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: elective admission for open craniotomy for p-comm aneurysm resection major surgical or invasive procedure: : craniotomy for p-comm aneurysm clipping history of present illness: patient is a 62f with a history of migraines who was evalutated by mri and found to have a posterior communicating artery aneurysm and some associated enlargement of the pituitary gland. past medical history: 1. s/p ccy in 2. cervical dysplasia 3. hypertension 4. dyslipidemia 5. dvt history 20-30 yrs ago which was treated with coumadin for 6 months; without further complications social history: works at neu at admin assistant, graduate student currently. resides at home with her elderly brother for whom she is the caregiver. she does have three sons. family history: non-contribuitory physical exam: admission examination: afebrile, vital signs stable aox3, perrl 3/2mm. full motor strength throughout upper and lower extremities. no pronator drift, dysmetria. non-focal neurologic examination pertinent results: : post-operative ct scan: impression: 1. increased density in the cerebral sulci, basal cisterns, as described above, which might relate to hemorrhage versus contrast related to the previously performed conventional catheter angiogram study. close followup ct head study is recommended to differentiate between the two. 2. some degree of diffuse cerebral edema, with features as described above, which are new since the prior ct of . brief hospital course: patient was admitted to the hospital on to undergo elective clipping of a p-comm aneurysm. she tolerated the procedure well without incident. she was maintained in the icu for close monitoring for approximatley 48hours post-operatively. pain managment was adequate on po and iv breakthrough. she was then transferred to the step-down on the eve of . her monitoring in the stepdown until was uneventful and was transferred to floor status on . she was evaluated by physical therapy and determined to be appropriate for discharge to home with family. she has family to stay with her for the next week to two following surgery. medications on admission: 1. amlodipine 5mg daily 2. hctz 25mg daily 3. lisinopril 40mg daily 4. simvastatin 40mg daily 5. fluticasone nasal spray discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 2. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 3. amlodipine 2.5 mg tablet sig: two (2) tablet po daily (daily). 4. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): please continue to take as long as you require narcotic pain medication. disp:*60 capsule(s)* refills:*2* 9. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). discharge disposition: home discharge diagnosis: posterior communicating aneurysm. s/p clipping by dr. discharge condition: neurologically stable. discharge instructions: general instructions ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining such as when moving your bowels or coughing. ?????? you may wash your hair only after staples have been removed. wash gently over the incision and pat dry. do not scrub. ?????? you may shower before this time using a shower cap to cover your head. wear a scarf or hat when out doors to protect the incision line from the sun. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? you have been prescribed an anti-seizure medicine, take it as prescribed. there is no need to follow up with laboratory blood drawing. ?????? 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 ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions: ??????please call office tomorrow, for a return visit in 10 days for removal of your staples.(. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. procedure: clipping of aneurysm diagnoses: unspecified essential hypertension other and unspecified hyperlipidemia aneurysm of artery of neck 

Answer: The patient is high likely exposed to