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: bactrim ds attending: chief complaint: back pain major surgical or invasive procedure: anterior fusion t11-l1 with t12 partial corpectomy history of present illness: mr. a t12 burst fracture and underwent posterior decompression and stabilization t10-l2 on . he was discharged to rehab with the plan of returning to the or for a partial corpectomy t12. past medical history: pmh: cad, htn, hl, bph, bppv, spinal stenosis, pacemaker ,tinnitus, renal insufficiency (lasix recently stopped for cr 2.2, new baseline since 2.1-2.3) psh: pacemaker implantation, cabg x 4 , avr with st. epic tissue valve , turp, back surgery for spinal stenosis, bilateral knee replacement social history: -tobacco history: never -etoh: never -illicit drugs: never pt is a former design and land development professor. lives in with grandson and a close friend. his friend helps out with cooking, and he bathes himself. pt is still active in planning an intergenerational apartment complex in . family history: father died at yo of chf. mother had a " problem" since her youth but died at yo of complications after hip fx. two sisters both 80 and 82 yo with hx of colon cancer. physical exam: a&o x 3; nad rrr cta b abd soft nt/nd bue- good strength at deltoid, biceps, triceps, wrist flexion/extension, finger flexion/extension and intrinics; sensation intact c5-t1 dermatomes; - , reflexes symmetric at biceps, triceps and brachioradialis ble- good strength at hip flexion/extension, knee flexion/extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact l1-s1 dermatomes; - clonus, reflexes symmetric at quads and achilles pertinent results: 09:00am blood wbc-7.8 rbc-3.49* hgb-10.6* hct-33.0*# mcv-95 mch-30.2 mchc-32.0 rdw-15.2 plt ct-206 05:00am blood wbc-11.5* rbc-2.80* hgb-8.5* hct-25.5* mcv-91 mch-30.2 mchc-33.3 rdw-17.1* plt ct-175 03:11pm blood wbc-13.7* rbc-3.05* hgb-9.3* hct-27.2* mcv-89 mch-30.4 mchc-34.0 rdw-17.3* plt ct-188 01:50am blood wbc-13.1* rbc-3.20* hgb-9.7* hct-28.0* mcv-88 mch-30.4 mchc-34.8 rdw-17.4* plt ct-199 08:30pm blood wbc-9.5 rbc-3.31* hgb-9.9* hct-30.3* mcv-92 mch-30.1 mchc-32.8 rdw-17.1* plt ct-283# brief hospital course: mr. was admitted to the service of dr. for a t12 corpectomy. he was informed and consented and elected to proceed. please see operative note for procedure in detail. post-operatively he was given antibiotics and pain medication. he was transfered to the sicu for further evaluation. a hemovac drain was placed intra-operatively and this was removed pod 2. his bladder catheter was removed pod 3 and his diet was advanced without difficulty. he was able to work with physical therapy for strength and balance. he was discharged in good condition and will follow up in the orthopaedic spine clinic. medications on admission: 1. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily). 5. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 6. calcium carbonate 500 mg calcium (1,250 mg) tablet sig: one (1) tablet po daily (daily). 7. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) syringe injection (2 times a day). 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for congestion. 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for congestion. discharge medications: 1. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily). 5. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 6. calcium carbonate 500 mg calcium (1,250 mg) tablet sig: one (1) tablet po daily (daily). 7. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) syringe injection (2 times a day). 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for congestion. 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for congestion. discharge disposition: extended care facility: - discharge diagnosis: t12 burst fracture acute post-op blood loss anemia discharge condition: good discharge instructions: you have undergone the following operation: anterior fusion t11-l1 with t12 partial corpectomy 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: o2-3 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. olimit 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 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. no nsaids. -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. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: activity: out of bed w/ assist thoracic lumbar spine: when oob treatments frequency: please continue to change the dressing daily with dry, sterile gauze. followup instructions: with dr. in 10 days procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique other incision of pleura other excision of joint, other specified sites insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae artificial pacemaker rate check diagnoses: unspecified pleural effusion acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, unspecified other and unspecified hyperlipidemia closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury cardiac pacemaker in situ other motor vehicle traffic accident involving collision on the highway injuring driver of motor vehicle other than motorcycle heart valve replaced by transplant aftercare for healing traumatic fracture of other bone 

Answer: The patient is high likely exposed to