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: no known allergies / adverse drug reactions attending: chief complaint: fall major surgical or invasive procedure: 1. open treatment thoracic fracture dislocation. 2. posterior instrumentation t10 through l2. 3. posterolateral fusion t10 through l2. 4. local autograft for fusion augmentation. history of present illness: reason for consult: c1 fx hpi: 71m w hx chf, af on coumadin, tfr from for c1 fracture. pt sustained mechanical fall backwards from 6ft ladder around 4pm today. +loc for ~30sec. ambulated at neck pain. neuro intact in ed and complained only have neck and back pain. no reports of numbness/tingling. hd stable. ct head showed no ich. ct c-spine showed c1 fx. he then vomited x2 and was intubated for airway protection. ct chest, abd, pelv deferred to . inr 1.4. pmh: dm2, htn, hld, schizophrenia, afib, cad s/p 2 cardiac stents, ischemic cmp, multi-infarct dementia, mood disorders med: aldactone, crestor, coumadin 5 mg daily, janumet, lasix, niaspan, risperdal, toprol, trilipix, aspirin, glipizide, lisinopril, augmentin all: nkda sh: denies smoking & drugs admits to social etoh, married lives with wife, has 4 children, retired pe: avss intubated, sedated opens eyes to command superficial occiptal abrasion c-collar in place moving all extremities x 4 spontaneously bue skin clean and intact no deformity, erythema, edema, induration or ecchymosis arms and forearms are soft 2+ radial pulses ble skin clean and intact no deformity, erythema, edema, induration or ecchymosis thighs and legs are soft 1+ pitting edema ble 1+ pt and dp pulses no step-offs or deformities to t,l spine superficial abrasion over l-spine and perianal labs: hct 38, inr 1.4 imaging: ct c-spine: c1 fx through right lateral mass and posterior arch, minimally-displaced ct impression & recommendations: 71m s/p mech fall off ladder with c1 anterior and posterior arch fractures. ambulatory at scene and nvi in osh ed prior to intubation. -recommend ct scan t,l,s spine to assess for additional spine injury -log roll precautions - j c-collar at all times -stable c-spine injury pattern - will treat conservatively with non-operative management ct scan tl spine 1. acute transverse fracture across a t12 vertebral body hemangioma and coursing into the left lamina, with minimal retropulsion. mr should be considered for further evaluation to assess for cord injury. 2. hepatic steatosis. 3. trace bilateral pleural effusions. area of left lower lobe consolidation may reflect mild aspiration. 4. 21 mm cystic lesion arising from the lower pole of the right kidney is indeterminate on this single phase study. further outpatient evaluation with ultrasound could be considered in six months to assess for stability. 5. minimally displaced left 12th rib and left l2 and right l3 (2:81) transverse process fractures. mri 1. no evidence of spinal cord edema/contusion. there is no significant spinal canal narrowing seen. 2. t12 vertebral body fracture with minimal anterior epidural swelling as described above. also seen is an acute compression fracture of c7 and t1. fractures of c1 and posterior element fractures are better seen on the recent ct study. 3. multilevel degenerative changes without significant canal stenosis. there is narrowing of the subarticular recesses bilaterally at l4-l5 contacting the traversing nerve roots. see prior ct torso. past medical history: - afib - htn - hypercholestremia - dm type ii - cad s/p 2 cardiac stents - cath: lad 80% prox stenosis followed by 90% apical lesion. lcx mild-mod diffuse disease. cypher stent placed to lad - ischemic cmp w/ h/o flash pulmonary edema; chf (ef 35%), mod mr - psychiatric history: - multi-infarct dementia - mood disorder nos; r/o bpad vs. mdd with psychotic features with h/o of multiple hospitalizations - - carried dx of schizophrenia x 25yrs; previous trial of stelazine social history: pt was born in , has lived in us since his 20s. married with 4 living children. has degrees in both visual arts and architecture. and, though currently retired continues to work with iron and other sculpture mediums. lives with wife. denies h/o illicit drug use, admits to social etoh use. denies tobacco use currently. family history: denies physical exam: see hpi pertinent results: 08:42pm type-art rates-/14 tidal vol-500 o2-100 po2-170* pco2-62* ph-7.27* total co2-30 base xs-0 aado2-474 req o2-81 -assist/con intubated-intubated 10:12pm fibrinoge-214 10:12pm plt count-230 10:12pm pt-15.1* ptt-27.4 inr(pt)-1.4* 10:12pm wbc-11.8* rbc-3.90* hgb-12.1* hct-35.9* mcv-92 mch-30.9 mchc-33.6 rdw-13.8 10:12pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:12pm ctropnt-<0.01 10:12pm lipase-50 10:12pm estgfr-using this 10:12pm urea n-15 creat-1.1 10:24pm freeca-0.85* 10:24pm hgb-12.1* calchct-36 