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: progressive kyphoscolosis major surgical or invasive procedure: t10-l3 anterior/posterior fusion evacuation of hematoma history of present illness: is a 60-year old woman status post cervical discectomy and fusion who has a severe thoracolumbar kyphoscolosis. she is having progressive difficuly ambulating distances because of neurogenic claudication. on exam, she has a negative straight leg raise, she has some intermittent dysthesias in the l4 disctibution bilaterally. we discussed at length the risks and benefits of surgicla intervention. these include but are not limited to bleeding, infection, csf leak and nerve injury. she understands these risks and would like to proceed with surgery in the near future. past medical history: mumps htn mealses hemorrhoids arthritis migraines social history: social alcohol denies tobacco family history: htn ca sz arthritis physical exam: well developled, well nourished white female with an obvious spinal defomeity with kyphoscolosis. she has a loss of waist on the right side and a bropad paravertebral prominence on the left. she is forward flexed at the hips and cannot hyperextend in an erect fashion. she has no evidence of hairy patches or dimpling posteriorly or other spinal dysraphism. she has intermittent sciatica radiating from the right buttock down the leg. her strength in terms of hip flexion, abducation-adduction, knee extension-flexion, dorsiflexion-plantar flexion are . is on the right as compared to the on the left. she also complains of some fysethesias in the l5 nerve distribution to the right foot. she has decreased right patellar reflex as compated to the left, which is 1+. she has symmetric 1+ achilles reflexes. she has decresed flexion, extension, axial rotation, abnd lateral side bending of the lumbar spine. she has no sign. she has a negative straight leg raise on exam today. negative babinski's, no clonus and negative ssign. in terms of her upper extremities, she has good flexion and extension of the elbows, wrists, and small joints of extension-flexion, finger flexion-extension and intrinsic musculature bilaterally. her pain, she says, is worsening with time. pertinent results: 05:00pm blood glucose-111* urean-6 creat-0.4 na-135 k-4.0 cl-98 hco3-29 angap-12 04:12pm blood glucose-133* urean-12 creat-0.4 na-142 k-3.9 cl-105 hco3-29 angap-12 12:45pm blood glucose-167* urean-16 creat-0.3* na-140 k-3.8 cl-107 hco3-27 angap-10 12:56pm blood glucose-143* urean-12 creat-0.3* na-139 k-3.9 cl-107 hco3-24 angap-12 02:47am blood glucose-168* urean-11 creat-0.2* na-136 k-3.8 cl-102 hco3-26 angap-12 02:16am blood glucose-176* urean-13 creat-0.3* na-137 k-3.9 cl-103 hco3-25 angap-13 03:05am blood glucose-177* urean-14 creat-0.3* na-135 k-4.3 cl-101 hco3-26 angap-12 04:57pm blood urean-13 creat-0.2* na-140 k-4.2 cl-100 hco3-33* angap-11 04:57pm blood glucose-111* urean-12 creat-0.2* na-136 k-4.3 cl-98 hco3-33* angap-9 03:18am blood glucose-107* urean-13 creat-0.2* na-136 k-4.6 cl-98 hco3-31 angap-12 02:22am blood glucose-107* urean-12 creat-0.2* na-139 k-4.0 cl-105 hco3-27 angap-11 05:45am blood glucose-122* urean-17 creat-0.2* na-136 k-3.8 cl-103 hco3-27 angap-10 08:30am blood pt-12.8 ptt-23.4 inr(pt)-1.1 04:12pm blood pt-13.5* ptt-25.4 inr(pt)-1.2* 07:00am blood pt-15.8* ptt-134.6* inr(pt)-1.4* 12:45pm blood pt-16.3* ptt-65.2* inr(pt)-1.5* 01:51am blood pt-14.8* ptt-75.8* inr(pt)-1.3* 06:00am blood pt-14.9* ptt-57.3* inr(pt)-1.3* 05:40pm blood pt-14.1* ptt-45.4* inr(pt)-1.2* 02:16am blood pt-13.5* ptt-124.2* inr(pt)-1.2* 04:00pm blood pt-12.7 ptt-22.0 inr(pt)-1.1 10:33pm blood pt-12.9 ptt-22.7 inr(pt)-1.1 02:52am blood pt-14.2* ptt-21.9* inr(pt)-1.3* 02:28am blood pt-14.3* ptt-23.9 inr(pt)-1.3* 02:36am blood pt-14.0* ptt-24.3 inr(pt)-1.2* 02:56am blood pt-14.4* ptt-25.1 inr(pt)-1.3* 02:22am blood pt-14.2* ptt-23.6 inr(pt)-1.3* 01:30pm blood wbc-6.1 rbc-3.58* hgb-12.3 hct-35.9* mcv-100* mch-34.2* mchc-34.2 rdw-13.5 plt ct-427 09:50am blood wbc-13.4* rbc-2.81* hgb-9.7* hct-28.1* mcv-100* mch-34.5* mchc-34.5 rdw-13.4 plt ct-304 05:07am blood wbc-10.8 rbc-3.03* hgb-10.3* hct-29.7* mcv-98 mch-34.0* mchc-34.7 rdw-14.8 plt ct-241 04:06am blood wbc-9.0 rbc-3.17* hgb-11.1* hct-31.1* mcv-98 mch-35.0* mchc-35.8* rdw-14.1 plt ct-339 12:06pm blood wbc-13.6* rbc-3.68* hgb-11.9* hct-34.1* mcv-93 mch-32.2* mchc-34.7 rdw-16.0* plt ct-344 04:12pm blood wbc-13.4* rbc-4.57 hgb-14.3 hct-40.4 mcv-88 mch-31.2 mchc-35.4* rdw-16.0* plt ct-162 02:15pm blood wbc-13.8* rbc-2.90* hgb-9.0* hct-26.1* mcv-90 mch-30.9 mchc-34.4 rdw-15.4 plt ct-250 03:05am blood wbc-14.9* rbc-3.33* hgb-10.5* hct-29.4* mcv-88 mch-31.5 mchc-35.7* rdw-15.2 plt ct-274 11:45am blood wbc-15.6* rbc-3.01* hgb-9.3* hct-27.0* mcv-90 mch-30.9 mchc-34.6 rdw-15.1 plt ct-364 02:36am blood wbc-17.5* rbc-3.31* hgb-10.2* hct-29.6* mcv-89 mch-30.9 mchc-34.6 rdw-14.8 plt ct-419 02:56am blood wbc-12.1* rbc-3.07* hgb-9.4* hct-27.9* mcv-91 mch-30.7 mchc-33.8 rdw-15.3 plt ct-493* 05:45am blood wbc-11.0 rbc-3.07* hgb-9.4* hct-28.1* mcv-92 mch-30.6 mchc-33.4 rdw-15.3 plt ct-493* brief hospital course: ms. was admitted to the hospital under the care of dr. . she was informed and consented for stabilization of her progressive kyphoscolosis, risks and benefits were explained and she agreed to proceed with the surgery. please see operative note for procedure in detail. post-operatively she was taken to the pacu and transfered to the floor in stable condtion. a medicine consult was obtained for volume overload due to intraoperative fluid. lasix x 2 was ordered and she diuresed appropriately. she was stable on the floor before taking her back to the or on