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: flomax / biaxin attending: chief complaint: urinary incontience, increased urinary frequency and decreased ability to walk major surgical or invasive procedure: 1. arthrodesis from the occiput to c2, c3, c4, c5, c6 and c7 with lateral mass plates. 2. instrumentation from occiput to c6. history of present illness: mr has hx of c2-6 ependymoma with syringomyelia. the tumor was removed in by dr. at the univ. of western . he subsequently was stable for many years, in he developed a t10 hematoma from a cavernous hemangioma. he has baseline right upper extremity weakness, he reports over the last 6 months he feels his balance and gait has worsened over the last two months resulting in 2 recent falls. on he developed urinary incontience (pt's wife state it was inablility to get to restroom quick enough) he called his primary care who sent him to the er where he was ruled out for uti an mri of his spine showed progression of myelomalcia of the cervical cord particularly involving c3-c4 levels. during his hospital stay at hospital he felt he had worsening upper extremity weakness. he was seen by a neurosurgeon at hospital who recommended surgery for stabilization. he was transferred here for a second opinion. past medical history: c2-6 ependymoma resected , t10 cavernous hemangioma, asthma, hypothyroidism, anxiety, transient hyponatremia, utis, enlarged prostate, inguinal hernia repair complicated by hemorrhage social history: married with 3 children retired art teacher, non smoker, non drinker physical exam: t 99.2 124/60 p 81 r 20 95% gen: appear cachetic poor muscle mass lungs: clear bilaterally card: rrr s1 s2 abd: soft nondistended ext: no edema neuro: awake, alert and orientated x3 anxious appropriate, follows commands, perrla right eye lateral nystagumus, eoms full, speech and comprehension intact skin has duoderm over area right shoulder and sternal area from collar d b t we wf io ip at g right 0 3+ 3+ 3 3+ 4- 4- 4 3 4 left 4 2 2 4 4 4 4+ 4+ 4+ 4 toes: reflexes 3+ at patella bilaterally 2+ at left bicep unable to illict in right upper toes downgoing on right mute on left decrease rectal tone, normal sensation sensation decreased to absent via pinprick on bilateral hands, fingers up to elbow otherwise pt perceives as normal to light touch through out brief hospital course: upon transfer from hospital, the patient was admitted to the neurosurgery service. he was diagnosed with cervical myelomalacia and had anterolisthesis of the cervical spine at multiple levels. on admission after a formal plan was discussed wtih the patient - he was refusion surgery and the halo placement as well. he wished to have his case reviewed with surgeons as well as have as obatin the opinion of as many doctors as possible. ultimately he agreed to hav a halo placed and this was done to stabilize his neck. his exam fluctuated at times. it was not always clear if his exam was worse or if the patient was succumbing to anxiety attacks. he was adjusted manually by dr. with follow up lateral c-spine xrays after each adjustment to assess alignment of the cervical spine over the course of 2 days. ultimately it was decided that though radiographically the patient did not have good alignment he felt worse and had more complaints of numbness and immobility when trying to adjust the alignment,so it was elected to leave the anterolisthesis as is to prvent neurologic compromise, which was happening with every attempt to correct the alignment . he was adjusted again so that he felt symptomatic relief. radiographically he was improved from the original studies, but he was not in optimal alignment - the patient was made aware of this. prior to any surgical intervention he had an episode of hypotension that lasted a while without any change in ms but the next morning he had significanmt deterioration of his neuro exam. mri done showed worse edema at the c6 level. he was seen and evaluated by pt, ot and speech and swallow teams. he was also evaluated by the skin care rn for multiple pressure ulcers r/t to use of a hard collar prior to admission. as of he was maintained on a regular diet, crush pills for administration. he was also placed on a bowel regime. it was agreed by the patient, after risks and benefits were discussed that he would benifit from surgical cervical stabilization. he was pre-op'd for surgery. subsequently he was taken to the operating room in order to provide cervical stability - his first cervical procedure was on when he underwent a posterior cervical fusion from the occiput to c6. he was kept in the halo postoperatively. he tolerated this procedure well. post-operatively, he was carefully monitored in the pacu for one day and transfered to step-down an then to a regular floor. he was extubated pod#2. he exam was unchanged with minimal movement to left toes and distal left upper extremity with some shoulder shrugging. he was again re-evaluated by speech and swallow on and kept on full po's as tol, with whole meds with water. he was re-evaluated by pt and ot as well and was having some difficulty with orthostatic bp maint. his post op cspine image was stable and he had le dopplers that were neg or dvt on . his na was 129 which we planned to follow closely. on pt was seen for an event of difficulty breathing while on the floor. assessment revealed bilateral crackles way up. he was treated with a cxr, lasix 10, strict i/o's , am labs, prn neb tx. and repositioning. his sat was 96% on 3l- after the intervention he improved clinically. he was