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: demerol / donnatal / pollen extracts / latex attending: chief complaint: back pain, l>r leg pain major surgical or invasive procedure: posterior lumbar laminectomy and fusion t12-s1 history of present illness: ms. is a 61-year-old female with degenerative lumbar scoliosis and spinal stenosis associated with the syndrome of neurogenic claudication. she continues to have difficulty with walking. she is not able to walk more than half a block before she is forced to stop and rest. this has interfered significantly with her activities of daily living. she is unable to perform one of her favored avocations, which is hiking in the for this reason. she has had multimodal and prolonged course of conservative care consisting of physical therapy, medications, epidural steroid injections, activity modifications, and chiropractic care. her syndrome has been refractory to these interventions. past medical history: past medical history is significant for mild hypertension, history of seasonal allergies, non-insulin-dependent diabetes mellitus, her last hemoglobin a1c was 6.0, and a history of depression and a mild bipolar disorder. social history: social history: the patient is not currently working, was previously occupied as a registered nurse. she does not smoke cigarettes, but did smoke formally for 30 years two packs per day. she does not consume alcohol. family history: non-contributory physical exam: avss well appearing, nad, comfortable bue: silt c5-t1 dermatomal distributions bue: /tri/bic/we/wf/ff/io bue: tone normal, negative , 2+ symmetric dtr bic/bra/tri all fingers wwp, brisk capillary refill, 2+ distal pulses ble: silt l1-s1 dermatomal distributions ble: ip/qu/hs/ta/gs//fhl/per ble: tone normal, no clonus, toes downgoing, 2+ dtr knee/ankle all toes wwp, brisk capillary refill, 2+ distal pulses pertinent results: 03:37am blood wbc-10.5 rbc-3.60* hgb-10.6* hct-30.4* mcv-85 mch-29.4 mchc-34.7 rdw-14.0 plt ct-242 06:05am blood hct-27.9* 03:37am blood glucose-157* urean-7 creat-0.5 na-137 k-3.5 cl-103 hco3-26 angap-12 03:37am blood calcium-7.9* phos-3.7 mg-2.1 brief hospital course: was admitted to the spine surgery service on and taken to the operating room for the above procedures performed by dr. . 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 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. foley was removed on pod#3. 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: amitriptyline - (prescribed by other provider) - dosage uncertain atorvastatin - (prescribed by other provider) - 80 mg tablet - 1 (one) tablet(s) by mouth once a day celecoxib - (prescribed by other provider) - 200 mg capsule - 1 (one) capsule(s) by mouth twice a day estradiol - (prescribed by other provider) - 0.05 mg/24 hour patch semiweekly - exenatide - (prescribed by other provider) - 10 mcg/0.04 ml per dose pen injector - twice a day hydrochlorothiazide - (prescribed by other provider) - 25 mg tablet - 1 (one) tablet(s) by mouth once a day lamotrigine - (prescribed by other provider) - 100 mg tablet - 0.5 (one half) tablet(s) by mouth once a day metformin - (prescribed by other provider) - 500 mg tablet - 1 (one) tablet(s) by mouth twice a day omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 (one) capsule(s) by mouth once a day paroxetine hcl - (prescribed by other provider) - 40 mg tablet - 1 (one) tablet(s) by mouth once a day potassium chloride - (prescribed by other provider) - 20 meq tab sust.rel. particle/crystal - 1 (one) tab(s) by mouth twice a day propoxyphene n-acetaminophen - (prescribed by other provider) - 100 mg-650 mg tablet - 1 (one) tablet(s) by mouth at bedtime tramadol - (prescribed by other provider) - 50 mg tablet - 1 (one) tablet(s) by mouth three times a day as needed medications - otc aspirin - (prescribed by other provider) - dosage uncertain guaifenesin - (prescribed by other provider) - dosage uncertain multivitamin - (otc) - tablet - 1 (one) tablet(s) by mouth once a day discharge medications: 1. amitriptyline 10 mg tablet sig: two (2) tablet po hs (at bedtime). 2. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal every other day (every other day). 3. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 4. lamotrigine 25 mg tablet sig: two (2) tablet po qsututhsa (). 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 8. cetirizine 10 mg tablet sig: one (1) tablet po daily (daily). 9. glimepiride 1 mg tablet sig: 0.5 tablet po daily (daily). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. estradiol 0.05 mg/24 hr patch semiweekly sig: one (1) patch semiweekly transdermal 2x/week (). 12. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*40 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: degenerative scoliosis discharge condition: stable discharge instructions: discharge instructionsyou have undergone the following operation: lumbar laminectomy and fusiion 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 may 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.- followup instructions: follow up: oplease call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already.oat 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.owe 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. you have a prescheduled follow-up appointment with ortho xray (scc 2) phone: on date/time: at2:10 you have a prescheduled follow-up appointment with dr. , md phone: on date/time: at 2:30 procedure: lumbar and lumbosacral fusion of the anterior column, posterior technique other exploration and decompression of spinal canal 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 diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension asthma, unspecified type, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes right bundle branch block osteoporosis, unspecified myalgia and myositis, unspecified other kyphoscoliosis and scoliosis bipolar i disorder, most recent episode (or current) depressed, unspecified 

Answer: The patient is high likely exposed to