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: l4-5 laminectomy and posterior spinal fusion history of present illness: 55f with persistent lower back pain. she has significant stenosis at l3-4 and l4-5 with degenerative listhesis at l4-5. the risks and benefits of a posterior l4 laminectomy with a posterior spinal fusion at l4-5 were discussed with her in detail. after informed choice, she was to proceed with surgical intervention. past medical history: hep c liver cirrohosis, esophageal varices, htn, s/p chole, s/p hysterectomy, s/p appy social history: nc family history: nc physical exam: avss well appearing, nad, comfortable bue: silt c5-t1 dermatomal distributions bue: /tri/bic/we/wf/ff/io bue: tone normal, negative , 2+ symmetric dtr bic/bra/tri all fingers wwp, brisk capillary refill, 2+ distal pulses ble: decreased sensation in l5 distr. otherwise silt l1-s1 dermatomal distributions ble: ip/qu/hs/ta/gs//fhl/per ble: tone normal, no clonus, toes downgoing, 2+ dtr knee/ankle all toes wwp, brisk capillary refill, 2+ distal pulses pertinent results: 06:57pm pt-15.8* ptt-36.5 inr(pt)-1.5* 06:09pm glucose-121* urea n-12 creat-0.6 sodium-141 potassium-4.4 chloride-107 total co2-25 anion gap-13 06:09pm calcium-8.0* phosphate-4.9* magnesium-1.7 06:09pm wbc-9.1 rbc-3.60* hgb-9.7* hct-31.4* mcv-87 mch-26.9* mchc-30.8* rdw-18.5* 06:09pm plt count-227 12:00pm urea n-11 creat-0.7 sodium-139 potassium-3.7 chloride-103 total co2-28 anion gap-12 12:00pm estgfr-using this 12:00pm albumin-3.4* 05:30am blood wbc-7.4 rbc-3.01* hgb-8.2* hct-26.8* mcv-89 mch-27.1 mchc-30.5* rdw-18.2* plt ct-186 05:30am blood glucose-94 urean-12 creat-0.6 na-140 k-3.9 cl-107 hco3-29 angap-8 05:34am blood wbc-10.1 rbc-2.93* hgb-7.8* hct-26.3* mcv-90 mch-26.7* mchc-29.8* rdw-18.1* plt ct-181 02:57pm blood hct-23.1* 06:11pm blood hct-28.3* 11:29pm blood hct-31.0* 05:34am blood glucose-99 urean-9 creat-0.6 na-140 k-3.7 cl-108 hco3-26 angap-10 05:24am blood wbc-11.6* rbc-3.40* hgb-9.4* hct-30.1* mcv-89 mch-27.8 mchc-31.4 rdw-18.0* plt ct-179 01:15pm blood hct-31.0* 05:24am blood glucose-106* urean-8 creat-0.4 na-137 k-3.8 cl-105 hco3-26 angap-10 brief hospital course: patient was admitted to the spine surgery service and taken to the operating room for the above procedure. 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. an ij central line was placed in or given poor iv access. line discontinued day of discharge without incident. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were continued for 24hrs postop per standard protocol. initial postop pain was controlled with a pca. pain was not immediately well controlled. pain consult was obtained. she was switched from oxycodone to dilaudid with good effect. diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#3. patient was transfused with 3 units of prbc for blood loss anemia. 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: nadolol 20 mg po daily, amlodipine 2.5 mg po/ng daily, sertraline 100 mg po/ng daily, hydrochlorothiazide 25 mg po/ng daily, spironolactone 50 mg po/ng daily, gabapentin 600 mg po/ng q8h, lactulose 45 ml po/ng daily:prn constipation discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on narcotics. disp:*60 capsule(s)* refills:*2* 2. senna 8.6 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for constipation. disp:*60 tablet(s)* refills:*0* 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 4. lactulose 10 gram/15 ml syrup sig: forty five (45) ml po daily (daily) as needed for constipation. 5. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). 6. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). 7. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 8. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 9. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 10. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 12. diazepam 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for spasms. disp:*60 tablet(s)* refills:*0* 13. dilaudid 2 mg tablet sig: 1-3 tablets po every 4-6 hours as needed for pain: no driving. disp:*90 tablet(s)* refills:*0* discharge disposition: extended care facility: guardian - discharge diagnosis: lumbar spondylosis and listhesis discharge condition: good discharge instructions: you have undergone the following operation: lumbar 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: &#9702; 2-3 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. &#9702; limit 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 may 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. ?????? 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. ?????? follow up: &#9702; please call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. &#9702; at the 2-week visit we will check your incision, take baseline x-rays and answer any questions. we may at that time start physical therapy. &#9702; we will then see you at 6 weeks from the day of the operation and at that time release you to full activity. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: oob without restriction, no brace treatments frequency: dress wound only if draining. staples out 2 weeks from surgery at follow up visit. followup instructions: provider: , : date/time: 11:30 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus lumbar and lumbosacral fusion of the posterior column, posterior technique fusion or refusion of 2-3 vertebrae diagnoses: pneumonia, organism unspecified acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia alcoholic cirrhosis of liver unspecified viral hepatitis c without hepatic coma anxiety state, unspecified obesity, unspecified encephalopathy, unspecified hyperosmolality and/or hypernatremia esophageal varices in diseases classified elsewhere, without mention of bleeding other and unspecified alcohol dependence, unspecified other specified bacterial infections in conditions classified elsewhere and of unspecified site, other specified bacteria body mass index 35.0-35.9, adult spinal stenosis, lumbar region, without neurogenic claudication acquired spondylolisthesis acute respiratory failure following trauma and surgery thoracic or lumbosacral neuritis or radiculitis, unspecified 

Answer: The patient is high likely exposed to