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: back pain and le weakness major surgical or invasive procedure: mid thoracic laminectomy and spinal abscess washout history of present illness: the patient is a 31yo man who reports lower back pain and lower extremity weakness beginning on wednesday . the day prior to the onset of symptoms, the patient moved a heavy piece of furniture but reported no symptoms until the next morning. then he experienced moderate low back pain with increasing weakness of the lower extremities bilaterally. he was started on vicodin by his pcp. the following morning () the patient was unable to walk, although his back pain had decreased. he denies dizziness, ha, n/v. he reports no fever or chills at home but was febrile on admission to the ed. his last void and bm was on . since then he has had sensation of increasing bladder discomfort and fullness but has been unable to void. he denies bladder and bowel incontinence. past medical history: htn depression social history: occasional cigarette smoking and etoh profession: attorney family history: both parents alive and well, father with htn. no h/o neurological disease. physical exam: o: t: 102.1 bp: 144/87 hr: 100 r 16 o2sats 99 gen: lying in bed, mild discomfort but nad. heent: pupils: perrl 3-2mm bilaterally eoms intact, full neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bladder distended and tender to palp prior to foley placement extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: b t ip q at g r 5 5 2 2 2 2 l 5 5 2 2 4 4 sensation: intact to light touch throughout except decreased sensation on lateral aspect of r thigh. proprioception intact bilaterally reflexes: muted bilaterally, patellar and biceps toes downgoing bilaterally rectal exam: decreased tone mri lumbar spine shows no apparent compression of the spinal cord. pertinent results: 10:30pm pt-11.6 ptt-23.2 inr(pt)-1.0 10:30pm wbc-12.0* rbc-4.82 hgb-15.3 hct-43.4 mcv-90 mch-31.7 mchc-35.2* rdw-13.8 10:30pm neuts-88* bands-7* lymphs-4* monos-1* eos-0 basos-0 atyps-0 metas-0 myelos-0 10:30pm glucose-127* urea n-15 creat-1.0 sodium-135 potassium-3.6 chloride-94* total co2-26 anion gap-19 04:00am cerebrospinal fluid (csf) wbc-2 rbc-0 polys-76 lymphs-15 monos-0 macrophag-9 04:00am cerebrospinal fluid (csf) protein-327* glucose-58 ld(ldh)-27 10:38am hgb-13.1* calchct-39 10:38am type-art po2-131* pco2-38 ph-7.47* total co2-28 base xs-4 intubated-intubated 05:49pm wbc-10.2 rbc-3.57*# hgb-11.1*# hct-32.4*# mcv-91 mch-31.1 mchc-34.4 rdw-13.1 mri: (, with and without contrast): the study is normal. there is no evidence of cauda equina compression, disk protrusion or infection. (, with contrast): limited study due to the absence of intravenous contrast due to prior administration earlier in the day. there is a posterior epidural collection extending from approximately t4 to t10. this is suspicious for an epidural abscess. (, with and without contrast): no definite residual abnormal material. however, possible anterior epidural enhancement in the lower thoracic spine. brief hospital course: mr. presented to the hospital on with lower back pain, urinary retention, and lower extremity weakness. on work-up, the patient was noted to have an epidural mass vs. abscess on t spine mr, and was taken to the operating room for a laminectomy and spinal abscess washout. he was put on antibiotics, and following the surgery, has resolution of his leukocytosis and improved lower extremity motor function. he went from the recovery room to the intensive care unit post-operatively. his pain was well controlled with dilaudid initially, then by oxycontin and percocet once he tolerated po. on the second post-operative day, he was transferred to the floor in stable condition, and his drain was removed. a picc line was placed on for iv antibiotics after discharge (vancomycin and ceftriaxone) for 6 weeks. at the time of discharge, on physical exam, the patient had full strength in b/l quads, hamstrings, and extensor hallucis longus; his strength was 4+/5 in his right iliopsoas and in his anterior tibialis; both were full on the left. the patient was otherwise neurologically intact. on discharge, the patient was swell, tolerating a regular diet, with vital signs stable, and pain well managed. medications on admission: zoloft 100 mg daily atenolol 100 mg daily hctz 10 mg (? - per pt's report) daily ibuprofen 800 mg q8h prn hydrocodone prn since , unknown dose unknown muscle relaxant prn since discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: tablet, delayed release (e.c.)s po daily, prn as needed for constipation. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). disp:*60 tablet sustained release 12 hr(s)* refills:*0* 6. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 7. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po daily (daily). 8. outpatient lab work cbc, bun/cr, lfts, vancomycin levels. fax dr. at 9. ceftriaxone-dextrose (iso-osm) 2 g/50 ml piggyback sig: two (2) 2 g/50 ml piggyback intravenous q24h (every 24 hours) for 6 weeks. 10. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 13. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 14. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for itching. 15. morphine 2 mg/ml syringe sig: 2-4 mg injection q4h (every 4 hours) as needed for pain: administer for breakthrough pain only. 16. heparin lock flush (porcine) 100 unit/ml syringe sig: two (2) ml intravenous daily (daily) as needed: (100 units/ml) 2 ml iv daily:prn 10 ml ns followed by 2 ml of 100 units/ml heparin (200 units heparin) each lumen daily and prn. inspect site every shift. . 17. sodium chloride 0.9 % 0.9 % solution sig: three (3) ml injection daily (daily) as needed: peripheral iv - inspect site every shift . 18. vancomycin 500 mg recon soln sig: three (3) recon soln intravenous q 12h (every 12 hours) for 6 weeks. disp:*qs recon soln(s)* refills:*2* 19. famotidine 20 mg tablet sig: one (1) tablet po twice a day. discharge disposition: extended care facility: hospital of & islands - discharge diagnosis: epidural abscess discharge condition: stable discharge instructions: return to er for return of headache, nausea, vomiting, dizziness, visual changes, difficulty with speech, increased weakness or numbness, incontinence or urinary retention, or fever > 38.5 c. ?????? do not smoke ?????? keep wound clean and dry / no tub baths or pools until seen in follow up. begin daily showers . ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. unless directed by your doctor ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits please return to the office in days for removal of your staples/sutures or have removed at rehab followup instructions: follow up with dr. in 4 weeks with an thoracic mri with and without gadolinium; please call to make an appointment. please return to dr. office in days for removal of your staples/sutures or have removed at rehab follow up with id, on at 9am. you must get weekly blood work, which should be faxed to (provider: ,md mph: date/time: 9:00) procedure: venous catheterization, not elsewhere classified other exploration and decompression of spinal canal diagnoses: unspecified essential hypertension depressive disorder, not elsewhere classified retention of urine, unspecified intraspinal abscess 

Answer: The patient is high likely exposed to