb-10.6* hct-29.3* mcv-90 mch-32.5* mchc-36.3* rdw-17.6* plt ct-105* 04:00pm blood wbc-6.1 rbc-3.21* hgb-10.7* hct-29.8* mcv-93 mch-33.3* mchc-35.9* rdw-17.2* plt ct-134* 05:20am blood wbc-7.2 rbc-2.63*# hgb-9.3* hct-25.9* mcv-99*# mch-35.3*# mchc-35.8* rdw-12.9 plt ct-160 05:10am blood glucose-134* urean-16 creat-0.9 na-137 k-4.1 cl-103 hco3-27 angap-11 12:51am blood glucose-241* urean-21* creat-0.8 na-139 k-4.6 cl-107 hco3-24 angap-13 05:20am blood glucose-186* urean-23* creat-1.0 na-139 k-5.0 cl-104 hco3-28 angap-12 05:10am blood calcium-8.4 phos-2.7 mg-1.6 brief hospital course: ms. was admitted to the spine surgery service on and taken to the operating room for l5-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 t9-s1 decompression with psif as part of a staged 2-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the sicu 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 remained in place until postop day one. 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#3 from the second procedure. she was fitted with a tlso brace. 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: hctz quinapril simvastatin escitalopram metoprolol discharge medications: 1. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 2. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 3. quinapril 20 mg tablet sig: two (2) tablet po daily (daily). 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 6. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. oxycodone 20 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q12h (every 12 hours). discharge disposition: extended care facility: of discharge diagnosis: thoracic kyphosis post-op acute 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 out of bed. you may take it off 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: as tolerated thoracic lumbar spine: when oob must have tlso brace when out of bed. treatment frequency: please continue to change the dressing daily. followup instructions: with dr. in 10 days procedure: other excision of joint, other specified sites 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 fusion or refusion of 2-3 vertebrae refusion of dorsal and dorsolumbar spine, posterior column, posterior technique fusion or refusion of 9 or more vertebrae insertion of recombinant bone morphogenetic protein insertion of recombinant bone morphogenetic protein diagnoses: acute posthemorrhagic anemia atrial fibrillation personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation lumbosacral spondylosis without myelopathy pathologic fracture of vertebrae other mechanical complication of other internal orthopedic device, implant, and graft other kyphosis (acquired) degeneration of lumbar or lumbosacral intervertebral disc other acquired deformity of back or spine 

Answer: The patient is high likely exposed to