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: rabies immune globulin attending: chief complaint: back pain major surgical or invasive procedure: anterior fusion l3-s1 posterior fusion l2-s1 history of present illness: 65-year-old gentleman with multiple medical issues including hcv, ra, t2dm, history of lumbar post-laminectomy syndrome, history of arachnoiditis with lumbar spinal stenosis and lumbar facet arthropathy with lumbar radiculopathy past medical history: 1. diabetes. excellent a1c. up to date on screening. of note, emg did not show diabetic neuropathy. 2. hypertension. 3. hypothyroidism. 4. chronic pain-lumbar polyradiculopathy followed by pain clinic. recent emg reviewed. 5. atypical chest pain/left upper extremity paresthesias and weakness-emg reveals c5-t1 radiculopathy. ett/echo negative. 6. rheumatoid arthritis. followed by dr., . on prednisone, recently started on remicaid for uveitis. 7. hepatitis c, elevated lfts. 8. colon polyps-adenoma , normal colonoscopy . 9. foot pain-now followed by dr. for multiple issues including tendon rupture 10. sleep disorder-uses trazodone for zolpidem. 11. history of positive ppd. 12.? osteoporosis. on alendronate, prescribed by his rheumatologist. he does not recall a recent bone density study. social history: pt has been a member of chambala center since . as part of its teachings he has been living in solitary retreat for the last four years for meditation and for "realization of the true nature of his mind.". he admits to former tobacco use - he smoked 1-2 packs/day for 25 years but reports he quit in '. he also admits to alcohol use - 6-12 beers/day for 25 years but slowed down since ' where he is now drinking only a couple of beers since his return from . he denies any illicit drug use ever. family history: 1. father: cad s/p stent, chronic angina, 1st mi at age 70s 2. mother: deceased from natural causes 3. sister: dm 4. brother: emphysema + tobacco physical exam: a&o x 3; nad rrr cta b abd soft nt/nd bue- good strength at deltoid, biceps, triceps, wrist flexion/extension, finger flexion/extension and intrinics; sensation intact c5-t1 dermatomes; - , reflexes symmetric at biceps, triceps and brachioradialis ble- good strength at hip flexion/extension, knee flexion/extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact l1-s1 dermatomes; - clonus, reflexes symmetric at quads and achilles pertinent results: 10:36am blood wbc-6.5 rbc-3.15* hgb-9.7* hct-28.8* mcv-91 mch-30.8 mchc-33.7 rdw-14.9 plt ct-148* 07:46am blood wbc-5.6 rbc-2.83* hgb-9.0* hct-25.9* mcv-91 mch-31.8 mchc-34.8 rdw-14.7 plt ct-103* 11:11pm blood wbc-5.6 rbc-2.71* hgb-8.4* hct-24.7* mcv-91 mch-31.0 mchc-33.9 rdw-14.8 plt ct-100* 04:07am blood wbc-7.5 rbc-2.71* hgb-8.6* hct-24.7* mcv-91 mch-31.7 mchc-34.8 rdw-14.9 plt ct-102* 02:30am blood wbc-4.7 rbc-3.29* hgb-10.3* hct-28.7* mcv-87 mch-31.2 mchc-35.8* rdw-14.5 plt ct-96* 07:46am blood glucose-91 urean-8 creat-1.1 na-135 k-3.6 cl-103 hco3-24 angap-12 02:46pm blood glucose-95 urean-7 creat-1.0 na-139 k-4.2 cl-108 hco3-26 angap-9 05:00pm blood glucose-101* urean-8 creat-0.8 na-141 k-3.8 cl-109* hco3-25 angap-11 06:45pm blood glucose-142* urean-18 creat-1.2 na-131* k-4.2 cl-97 hco3-26 angap-12 07:46am blood calcium-7.6* phos-3.3 mg-1.3* 04:07am blood calcium-7.7* phos-4.1 mg-1.5* 05:00pm blood calcium-8.1* phos-2.8 mg-1.4* brief hospital course: mr. was admitted to the spine surgery service on and taken to the operating room for l3-s1 interbody fusion through an anterior approach. please refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the icu due to large ebl. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were given per standard protocol. initial postop pain was controlled with a pca. on hd#2 he returned to the operating room for a scheduled l2-s1 decompression with psif as part of a staged 2-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the pacu in a stable condition. postoperative hct was low and he was transfused multiple units of prbcs. a bupivicaine epidural pain catheter placed at the time of the posterior surgery remained in place until postop day one. he was kept npo until bowel function returned then diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley remained in place and will be discontinued at rehab. he was fitted with a lumbar warm-n-form