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: shellfish / iodine / sulfa(sulfonamide antibiotics) / levaquin / toprol xl / darvocet-n 100 / demerol / augmentin / amoxicillin / avelox / codeine / diflucan / percocet / kineret / methotrexate / biaxin attending: chief complaint: t5 burst fracture. major surgical or invasive procedure: t3-t7 posterior fusion with instrumentation; t5 laminectomy. history of present illness: patient is a 56 y.o. restraint driver s/p rear-end collision. per ems the back of the car was demolished and seat buckled. taken to hospital in nh where a ct torso demonstrated a thoracic burst fracture. pt med-flighted to for further management. on arrival, patient was c/o of severe back pain with numbness in her feet. she denies rectal or urine incontinence. she denies saddle anesthesia. past medical history: pmh:rheumatoid arthritis, neuropathy of feet, recurring shingles. psh: thrinoplasty, tubal ligation, hysterectomy/r oopherectomy, l submandibular gland surgery, appy, l oopherectomy, fractured l foot, torn r rotator cuff, fractured right foot. social history: no tobacco. family history: nc physical exam: physical exam on admission: o: t: bp: 125 / 88 hr: 115 14o2sats gen: obese, laying flat on the stretcher c/o of pain heent: atraumatic eyes: clear, ears: hearing intact, nose patent, pupils: perrl eoms - full neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. motor: maes with good strength sensation: diminished to light touch in bilateral le and foot, diminshed to pin prick. toes are mute rectal exam normal sphincter control physical examination on discharge: avss, nad, axox4 eomi, cnii-xii grossly intact laying in bed c/o bilateral neuropathic pain @t10 sensory level symmetric chest rise< breathing comfortably lue with ecchymosis 5- grip/deltoids bilat pain; otherwise full strength in /tri bilat 4- ta/ bilat; 4+ gs; 4 quads/hams bilat. dc sensation below knees bilat. toes mute extrems wwp, 2+ cr pertinent results: 07:05pm pt-10.5 ptt-26.1 inr(pt)-1.0 07:05pm plt count-339 07:05pm wbc-26.4* rbc-4.77 hgb-13.6 hct-41.3 mcv-87 mch-28.6 mchc-33.0 rdw-15.2 07:05pm estgfr-using this 07:05pm urea n-16 creat-0.8 07:16pm glucose-131* na+-143 k+-3.4 cl--104 tco2-26 07:35pm urine mucous-many 07:35pm urine hyaline-3* 07:35pm urine rbc-12* wbc-4 bacteria-few yeast-none epi-1 07:35pm urine blood-mod nitrite-neg protein-100 glucose-neg ketone-tr bilirubin-neg urobilngn-2* ph-5.5 leuk-neg 07:35pm urine color-yellow appear-clear sp -1.020 07:35pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 07:35pm urine hours-random mri lumbar spine - t5 burst fracture with extension into the posterior elements with associated retropulsion and moderate-to-severe spinal canal narrowing as well as cord edema. t6 superior endplate fracture. bone marrow edema at t4. ct thoracic spine - 1. t5 burst fracture as described with retropulsion and narrowing of the canal up to 8 mm. please correlate with report of mri as cord edema at this level is seen by mri. 2. additional comminuted superior endplate fracture of t6 vertebral body and multiple multilevel transverse process fractures as described. 3. bilateral pleural effusions. cxr - post-sternotomy, the vertebral rods are in place. paraspinal hematoma is noted, seen on the prior study is being post-surgical and currently the most likely reflect a combination of surgical hematoma and substantial mediastinal fat. no pneumothorax is seen. left lower lobe opacity most likely reflects atelectasis. brief hospital course: ms. was admitted to the trauma surgical icu on with a t5 burst fracture. she underwent a ct of the thoracic spine without contrast in anticipation for a t3-t7 posterior fusion with instrumentation; t5 laminectomy. she was fitted with a tlso brace. on , patient underwent the above stated procedure. she tolerated the procedure well. she was then transferred back to icu in stable condition. motor exam worsened which was expected status post spinal cord injury. she was trasnferred to sdu on in stable condition. her pca was discontinued and pain meds were uptitrated accordingly. dexamethasone was discontinued and she was continued on her normal regimen of prednisone. she was seen by pt once tlso brace arrived and rehab was recommended. on , her motor exam improved, but still with r side weakness > l. on , patient had further improvement of her le strength, nearly equal bilateral. foley was replaced for urinary retention and she continued to work with pt. on evening of , patient began to complain of neuropathic pain at the level of the nipples, crossing midline bilaterally. she also complained of continued tingling in the legs. gabapentin was uptitrated with moderate improvement. patient was cleared for transfer to acute rehab facility on . she has a foley in place and will need to undergo a repeat void trial. medications on admission: amlodipine 5 ?prn, amitriptyline 10', famvir 500''', neurontin 300'', nexium 40', prednisone 6', premarin .3', orencia infusion 1/mo, vitd 2000iu discharge medications: 1. amitriptyline 10 mg po hs 2. bisacodyl 10 mg po/pr daily 3. diazepam 5 mg po q8h:prn spasm 4. docusate sodium 100 mg po bid 5. estrogens conjugated 0.3 mg po daily 6. famvir *nf* (famciclovir) 500 mg oral tid reason for ordering: wish to maintain preadmission medication while hospitalized, as there is no acceptable substitute drug product available on formulary. 7. gabapentin 300 mg po tid 8. heparin 5000 unit sc tid 9. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain 10. senna 1 tab po qhs 11. sodium chloride nasal spry nu qid:prn dryness discharge disposition: extended care facility: discharge diagnosis: t5 burst fracture spinal cord injury t4-6 level post operative anemia pleural effusion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: ?????? your large dressing may be removed the second day after surgery. ?????? **if you have staples, keep your wound clean and dry until they are removed. ?????? you should wear your brace when out of bed or when your head of bed is above 30 degrees. ?????? you may put the brace on at the edge of your bed. ?????? you may use a shower chair to bathe without the brace on. ?????? no tub baths or pool swimming for two weeks from your date of surgery. ?????? do not smoke. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. pain medication should be used as needed when you have pain. you do not need to take it if you do not have pain. ?????? do not take any anti-inflammatory medications such as motrin, advil, aspirin, and ibuprofen etc. for two weeks. ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. call your surgeon immediately if you experience any of the following: ?????? pain that is continually increasing or not relieved by pain medicine. ?????? any weakness, numbness, tingling in your extremities. ?????? any signs of infection at the wound site: redness, swelling, tenderness, and drainage. ?????? fever greater than or equal to 101.5?????? f. ?????? loss of control of bowel or bladder functioning followup instructions: ??????please return to the office in days (from date of surgery) for removal of your staples. this appointment can be made with the physician assistant or practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call paresa at ( to schedule an appointment with dr. to be seen in 4 weeks. you will need ap and lateral lumbar spine x-rays prior to your appointment. md procedure: other exploration and decompression of spinal canal dorsal and dorsolumbar fusion of the posterior column, posterior technique fusion or refusion of 4-8 vertebrae diagnoses: unspecified pleural effusion acute posthemorrhagic anemia rheumatoid arthritis other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle myalgia and myositis, unspecified closed fracture of t1-t6 level with other specified spinal cord injury 

Answer: The patient is high likely exposed to