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: history of present illness: the patient is an 83-year-old man with a past medical history significant for hypertension, paroxysmal atrial fibrillation, sick sinus syndrome, status post pacer in , left lower lobe pneumonia and polypectomy. he also has a past medical history significant for hernia repair times three, transurethral resection of prostate, left total knee replacement and lumbosacral decompression for spinal stenosis in . the patient fell approximately a week prior to admission and had upper back and neck pain. a ct at that time was negative. he was diagnosed with a left lower lobe pneumonia and treated with levaquin. the patient continued with syncopal episodes and fell on the night prior to admission. on the day of admission, in the pcp's office the patient had a syncopal episode with a blood pressure in the 50's. he was unresponsive for several minutes but had a carotid pulse. he was transferred to which ct of the c-spine revealed a c6 fracture. solu medrol was bolused and started as a drip. the patient was unable to move his lower extremities, was insensitive from above the nipple to his toes. he had minimal motor function in his bilateral upper extremities and complained of c-spine pain. past medical history: 1. hypertension. 2. paroxysmal atrial fibrillation. 3. sick sinus syndrome. 4. pacer . 5. left lower lobe pneumonia. 6. tachybrady syndrome. 7. syncope. 8. hearing loss. past surgical history: 1. sigmoid polypectomy. 2. hernia repair times three. 3. transurethral resection of prostate. 4. left total knee replacement. 5. benign skin cancer removal on his forehead. 6. lumbosacral decompression for spinal stenosis. allergies: sulfa. medications on admission: 1. norvasc 5 mg once a day. 2. amiodarone 200 mg once a day. 3. coumadin three times a week. 4. klonopin. social history: noncontributory. physical examination: on admission the patient was afebrile with normal vital signs. his gcs was 15, his pupils are equal, round, and reactive to light and accommodation. his heart was irregular. lungs clear. abdomen was soft, nontender, nondistended. he had decreased rectal tone and he was heme positive. he had no sensation from just above the nipple line to his feet. he was unable to move his trunk or lower extremities. he had bilateral upper extremity weakness with 3/5 wrist extension and grip. his dorsalis pedis pulses were palpable bilaterally. he had no gross deformities of his thoracic lumbar spine but was tender over his cervical spine. of significance the patient's inr on admission was 5.1. his electrocardiogram was v-paced with no acute ischemia. imaging: ct of the spine showed a c6 burst fracture. chest x-ray with a question of a right seventh rib fracture. pelvis x-ray: no fracture. tls: no fracture. ct of abdomen and pelvis was no free fluid negative. hospital course: the patient was seen and evaluated by neurosurgery service in the emergency room. he was felt to have a c6 burst fracture and there was concern of an epidural hematoma given the fact that the patient had a pacemaker he was unable to undergo an magnetic resonance scan and was therefore scheduled for a ct myelogram. the patient was given factor vii emergently to reverse his anti-coagulation as well as ffp. he was resuscitated, access was obtained and he was transferred to the intensive care unit. the rest of his hospital course will be done by systems. 1. neurologic. the patient was seen and evaluated by neurosurgery. he was taken to the operating room in the early morning of for an evacuation of an epidural hematoma and c6 corpectomy and cage placement. postoperatively the patient had little return of neurologic function with minimum movement of his toes bilaterally and triple flexion. on the patient returned to the o.r. for a posterior fusion. again, his neurologic postoperative course showed minimal neurologic improvement. the patient was awake, alert and following commands and was transferred out of bed to the chair throughout his postoperative course when it was felt to be safe by neurosurgery. 2. cardiovascular. given the fact that the patient had several bouts of syncope prior to admission and had a history of tachybrady syndrome, paroxysmal atrial fibrillation as well as sick sinus syndrome he was seen and evaluated by the cardiology service. his pacemaker was interrogated and felt to be functioning fine. he was kept on his home dose of amiodarone. his cardiac enzymes were cycled and were found to be negative. cardiology felt that no further intervention was needed during his hospital course. 3. respiratory. the patient was intubated in the operating room for his first surgery and was extubated postop. he had an episode where he desated however and was felt to be unable to maintain his respiratory drive. he was therefore, semi-electively reintubated on postop day zero. the patient had a prolonged ventilatory course and was unable to be weaned off the ventilator despite diuresis, aggressive pulmonary toilet and multiple bronchoscopies. he was admitted with a left lower lobe infiltrate and did spike fevers throughout his hospital course that were felt to be secondary to this infiltrate. 4. gastrointestinal: the patient had no issue from the gastrointestinal standpoint. he was started on tube feeds and advanced to goal uneventfully. 5. genitourinary. the patient had foley throughout his hospital course. his urine output was adequate and he was diuresed with lasix with a good response. he did have an episode of hypernatremia and hyperkalemia and thus free water was given to the patient with resolution of this problem. his fever spikes his urine was cultured throughout his hospital stay. 6. heme/vascular. given the fact that the patient was unable to be anti-coagulated and was felt to be high risk for pulmonary embolism, an ivc filter was placed in the patient, was done on without problem. the patient's coagulopathy was reversed with ffp. given the fact that the patient continued to have recurrent fevers he underwent bilateral lower extremity ultrasounds to rule out deep vein thrombosis as well as upper extremity ultrasound at the site of picc line given his left upper extremity swelling. his lower extremity ultrasounds were negative but he did have a left upper extremity deep vein thrombosis. vascular surgery was consulted and given the fact that this was asymptomatic i felt this could be treated conservatively. 7. id. the patient was placed on levofloxacin for left lower lobe pneumonia when he was admitted. ancef was then added for periop coverage given his prosthetic material in his spine. he continued to spike fevers throughout his hospital course and on did grow out gram positive rods in his sputum. otherwise, no clear source was found for his fever. 8. fen. as mentioned in gastrointestinal section the patient was maintained on tube feeds. he did have an episode of hypernatremia and hyperkalemia which was treated with free water. his electrolytes were repleted as needed, otherwise he had no issues. 9. general disposition: given the patient's inability to wean off the vent and his family wishes on it was decided that the patient would be removed from ventilatory support. his daughter understood that the patient would not survive this but she felt it was his wish to not live in his current status therefore on he was extubated and expired. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube interruption of the vena cava enteral infusion of concentrated nutritional substances arterial catheterization other exploration and decompression of spinal canal closed [endoscopic] biopsy of bronchus other cervical fusion of the anterior column, anterior technique other partial ostectomy, other bones insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae diagnoses: congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation unspecified fall quadriplegia, unspecified closed fracture of sixth cervical vertebra 

Answer: The patient is high likely exposed to