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: aspirin / codeine attending: chief complaint: frequent right frontal sinusitis major surgical or invasive procedure: bifrontal craniotomy, repair of encephalocele history of present illness: ms. has had on ongoing problems with right frontal sinusitis. she has had antibiotic therapy and scans and imaging studies that were consistent with an encephalocele in her right frontal ethmoid region. she does not have any clear fluid draining out of her nose. she has not had any evidence of meningitis as evidenced by stiff neck and unremitting headaches etc. allergies: codeine causes rash, aspirin causes trouble breathing. mri scan was reviewed. this is consistent with given the history of sinusitis and the risk of meningitis. i would plan on closing this defect. this would involve a frontal basal approach and obliteration of the frontal sinus. this could be done in conjunction with ent. past medical history: past medical history is significant for asthma, control neuralgia, pseudotumor cerebri since , gastritis, anemia, arthritis, tubal ligation and pilonidal cyst. social history: social history: she works as a case manager at the abcd. she lives with her two boys, age 14 and 20. she does not smoke or take alcohol. family history: nc physical exam: on examination, she was awake, alert, oriented x3. her memory recent and remote is good. attention and concentration was appropriate. language and fund of knowledge was good. her cranial nerves ii through xii are intact. her motor strength is in all four extremities. she has no pronator drift. proprioception is intact. reflexes are and symmetric. there is no clonus. gait is within normal limits. pertinent results: ct head - 1. bifrontal post-surgical changes with mild adjacent mass effect. 2. 6 mm leftward shift of normally midline structures, stable since . ct head 1. increased foci of hyperdensity in the anterior frontal lobes bilaterally, concerning for increasing hemorrhage, with surrounding edema. 2. mass effect on the anterior frontal lobes from pneumocephalus, similar compared to prior. 3. minimally increased crowding at the skull base without ct evidence for uncal herniation. ct head with angiogram 1. stable appearance of multiple hyperdense foci in the inferior and anterior frontal lobes compatible with hemorrhage with stable amount of surrounding edema. 2. stable postoperative changes with pneumocephalus and mass effect on the frontal lobes, as well as 6 mm shift of midline structures to the left. 3. stable crowding at the skull base with effacement of the basal cisterns compatible with descending transtentorial herniation. 4. no extravasation of contrast, vasospasm, or aneursym. brief hospital course: patient was admitted to neurosurgery on and underwent the above stated procedure. please review dictated operative report for details. patient was extubated without incident and transferred to icu in stable condition. foley was removed in routine fashion and pt voided without incident. post op head ct and serial ct showed no acute infarct ? new hemorrhages. she remain stable during her icu course. she was transferred to floor in stable condition. lumbar drain was removed in routine fashion. overnight the patiet's lumbar drain became clogged. an attempt to flush it or reposition it was unsuccessful. now dod, patient is afebrile, vss, and neurologically stable. patient's pain is well-controlled and the patient is tolerating a good oral diet. pt's incision is clean, dry and intact without evidence of infection. patient is ambulating without issues. he/she is set for discharge home in stable condition and will follow-up accordingly. medications on admission: acetazolamide - 500 mg capsule, extended release - 1 capsule(s) by mouth twice a day albuterol sulfate - (prescribed by other provider) - 90 mcg hfa aerosol inhaler - 2 puff inhaled at bedtime azelastine - 137 mcg (0.1 %) aerosol, spray - 2 puffs(s) nostril twice a day fluticasone - 44 mcg aerosol - 1 puff inhaled at bedtime gabapentin - (prescribed by other provider) - 300 mg capsule - 300mg capsule(s) by mouth once daily at hs omeprazole - 20 mg capsule,delayed release(dr/ec) - 1 capsule(s) by mouth twice a day ranitidine hcl - 300 mg capsule - 1 capsule(s) by mouth once a day medications - otc cetirizine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day cholecalciferol (vitamin d3) - (prescribed by other provider) - 1,000 unit capsule - 1 capsule(s) by mouth once a day cyanocobalamin (vitamin b-12) - (otc) - 1,000 mcg tablet - 1 tablet(s) by mouth once a day discharge medications: 1. acetaminophen 325-650 mg po q6h:prn pain, t>38.5 2. albuterol inhaler 2 puff ih q4h:prn wheeze, sob 3. gabapentin 300 mg po hs 4. fluticasone propionate 110mcg 2 puff ih hs 5. omeprazole 20 mg po bid 6. acetaminophen-caff-butalbital tab po q6h:prn headache rx *butalbital-acetaminophen-caff 50 mg-325 mg-40 mg 1 tablet(s) by mouth q4-6h disp #*80 tablet refills:*0 7. docusate sodium 100 mg po tid rx *docusate sodium 100 mg 1 capsule(s) by mouth twice a day disp #*60 capsule refills:*0 8. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg 1 tablet(s) by mouth every four (4) hours disp #*80 tablet refills:*0 discharge disposition: home discharge diagnosis: encephalocele nausea constipation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge 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, or excessive bending. ?????? you may wash your hair only after sutures and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? you may shower before this time using a shower cap to cover your head. ?????? 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. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. 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 return to the office in days(from your date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse 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 ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast. procedure: other repair of cerebral meninges frontal sinusectomy full-thickness skin graft to other sites diagnoses: anemia, unspecified asthma, unspecified type, unspecified other nervous system complications compression of brain constipation, unspecified headache unspecified gastritis and gastroduodenitis, without mention of hemorrhage arthropathy, unspecified, site unspecified chronic frontal sinusitis neuralgia, neuritis, and radiculitis, unspecified benign intracranial hypertension encephalocele 

Answer: The patient is high likely exposed to