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: neck and back pain major surgical or invasive procedure: anterior/posterior cervical fusion with instrumentation c4-7 history of present illness: 58m was intoxicated, fell down stairs and found in snow bank. not intubated, brought to osh where per report found to have old vertebral compression fractures at l5 and t1, and a spinous process fracture at c5. in our emergency , patient is still inebriated, but with purposful movement of bue, and moving ble to command. there was reduced rectal tone in trauma survey, and upon my repeat evaluation. past medical history: unknown patient not cooperative with questions. social history: + etoh, otherwise unknown family history: n/c physical exam: gen: wd/wn, comfortable, nad. heent: pupils: reactive eoms not follow commands to assess, but moving eyes in all directions. neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: inebriated and drowsy orientation: too inebriated to answer questions motor: finger flexion and extension bilaterally; triceps and biceps bilaterally 4/5 strength bilateral lower extremities throughout sensation: intact to light touch, propioception, pinprick and vibration bilaterally. propioception intact toes downgoing bilaterally rectal exam: reduced sphincter tone pertinent results: mr l spine w/o contrast 1. mild spondylolisthesis and degenerative changes in the cervical spine result in moderate spinal canal narrowing at c4-5 and c5-6. the spinal cord is edematous from c3-4 through c5-6, suggesting a contusion. 2. extensive prevertebral edema in the cervical spine. mild marrow edema associated with the known fracture of the anterior superior corner of the c6 vertebral body. apparent marrow edema in the c4 and c5 vertebral bodies, suggesting contusions, since no fracture lines are seen on the preceding cervical spine ct scan. 3. edema in the c5 spinous process related to the known fracture. edema in the c4-5 interspinous ligaments, and adjacent to the tip of the c6 spinous processes. 4. chronic compression fracture of the t7 vertebral body. multilevel disc disease in the thoracic spine, without cord compression or cord edema. 5. severe compression fracture of the l1 vertebral body with retropulsion and moderate spinal canal narrowing, but no compression of the conus medullaris or conus edema. marrow edema within the l1 vertebral body suggests an acute or acute-on-chronic fracture. 6. degenerative disease in the lower lumbar spine with severe spinal canal narrowing and severe right neural foraminal narrowing at l4-5. brief hospital course: 58 y/o m intoxicated, s/p fall down stairs into snow bank. he was brought to osh with h/o old compression fx t1 and l5. he was seen to have cord contusion at c3-4 through c5-6 on mri as well as l1 compression fracture. he was placed in c-collar and admitted to icu for monitoring. exam was weak in bue distal>proximal. on , patient was stable, a tlso brace was ordered for his l1 compression fracture. he was consented for a circumfrential fusion c4-7 with instrumentation for his fracture and stenosis. post-operatively he was given pain medication and antibiotics. a hemovac drain was placed intraoperatively and was removed pod #2 from his posterior decompression and fusion. he failed a voiding trial and the foley was replaced. this will be managed at rehab. he was febrile overnight on pod #3 and a fever workup was negative. incentive spirometer was encouraged and he deffervessed. he was discharged in good condition and will follow up with dr. in 10 days. medications on admission: gabapentin simvastatin hctz albuterol ipratropium bromide discharge medications: 1. gabapentin 100 mg capsule sig: one (1) capsule po tid (3 times a day). 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 5. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 6. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for patient comfort. 7. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical (2 times a day). 8. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 9. oxycodone 10 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q12h (every 12 hours). 10. diazepam 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for spasms. 11. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). discharge disposition: extended care facility: discharge diagnosis: central cord syndrome l1 compression fracture c6 fracture cord contusion discharge condition: good discharge instructions: ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? if you have steri-strips in place, you must keep them dry for 72 hours. do not pull them off. they will fall off on their own or be taken off in the office. you may trim the edges if they begin to curl. ?????? 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 or back brace as instructed. ?????? you may shower briefly without the collar or back brace; unless you have been instructed otherwise. ?????? 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. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. unless directed by your doctor. ?????? 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). physical therapy: activity: activity: out of bed w/ assist thoracic lumbar spine: when oob cervical collar: at all times treatment frequency: please continue to inspect the incisions daily followup instructions: with dr. in 10 days procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc excision of bone for graft, other bones repair of vertebral fracture other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae fusion or refusion of 4-8 vertebrae diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcohol abuse, unspecified accidental fall on or from other stairs or steps osteoporosis, unspecified head injury, unspecified closed fracture of c5-c7 level with unspecified spinal cord injury cervical spondylosis without myelopathy other specified retention of urine pathologic fracture of vertebrae closed dislocation, multiple cervical vertebrae c5-c7 level with central cord syndrome 

Answer: The patient is high likely exposed to