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 and shooting pains from the right side of the neck. major surgical or invasive procedure: posterior exploration with sublaminar wire fusion at c1-c2 using autologous graft, allograft and a globus system (/gallie fusion type). intraoperative electrophysiological monitoring. history of present illness: this is a 76 year old right handed man who initially presented with neck pain and shooting pains from the right side of the neck. of note: at age 9 he had a fall and immediately developed neck pain and right hand numbness. he however did not seek medical attention at that time and did well over the years except episodic numbness of the right hand. since he has intermittent sudden shooting pain from the right side of his neck. he did not seek medical care right away until he had a severe recurrence with strong electric-shock-like pain, and this prompted an ed visit diagnpsing a meningeoma at c7. he underwent resection. he returns to the clinic for the c2 lesion. he is overall doing well. he had weakness of the right hand after surgery, improved except some intrisics 4+/5. he has residual mild numbness of the 4th and 5th digits only. past medical history: right-hand numbness since childhood 2. left calf atrophy 3. hypertension 4. dyslipidemia 5. left tibia and fibula fracture in accident social history: he lives with wife of 44 in . he is a retired engineer. he quit smoking 33 ago. he denies etoh use. family history: nc physical exam: af vss mental status wnl in areas of alertness, orientation, concentration memory and language. on cranial nerve examination, eye movements are full, pupils are equal and reactive. full visual fields. no facial weakness, no dysarthria. no tongue weakness. on motor examination: lue intrinsics, wrist ext, grip, biceps, triceps. wrist flexion . rue and bilateral le's throughout ambulating on own incison clean, dry and intact without erythema pertinent results: ct c-spine w/o contrast impression: post-surgical changes at c1-2 with wire in proximity to the posterior aspect of thecal sac and cord with narrowing the spinal canal. mass effect on the cord cannot be excluded. mr may be helpful for further evaluation if clinically indicated and if not ci, but artifact from adjacent hardware may limit the utility of mri. these findings were discussed with by dr. by telephone at 12:58 a.m. on at the time of discovery of these findings. brief hospital course: 76 y/o m with neck pain presents for elective c1-2 laminectomy and fusion. intra-operatively, case was uncomplicated until they lost neuro monitoring on the lle. no excess hemorrhaging or damage was seen to the spinal cord to explain this. post operatively, patient was taken to the icu for monitoring and extubated. on examination, he was full strength on his r side and bilateral les, but his lue was seen to be a . he was placed on decadron. on , his exam was much improved. he was now a in the lue. he was transferred to the floor in stable condition. he is to wear his c-collar at all times. his exam continued to improve and he worked with physical therapy daily, who cleared him for discharge to home on . he remained hemodynamically stable, was voiding, eating and ambulating independently. on he was deemed ready for discharge to home with instructions for the appropriate follow-up care. medications on admission: 1. pravastatin 40 mg by mouth daily 2. aspirin 81 mg by mouth every other day discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. pravastatin 40 mg tablet sig: one (1) tablet po once a day. 4. dexamethasone 1 mg tablet sig: taper tablet po taper for 7 days: 4mg po q8hrs x2 days, then 2mg po q8hrs x2 days, then 1mg po q8hrs x2 days, then 1 mg po qd x1 day. disp:*qs tablet(s)* refills:*0* 5. oxycodone 5 mg tablet sig: 1-2 tablets po every four (4) hours: do not drive, drink alcohol, or operate machinery/appliances while taking this medication. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cervical stenosis discharge condition: stable alert and oriented x3 ambulatory 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. ?????? 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 as instructed. ?????? you may shower briefly without the collar; 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 medications such as aspirin 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). 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. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. to be seen in weeks. you will need a ct-scan of your cervical spine prior to your appointment procedure: excision of bone for graft, other bones atlas-axis spinal fusion fusion or refusion of 2-3 vertebrae diagnoses: unspecified essential hypertension other and unspecified hyperlipidemia cervical spondylosis with myelopathy pathologic fracture of vertebrae 

Answer: The patient is high likely exposed to