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: vasotec / metformin / lactose attending: chief complaint: mvc major surgical or invasive procedure: - l1 through l3 spinal fusion, closed reduction nasal fracture, primary closure of right alar base laceration history of present illness: 42 yo f s/p mvc, unrestrained driver. veered off road into . +loc, +airbag deployment. unclear cause of crash; pt thinks she may have fallen asleep. seen at osh, found to have unstable l2 burst fracture, as well as l1 and l3 transverse process fractures. imaging of ct torso, head, cspine otherwise negative on preliminary read. transferred to for further management. pt also noted to have significant left facial swelling; transferred to tsicu for airway monitoring. injuries: - l2 unstable burst fracture - l1 bilateral transverse process fractures - l3 right transverse process fracture - mildly displaced nasal bone fracture past medical history: pmh: - dm2 - htn - obesity - mrsa - chronic pain psh: - lap rny gastric bypass ( ) c/b intraperitoneal bleed requiring emergent exlap ( ) - lap cholecystectomy social history: patient lives at home with her parents, husband, and two children. patient is a house wife, and her husband is a waitor at a chinese restaurant. patient denies tobacco, alcohol or drug use. family history: family history of diabetes: father, paternal grandmother and grandfather. maternal grandmother with cancer. physical exam: 96.4, 87, 108/60, 20, 98 % on room air alert and oriented, no acute distress facial edema, improved scleral hemorrhages bilaterally, periorbital ecchymoses bilaterally, eomi, perrl bruising along anterior neck, full rom cta b/l rrr soft, obese abdomen, nondistended, mild tenderness in epigastrium pertinent results: 07:55pm wbc-10.1# rbc-4.27 hgb-12.6 hct-37.3 mcv-88 mch-29.6 mchc-33.8 rdw-12.7 ct torso (2nd read): l2 burst fracture with moderate bony retropulsion into the spinal canal with small perivertebral hematoma. transverse process fractures of l1, l2 and l3. otherwise no acute injury in the chest, abdomen, or pelvis. ct head (2nd read): no acute intracranial hemorrhage ct cspine (2nd read): no acute fracture or malalignment of the cervical spine ct face: mildly displaced right nasal bone fracture. significant soft tissue swelling and hematoma over the left face cxr: no acute process mri l spine: burst fracture of l2 with tear of the anterior and posterior longitudinal ligaments, but no obvious involvement of the interspinous ligaments. significant retropulsion of fracture fragments into the spinal canal with posterior displacement and compression of the cauda equina. the conus terminates at the l1 level. cxr: tip of endotracheal tube is above the level of the clavicles, terminating about 7 cm above the carina. this could be advanced several centimeters for standard positioning. new nasogastric tube is coiled within the proximal stomach. cardiomediastinal contours are within normal limits, and lungs are clear. no pleural effusion or pneumothorax. ct torso: there is mild bilateral atelectasis. the airways are patent to the subsegmental level. there are no pulmonary nodules. no pulmonary effusion or pneumothorax. a central venous catheter is seen with the tip in the superior vena cava. the heart, pericardium, and great vessels are normal. no axillary or mediastinal lymphadenopathy is seen. the esophagus is normal and there is no hiatal hernia. lack of contrast enhancement limits the examination of the intraabdominal viscera. within the limitation, the liver, spleen, adrenals, pancreas, and kidneys are unremarkable. there is a small exophytic, hypodense lesion in the superior pole of the right kidney, that is too small to characterize. the patient is post-cholecystectomy and post roux-en-y gastric bypass. the gastrojejunal and jejunojejunal anastomoses are intact. the is within normal limits. the intraabdominal vasculature is unremarkable. there is no free fluid or free air. there is no abdominal wall hernia. there is no mesenteric or retroperitoneal lymphadenopathy. no evidence of intraabdominal bleed. the bladder is normal, there is a foley catheter seen in the bladder. the terminal ureters, rectum, uterus, and adnexa are unremarkable. there is no free fluid in the pelvis. there is no pelvic wall or inguinal lymphadenopathy. the patient is post l1-l3 fusion. some small foci of air are seen in the posterior subcutaneous tissues consistent with postoperative changes. there is a defect in the left iliac crest from prior bone graft donor site. no hematomas are seen. brief hospital course: ms. was admitted to the tsicu for intensive care and management following her mvc. on she went to the operating room with orthopedic surgery for l1-l3 spinal fusion and closed reduction of nasal bone fracture by plastic surgery. post-operatively she was febrile to 103.2 and cultures were sent. she was extubated the following day but pain control posed a challenge so the chronic pain team was consulted. lopressor was administered given tachycardia and hypertension but she subsequently was hypotensive to the 70's, which partially responded to a 1l bolus and neo was started. her hematocrit trended down and she was transfused 2u prbcs for hct 19. she subsequently stabilized off pressors and was transferred to the floor. pain control continued to be an issue on the floor. her regimen was altered multiple times including the use of lidocaine patch, gabapentin, standing tylenol, long acting po narcotics, and short acting po narcotics. ms. was fitted for a tlso brace and received that on . she began working with pt and ot who recommended a course of inpatient rehab, feeling that she is a fall risk, needing more time to adjust to the brace, and that she will benefit from an aggressive pt/ot program to assist her in regaining her strength and prior activity level. she did have a mild tbi screen and ot felt that she had normal processing and would not require a cognitive follow up after discharge. the patient remained very