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: sulfa (sulfonamides) attending: chief complaint: neck pain major surgical or invasive procedure: posterior cervical fusion history of present illness: hpi: mr. is a 36 yo m who was transferred from an osh after a mcv. per ems report, he was unrestrained and found self-ejected from the car. he was noted to have + etoh with slurred speech at the scene. he was placed in a c-collar and taken to an osh where he was found to have a c7 fracture. he was given narcan for drowsiness which improved his mental status. later in his course at the ed he was given ativan 1mg x 2 and then 4 mg of morphine. he was transferred here for further evaluation. in our ed, he was very drowsy and was given narcan again with good results. afterwards, however he stated that he was very anxious and had pain "all over". he requested dilaudid as morphine makes him too sleepy. mr. states that he has been in detox for alcohol for the last 4 days and decided to leave today, prior to discharge because "i was going crazy". he states that he typically drinks about 6 beers or 2 "40's" per night as well as a "pint". he is uncertain of how much he drank this evening. he denies having taken other drugs tonite but states that he has used heroin in the past. in the ed, the patient was found to have a small blue bag with a white power in it. the patient states he is not sure what is in it, "i don't remember". past medical history: pmhx: -polysubstance abuse, ivdu -denies dt's -hcv -asthma -anxiety -gerd -htn social history: social hx: polysubstance dependance as above but denies ; + tobacco family history: nc physical exam: physical exam: o: t: af bp: 104/58 hr: 86 r 18 o2sats 99% on 15l gen: wd/wn, anxious, shaking arms and legs asymmetrically and requesting dilaudid neck: in hard collar lungs: cta bilaterally anteriorly cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, anxious but cooperative with exam orientation: oriented to person, place, and date. motor: d b t fe ff ip q at g r 5 5 5 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 5 5 5 sensation: pt thinks sensation is intact to light touch but is very anxious and not certain reflexes: areflexic but very anxious and all muscles are contracted during exam despite repeated attempts to relax him toes downgoing bilaterally pertinent results: ct c-spine: nondisplaced fractures through the pedicles at c7 bilaterally, with extension into the transverse processes. no evidence of vertebral artery or other vascular injury. recons are pending. 5.6\ 12.7 /273 36.4 tox screen + benzos, opiates and etoh pt: 12.1 ptt: 24.7 inr: 1.0 fibrinogen: 212 na:141 k:4.2 cl:104 tco2:22 glu:76 lactate:1.4 brief hospital course: pt was admitted to the trauma service and monitored closely in the icu. mri of c-spine showed ligamentous injury. he was kept in a hard collar at all times. on hd#2 he was transferred to neurosurgery service and the floor. he was pre-oped for the or. on he was brought to the or where under general anesthesia a posterior cervical fusion was performed. he tolerated this procedure well, was extubated, transferred pacu and then to floor when stable. he was given pain medication by pca and ultimately transitioned to po. diet and activity were advanced. foley was removed. drain was removed pod#2. staples were clean/dry/intact. he remained in aspen collar.he was evaluated by pt and was cleared for discharge to home. pt agreed with this plan. medications on admission: medications prior to admission: trazodone, advair, claritin, lisinopril, xopenex, nasonex, zantac discharge medications: 1. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 2. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: disk with devices inhalation (2 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while on pain med. disp:*60 capsule(s)* refills:*1* 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. xopenex hfa 45 mcg/actuation hfa aerosol inhaler sig: inhalation q4-6h prn (). 8. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 10. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*80 tablet(s)* refills:*0* 11. gabapentin 600 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks: 1 for 1 week, then 1 qd for 1 week then dc. disp:*21 tablet(s)* refills:*0* 12. methocarbamol 750 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*1* discharge disposition: home discharge diagnosis: bilateral c7 facet fracture discharge condition: neurologically stable discharge instructions: discharge instructions for spine cases ?????? do not smoke ?????? keep wound clean / no tub baths or pools until seen in follow up / begin daily showers . ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting for two weeks. ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection ?????? you are required to wear cervical collar as instructed ?????? you may shower briefly without the collar ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. for 3 months. ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation * you may not drive while in cervical collar. call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits followup instructions: please return to the office in days for removal of your staples please call to schedule an appointment with dr. to be seen in 6 weeks. you will need xrays prior to your appoinment procedure: excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: esophageal reflux tobacco use disorder unspecified essential hypertension chronic hepatitis c without mention of hepatic coma other, mixed, or unspecified drug abuse, unspecified asthma, unspecified type, unspecified alcohol abuse, unspecified anxiety state, unspecified other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle closed fracture of seventh cervical vertebra 

Answer: The patient is high likely exposed to