brace for comfort. he experienced wound break down posteriorly and a vac dressing was placed. this will stay in place for 10 days with q48 hour dressing changes. physical therapy was consulted for mobilization oob to ambulate. hospital course was otherwise unremarkable. on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. medications on admission: alendronate - (prescribed by other provider) - 70 mg tablet - 1 tablet(s) by mouth once weekly brimonidine - (prescribed by other provider) - dosage uncertain econazole - (prescribed by other provider) - 1 % cream - aaa twice a day hydrochlorothiazide - 25 mg tablet - 1 tablet(s) by mouth once a day levothyroxine - 75 mcg tablet - 1 tablet(s) by mouth once a day lisinopril - 20 mg tablet - 1 tablet(s) by mouth daily (daily) - no substitution metoprolol tartrate - 25 mg tablet - 1 tablet(s) by mouth three times a day nystatin - 100,000 unit/gram cream - apply to areas twice a day as needed oxycodone - (prescribed by other provider: . - 15 mg tablet - 1 tablet(s) by mouth qid prn pain potassium citrate - 5 meq (540 mg) tablet extended release - one tablet(s) by mouth twice a day prednisone - (prescribed by other provider; dose adjustment - no new rx) - 5 mg tablet - 1 tablet(s) by mouth once a day pregabalin - 150 mg capsule - one capsule(s) by mouth three times a day tocilizumab - (prescribed by other provider: - dosage uncertain trazodone - 100 mg tablet - - 1 tablet(s) by mouth qhs prn sleep zolpidem - 5 mg tablet - 1 tablet(s) by mouth at bedtime prn discharge medications: 1. acetaminophen 650 mg po q6h:prn pain, ha, temp > 101 2. alendronate sodium 70 mg po 1x/week (tu) 3. amlodipine 10 mg po daily 4. amoxicillin 500 mg po q12h duration: 10 days 5. bisacodyl 10 mg pr :prn constipation 6. brimonidine tartrate 0.15% ophth. 1 drop both eyes q 12h 7. calcium carbonate 1000 mg po daily 8. docusate sodium 100 mg po bid 9. hydrochlorothiazide 25 mg po daily 10. glargine 8 units bedtime insulin sc sliding scale using hum insulin 11. latanoprost 0.005% ophth. soln. 1 drop both eyes hs 12. levothyroxine sodium 75 mcg po daily 13. lisinopril 20 mg po daily 14. metoprolol tartrate 25 mg po tid 15. oxycodone (immediate release) 15-45 mg po q3h:prn pain rx *oxycodone 15 mg tablet(s) by mouth q3h disp #*100 tablet refills:*0 16. prednisone 5 mg po daily 17. pregabalin 150 mg po tid 18. senna 1 tab po bid 19. zolpidem tartrate 5-10 mg po hs 20. econazole *nf* 1 % topical as needed 21. nystatin cream 1 appl tp 22. pantoprazole 40 mg po q24h 23. trazodone 50-100 mg po hs:prn insomnia discharge disposition: extended care facility: - discharge diagnosis: lumbar spondylosis and stenosis acute post-op blood loss anemia wound break down discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior lumbar decompression 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: o2-3 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. olimit 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 have been given a brace. this brace is to be worn for comfort 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. no nsaids. -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. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: activity: activity: activity as tolerated lso when oob treatments frequency: please continue to change the dressing daily followup instructions: with dr. in 10 days procedure: excision of intervertebral disc excision of intervertebral disc excision of bone for graft, other bones excision of bone for graft, other bones lumbar and lumbosacral fusion of the posterior column, posterior technique 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 insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia unspecified acquired hypothyroidism diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use pulmonary collapse constipation, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus rheumatoid arthritis surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation seroma complicating a procedure lumbosacral spondylosis without myelopathy unspecified vitamin d deficiency hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, stage ii (mild) edema of male genital organs degeneration of lumbar or lumbosacral intervertebral disc postlaminectomy syndrome, lumbar region 

Answer: The patient is high likely exposed to