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 pain with right arm and leg weakness major surgical or invasive procedure: anterior/posterior cervical fusion with instrumentation c4-5 history of present illness: 62m transfer from osh after c4-5 injury. he was participating in a "mud run" on , when he dove/fell head-first into a mud hole. he complained only of left shoulder pain and a "twinge" of spinal pain. he was moving his upper/low left extremities, but had weakness of upper and lower right extremities. past medical history: hyperlipidemia social history: lawyer; lives with wife; denies tobacco family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd lue- 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 rue- weakness at biceps, triceps and wrist extension lle- 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 rle- weakness at quads and anterior tibialis pertinent results: 06:10am blood wbc-11.3* rbc-4.05* hgb-12.5* hct-37.8* mcv-93 mch-30.9 mchc-33.1 rdw-13.1 plt ct-158 04:00am blood wbc-9.2 rbc-4.24* hgb-12.8* hct-38.8* mcv-92 mch-30.3 mchc-33.1 rdw-13.1 plt ct-184 04:05pm blood wbc-14.8* rbc-4.66 hgb-13.8* hct-42.2 mcv-91 mch-29.6 mchc-32.7 rdw-12.8 plt ct-218 04:00am blood glucose-176* urean-24* creat-0.9 na-138 k-4.5 cl-103 hco3-23 angap-17 04:05pm blood glucose-112* urean-28* creat-1.0 na-142 k-4.3 cl-105 hco3-22 angap-19 04:00am blood calcium-8.5 phos-4.1 mg-2.0 10:30pm blood calcium-8.5 phos-4.5 mg-2.0 brief hospital course: mr. was admitted to the spine surgery service and emergently taken to the operating room for c4-5 anterior fusion. please refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the t/icu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were given per standard protocol. initial postop pain was controlled with a pca. function of his right upper and lower extremities improved. on hd#3 he returned to the operating room for a scheduled c4-5 decompression with psif as part of a staged 2-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the pacu in a stable condition. postoperative hct was stable. he was kept npo until bowel function returned then diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#2 from the second procedure. he was fitted with a cervical collar when out of bed. physical therapy was consulted for mobilization oob to ambulate. hospital course was otherwise unremarkable. on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet medications on admission: simvastatin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: fracture/dislocation c4-5 discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior cervical decompression with fusion 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 collar. this is to be worn for comfort 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. 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 other cervical fusion of the posterior column, posterior technique insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae diagnoses: other and unspecified hyperlipidemia closed fracture of c1-c4 level with other specified spinal cord injury fall from other slipping, tripping, or stumbling 

Answer: The patient is high likely exposed to