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: patient recorded as having no known allergies to drugs attending: chief complaint: mvc major surgical or invasive procedure: biopsy of l4 for foraminal tumor history of present illness: 55m who was in his usual state of health and was driving when he lost control of his vehicle secondary to inclement weather and fish tailed into the highway barrier. he was taken to hospital and reported decreased sensation and movement to his lower extremities and was transferred to for further care. past medical history: none social history: married with children. wife at bedside. family history: nc physical exam: o: t: 99.2 bp: 114/65 hr: 73 r 15 o2sats 98% gen: wd/wn, comfortable, nad. heent: r forehead laceration neck: in hard collar extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t we wf ip q h at g r 3 -4 3 0 0 2 0 0 0 0 0 l 3 -4 3 0 0 2 0 0 0 0 0 bilateral grasps 0/5, no finger mvmt bilaterally. sensation: intact to light touch throughout, proprioception negative. sensation intact to temperature from nipple line up. reflexes: b t br pa ac right 0 0 0 3 0 left 0 0 0 3 0 proprioception: negative toes mute bilaterally rectal exam: decreased sphincter control on discharge: a&ox3 motor: d b t ip at r 3 4 3 3 0 0 wiggles toes l 2 3 3 2 0 0 wiggles toes incision: c/d/i pertinent results: mr cervical,thoracic,lumbar spine w/o contrast 1. contusion of the cervical spinal cord at c3-c4; no evidence of hemorrhage. 2. discontinuity of the anterior longitudinal ligament at c5-c6 and c6-c7, possibly due to underlying osteophytes, but injury to the structure is also possible. 3. mass centered near the right l4-l5 neural foramen, suspicious for a schwannoma. an osseous lesion such as giant cell tumor or osteoblastoma is also possible. malignancy is also possible, and continued workup is suggested, when patient is able. a contrast-enhanced lumbar spine mri could be obtained for further evaluation in a non emergent setting. brief hospital course: 52 y/o m transfer from hospital s/p mvc. found to have decreased sensation and movement in le. ct c-spine showed prevertebral edema at c4. an mri of c, t, and l spine was done which showed cord contusion at c3-4 and l4 lesion. patient remained in c-collar. on examination, patient was antigravity with biceps and triceps in rue and in lue, minimal to no movement in ble. patient was placed on pressors to keep map>80. on , patient was taken off pressors and placed on neurontin. on , patient was transferred to step down with slightly improved. on , patient was febrile with a temp of 101.2. u/a was negative. on , he was afebrile and coumadin was started for long term dvt prophylaxis. he was taken to ir for biopsy of his l4 lesion. exam remained stable post biopsy. no adjunct therapy needed for lesion at l4 and patient was screened for rehab. on pt's neurological exam slightly improved with new ability to wiggle toes. he also stated that his sensation was improving. on pt was again febrile and chest x ray was negative for infiltrative process and u/a and culture were negative. he had no further episodes of fever while in the hospital. his coumadin was increased to 7.5mg daily on this day as he had no increase in inr with 5mg daily. on pt was discharged to rehab facility in stable condition. he must have daily inr checks and coumadin should be titrated accordingly for goal inr of .5. medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 6. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 7. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for dryness. 8. gabapentin 400 mg capsule sig: one (1) capsule po tid (3 times a day). 9. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 10. baclofen 10 mg tablet sig: one (1) tablet po tid (3 times a day). 11. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. 12. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 13. ondansetron 4 mg iv q8h:prn nausea 14. hydromorphone (dilaudid) 0.5-1 mg iv q1h:prn pain 15. lorazepam 0.5-1 mg iv hs:prn insomnia/anxiety discharge disposition: extended care facility: - discharge diagnosis: c3-4 contusion, l5-4 foraminal tumor discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: bedbound. discharge instructions: ?????? do not smoke. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? if you are required to wear one, wear your cervical collar for 3 months. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. 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, and drainage. ?????? fever greater than or equal to 101?????? f. ?????? any change in your bowel or bladder habits (such as loss of bowl or urine control). followup instructions: follow up instructions/appointments ??????please return to the office in days (from date of surgery) for removal of your staples/sutures and/or a wound check. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. can also be removed at the rehab facility ??????please call ( to schedule an appointment with dr. to be seen in 4 weeks. ??????you will x-rays/ct-scan prior to your appointment. ??????you will also need daily inr checks, goal inr 2-2.5 md procedure: closed biopsy of skin and subcutaneous tissue diagnoses: long-term (current) use of anticoagulants fever, unspecified motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle c1-c4 level with other specified spinal cord injury neoplasm of unspecified nature of bone, soft tissue, and skin 

Answer: The patient is high likely exposed to