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 pain, ams, paraspinal abcess c-spine, hypoxemia major surgical or invasive procedure: c-spine surgical debridment and hardware placement debridement of recurrent c-spine epidural abscess history of present illness: mr. is a 62 year old gentleman admitted to the medical service overnight with 3 days of severe neck pain. please see the nightfloat admission note for full details. in brief: his neck pain started 3 days prior triggering a chiropractic visit which was unhelpful. he presented to the ed at the advice of his physician with uncontrollable pain. initial examination reportedly significant for cervical spinal tenderness, but otherwise normal neuro exam. initial mri insufficient to characterize his neck process due to movement, so he was sent for a repeat mri with anesthesia support and sedation. he was started on vanc zosyn for fevers, leukocytosis with coag + staph bacteremia confirmed in the intervening time. ortho spine, id are following for ?discitis vs. epidural abscess. overnight, the patient experienced an unexplained desaturation to 88% which corrected with 3l nc, but was otherwise mostly concerned with pain control, no respiratory complaints. mental status reported as borderline/groggy by the morning team, attributed to poor sleep, pain medications and underlying infection. he spiked a fever to 104.4, was given tylenol, pan-cultured. he had poor uop but resolved after foley placed. during the mri this morning, the anesthesia team was unable to intubate him for the procedure, and he was maintained on an lma with bag mask ventilation. he received succinylcholine and propofol for induction. upon emergence, he became agitated, flailing around and became hypoxic. he was transferred to the pacu for stabilization. in the pacu, the patient remained agitated, became hypotensive to the 80s and remained hypoxic. he was given fentanyl 50mg, midazolam, haldol 5mg; a nasal trumpet and non-rebreather were placed. he was given 1l lr and transferred to the icu. upon arrival to the icu the patient's blood pressure and mental status improved within the first hour. he is still sedated, but able to communicate pain in his neck, some difficulty breathing and a request to call his sister. further history cannot be reliably obtained from the patient at this time. per a quick conversation with the patient's sister, the patient drinks alcohol heavily/regularly and also has had ongoing dental work over the past few weeks. past medical history: - chronic cervical neck pain - cervical disc bulge of uncertain significance - depression - hypothyroidism - bph - h/o genital herpes social history: crystal methamphetamine, possibly other drugs, alcohol, marijuana use per sister. family history: sister with ? heart murmur physical exam: vitals: t: 98.5 bp: 103/35 p: 89 r: 14 18 o2: 96% fm general: intermittently agitated and somnolent, able to answer limited questions. heent: perrl, hard neck collar in place, nasal trumpet in place, neck tender to palpation lungs: diffuse rhonchi, l>r reportedly new from am exam cv: s1 & s2 regular without murmur abdomen: soft, non-tender, non-distended, bowel sounds present gu: foley in place ext: 2+ distal pulses, no edema, moving independently neuro: arousable, answers limited questions. perrl. able to move all extremities, reflexes, sensation intact. pertinent results: 11:18pm lactate-0.8 11:10pm glucose-103* urea n-13 creat-0.8 sodium-136 potassium-3.6 chloride-103 total co2-26 anion gap-11 11:10pm estgfr-using this 11:10pm wbc-12.4* rbc-4.07* hgb-12.7* hct-36.9* mcv-91 mch-31.3 mchc-34.5 rdw-14.0 11:10pm neuts-86* bands-2 lymphs-6* monos-6 eos-0 basos-0 atyps-0 metas-0 myelos-0 11:10pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 11:10pm plt smr-normal plt count-195 brief hospital course: mr. was a 62 year old gentleman with a pmh significant for multi-substance abuse with neck pain and coagulase positive staph bacteremia admitted to the icu on for hypoxia, hypotension and mental status changes. mr. was started on vancomycin and zosyn in ed and was continued on this regimen on admission to the icu. multiple mr studies of mr. spine identified cervial spine osteomyelitis. mr. t initial debriedment surgery on . he had a failed extubation on that required reintubation because of an aspiration event. because of persisting elevated temperatures and wbc counts despite appropriate antibiotic coverage, his antibiotic coverage was expanded to include cefepime and flagyl on . additionally, he had ceased moving both of his upper extremities. a repeat debriedment, instumentation and fusion of his c2 to t1 vertebrae was performed on . multiple attempts to wean his sedation resulted in profound agitation and discomfort. on mr. sister (his hcp) decided to change his code status to dnr. prior to extubation, a family meeting was conducted in which it was decided that if he should fail extubation, he should not be re-intubated. mr. was extubated on and he again aspirated and became stridorous. he was supported with comfort measures that included morphine and versed, and he expired on at 0135. medications on admission: duloxetine 30mg cap, 3 tab daily amphetamine-dextroamphetamine sr 20mg 24hr daily levothyroxine 50mcg 1 tab 6 days a week, 2 tab on the 7th day. terazosin 10mg 1 cap qhs acyclovir 400mg tid for 7 days for outbreaks mvt acetaminophen-codeine 300mg-30mg prn pain discharge medications: patient expired discharge disposition: expired discharge diagnosis: patient expired discharge condition: patient expired discharge instructions: patient expired followup instructions: patient expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges diagnostic ultrasound of heart insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization arterial catheterization arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus other cervical fusion of the anterior column, anterior technique excision of intervertebral disc excision of intervertebral disc open biopsy of soft tissue open biopsy of soft tissue biopsy of bone, other bones biopsy of bone, other bones other cervical fusion of the posterior column, posterior technique insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 4-8 vertebrae diagnoses: anemia, unspecified tobacco use disorder unspecified essential hypertension unspecified acquired hypothyroidism unspecified osteomyelitis, other specified sites hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) methicillin susceptible staphylococcus aureus septicemia sepsis hypopotassemia acute respiratory failure pneumonitis due to inhalation of food or vomitus alkalosis macular degeneration (senile), unspecified encounter for palliative care encephalopathy, unspecified hyperosmolality and/or hypernatremia intraspinal abscess other and unspecified disc disorder, cervical region 

Answer: The patient is high likely exposed to