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: no known allergies / adverse drug reactions attending: chief complaint: right lower quadrant pain major surgical or invasive procedure: diagnostic laparoscopy history of present illness: this is a 61f with pmh of chronic right lower quadrant pain who presented for elective laparoscopy. during laparoscopy patient received 2mg of versed, 200mcg of propofol and 200mcg of fentanyl. she woke up after the procedure at 15.20, opened her eyes and moved both arms after that she did not respond or move so neurology was called to rule out stroke. past medical history: hypertension chronic rlq pain melanoma s/p excision x2 past surgical history: back melanoma excision x2, l axillary slnbx () laparoscopic appendectomy (), tubal ligation social history: lives with husband. as an estimator for a sand/ company. former heavy smoker, social etoh, no illicits, on vicodin for pain but takes infrequently and doesn't like to take it family history: non-contributory physical exam: vital signs - temp 97.8 f, bp 131/65 mmhg, hr 82 bpm, rr 17 x', o2-sat 96% ra general - well-appearing woman in nad, comfortable, not jaundiced (skin, mouth, conjuntiva). normal breathing pattern. no dolls eyes. heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear, cannot assess pharynx or uvula, mouth is closed and cannot open, tmj looks good, pupils very dilated up to 6 mm with normal reflexes; patient does not close or move eyes upon positioning hand neck - supple, no thyromegaly, jvd 7 cm, no carotid bruits lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding. wounds look clean and with no drainage extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neurologic: mental status: unresponsive, not cooperative with exam, affect not evaluated. does not follow commands. eyes closed. does not respond to pain (even pressing fingers against metal or sternal rub). resists opening jaw cranial nerves: pupils equally round and reactive to light, 6 to 3 mm bilaterally. non papilledema on fundoscopic exam. pertinent results: ct head: no hemorrhage. if there is concern for an acute infarct an mri can be obtained. cta head: no vascular occlusion, stenosis or aneurysm > 3mm. hypoplastic r p1 segment. mri (prelim): no acute intracranial abnormality. no diffusion weighted abnormalities seen. small scattered periventricular flair hyperintensities, non-specific, may represent small vessel ischemic changes. brief hospital course: patient underwent an elective procedure to assess her right lower quadrant pain. she was taken to the operating room by dr. on . there were no complications to the procedure. she was extubated and taken to the post-anesthesia care until in stable condition. while in the pacu, she became progressively obtunded and somnolent. code stroke was inititated. all head imagings were obtained and read as normal. admitted to icu for frequent neuro checks, remained stable. gradually regained consciousness and was at baseline mental status. have been due to medications received peri-operatively resulting in catatonic effect vs conversion disorder, although cause is unclear. discharged with surgery followup and prn vicodin for post-op pain control. medications on admission: atenolol 50 mg daily hydrochlorothiaziede 25 mg daily tylenol 1000 mg q4-6 hrs prn pain vicodin 5/500 1 tab q5-6 hrs prn pain meclizine 25 mg prn vertigo discharge medications: 1. vicodin 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. discharge disposition: home discharge diagnosis: right lower quadrant pain, etiology altered mental status after surgery, now at baseline discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mrs , it was a pleasure taking care of you at the . you were electively admitted for an exploratory laparoscopy of your abdomen to further work up your abominal pain. it was normal. unfortunately we did not find the cause of your pain. your course was complicated by some somnolence, close to coma and there was concern that there could have been a brain damage. the neurologist were consulted and you had multiple ct scans and mris of your brain, which were normal (preliminary reads). you woke up ~12 hours after the anesthesia and were back to your baseline. you can follow up with your primary care and with dr. in 2 weeks. we think you had either a catatonic or conversion reaction to one of the medications you had during the surgery. you got normal doses and very common medications. you should discuss this with your doctors before surgery. the list of medications you got is: midazolam lidocaine rocuromium cefazolin dexamethasone ondansetron glycopyrrolate fentanyl propofol succinylcholine ephedrine hydromorphone neostigmine ketorolac 30 mg pls call or return to ed if fever > 101, chest pain, shortness of breath, unable to maintain oral hydration, severe pain unresolved for 24 hrs, redness or drainage to incision. you can shower, no baths. refrain from heavy lifting until > 15lbs. continue using ice pack to incision. followup instructions: follow up with dr. in weeks, pls call for an appointment. department: hematology/oncology when: wednesday at 10:30 am with: , np building: campus: east best parking: garage name: , f. address: , , phone: appt: at 11:15am name: , , phd location: address: , stone 929, , phone: appt: we are working on an appt for you within the next few weeks. the office will call you at home with an appt. if you dont hear from them by tomorrow, please call them directly to book. md, procedure: laparoscopic lysis of peritoneal adhesions diagnoses: unspecified essential hypertension personal history of tobacco use peritoneal adhesions (postoperative) (postinfection) altered mental status personal history of malignant melanoma of skin abdominal pain, right lower quadrant tubal ligation status 

Answer: The patient is high likely exposed to