o2 sat-92 carboxyhb-7* met hgb-0 10:24pm glucose-130* lactate-1.4 na+-141 k+-4.7 cl--107 tco2-21 10:24pm ph-7.51* comments-green brief hospital course: patient was admitted to the spine surgery service. he was brought intubated from osh and admitted to icu. ct scan and mri spini scans of the spine revealed t12 unstable fracture in addition to c1 fracture (stable). neurological status was difficult to assess. he was and taken to the operating room for the above procedure for t12 fracture. refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the icu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were continued for 24hrs postop per standard protocol. initial postop pain was controlled. no hvac drains were used. events in the hospital : extubated : difficult to arouse, does not move ue and le adequately. only some movement in fingers and toes. requested limited scan of the spine. : no evidence of ongoing cord compresison on mri. : moving better, dressing changed, incision cdi, okay to anticoagulate. foley was removed on pod#2. physical therapy was consulted for mobilization oob to ambulate. on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. medications on admission: coumadin 2.5, spironolactone 25, rosuvastatin 40 hs, sitagliptin-metformin (janumet) 1 tab'', lasix 80, niaspan er 500, risperdal 50 im twice weekly, toprol xl 50, fenofibric acid 135, asa 81, glipizide 10, lisinopril 20 discharge medications: 1. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 2. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 3. rosuvastatin 20 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. furosemide 40 mg tablet sig: two (2) tablet po daily (daily). 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 11. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 12. oxycodone 5 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*80 tablet(s)* refills:*0* 13. diltiazem hcl 120 mg capsule, extended release sig: two (2) capsule, extended release po daily (daily). 14. glipizide 10 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po daily (daily). 15. janumet 50-1,000 mg tablet sig: one (1) tablet po bid (). 16. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. 17. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm: target inr . discharge disposition: extended care facility: - discharge diagnosis: c1 anterior and posterior arch fractures () - stable t12 extension distraction fracture (unstable) ankylosing spondylitis discharge condition: mental status: clear and coherent. level of consciousness: lethargic but arousable. activity status: bedbound. discharge instructions: - activity: as tolerated in brace. - rehabilitation/ physical therapy: o you can walk as much as you can tolerate. o limit any kind of lifting. - diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. - brace: you have been given a brace (tlso and j). this brace is to be worn when you are walking. you may take tlso off when sitting in a chair or while lying in bed. keep j at all times. - wound care: remove the dressing in 2 days. if the incision is draining cover it with a new sterile dressing. if it is dry then you can leave the incision open to the air. once the incision is completely dry (usually 2-3 days after the operation) you may take a shower. do not soak the incision in a bath or pool. if the incision starts draining at anytime after surgery, do not get the incision wet. cover it with a sterile dressing. call the office. - you should resume taking your normal home medications. - you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - follow up: o please call the office and make an appointment for 2 weeks after the day of your operation if this has not been done already. o at the 2-week visit we will check your incision, take baseline x-rays and answer any questions. we may at that time start physical therapy. o we will then see you at 6 weeks from the day of the operation and at that time release you to full activity. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. followup instructions: please follow up with dr 2 weeks from the date of discharge procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: acidosis congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia old myocardial infarction long-term (current) use of anticoagulants closed fracture of dorsal [thoracic] vertebra without mention of spinal cord injury hemangioma of other sites accidental fall from ladder vascular dementia, uncomplicated cerebral atherosclerosis closed fracture of first cervical vertebra paranoid type schizophrenia, unspecified intracranial injury of other and unspecified nature without mention of open intracranial wound, with brief [less than one hour] loss of consciousness ankylosing spondylitis 

Answer: The patient is high likely exposed to