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: neck pain major surgical or invasive procedure: c5-6 acdf history of present illness: this 66-year-old gentleman had previously undergone a posterior instrumented fusion of c5-6 fracture.he developed right upper extremity radicular symptoms and apseudoarthrosis with instability. past medical history: 1. niddm 2. gerd 3. copd 4. depression 5. s/p ccy social history: divorced, lives alone in a group home. tobacco- 1ppd, etoh- /week. retired machinist. family history: nc physical exam: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: d b t g ip q at r 5 5 5 5 5 5 5 5 l 5 5 4 5 5 5 5 5 sensation: intact to light touch propioception intact toes downgoing bilaterally no clonus pertinent results: 07:02am blood wbc-7.9 rbc-4.12* hgb-12.9* hct-38.0* mcv-92 mch-31.2 mchc-33.8 rdw-13.7 plt ct-260 07:02am blood plt ct-260 07:02am blood glucose-104 urean-13 creat-0.8 na-137 k-4.4 cl-97 hco3-31 angap-13 11:05am blood ck-mb-notdone ctropnt-<0.01 07:02am blood calcium-9.3 phos-3.0 mg-1.9 08:57pm blood type-art po2-85 pco2-41 ph-7.45 caltco2-29 base xs-3 intubat-not intuba 08:36am blood glucose-90 lactate-1.5 na-138 k-4.3 cl-102 08:36am blood hgb-12.6* calchct-38 brief hospital course: mr was admitted for a scheduled acdf. the surgery went well without complications. he was orientated x3 and had full strength post surgery. on at 1730 he developed tachycardia, hypoxemia and hypotension. his hr>120 he was transferred to the tsicu where he had a cta of his chest was negative for pe and head was negative. he was started on a ciwa scale. he remained confused for approx 24 hours. on day of discharge he was ambulating in his room, tolerating a regular diet and orientated x3. his incision was clean and dry and he had full motor strength. his hcp, , stated he was back to baseline and agreed to accompany him home. medications on admission: . clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. quetiapine 100 mg tablet sig: one (1) tablet po tid (3 times a day). 6. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 7. meclizine 12.5 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for dizziness. 8. bupropion 150 mg tablet sustained release sig: two (2) tablet sustained release po qam (once a day (in the morning)). 9. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 10. theophylline 200 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po bid (2 times a day). 11. enalapril maleate 5 mg tablet sig: 0.5 tablet po daily (daily). 12. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for burning feet. 13. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 14. oxcarbazepine 600 mg tablet sig: one (1) tablet po bid (2 times a day). 15. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 16. carbamazepine 200 mg tablet sig: one (1) tablet po tid (3 times a day). 17. methocarbamol 500 mg tablet sig: 1.5 tablets po tid (3 times a day) as needed for muscle spasm: please do not drink or operate heavy machinery while taking this medication. disp:*40 tablet(s)* refills:*0* discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not take tylenol with this medication as it contains tylenol and you could over dose. disp:*60 tablet(s)* refills:*0* 2. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while taking pain medications. disp:*60 capsule(s)* refills:*2* 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 8. clonazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. 9. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 10. theophylline 200 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po bid (2 times a day). 11. oxcarbazepine 600 mg tablet sig: one (1) tablet po tid (3 times a day). 12. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 13. quetiapine 100 mg tablet sig: one (1) tablet po tid (3 times a day). 14. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 15. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for foot burning at bedtime. 16. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 17. enalapril maleate 5 mg tablet sig: one (1) tablet po daily (daily). 18. calcium 500 500 mg (1,250 mg) tablet sig: one (1) tablet po once a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: c5-6 pseudarthrosis discharge condition: neurologically stable discharge instructions: discharge instructions for spine cases ?????? do not smoke ?????? keep wound clean / no tub baths or pools until seen in follow up/ remove dressing / begin daily showers ?????? you have steri-strips in place ?????? keep dry x 72 hours. do not pull them off. they will fall off on their own or be taken off in the office ?????? no pulling up, lifting> 10 lbs., excessive bending or twisting for two weeks. ?????? limit your use of stairs to 2-3 times per day ?????? have a family member check your incision daily for signs of infection ?????? take pain medication as instructed; you may find it best if taken in the a.m. when you wake for morning stiffness and before bed for sleeping discomfort ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, ibuprofen etc. for 3 months. ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine ?????? any weakness, numbness, tingling in your extremities ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f ?????? any change in your bowel or bladder habits followup instructions: follow up instructions/appointments ??????please call ( to schedule an appointment with dr. to be seen in 6 weeks. ??????you will need x-rays prior to your appointment. procedure: other cervical fusion of the anterior column, anterior technique excision of intervertebral disc fusion or refusion of 2-3 vertebrae diagnoses: esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled obstructive chronic bronchitis with (acute) exacerbation brachial neuritis or radiculitis nos hypoxemia other and unspecified alcohol dependence, unspecified alcohol withdrawal delirium arthrodesis status dysphagia, unspecified 

Answer: The patient is high likely exposed to