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: zocor / codeine / avandia / ibuprofen/hydrocodone bit / ibuprofen/oxycodone hcl attending: chief complaint: c2 fracture major surgical or invasive procedure: posterior occiput to c4 fusion history of present illness: ms. is a 73 year old woman who was admitted to the siuc in the past after an mva with severe tbi and complex c2 fracture. she required icp monitoring during her hospitalization. her icp was well controlled and the icp monitor was removed without difficulty. while the c2 fracture disrupted the left lateral mass and was susceptible to settling, the patient was kept in an aspen in the context of uncertainty with regard to her neurologic recovery. the patient was discharged to after tracheostomy and peg. the patient had made a remarkable recovery while at rehab. she has tolerated a tracheostomy wean/removal. she is now able to stand and ambulate with assistance. she has also regained speech and the ability to interact appropriately. past medical history: diabetes type 2 - on insulin for 2 years hypertension - per daughter, treated for yrs hyperlipidemia meningioma - found incidentally 3-4 years ago on ct scan for ha prior mva ~20 years ago social history: she was very independent and lived alone, widowed. she did not work. no t/a/d. tox screens on admission were all negative. - she has 2 daughters and a son involved in decisions. family history: mother-colon ca physical exam: on discharge: she was mae well without focal deficit. she responds to yes/no questions intermittantly. she has a cercival collar and surgical staples. pertinent results: cervical x-rays: history: patient with cervical fusion. findings: comparison is made to ct scan from . there has been posterior fixation from the occiput down to c4. the fracture involving the dens is again seen, and there is some posterior displacement of the dens in relation to the body of c2. please refer to operative note for additional details. brief hospital course: ms. was admitted to under the care of dr. on . she was taken to the or and underwent a posterior occiput to c4 fusion. she remained intubated overnight and was observed in the sicu. she was in a cervical collar which was tailored by neops. she was extubated in early am and was safe for floor transfer on . nutrition made tube feeding recommendations and they were restarted. on early am she received dilaudid iv and through gtube and had some respiratory depression which resolved with tailoring of medication. on and overnight she had som eintermittant tachycardia that responded well to lopressor and hydralazine. she had some atelectasis and nebulizers with chest pt was prescribed. she was seen by pt/ot on . she was being followed by case management for eventual return to her rehab facility. she was transfered on . medications on admission: acetaminophen 160 mg/5 ml solution one (1) by mouth every six (6) hours as needed for fever. atorvastatin 10 mg tablet one (1) tablet by mouth daily (daily). bisacodyl 5 mg tablet, delayed release (e.c.) two (2) tablet, delayed release (e.c.) by mouth daily (daily). carboxymethylcellulose sodium 1.4-0.6 % dropperette 1-2 drops ophthalmic prn (as needed) as needed for dryness. carvedilol 12.5 mg tablet two (2) tablet by mouth twice a day. ciprofloxacin 500 mg tablet one (1) tablet by mouth every twelve (12) hours for 6 days. docusate sodium 50 mg/5 ml liquid one (1) by mouth twice a day. famotidine 20 mg tablet one (1) tablet by mouth twice a day. heparin (porcine) 5,000 unit/ml solution one (1) injection three times a day. levetiracetam 750 mg tablet one (1) tablet by mouth twice a day. magnesium hydroxide 400 mg/5 ml suspension thirty (30) ml by mouth every six (6) hours as needed for no bm in 24 hrs. sennosides 8.6 mg tablet two (2) tablet by mouth daily (daily). discharge medications: 1. acetaminophen 160 mg/5 ml solution sig: po q6h (every 6 hours) as needed for pain. 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 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 7. methocarbamol 500 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain. 8. metformin 850 mg tablet sig: one (1) tablet po bid (2 times a day). 9. amantadine 50 mg/5 ml syrup sig: one hundred (100) mg po daily (daily). 10. methylphenidate 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 11. methylphenidate 10 mg tablet sig: one (1) tablet po bid (2 times a day). 12. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 13. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po tid (3 times a day). 14. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 15. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 17. levetiracetam 100 mg/ml solution sig: two y (250) mg po bid (2 times a day) for 1 weeks. 18. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 19. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for congestion. 20. hydralazine 20 mg/ml solution sig: ten (10) mg injection q6h (every 6 hours) as needed for sbp > 160. discharge disposition: extended care facility: - discharge diagnosis: c2 odontoid cervical lateral mass fracture discharge condition: mental status: confused - always level of consciousness: alert and interactive activity status: bedbound 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. ?????? wear your cervical collar 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. ?????? do not drive. 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 ??????you may have your staples removed on . ??????please call ( to schedule an appointment with dr. to be seen 4 weeks with ap/lateral c-spine x-rays. md procedure: enteral infusion of concentrated nutritional substances excision of bone for graft, other bones repair of vertebral fracture other cervical fusion of the posterior column, posterior technique fusion or refusion of 2-3 vertebrae diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia pulmonary collapse other and unspecified hyperlipidemia long-term (current) use of insulin closed fracture of second cervical vertebra gastrostomy status motor vehicle traffic accident of unspecified nature injuring unspecified person 

Answer: The patient is high likely exposed to