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: past medical history: denied. past surgical history: denied. admission medications: denied. allergies: the patient has no known drug allergies. social history: positive tobacco history, 1/2 packs per day, positive etoh history, a six-pack per day. physical examination on admission: general: the patient is a middle-aged man in no acute distress. neck: immobilized, in j hard collar. sensation intact to light touch, c5-t1, l3-s1 bilaterally. motor: right at deltoid, biceps, no triceps. negative we, wf, ff, int, hf, quads, negative ta, negative , left deltoid , biceps , negative triceps, negative we, negative wf, negative ff, negative int, hf, quads, ta, , 3-4 beat clonus on the right, 4 beat on the left, decreased babinski, positive bilaterally. positive rectal tone. positive voluntary contraction. equivocal bilateral reflexes. positive on the left. laboratory/radiologic data: mri: c3-c4 disk herniation with mass affect, positive cord contusion c3 and c4 interspace extending inferiorly diffusely, c5 and c6 disk herniation with predominantly stenosis on the left. x-rays of the c-spine showed chip fracture/avulsion inferior end-plate of c4. there is slight retrolisthesis c3 through c4 and c4 through 5. t&l: no fractures or disease noted. increased ck, mm. impression: central cord syndrome, incomplete nca, status post fall. recommendations: steroid protocol stopped at the time of transfer as the patient was out of eight hour window at the time of initial presentation to the outside hospital. the patient has been stable, monitor bp, map to prevent cord hypoperfusion. continue hard collar, spine log roll precautions, dvt prophylaxis, mechanical, hold anticoagulation for now, monitor closely for dts, etoh withdrawal, will hold surgical intervention until mid week to allow resolution of prevertebral swelling, local cord edema, and hematoma associated with anterior avulsion of c4. monitor closely for changes in neurologic status. plan for multilevel acdf this week. hospital course: on , the patient was taken to the or with dr. and dr. for posterior cervical decompression, anterior cervical diskectomy c3-c5 with instrumentation and fusion with allograft. surgery went without incident. on postoperative check, the patient was comfortable. the vital signs were stable. stable neurologic examination from preoperatively. status post acdf, c3-5, posterior cervical fusion c3-c4, posterior cervical decompression c3-c6, pain control with antibiotics, hard collar pt for range of motion of extremities. the case manager began screening for rehabilitation placement. on postoperative day number one, the patient was comfortable, afebrile, vital signs stable. the drain was with 32 cc output. dressing was clean, dry, and intact. an improvement in in biceps strength in the left upper extremity as compared to preoperativelyerved over the next two days. he remained with 0/5 triceps, 1-2/5 we, 1-2/5 wf,0/5 ff, fe, and int. right lower extremity hp, quads, improved. no ta, gs. left lower extremity hf, quads. pt was begun for range of motion. the patient was advanced up to chair with assist. the drain was discontinued on . the patient was continued to be screened by case management for rehabilitation placement. on postoperative day number two, the patient was tolerating p.o. well. the patient's neurological examination continued to be unchanged. tentative discharge plans for rehabilitation facility on . the patient will be discharged to a rehabilitation facility, keep incision clean and dry, discontinue staples posteriorly and subcuticular, nonabsorbable pull-out suture anteriorly on postoperative day number 14. final diagnosis: central cord syndrome with quadriplegia. recommended follow-up: the patient is to follow-up in one month with dr. unless concerns about incisions and then follow-up sooner. major surgical procedure: posterior cervical laminectomy/decompression c3-6; posterior cervical fusion c3-4; acdf c4-c6. condition on discharge: stable. discharge medications: 1. famotidine 20 mg tablets, one tablet p.o. b.i.d. 2. ambien 5 mg tablets, two tablets p.o. h.s. p.r.n. 3. percocet #5 one to two tablets p.o. q. four to six hours p.r.n. 4. diazepam 5 mg tablets, one to two tablets p.o. q. six hours p.r.n. 5. bisacodyl 10 mg suppository, one suppository rectal q.d. p.r.n. 6. colace 100 mg capsules, one capsule p.o. b.i.d. 7. oxycodone 20 mg tablets sustained release 12 hours, one tablet p.o. q. 12 hours. 8. lovenox 40 mg subcutaneously q.d. 9. albuterol sulfate one nebulizer/inhaler q. six hours p.r.n. 10. diphenhydramine 25 mg capsules, one capsule p.o. q. six hours p.r.n. treatments: spinal cord injury rehabilitation per facility protocol. pt/ot, psychology and interventions. house diet. the patient will need continued physical therapy, weightbearing activity orders up as tolerated in chair, hard cervical collar on at all times when out of bed. , m.d. dictated by: medquist36 procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc other cervical fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: alcohol abuse, unspecified accidental fall on or from other stairs or steps closed fracture of c1-c4 level with unspecified spinal cord injury quadriplegia, c1-c4, complete intervertebral disc disorder with myelopathy, cervical region 

Answer: The patient is high likely exposed to