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: septra ds / lidocaine hcl/epinephrine / shellfish derived / iodine-iodine containing attending: chief complaint: back and leg pain major surgical or invasive procedure: fusion t11-l3 via thoracotomy fusion l3 to s1 posterior fusion with instrumentation t8 to s1 history of present illness: ms. has a long history of scoliosis which contributes to back and leg pain. she has attempted conservative therapy but has failed. she now presents for surgical intervention. past medical history: pmh: 1. b/l interstitial fibrosis w/ normal pfts in 2. recurrent uti 3. multiple sclerosis 4. severe degenerative disc disease and lumbar canal stenosis psh: 1. b/l hip replacements (last replacement in ). 2. cholecystectomy in . 3. cosmetic surgery on her upper eyelids. social history: denies family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd bue- 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 rle- 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 lle decreased strength due to ms pertinent results: 06:20am blood wbc-8.8 rbc-3.56* hgb-10.9* hct-30.7* mcv-86 mch-30.7 mchc-35.6* rdw-14.7 plt ct-141* 03:15am blood wbc-10.2 rbc-3.73* hgb-11.4* hct-32.0* mcv-86 mch-30.6 mchc-35.6* rdw-15.1 plt ct-110* 02:33am blood wbc-10.7 rbc-2.99* hgb-9.2* hct-25.3* mcv-85 mch-30.8 mchc-36.5* rdw-15.0 plt ct-80* 10:08pm blood wbc-8.5 rbc-3.46* hgb-10.3* hct-29.5* mcv-85 mch-29.9 mchc-35.0 rdw-14.6 plt ct-63*# 06:20am blood glucose-106* urean-10 creat-0.4 na-137 k-4.2 cl-102 hco3-29 angap-10 02:33am blood glucose-106* urean-22* creat-0.6 na-138 k-4.7 cl-107 hco3-27 angap-9 05:55am blood glucose-121* urean-10 creat-0.7 na-138 k-4.5 cl-102 hco3-27 angap-14 06:20am blood calcium-7.8* phos-2.8 mg-1.9 03:16am blood calcium-8.5 phos-2.5* mg-2.2 05:55am blood calcium-8.5 mg-1.7 brief hospital course: ms. was admitted to the spine surgery service on and taken to the operating room for t8-l3 anterior fusion through a thoracotomy. chest tube was placed intraoperatively. please 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 given per standard protocol. initial postop pain was controlled with a pca. on hd#2 she returned to the operating room for a scheduled l3-s1 anterior fusion as part of a staged 3-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. hospital day three she underwent a posterior fusion t8-s1. a bupivicaine epidural pain catheter placed at the time of the posterior surgery remained in place until . she was transfered to the sicu where she was monitored for hemodynamic stability. her left leg appeared weak and this was though to be due to an ms flare. neurology was consulted for question of steroids which they thought was not required. she improved over her hospital stay. she was transfused multiple units of prbcs and platelets. she 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 . she was fitted with a tlso brace. 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: 1. copaxone 20 mg subcutaneously once daily 2. forteo injections for osteoporosis 3. wellbutrin 300 mg once daily 4. baclofen 10 mg q.p.m. 5. augmentin 250 mg daily 6. cranberry extract 7. vitamin d 4000 units daily 8. calcium 1200 mg daily 9. nexium 40mg q.a.m. 10. vicodin p.r.n. pain 11. omega-3 fish oil one to two capsules a day. discharge medications: 1. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for rash. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. bupropion hcl 150 mg tablet sustained release sig: two (2) tablet sustained release po qam (once a day (in the morning)). 5. baclofen 10 mg tablet sig: one (1) tablet po daily (daily). 6. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 8. glatiramer 20 mg kit sig: one (1) kit subcutaneous daily (daily). 9. forteo 20 mcg/dose - 600 mcg/2.4 ml pen injector sig: one (1) injection subcutaneous daily (daily). 10. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 11. diazepam 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for spasm. 12. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 13. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 14. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 15. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours) as needed for pain. discharge disposition: extended care facility: hospital ct discharge diagnosis: scoliosis acute post-op blood loss anemia discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior thoracolumbar 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 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. 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. physical therapy: activity: activity as tolerated tlso brace for ambulation treatments frequency: please continue to change the dressings daily followup instructions: with dr. in 10 days procedure: venous catheterization, not elsewhere classified dorsal and dorsolumbar fusion of the anterior column, anterior technique other excision of joint, other specified sites other excision of joint, other specified sites dorsal and dorsolumbar fusion of the posterior column, posterior technique lumbar and lumbosacral fusion of the posterior column, posterior technique lumbar and lumbosacral fusion of the anterior column, anterior technique insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of interbody spinal fusion device insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 9 or more vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein insertion of recombinant bone morphogenetic protein diagnoses: esophageal reflux acute posthemorrhagic anemia osteoporosis, unspecified postinflammatory pulmonary fibrosis multiple sclerosis tachycardia, unspecified delirium due to conditions classified elsewhere lumbosacral spondylosis without myelopathy hip joint replacement personal history, urinary (tract) infection thoracogenic scoliosis acquired spondylolisthesis acute post-thoracotomy pain 

Answer: The patient is high likely exposed to