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: patient recorded as having no known allergies to drugs attending: chief complaint: neck and right arm pain after mva major surgical or invasive procedure: anterior c7 corpectomy with allograft and plate history of present illness: pt is a 37f who was involved in a mva where she thinks she fell asleep leading to her car being involved in a rollover. she was removed from the car at the scene, placed in a cervical collar and was taken to for further evaluation. she currently complains of neck and right arm pain, numbness in her rue that involves her thumb and index finger and r shoulder pain. she has no complaints of lower extremity weakness, b/b incontinence or sensory changes in her legs. ct c spine shows r c5-6 jumped facet and c6-7 perched facet with c7 anterior wedge fracture. past medical history: ivda depresseion anxiety social history: vet tech ivda family history: nc physical exam: gen: wd/wn, comfortable, nad. heent: pupils: perrla eoms full neck: pain with palpation to c7/t1, c collar in place extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t we wf ip q h at g r 4 4 5 5 5 5 5 5 5 5 5 sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 3 3 3 3 left 3 3 3 3 propioception intact toes downgoing bilaterally ct c spine: r c5-6 jumped facet, perched facet c6-7 exam on discharge: 4+ r tricep, otherwise intact pertinent results: 10:40am wbc-6.0 rbc-3.77* hgb-12.2 hct-35.2* mcv-94 mch-32.4* mchc-34.6 rdw-12.8 10:40am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:40am urea n-14 creat-0.8 10:44am glucose-163* lactate-2.0 na+-139 k+-3.6 cl--99* tco2-28 02:10pm urine blood-tr nitrite-neg protein-25 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 02:10pm urine ucg-negative ct c spine compression fx of anterior c7 vert body, ~ 50% loss of ht. anterior subluxation of c6 over c7. jumped facets on the right at c5/c6. perched facets on the left at c6/c7. suggest mri for further evaluation for ligamentous/cord injury. spine consult pending. mri c spine impression: 1. fracture/compression deformity of c4 with retropulsion causing severe spinal stenosis at c6-7 level. no abnormal signal detected within the cord. rupture of the posterior longitudinal and interspinous ligaments at c6-7 interspinous space with surrounding edema. 2. perched facet on left and dislocated/locked facet on right at at c6-7 level. multilevel degenerative changes with disc bulge and neural foraminal narrowing as described above ct c-spine : no significant change, status post anterior spinal fusion of c6 through t1 with partial corpectomy of c7 and bone graft placement. cxr : patchy opacity left lower lobe, consistent with collapse and/or consolidation, new c/w . small effusions. brief hospital course: pt seen in emergency room after mva and ct c spine with findings of c5-6 jumped facet and c6-7 perched facet. on admission she was slightly weak in her rue with strength 4/5. in discussion with attending dr. it was decided that she would benefit from urgent decompression with c7 corpectomy with allograft and plate from an anterior approach. she tolerated this procedure very well with no complications. post operatively she was transfered to the icu for further care including q1 neurochecks and pain control with dilaudid pca. on post op exam she was doing well. her complaints of r arm pain had improved as did the strength in her r arm. though she was somewhat limited by pain her strength was 4+/5. she had no difficulties overnight and on the morning of pod#1 she was transferred to the floor in stable condition. the pain management team was consulted for recommendations to change to po pain medications given her history of iv drug abuse. pain medications were altered in attempt of achieving adequate control. on her foley was removed and pt/ot consults were requested. they determined that she met criteria for discharge to home with pt services. on she developed a fever and slight cough. a cxr was obtained, which demonstrated lll consolodation, consistent with cap. she was started on levaquin po for 7 days. her central line was removed, and the tip of the catheter was sent for cultures. on she was afebrile, and ambulatory with pt. cantral line cx were still pending, but the decision was made to discharge the patient and follow up on the line cultures as an outpatient. she was discharged to home on . medications on admission: neurontin 600mg q4 clonopine 0.5mg q12 discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. docusate sodium 50 mg/5 ml liquid sig: po bid (2 times a day). disp:*60 * refills:*0* 3. gabapentin 600 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*0* 4. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). disp:*60 adhesive patch, medicated(s)* refills:*0* 5. carisoprodol 350 mg tablet sig: one (1) tablet po tid; prn () as needed for muscle spasm. disp:*30 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. phenol 1.4 % aerosol, spray sig: one (1) spray mucous membrane q4h (every 4 hours) as needed for sore throat. 8. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours). 9. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 10. methocarbamol 500 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 11. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day). 12. levaquin 500 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: r c5-6 jumped facet r c6-7 perched facet community aquired pneumonia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. 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. ?????? your collar is for comfort only. . ?????? 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. followup instructions: follow up instructions/appointments ??????please call ( to schedule an appointment with dr. to be seen in 4 weeks. ??????you will need cervical spine x-rays prior to your appointment. you will also need an ap/lat chest x-ray to follow up on your pneumonia. procedure: other excision of joint, other specified sites other cervical fusion of the anterior column, anterior technique repair of vertebral fracture fusion or refusion of 2-3 vertebrae diagnoses: pneumonia, organism unspecified dysthymic disorder mononeuritis of unspecified site closed fracture of c5-c7 level with unspecified spinal cord injury motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle 

Answer: The patient is high likely exposed to