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: penicillins / shellfish / fish product derivatives / barium sulfate / iodine attending: addendum: pt developed acute renal failure requiring an icu transfer . major surgical or invasive procedure: anterior lumbar fusion l5-s1 . posterior lumbar fusion l5-s1 past medical history: ra--on chronic prednisone and arava osteoporosis spinal stenosis s/p laminectomy and decomp of c6-c7 recent pyelo/ horshoe kidney ulcerative keratitis from ra reactive airway disease rll nodules (seen ) chronic anemia-fe deficiency reactive airway disease social history: denies etoh, tobacco, illicits family history: nc pertinent results: 03:11am blood wbc-8.5 rbc-2.90* hgb-7.9* hct-24.2* mcv-83 mch-27.3 mchc-32.7 rdw-15.9* plt ct-365 08:11am blood wbc-9.6 rbc-2.94* hgb-8.1* hct-24.4* mcv-83 mch-27.7 mchc-33.5 rdw-16.1* plt ct-388 03:11am blood plt ct-365 03:11am blood pt-12.8 inr(pt)-1.1 03:11am blood glucose-166* urean-98* creat-4.0*# na-139 k-5.2* cl-107 hco3-20* angap-17 03:04am blood glucose-128* urean-114* creat-7.8* na-141 k-5.2* cl-103 hco3-19* angap-24* 03:49pm blood glucose-185* urean-22* creat-4.0*# na-136 k-4.5 cl-103 hco3-20* angap-18 03:11am blood calcium-8.5 phos-4.6* mg-1.6 brief hospital course: pt transferred to icu 11/4-119 secondary to acute renal failure. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. albuterol sulfate 0.083 % solution sig: inhalation q6h (every 6 hours) as needed for wheezing. 3. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheezing. 4. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day) as needed for wheezing. 5. hydroxychloroquine 200 mg tablet sig: one (1) tablet po bid (2 times a day). 6. oxycodone 10 mg tablet sustained release 12hr sig: three (3) tablet sustained release 12hr po q12h (every 12 hours). 7. oxycodone 20 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po daily (daily). 8. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed. 10. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed for insomnia. 11. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): until ambulating regularly. 13. calcium acetate 667 mg tablet sig: two (2) tablet po tid w/meals (3 times a day with meals). 14. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 15. sevelamer 800 mg tablet sig: two (2) tablet po tid (3 times a day). 16. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for indigestion. 17. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 18. valium 2 mg tablet sig: one (1) tablet po every eight (8) hours as needed. 19. hydrocortisone 20 mg tablet sig: four (4) tablet po every eight (8) hours: titrate per pcp. discharge disposition: extended care facility: - discharge diagnosis: degenerative disc disease. acute renal failure. discharge condition: good discharge instructions: keep incisions clean and dry x 2. physical therapy: no lifting > 15 lbs. no bending/twisting treatments frequency: keep incision clean and dry followup instructions: 10 days with dr . 10 days with pcp monitor pt's creatinine/bun levels qod md procedure: venous catheterization, not elsewhere classified lumbar and lumbosacral fusion of the anterior column, posterior technique other exploration and decompression of spinal canal other exploration and decompression of spinal canal excision of intervertebral disc lumbar and lumbosacral fusion of the anterior column, anterior technique insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt other partial ostectomy, other bones insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 2-3 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: acute kidney failure, unspecified paralytic ileus rheumatoid arthritis urinary complications, not elsewhere classified other specified anomalies of kidney displacement of lumbar intervertebral disc without myelopathy acquired spondylolisthesis 

Answer: The patient is high likely exposed to