for completion of her anterior stabilization. please see operative note for procedure in detail. post-operatively her hematocrit was noticed to be low and she was transfused 2 units prbc. ms. did well after her second surgery and was taken back for her third on . please see operative note for procedure in detail. in the pacu, her oxygen saturation acutely dropped to the low 80's. a spiral chest ct was obtained which showed multiple bilateral pe's. a heparin drip was ordered as well as q2 hour neuro checks. she was transfered to the sicu for further management. hematocrits q6h were obtained. she was placed on tube feeds. an mr of the t- and l- spine as well as a ct of the abdomen were obtained which showed status post extensive surgery as previously documented. new abnormality in the posterior spinal canal space from t1 through t5 most likely representing hematoma. incomplete visualization at l3 which in this clinical setting may also represent hematoma compressing the thecal sac. possible paraspinous hematomas or abscess collections especially in the thoracolumbar region. she was taken back to the or for evacuation of hematoma and posterior completion. heparin was stopped at midnight prior to going to surgery. please see operative note for procedure in detail. neuro check q2hours were continued. a ct was obtained which demonstrated multilevel post-surgical changes throughout the entire thoracic and lumbar spines with question of central canal compromise at t10. the thecal sac and normal bony landmarks are completely not visualized in the region of the t12-l1 vertebral bodies and potential thecal sac compromise cannot be commented upon in this region, as well as in other portions of the spine due to metallic hardware streak artifacts. thus, an epidural hematoma within the lumbar spine would be difficult to exclude based on this study. an emergent ct total myelogram has been requested and scheduled. the ct myleogram showed successful introduction of intrathecal contrast at the level of l5-s1 with demonstration of canal stenosis at l3-4 and at t12. ms. was taken back to the or for further decompression. please see operative report for procedure in detail. after each procedure she was given decadron for 24 hours. she remained intubated in the sicu for the next 3 days and began to regain function of her lower extremities. she was extubated on and was transfered to the floor . she worked daily with physical therapy and the medicine team was reconsulted for occasional pvcs. an echo was obtained which showed normal lv systolic function. mildly dilated rv cavity with normal systolic function. at least mild pulmonary hypertension. moderately dilated ascending thoracic aorta. she was transitioned off of tube feeds and screening for rehab began. her labs on discharge were stable and she was discharged in good condition. she will work continue to work with physical therapy at rehab. medications on admission: metoprolol discharge medications: 1. docusate sodium 150 mg/15 ml liquid sig: po bid (2 times a day). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 3. ferrous sulfate 300 mg/5 ml liquid sig: one (1) tab po daily (daily). 4. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 5. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po daily (daily) as needed for q pm. 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po daily (daily) as needed for q am. 8. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. 9. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 10. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 12. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsun (every sunday). 13. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). 14. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 15. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. discharge disposition: extended care facility: - discharge diagnosis: progressive kyphoscolosis pulmmonary embolis sub-dural hematoma post-operative anemia discharge condition: good discharge instructions: please continue to take the pain medication with a laxative. you may perform activities as tolerated with the lumbar brace on. please call the clinic for any concerns. physical therapy: activity as tolerated with back brace in place. treatments frequency: please continue to monitor the incision for signs of infection or bleeding. change the dressing daily. followup instructions: please follow up in the clinic in 10 days. call for an appointment. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava enteral infusion of concentrated nutritional substances other exploration and decompression of spinal canal other exploration and decompression of spinal canal dorsal and dorsolumbar fusion of the anterior column, anterior technique excision of intervertebral disc excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique contrast myelogram lumbar and lumbosacral fusion of the anterior column, anterior technique other repair and plastic operations on spinal cord structures insertion of interbody spinal fusion device fusion or refusion of 2-3 vertebrae fusion or refusion of 9 or more vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein insertion of recombinant bone morphogenetic protein bone graft, other bones diagnoses: unspecified essential hypertension acute posthemorrhagic anemia hematoma complicating a procedure other chronic pulmonary heart diseases accidental puncture or laceration during a procedure, not elsewhere classified paroxysmal ventricular tachycardia iatrogenic pulmonary embolism and infarction scoliosis [and kyphoscoliosis], idiopathic diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to