resistant to being discharged to a rehabilitation facility and preferred to stay in the hospital and work with pt/ot until they cleared her for home with services. she did work with pt daily and both her family were educated in the use of the tlso brace and in coordinating adls with the use of the brace, rolling walker, and commode. on , ms. was discharged to home with home pt and follow up appointments with her primary care provider, chronic pain physician, plastic surgeon, her orthopedic spine surgeon, and her bariatric surgeon and nutritionist. she is also being asked to make a routine ophthalmology appointment to have a dilated fundoscopic exam in the near future. she was discharged with prescriptions for a 10 day supply of her pain medication regimen in order to provide her with enough medication until her follow up visit with her chronic pain physician . she was given prescriptions for all of the pain medications other than the liquid oxycodone. it was difficult to find a local pharmacy that carried a supply of oxycodone in the liquid form. this prescription was filled by pharmacy and the patient was given a 7 day supply of the medication at the time of discharge. medications on admission: - dilaudid 8mg liquid q3-4 - lantus 20-40 units intermittently - vitamin b-12' - cozaar 150' discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 2. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. gabapentin 300 mg capsule : one (1) capsule po tid (3 times a day). disp:*30 capsule(s)* refills:*0* 5. acetaminophen 500 mg tablet : two (2) tablet po q8 (). disp:*60 tablet(s)* refills:*0* 6. morphine 45 mg cap, er multiphase 24 hr : one (1) cap, er multiphase 24 hr po q8h (every 8 hours). disp:*30 cap, er multiphase 24 hr(s)* refills:*0* 7. lidocaine 5 %(700 mg/patch) adhesive patch, medicated : one (1) adhesive patch, medicated topical daily (daily). disp:*10 adhesive patch, medicated(s)* refills:*0* 8. famotidine 20 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. cozaar 50 mg tablet : three (3) tablet po once a day. disp:*90 tablet(s)* refills:*2* 10. multivitamin tablet : two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 11. thiamine hcl 100 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. calcium citrate + 315-200 mg-unit tablet : one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 13. oxycodone 5 mg/5 ml solution : ml po q3. disp:*900 ml* refills:*0* 14. lantus 100 unit/ml solution : twenty (20) units subcutaneous at bedtime. discharge disposition: home with service facility: vna discharge diagnosis: polytrauma l2 unstable burst fracture l1 bilateral transverse process fractures l3 right transverse process fracture mildly displaced nasal bone fracture discharge condition: you must wear the tlso brace at all times when you are out of bed and walking around. discharge instructions: you have been treated for multiple injuries that you endured as a result of a car accident. you had multiple specialty teams participating in your care and it is very important that you follow up with each of them. we have made appointments for you listed below. if you need to change the date or time for these appointments, please contact their offices. you will need to see your primary care provider, chronic pain physician, spine surgeon, and the plastic surgeon. your bariatric surgeon would also like to follow up with you. we also advise you to make a routine appointment to be evaluated by an ophthalmologist to have a dilated eye examination. you will be working with home physical therapists as well and it is important that you keep your brace on at all times when you are out of bed and follow their recommendations closely as they work with you moving forward. you should not drive while taking narcotic pain medications. it is very important that you follow this restriction. you cannot safely drive on your current medication regimen. you should take the bowel regimen prescribed to you to prevent constipation while taking your current pain medication regimen. you should take the vitamins prescribed to you as directed by your bariatric surgeon. you should plan to take 20 units of lantus each night, every night. check your sugars at home. follow up with your primary care doctor about your diabetes regimen. it is important that you take your medicine everyday, it is long-acting, and helps to keep your sugars under control throughout the day. followup instructions: 11:15a , h (liver ctr.) lm , liver center (sb) 10:30a ,gastric sc clinical ctr, bariatric surgery 10:15a ,gastric sc clinical ctr, gastric bypass private (nhb) 01:00p mandyam,vasudev c. (primary care) sc clinical ctr, medical unit (sb) 09:40a , (ortho-spine) sc clinical ctr, spine center (sb) 08:40a fluoro 6 (chronic pain) one place (, ma), pain management center (sb) 02:00p -cc3 spec (plastic surgery) sc clinical ctr, surgical specialties cc-3 (nhb) procedure: excision of bone for graft, other bones closed reduction of nasal fracture lumbar and lumbosacral fusion of the posterior column, posterior technique repair of vertebral fracture fusion or refusion of 2-3 vertebrae suture of laceration of nose diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere obstructive sleep apnea (adult)(pediatric) other chronic pain esophageal reflux unspecified essential hypertension long-term (current) use of insulin other acquired absence of organ other constipation obesity, unspecified closed fracture of lumbar vertebra without mention of spinal cord injury other psoriasis diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other chronic nonalcoholic liver disease motor vehicle traffic accident due to loss of control, without collision on the highway, injuring driver of motor vehicle other than motorcycle closed fracture of nasal bones bariatric surgery status spinal stenosis, lumbar region, without neurogenic claudication personal history of methicillin resistant staphylococcus aureus personal history, urinary (tract) infection 

Answer: The patient is high likely exposed to