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: l2 burst fracture with retropulsion s/p mvc with tractor trailer major surgical or invasive procedure: posterior lumbar spinal fusion with hardware history of present illness: this is a 44 year old woman who was a restrained driver in an motor vehicle crash vs a tractor . no reported loc. + etoh she was transported to for further care. past medical history: denies social history: h/o alcohol use family history: noncontributory physical exam: exam on admission: hr 93 bp 159/96 rr 18 gen: wdwn f in nad cv: tachycardic, regular rhythm resp: ctab abd: soft, ndnt, no organomegaly back: tender to palpation over lumbar spine pertinent results: 02:55pm asa-neg ethanol-156* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:10pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 02:55pm wbc-7.2 rbc-4.06* hgb-13.9 hct-40.2 mcv-99* mch-34.3* mchc-34.6 rdw-12.3 02:55pm pt-12.5 ptt-20.7* inr(pt)-1.1 findings: patient is status post fusion with posterior rods and pedicle screws extending from t12 through l4. laminectomy changes are seen extending from l1 to l3, and morselized bone graft material is seen posteriorly from t12 through l5. there is no sign of hardware-related complication. note is made that the pedicle screws at t12 do extends just beyond the anterior cortex of the t12 vertebral body. post-surgical change, and expected subcutaneous gas is seen in the subcutaneous tissues overlying the lumbar spine. there is no large fluid collection or hematoma. burst fracture at l2, with roughly 40-50% loss of height, and retropulsion of bony fragments into the spinal canal is little changed. degree of ventral narrowing of the thecal sac at this level is also unchanged. elsewhere, the visualized outline of the thecal sac appears normal, but please note that ct is unable to provide intrathecal detail comparable to mri. impression: 1. status post l1 through l3 laminectomy, and t12 through l5 posterior fusion with hardware and bone graft material. no evidence of hardware complication. post-surgical changes in overlying soft tissues. 2. unchanged appearance of l2 burst fracture, with loss of vertebral body height, and posterior retropulsion of fracture fragments, with unchanged ventral canal narrowing at this level. 3. right l2 pedicle screw extends through the lateral recess. ct c-spine without contrast: the spine is visualized from the skull base through t1. there is no prevertebral soft tissue swelling. no acute fractures or dislocations are seen. multilevel degenerative changes are seen. there is straightening of the cervical lordosis, likely related to positioning and/or muscle spasm. the surrounding soft tissue structures are unremarkable. impression: no acute fracture or dislocation. brief hospital course: she was admitted to the trauma service with an l2 burst fracture. spine surgery was consulted due to her injuries. neuro: on admission she was neurologically intact despite the unstable fracture. she was placed on strict bedrest and logroll precautions and underwent an l-spine mri and was taken to the or on hd 2 for a posterior lumbar spinal fusion with neurosurgery. there were no intraoperative complications. she remains neurologically intact at time of discharge. cv: she remained in sinus rhythm and there were no cardiac related issues throughout her hospitalization. resp: there were no active respiratory issues throughout her hospitalization. gi: gi prophylaxis was initiated early on. postoperatively her diet was advanced and she is tolerating this without any difficulties. she was started on a bowel regimen early on because of the narcotics prescribed. gu: there were no active issues; she was able to void on her own. id: she was given perioperative gentamicin and vancomycin for antibiotic prophylaxis. heme: she was on heparin subcutaneously and compression boots. social work was consulted for coping and also for her + blood alcohol level. she was provided with information pertaining to alcohol counseling. physical and occupational therapy were consulted and have recommended short term rehab after acute hospital stay. medications on admission: none discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 2. senna 8.6 mg tablet sig: two (2) tablet po twice a day as needed for constipation. 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po three times a day. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. magnesium citrate 1.745 g/30ml solution sig: thirty (30) ml po once (once) for 1 doses. 6. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: home discharge diagnosis: s/p motor vehicle crash l2 burst fracture with retropulsion narrowing spinal canal discharge condition: hemodynamically stable, tolerating a regualr diet, pain controlled. discharge instructions: return to the emergency room if you develop any fevers, chills, headache, dizziness, increased numbness or weakness in any of your extremities, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea and/or any other symptoms that are concerning to you. it is important that you continue to take the bowel medications so that you don't become constipated as a result of taking narcotics.the colace is a stool softener; you will need to take this and aone of the laxatives prescibed for you in order to have a bowel movement. followup instructions: you will need to have your staples removed by neurosurgery within the next week; please call ( to have this done and to also schedule a follow up appointment with dr. , neurosurgery in 8 weeks. inform the office that you will need a follow up ct of your spine. procedure: lumbar and lumbosacral fusion of the anterior column, posterior technique excision of bone for graft, other bones repair of vertebral fracture fusion or refusion of 4-8 vertebrae diagnoses: anemia, unspecified other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle closed fracture of lumbar vertebra without mention of spinal cord injury alcohol abuse, continuous 

Answer: The patient is high likely exposed to