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: penicillins attending: chief complaint: low back pain s/p mva major surgical or invasive procedure: l3 corpectomy history of present illness: mrs. was involved in a high speed motor vehicle accident with loss of consciousness. she was transported to and was noted to have an l3 burst fracture on ct scan. conservative operations were attempted. she was placed in a brace, but unable tolerating ambulation. she had person leg pain. after informed choice, she wished to proceed with surgical stabilization and decompression were spinal elements. past medical history: anxiety social history: n/a family history: n/a physical exam: a+ox3 nad cardiac: rrr, no m/r/g lungs: cta/b abd: soft, non-tender right le: 5/5 strength, silt left le: 4+/5 iliopsoas, all others, decreased senstaion l2 dermatome, all others intact. distal pulses intact. pertinent results: 06:48pm blood wbc-8.4 rbc-4.00* hgb-11.3* hct-32.0* mcv-80* mch-28.2 mchc-35.2* rdw-13.7 plt ct-184 02:02am blood wbc-7.7 rbc-3.67* hgb-10.4* hct-29.6* mcv-81* mch-28.4 mchc-35.3* rdw-14.0 plt ct-199 03:46am blood wbc-6.2 rbc-3.56* hgb-9.9* hct-28.7* mcv-81* mch-27.9 mchc-34.6 rdw-13.8 plt ct-221 07:53pm blood wbc-7.7 rbc-4.65# hgb-13.5# hct-38.2# mcv-82 mch-29.0 mchc-35.3* rdw-14.1 plt ct-286 09:18am blood wbc-8.8 rbc-4.53 hgb-12.5 hct-36.4 mcv-80* mch-27.5 mchc-34.2 rdw-14.3 plt ct-367 05:30am blood wbc-8.5 rbc-4.48 hgb-12.6 hct-37.3 mcv-83 mch-28.0 mchc-33.7 rdw-14.6 plt ct-122*# 03:46am blood glucose-103 urean-9 creat-0.6 na-136 k-3.6 cl-101 hco3-26 angap-13 07:53pm blood glucose-166* urean-6 creat-0.6 na-137 k-4.8 cl-103 hco3-27 angap-12 09:18am blood glucose-169* urean-7 creat-0.6 na-135 k-4.5 cl-101 hco3-27 angap-12 05:30am blood glucose-128* urean-8 creat-0.7 na-135 k-5.0 cl-99 hco3-26 angap-15 brief hospital course: mrs. was involved in an motor vehicle accident with loss of consciousness. on ct scan she was noted to have an l3 burst fracture with significant retropulsion. she was neurologically intact. conservative operations were attempted. she was placed in a brace, but unable tolerating ambulation. she had person leg pain. after informed choice, she wished to proceed with surgical stabilization and decompression were spinal elements. she tolerated the procedure well. after her procedure, she was brought to the pacu and then to the general floor. on the general floor, she had an episode of hypoxia. medicine was consulted and she was brought to the micu overnight for workup and observation. it was determined that her hypoxia was secondary to oversedation with narcotic and aspiration. her symptomology resolved. mrs. worked with physical therapy who recommended rehab. the rest of her course was unremarkable. # hypoxia: likely from aspiration pneumonitis in the setting of sedation/ nausea from opioids. cta w/o pe. is now breathing more comfortably s/p suctioning. trauma surgery does not believe she has pulmonary contusions as she does not have rib fractures and that her ct scan shows aspiration + atelectasis. - incentive spirometry - will hold on antibiotics as likely a pneumonitis but if hypoxia worsens again would add levofloxacin and flagyl for aspiration pna - titrate o2 to o2 sat > 93% - minimize sedation . # fever: likely from aspiration pneumonitis in the setting of aspiration vs inflammatory response post-trauma. blood and urine cx pending. ua w/o obvious uti. - treat aspiration pna as above - f/u blood and urine cx . # tachycardia: sinus tachycardia. likely from pain + adrenergic tone from trauma along with fever. does not appear to be from bleeding as hct stable. - trend for now - ivf given fever . uti-gnr on cx. will start bactrim ds given tizanidine interaction with cipro. . # l-3 burst fracture: - l3 corpectomy with stabilization . # microcytic anemia: unclear baseline. - trend for now - guiac stools . # fen: ivf prn if continues to be febrile, replete electrolytes, regular diet . # prophylaxis: subcutaneous heparin, already on ppi . # access: peripherals x 2 . # code: presumed full . # communication: patient medications on admission: prilosec discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 3. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical (2 times a day) as needed. 4. methocarbamol 500 mg tablet sig: one (1) tablet po qid (4 times a day) as needed for spasm. 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 6. oxycodone 10 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po q12h (every 12 hours). 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. 8. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 9. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 10. tizanidine 2 mg tablet sig: two (2) tablet po tid (3 times a day). 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: l3 burst fracture discharge condition: stable discharge instructions: please keep incision clean and dry. you may shower in 48 hours, but please do not soak the incision. change the dressing daily with clean dry gauze. if you notice drainage or redness around the incision, or if you have a fever greater than 100.5, please call the office at . please resume all home mediciation as prescribed by your primary care physician. have been given additional medication to control pain. please allow 72 hours for refills of this medication. please plan accordingly. you can either have this prescription mailed to your home or you may pick this up at the clinic located on 2. we are not allowed to call in prescriptions for narcotics to the pharmacy. if you have questions concerning activity, please refer to the activity sheet. followup instructions: please follow up with pa-c. you have an appointment scheduled on at 2.00pm. if you have any questions, please call procedure: other excision of joint, other specified sites excision of bone for graft, other bones transfusion of packed cells lumbar and lumbosacral fusion of the anterior column, anterior technique insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae diagnoses: esophageal reflux urinary tract infection, site not specified other opiates and related narcotics causing adverse effects in therapeutic use diaphragmatic hernia without mention of obstruction or gangrene anxiety state, unspecified pneumonitis due to inhalation of food or vomitus morbid obesity iron deficiency anemia, unspecified hypoxemia other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of lumbar vertebra without mention of spinal cord injury other alteration of consciousness 

Answer: The patient is high likely exposed to