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: taxol / zocor attending: chief complaint: progressive leg weakness, inability to urinate or defecate major surgical or invasive procedure: t2 corpectomy and posterior spinal fusion t1 to t3 history of present illness: 57m w/ hx lung cancer and metastatic disease to t2 presents with 2 days of progressive leg weakness, inability to urinate or defecate. not on xrt or chemo for his lung cancer, patient has been told he has a poor prognosis. he feels pins and needles throughout his trunk ankd lower extremities and has l > r lower extremity weakness. past medical history: lung ca with mets to t2, hereditary hypercoaguability (lupus anticoagulant according to patient). he has had pe before social history: 1ppd, no etoh family history: non-contrib physical exam: general: nad cv: pulse rrr resp: mildly labored breathing abd: soft, nt vascular: radial dp r 2 2 l 2 2 sensory: ue c5 c6 c7 c8 t1 (lat arm) (thumb) (mid fing) (sm finger) (med arm) r intact intact intact intact intact l intact intact intact intact intact t2-l1 (trunk) intact le l2 l3 l4 l5 s1 s2 (groin) (knee) (med calf) (grt toe) (sm toe) (post thigh) r intact intact intact intact intact intact l intact intact intact intact intact intact motor: ue fg(c8/ain) we(c6/r) wf(c7/r) tricep(c7/r) bicep c6/mc) delt(c5/ax) r 5 5 5 5 5 5 l 5 5 5 5 5 5 le flex(l1) add(l2) quad(l3) ta(l4) (l5) per(s1)gs(s1-2/t) r 3 3 3 3 3 3 3 l 4+ 4+ 4+ 4+ 4+ 4+ 4+ no midline tenderness to palpation babinski: left toe upgoing, right toe downgoing : negative clonus: negative perianal sensation: intact rectal tone: poor pertinent results: 03:40am blood wbc-10.5 rbc-3.82* hgb-10.1* hct-30.0* mcv-79* mch-26.5* mchc-33.7 rdw-14.9 plt ct-155 03:00am blood neuts-94.8* lymphs-3.1* monos-1.3* eos-0.5 baso-0.3 03:40am blood glucose-111* urean-26* creat-0.5 na-135 k-5.1 cl-94* hco3-31 angap-15 03:40am blood albumin-3.5 calcium-9.0 phos-4.0 mg-2.2 brief hospital course: patient was admitted to the spine surgery service and taken to the operating room for the above procedure. refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu. post-operatively, he was admitted from the pacu to the sicu because he was hypotensive requiring pressors and desatting into the high 80s with increasing o2 requirement. he receieved 1 unit of blood after a post-op hct of 27.5. on poc, he moves all four extremities, but left is weaker than right as per baseline. he was started on a ketamine drip for pain control. pod1, he was placed on a non non-rebreather. intermittent cpap but stable, though desats into 70s when taken off. pain control improved. pod2 he got out of bed and was weaned from poop. he was given a 250ml bolus. pod3 he again received a 250cc bolus. pod6 pain service recommended increasing morphine for pain; palliative care consulted pod7 no acute issues, palliative care recs: dispo rn home will follow with patient, oob chair, wound examined no drainage, no fluctuance, minimal erythema on the inferior aspect of the wound. aggressive bowel regimen instituted. pod8 lle weakness of grade 1 to 2 was recorded. noon head ct showed no change to explain anisacoria or lle weakness. ngt placed for short time, minimal drainage. made dnr/dni per palliative care. weaning ketamine. +flatus, tolerated po intake () pod9 switched to po prednisone taper. rehab bed secured. hospital course was otherwise unremarkable. on the day of discharge the patient was afebrile with stable vital signs, comfortable on pain regimen and tolerating a regular diet. the neurological status at discharge was grade 1 to 2 in lle and grade 2 to 3 in rle. specifically the lle quads was weaker grade than preoperative assessment. as further surgical interventation is unadvisable considering his present general medical condition and short life expectancy, further interventions for deteriorating neurology are not planned. medications on admission: albuterol, lovenox 80 mg(for hereditary hypercoaguability), ergocalciferol, loratadine, morphine solution 10mg prn, omeprazole 20 mg qday, sulfasalazine 500 mg po, tramadol 50 mg qid prn, ambien discharge disposition: extended care facility: rehabilitation & care center - discharge diagnosis: metastasis to t2 vertebra discharge condition: level of consciousness: alert and interactive. mental status: clear and coherent. activity status: bedbound. discharge instructions: you have undergone the following operation: thoracic corpectomy with fusion immediately after the operation: - activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without getting up and walking around. - rehabilitation/ physical therapy: o 2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. 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 may have been given a brace. this brace is to be worn when you are walking. you may take it off when sitting in a chair or while lying in bed. - 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. lumbar decompression without fusion you have undergone the following operation: lumbar decompression without fusion immediately after the operation: - activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without moving around. - rehabilitation/ physical therapy: o 2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. 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 may have been given a brace. this brace is to be worn when you are walking. you may take it off when sitting in a chair or lying in bed. - 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 and 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. physical therapy: activity: activity: bedrest with bed position head of bed at 45 deg cervical collar: when oob treatments frequency: site: back description: dry sterile dressing care: change qd patient is dnr/dni and does not wish to be rehospitalized. followup instructions: please call the spine center at phone: ( and schedule a follow-up for 2 weeks. procedure: other excision of joint, other specified sites dorsal and dorsolumbar fusion of the posterior column, posterior technique repair of vertebral fracture biopsy of bone, other bones insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae diagnoses: thrombocytopenia, unspecified paralytic ileus malignant neoplasm of other parts of bronchus or lung secondary malignant neoplasm of bone and bone marrow paraplegia pathologic fracture of vertebrae vascular myelopathies other and unspecified nonspecific immunological findings other digestive system complications 

Answer: The patient is high likely exposed to