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: gold salts / penicillins / remicade / erythromycin base attending: chief complaint: back and leg pain major surgical or invasive procedure: posterior lumbar laminectomy and fusion history of present illness: ms. has a long history of back and leg pain. she has attempted conservative therapy but has failed. she now presents for surgical intervention. past medical history: rheumatoid arthritis osteoarthritis depression cataracts cerebral aneurysm s/p r thr s/p l shoulder arthroplasty s/p cerical facet injection social history: non-contributory family history: non-contributory 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 ble- 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 pertinent results: 04:55am blood wbc-6.3 rbc-2.85* hgb-8.8* hct-25.3* mcv-89 mch-30.9 mchc-34.7 rdw-16.2* plt ct-240 04:00pm blood hct-23.0* 05:25am blood wbc-9.7 rbc-1.98* hgb-6.3* hct-18.4* mcv-93 mch-31.6 mchc-33.9 rdw-15.2 plt ct-234 03:46am blood wbc-9.3 rbc-1.93*# hgb-6.4*# hct-18.5*# mcv-93 mch-32.5* mchc-35.0 rdw-15.2 plt ct-224 03:16am blood wbc-13.5*# rbc-3.08* hgb-9.9* hct-28.8* mcv-94 mch-32.3* mchc-34.4 rdw-16.0* plt ct-284 08:10pm blood wbc-5.7 rbc-3.96* hgb-12.8 hct-37.9 mcv-96# mch-32.3*# mchc-33.8 rdw-15.2 plt ct-397 04:55am blood calcium-8.0* phos-3.0 mg-2.1 04:00pm blood calcium-8.0* phos-3.3 mg-1.7 brief hospital course: ms. was admitted to the spine surgery service on and taken to the operating room for a l3-l5 laminectomies, l2-s1 fusion. initial postop pain was controlled with a pca. please refer to the dictated operative note for further details. a dural tear was sustained and she was kept flat for 48 hours. she was transfered to the sicu for hemodynamic monitoring due to acute post-op blood loss. postoperative hct was low and she was transfused multiple prbcs. 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 left in place and will be managed at rehab. she was fitted with a lumbar warm-n-form brace for comfort. 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: naprosyn, prilosec, methotrexate, leucovorin, prednisone, humira, celexa, buspar, wellbutrin, and premarin , neurontin, hctz, methocarbamol discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever, pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. abatacept intravenous 4. prednisone 1 mg tablet sig: six (6) tablet po daily (daily). 5. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 6. gabapentin 300 mg capsule sig: three (3) capsule po tid (3 times a day). 7. escitalopram 10 mg tablet sig: 2.5 tablets po daily (daily). 8. nortriptyline 10 mg capsule sig: one (1) capsule po hs (at bedtime). 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 10. hydrochlorothiazide 12.5 mg capsule sig: 0.5 capsule po daily (daily). 11. alendronate 70 mg tablet sig: one (1) tablet po qweek (). 12. methocarbamol 500 mg tablet sig: 1.5 tablets po tid (3 times a day). 13. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 14. buspirone 10 mg tablet sig: 4.5 tablets po qam (once a day (in the morning)). 15. buspirone 5 mg tablet sig: three (3) tablet po noon (at noon). 16. buspirone 5 mg tablet sig: three (3) tablet po qhs (once a day (at bedtime)). 17. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for nasal dryness. 18. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed for antifungal . 19. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 20. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: at discharge diagnosis: lumbar stenosis and spondylosis dural tear post-op acute blood loss anemia discharge condition: good discharge instructions: you have undergone the following operation: posterior lumbar 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 for comfort 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: ambulate tid brace for ambulation; may be out of bed to chair without. treatments frequency: please continue to change the dressing daily followup instructions: with dr. in 10 days procedure: excision of intervertebral disc lumbar and lumbosacral fusion of the posterior column, posterior technique repair of vertebral fracture fusion or refusion of 4-8 vertebrae diagnoses: obstructive sleep apnea (adult)(pediatric) long-term (current) use of steroids acute posthemorrhagic anemia osteoporosis, unspecified rheumatoid arthritis scoliosis [and kyphoscoliosis], idiopathic lumbosacral spondylosis without myelopathy hip joint replacement displacement of lumbar intervertebral disc without myelopathy pathologic fracture of vertebrae accidental cut, puncture, perforation or hemorrhage during surgical operation accidental puncture or laceration of dura during a procedure 

Answer: The patient is high likely exposed to