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: back pain major surgical or invasive procedure: 1. lateral lumbar fusion l45 posterior interbody fusion l5, s1. interbody biomechanical device l5, s1. posterolateral fusion t10-s1. history of present illness: sheis a generally healthy 67 uear old female who was diagnosed with scoliosis in adolescence. she has back pain for which she underwent physical therapy without significant relief. she has undergone prolonged multiple course of care at pain management center including infections and radiofrequency ablation. pain is significant at rest however no significant leg pain. past medical history: hld, htn, mvp, hypothyroidism, fibromyalgia social history: see h7 p family history: nc physical exam: alert and cooperative no spinal tenderness or deformity no root tension signs (slr and fst)\ tone is normal power in bue and ble except reflexes are normal babinski's reflew is negative negative silt in bue and ble pertinent results: 12:12pm blood wbc-9.7 rbc-3.15* hgb-10.3* hct-29.3* mcv-93 mch-32.8* mchc-35.2* rdw-13.5 plt ct-219 12:12pm blood plt ct-219 12:12pm blood glucose-118* urean-14 creat-0.6 na-139 k-3.4 cl-96 hco3-33* angap-13 12:12pm blood albumin-3.4* calcium-8.8 phos-3.6# mg-1.7 09:29am blood type-art po2-140* pco2-40 ph-7.43 caltco2-27 base xs-2 09:29am blood glucose-175* k-3.9 05:03pm blood hgb-11.4* calchct-34 brief hospital course: patient was admitted to the spine surgery service and taken to the operating room for the above procedures. first procedure was done on and second on . refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were continued for 24hrs postop per standard protocol. initial postop pain was controlled with a pca. diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. . 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. she still requires assistance to get oob. pain is mild to moderate. medications on admission: amitryptyline, calcium, diclofenac, diovan hct, klor-con, levothyroxine, metoprolol, restasis, salmon oil, simvastatin, thera tears discharge medications: 1. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 2. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 3. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. amitriptyline 25 mg tablet sig: one (1) tablet po hs (at bedtime). 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 10. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for rash/ irritation. 11. oxycodone 10 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q12h (every 12 hours) as needed for pain. disp:*90 tablet extended release 12 hr(s)* refills:*0* 12. cyclosporine 0.05 % dropperette sig: one (1) dropperette ophthalmic (). 13. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 14. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 16. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 17. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. discharge disposition: extended care facility: - discharge diagnosis: 1. degenerate lumbar disease. 2. progressive scoliosis with instability discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: requires assistance discharge instructions: you have undergone the following operation: lateral lumbar interbody fusion l45 and posterior lumbar fusion for degenerative scoliosis 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: o 2-3 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. o limit 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. - 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. - follow up: o please call the office and make an appointment with dr () for 2 weeks after the day of your operation if this has not been done already. o at the 2-week visit we will check your incision, take baseline x-rays and answer any questions. we may at that time start physical therapy. o we will then see you at 6 weeks from the day of the operation and at that time release you to full activity. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: see discharge instructions treatments frequency: see discharge instructions followup instructions: see instructions procedure: excision of intervertebral disc excision of intervertebral disc dorsal and dorsolumbar fusion of the posterior column, posterior technique lumbar and lumbosacral fusion of the anterior column, anterior technique insertion of interbody spinal fusion device insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein intra-operative neurophysiologic monitoring diagnoses: esophageal reflux mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism other and unspecified hyperlipidemia obesity, unspecified scoliosis [and kyphoscoliosis], idiopathic myalgia and myositis, unspecified other chronic nonalcoholic liver disease allergic rhinitis, cause unspecified other fluid overload degeneration of lumbar or lumbosacral intervertebral disc other acute postoperative pain body mass index 34.0-34.9, adult 

Answer: The patient is high likely exposed to