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 and leg pain major surgical or invasive procedure: anterior and posterior lumbar decompression and fusion l2-s1. history of present illness: ms. has a long history of back and leg pain. she has attempted conservative therapy including physical therapy and has failed. she now presents for surgical intervention. past medical history: l leg lymphedema h/o dvts x 3 htn ho chol depression social history: denies family history: n/c physical exam: nad rrr cta b abd soft nt/nd bue- good strength at biceps, triceps, wrist extension and flexion, finger extension and flexion and intrinsics; sensation intact in all dermatomes; reflexes intact at biceps, triceps and brachioradialis ble- good strength at hip flexion and extension/abduction/adduction, knee flexion and extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact distally; reflexes deminished at quads and achilles pertinent results: 05:10am blood wbc-7.2 rbc-3.77* hgb-11.4* hct-32.9* mcv-87 mch-30.3 mchc-34.7 rdw-14.6 plt ct-241# 05:15am blood wbc-8.5 rbc-3.86* hgb-11.5* hct-33.5* mcv-87 mch-29.8 mchc-34.2 rdw-16.0* plt ct-135* 03:08am blood wbc-8.7 rbc-3.79* hgb-11.3* hct-32.6* mcv-86 mch-29.7 mchc-34.5 rdw-16.3* plt ct-111* 05:15am blood glucose-88 urean-6 creat-0.4 na-141 k-3.5 cl-104 hco3-31 angap-10 03:08am blood glucose-161* urean-6 creat-0.4 na-140 k-3.7 cl-107 hco3-27 angap-10 brief hospital course: ms. was admitted to the service of dr. for a lumbar fusion l2-s1. she was informed and consented for the procedure and elected to proceed. please see operative note for procedure in detail. post-operativley she was transfered to the t/sicu due to blood loss anemia. she was transfused to a stable hematocrit and she remained hemodynamically stable. she was administered antibiotics and pain medication. her catheter and drain were removed pod 2 and she was able to take po's. her pain was well controlled and she was able to work with physical therapy. she will return to clinic in ten days. she was discharged in good condition. medications on admission: dyazide 37.5/25mg', lipitor 10mg', asa 81mg', citracal 630mg', celexa 10mg', fosamax 35mg qwk (last on ), vicodin 5/500mg prn, relafen 750mg prn, motrin/aleve prn discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. triamterene-hydrochlorothiazid 37.5-25 mg capsule sig: one (1) cap po daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). 6. nabumetone 750 mg tablet sig: one (1) tablet po bid (2 times a day). 7. phenol-phenolate sodium mouthwash sig: one (1) spray mucous membrane q4h (every 4 hours) as needed. 8. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. 12. metoclopramide 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 13. oxycodone 20 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q8h (every 8 hours). disp:*90 tablet sustained release 12 hr(s)* refills:*0* 14. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*100 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: lumbar spondylosis l2-s1 discharge condition: good discharge instructions: keep the incisions dry. you may shower as long as you cover the incisions with band-aids. do not take a bath or submerge the incisions under water. you need to wear the brace whenever you are out of bed. you do not need the brace when you are in bed. do not lift anything heavier than a gallon of milk. do not bend or twist from the lower back. do not smoke. call the office if you have a fever over 101f or if you have an increase in pain or discharge from the incisions. physical therapy: no lifting heavier than 10 lb, no bending or twisting from the lower back. lumbar corset brace while ambulating, not needed when in bed or chair treatments frequency: dry dressing to posterior incision daily to protect incision followup instructions: dr. at previously scheduled appointment. please call for an appointment. procedure: lumbar and lumbosacral fusion of the anterior column, posterior technique transfusion of packed cells lumbar and lumbosacral fusion of the anterior column, anterior technique transfusion of other serum insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: acute posthemorrhagic anemia lumbosacral spondylosis without myelopathy 

Answer: The patient is high likely exposed to