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: history of present illness: this is an 87 year-old female admitted secondary to recent ct findings on lumbar ct and recent history of urinary incontinence secondary to urinary retention. she denies any bowel incontinence on admission. she does note lower back pain that radiated to right hip on the side radiating down the lateral aspect of the thigh and it stops at the knee. on admission she had no fevers or chills, nausea, vomiting. she had some shortness of breath with exertion, but baseline for about a year. no chest pain. she had increased constipation, which she notes is most likely secondary to her pain medications. no headache. no abdominal pain. she also notes right leg paraesthesias, but without paralysis, which has been going on for the past two months. she also notes a recent fall, which was a week earlier to admission and since then her symptoms have gotten worse. hospital course: on admission her temperature was 98.4, blood pressure 152/100. pulse 78. respirations 16. o2 sat 96% on room air. general, no acute distress. alert and oriented times three. heent pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. mucous membranes are moist. neck was supple. lungs were clear to auscultation bilaterally. cardiovascular examination normal except irregularly irregular heart beats. abdomen bowel sounds present, nontender, nondistended, except mild tenderness to palpation without any guarding or rebound on right lower quadrant. extremities no clubbing, cyanosis or edema. right leg raise at less then 30 degree angle reproduces the pain, so does abduction of the thigh, unable to assess deep tendon reflexes. the patient is unable to set on bed side. lumbar ct showed a severe compression of l3 fracture with l3 fracture with retropulsion of fragments and to spinal canal, impingement of cauda equina. rectal examination had decreased sphincter tone on admission and there was stool in the vault. laboratory: sodium 137, potassium 4.5, chloride 102, bicarb 29, bun 11, creatinine .9, glucose 75, calcium 10.1, phos 3.4, magnesium 2.0. white blood cell count 5.3, h&h 11 and 36, mcv 100, platelets 232. her alt was 11, ast was 15, alkaline phosphatase 110, total bili was .6. chest x-ray showed no congestive heart failure, no pneumonia. hospital course: this was an 87 year-old female with congestive heart failure, sick sinus syndrome, status post ddd plus aicd admitted for cauda equina syndrome status post l2 to l5 laminectomy and fusion on , which she received without any complications. she went to postop to monitor fluid status with a low ef of less then 20% and congestive heart failure. since has been transferred to the medicine service and improved daily. acute issues, her dysphagia, she had a speech and swallow study done and it showed mild dysphagia. swallow study recs were as follows: 1. change as many medications as possible to liquid form. 2. if she must take pills crush them and give in applesauce or pudding. if they still get stuck alternate between bites of puree and sips of liquid to clear them. 3. she can take a full po diet as tolerated. she should sit fully upright for meals. she should take small bites and alternate between one bite and one sip to clear residue. 4. she should remain seated fully upright for 30 minutes after meals. 5. diet, she should be on fluid restriction 1500 ml and 2 gram sodium cardiac healthy diet. pain, she continues to have pain, currently putting her on oxycontin b.i.d. and 100 neurontin t.i.d., which is starting on discharge day. congestive heart failure with nonischemic , less then 20%, to continue metoprolol xl, lisinopril, spironolactone and also continue lasix. no evidence of congestive heart failure on recent chest x-ray. infectious disease, she is afebrile. recent urinary tract infection showed many yeast. no repeat urinary tract infection to compare to. aicd placement secondary to sick sinus syndrome status post pacer, continue on the amiodarone. the patient is doing well. no acute problems. gastroesophageal reflux disease, to get ranitidine for the gastroesophageal reflux disease intravenous since unable to swallow currently. hypothyroid, continue on the levothyroxine. discharge condition: stable. discharge status: stable going to an acute rehab center for follow up care. discharge diagnoses: 1. status post l2 to l5 laminectomy secondary to cauda equina syndrome. 2. congestive heart failure. discharge medications: 1.. lisinopril 10 mg three tablets q.d. 2. amiodarone 200 mg q.d. 3. aspirin 81 mg q.d. 4. spironolactone 25 mg q.d. 5. sennoside 8.6 mg q.d. 6. metoprolol 25 mg q.d. 7. docusate 150/50 mg one tablet oral b.i.d. 8. isosorbide dinitrate 10 mg t.i.d. 9. atorvastatin 10 mg q.d. 10. levothyroxine 25 mg q.d. 11. oxycontin 20 mg tablets b.i.d. 12. neurontin 100 mg capsule t.i.d. discharge plans: to go to rehab and follow up with primary care physician. care physician is . , . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified lumbar and lumbosacral fusion of the anterior column, posterior technique other exploration and decompression of spinal canal repair of vertebral fracture diagnoses: unspecified pleural effusion congestive heart failure, unspecified atrial fibrillation systolic heart failure, unspecified osteoporosis, unspecified pathologic fracture of vertebrae spinal stenosis, lumbar region, without neurogenic claudication cauda equina syndrome without mention of neurogenic bladder 

Answer: The patient is high likely exposed to