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: epidural blood mid thoracic to l3 major surgical or invasive procedure: t8-l3 laminectomies and evacuation of epidural hematoma history of present illness: mr is a 78yo r-handed man with htn, hyperlipidemia, afibb (on coumadin), chf recent cardiac cath showed: three vessel coronary artery disease, moderately depressed systolic dysfunction, moderately severe elevation of left heart filling pressure who presents to the ed after 5 days of back pain, since 2 days accompanied by bilateral leg weakness. he reports 5 days ago developing shoulder pain which worsened through the day. he went to hospital on he was sent home with pain medications and reports barely being able to walk into the house. on his pain now radiated to his back and he spent most of the day in the bed. on his pain further decended down hips and he was able to walk but fell once and was unable to walk after that and notice he was leaking urine from his penis. he fell again on and was brought to the er by ambulance. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. coronary artery disease and an mi in recent cath : three vessel coronary artery disease, moderately depressed systolic dysfunction, moderately severe elevation of left heart filling pressure. 4. no history of cva. 5. chronic back pain. 6. afib, on coumadin. no pacemaker. social history: smoked from age 18-22. patient is married with three children. he is originally from , moving to the us in . + classes of wine per day. family history: family history: no family history of premature cad physical exam: pe: vs 98.6 142/81 hr 96 r 21 o2 sat 97% gen: nad, in bed heent: mucous membranes moist neck: full range neck movements; no tenderness lungs: clear to auscultation bilaterally heart: , normal s1 and s2, no murmurs, gallops and rubs. abdomen: normal bowel sounds, bladder palpable extremities: chronic skin changes due to vessel disease; bruit l-femoral artery spine: mildly tender in lower in lumbar sacral area no erthyema neuro: awake, alert and orientated x3, follows commands , in no distress perrla, eoms full, face symmetric, no drift. motor: b t ip q at g r 5 5 3 5 3 4- l 5 5 3 5 4- 5 5- sensory system: sensation intact to light touch, pin prick, temperature (cold), vibration, and proprioception in upper extremities. proprioception absent in r-foot, fine on the left; pp decreased on the l compared to the r, but able to feel; lt decreased on the r compared to the l. decreased sensation in anal region. reflexes: b t br pa pl right 2 2 2 0 0 left 2 2 2 0 0 toes: mute bilaterally. anal tone: slight anal tone no change with valsalva pertinent results: 02:25pm urine rbc-* wbc-0-2 bacteria-rare yeast-none epi-0 02:25pm urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 02:25pm urine color-yellow appear-clear sp -1.015 02:25pm pt-34.2* ptt-34.5 inr(pt)-3.7* 02:25pm plt count-225 02:25pm neuts-83.3* lymphs-11.5* monos-3.8 eos-0.8 basos-0.6 02:25pm wbc-12.8*# rbc-3.85* hgb-12.4* hct-35.3* mcv-92 mch-32.3* mchc-35.2* rdw-13.6 02:25pm calcium-9.0 phosphate-3.0 magnesium-2.5 brief hospital course: mr is a 78yo r-handed man with htn, hyperlipidemia, afib (on coumadin), chf recent cardiac cath showed: three vessel coronary artery disease, moderately depressed systolic dysfunction, moderately severe elevation of left heart filling pressure who presents to the ed after 5 days of back pain, last 2 days accompanied by bilateral leg weakness with mid thoracic to l3 epidural hematoma collection. he was given proplex and admitted to the icu for q1 neurologic monitoring. he was taken early am of and had t8-l3 laminectomies. post operatively he had much improved motor strength in his lower extremeties with ability to lift both legs of the bed and good distal motor strenght also. on pod#1 he was monitored overnight in the sicu for neurologic checks and monitoring of chf. his goal inr was i.4 or less and required additional ffp and vitamin k. on pod#1 his strenght conditioned to improve with close to full strenght in left leg and 4+ on the right. his hemovac drain was dc'd. he was transferred to the surgical. his hospital course was complicated by melanotic stools, for which gi was consulted. hct remained stable and inr was <1.4. vitals remained stable but the patient refused the recommended egd. he will be scheduled for outpatient gi for reconsideration. hospital course was also c/b 5 beats of nsvt on . he should f/u with cardiology re: ? aicd. he is discharged home with staples to come out in two weeks. he remains incontinent of stool and urine and will require a leg bag. medications on admission: 1. lasix. 2. lisinopril. 3. coumadin. 4. lipitor. discharge medications: 1. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*60 tablet(s)* refills:*0* 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 8. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: extended care facility: highgate manor discharge diagnosis: epidural hematoma discharge condition: neurologically stable discharge instructions: keep incision clean and dry, watch for any redness, drainage, bleeding, swelling, temperature >101.5 call dr office. do not lift greater than 10 lbs no driving on pain medication followup instructions: follow-up with dr. on at 10:45am, , for staple removal provider: , md phone: date/time: 2:00 at clinical center, follow-up appointment with dr. on at 3:30pm at () - please have pcp refer you. md procedure: other exploration and decompression of spinal canal transfusion of packed cells transfusion of other serum repair of arteriovenous fistula diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation arteriovenous fistula, acquired blood in stool old myocardial infarction paraplegia vascular myelopathies 

Answer: The patient is high likely exposed to