transferred up to the icu for closer observation combined with the fact that he would be a difficult intubation in the halo if he were to do poorly. baseline abg and pft were obtained. his na continued to drop to 118 and an renal consult was called for. he was fluid restricted and placed on nacl tabs. their recs were follwed. he was having difficulty mainting stable bp's - they were ranging 73-138/ 35-75. he was given fluid bolus' for treatment. his na today was 130 and the fluid restriction was d/c'd. he was seen by psychiatry as well for eval of coping mechanisms. their recs were followed. he had an mri of the spine on and noted was collapse of the cervical collumn with cord compression secondary to posterior subluxation. the radiologica findings were discussed with dr. (neurology) the patient and his wife. agreed that patient may benefit from corpectomies of c345 with graft/fusion c2-c6. the patient was brought to the or urgently on for the procedure. postoperatively his imaging revealed an epidural hematoma - he was taken back to the or for evacuation of the hematoma. he remained intubated postoperatively for airway control and was electively trached on . his na once again dropped to 117 and then came up to 129 with 3% ns. a neo drip was started to maintain his sys bp - his decadron was placed on a taper to end on . his ventilator was weaned and he is breathing well on his own on a trach mask. after failing a second swallow evaluation, he underwent placement of a peg tube on and tube feeds were initiated on without complication. his sodium levels stabilized. an ap/lateral xray of the c-spine was obtained on to rule out any changes after a shift in his halo apparatus was noted. the xray was negative. he will need another c-spine xray 2 weeks after discharge when he is seen by dr. (see discharge instructions). the patient was deemed ready for discharge to rehab on . medications on admission: levoxyl, pepcid, provigil, vitamin d, oscal, cardura and colace discharge medications: 1. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po daily (daily). 2. levothyroxine sodium 125 mcg tablet sig: two (2) tablet po daily (daily). 3. modafinil 100 mg tablet sig: one (1) tablet po daily (daily). 4. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for fever/headache/pain. 5. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 6. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (). 7. risedronate 35 mg tablet sig: one (1) tablet po qweek on tuesdays (). 8. fexofenadine 60 mg tablet sig: one (1) tablet po daily (daily). 9. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 11. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day). 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 13. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 14. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 15. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 16. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 17. bacitracin zinc 500 unit/g ointment sig: one (1) appl topical qid (4 times a day) as needed for halo screw site infectioin prophylaxis. 18. pramoxine-mineral oil-zinc 1-12.5 % ointment sig: one (1) appl rectal prn (as needed) as needed for hemorrhoids. 19. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 20. docusate sodium 150 mg/15 ml liquid sig: one (1) po bid (2 times a day). 21. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): sliding scale. 22. polyethylene glycol 3350 17 g (100%) packet sig: one (1) packet po q daily () as needed for constipation. 23. metoclopramide 10 mg tablet sig: one (1) tablet po tid (3 times a day). 24. quetiapine 25 mg tablet sig: two (2) tablet po 8 pm (). 25. lansoprazole 15 mg susp,delayed release for recon sig: one (1) po daily (daily). 26. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 27. piperacillin-tazobactam 4.5 g recon soln sig: one (1) recon soln intravenous q8h (every 8 hours) for 3 days. discharge disposition: extended care facility: - discharge diagnosis: 1. significant cervical instability. 2. cervical ependymoma. discharge condition: stable discharge instructions: please take medications as prescribed and read warning labels carefully. if signs and symptoms of infection, such as fever >101.5, purulent discharge from wound/incision site, increased redness, increased pain, please call or go to the emergency room. remember to call to schedule your follow up appointment (below). sponge bath or shower, but keep wound/incision as dry as possible. pat dry, do not scrub. followup instructions: please call dr. office for a follow up appointment ( to be seen in 2 weeks. when you call for the appointment, please tell them you need an xray of your cervical spine (ap and lateral views) which they will schedule for you to have before your appointment. md procedure: arterial catheterization other exploration and decompression of spinal canal other exploration and decompression of spinal canal temporary tracheostomy other cervical fusion of the anterior column, anterior technique atlas-axis spinal fusion insertion or replacement of skull tongs or halo traction device plastic operation on pharynx spinal traction using skull device fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae refusion of other cervical spine, anterior column, anterior technique diagnoses: urinary tract infection, site not specified hematoma complicating a procedure acute respiratory failure other disorders of neurohypophysis cervical spondylosis with myelopathy other postsurgical lordosis 

Answer: The patient is high likely exposed to