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: latex gloves attending: chief complaint: seizure major surgical or invasive procedure: : right craniotomy and tumor resection history of present illness: 81 year old female who presented to hospital initially and was transferred to for further care after having a seziure. she was in her home when she was hearsd to fall and upon finding her a family member reports she was haveing a generalzied tonic clonic seziure. after her seizure she was post-ictal and found to have todds paralysis effecting her left side which has since resolved. she had imaging which showed that her previously known right sided meningioma which on serial scans shows growth. she was admitted to the neuro-oncology service and at their request we are seeing her for possible surgical resection of her meningioma. of note is she was previously seen by dr here at in neurosurgery and he is no longer working here. she deneies headache, nausea, vomiting, dizziness, difficulty ambulating, changes in vision hearing or speech, difficulty with bowel or bladder function. past medical history: - right frontal meningioma. - probable lupus, with elevated esr at 29, crp at 15.1, 1:640 with speckled pattern, and anti-ssb antibody was positive, while anti-dsdna, anti-ssa, anti-centromere, anti-tpo, anca, and anti- antibodies were negative. - peripheral polyneuropathy manifesting as pain in the feet and numbness in both feet and hands. - -frontal lobe dysfunction and neuropsychological testing showing decreased attention, language, and memory abilities concerning for body disease. - akathisias. - hypoparathyroid. social history: denies illicit drug use and etoh. has never abused prescription medications. quit smoking 40 years ago after a <1ppd x 20 year history. family history: non contributory physical exam: on discharge the pt is awake alerto oriented x 3 perrl bilaterally cnii_xii intact no drift no facial asymmetry motor full ambulatory with assistance of walker incision is clean and dry pertinent results: : head ct: impression: 1. status post right frontal craniotomy for resection of sphenoid mass. small amount of postoperative blood products/ mineralization from residual tumor and expected pneumocephalus are noted. a few hypodense foci of low/negative attenaution may represent foci of gas. however, correlate with surgical details if this appearance can relate to surgical material and consider follow up to assess interval change. no large postoperative hematoma, and no increased mass effect is identified. mr can be considered if not ci for assessment of residual tumor. small extra-axial fluid collections are noted in the right frontal and parietal regions and in the overlying soft tissues- attention on follow up. 2. new radiodense material at the right skull base, likely compatible with embolization of the right middle meningeal artery, performed preoperatively. : brain mri: impression: 1. post right inferior frontal mass resection. enhancement within the anterior aspect of the surgical bed and restricted diffusion along the tumor boundary may represent reactive change/tumor/infarct, but short-term followup imaging is recommended to exclude residual tumor/infarct. 2. swelling and edema within the right preseptal, superior orbital, and frontal soft tissues, significantly progressed since the ct examination from yesterday. correlate clinically. 3. mild leftward subfalcine herniation minimally changed since the postoperative ct examination from . small extra-axial fluid collection and mucosal thickening in the frontal sinus are noted. mottled appearance within the surgical bed may relate to foci of gas. however, correlate with surgical details for surigcal material in the bed as rec. on the prior ct. brief hospital course: pt presented electively and underwent a cerebral angiogram with preoperative embolization of her meningioma. angiogram was without complication but she was a technically difficult intubation, therefore it was decided to leave her intubated overnight since or was planned for the am. her neurological exam was stable (following commands x4 extremeties). on she was taken to the or and underwent a craniotomy and mass resection. this was without complication. she returned to the icu post op for close neurological observation. post operative head ct revealed subgaleal collection but no intracerebral hemmorrhage. the patient was extubated in the icu. she had some continuous bleeding from her inferior incision site so an additional stitch was placed which adequately controlled the bleeding. on she was neurologically stable. her diet and activity were increased and her sbp was liberalized to 160. she was started on sqh and cleared for transfer to the stepdown unit. on she was neurologically stable. she was tolerating a po diet, had good pain control. her foley was discontinued and she was encouraged to get oob. pt and ot were ordered and she was transfered to the floor. she was deemed stable for discharge to home and agrees with this plan. medications on admission: calcitrol, lamictal, synthroid, metoprolol, zyprexa, zofran discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain fever. 2. lamotrigine 100 mg tablet sig: 1.5 tablets po bid (2 times a day). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. calcitriol 0.25 mcg capsule sig: one (1) capsule po tid (3 times a day). 5. os-cal 500 + d 500 mg(1,250mg) -600 unit tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 6. zyprexa 2.5 mg tablet sig: one (1) tablet po hs. 7. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 9. dexamethasone 1 mg tablet sig: 1mg tablet po taper: please take 1 tab po bid x 1 day then 1mg po qd x 1 day . disp:*3 tablet(s)* refills:*0* 10. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*15 tablet(s)* refills:*0* discharge disposition: home with service facility: healthcare discharge diagnosis: right sphenoid meningioma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). 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, 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. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your sutures and a wound check. please make this appointment by calling . ??????you have an appointment in the brain clinic on 11:30a. the brain clinic is located on the of , in the building, . their phone number is . please call if you need to change your appointment, or require additional directions. - please follow up with your primary care physician to follow up on your hospitalization as well as your blood sugar - your hemaglobin a1c level was 6.9 - continue your lamotrigine until cleared to stop this medication in the brain tumor clinic. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arteriography of cerebral arteries excision of lesion or tissue of cerebral meninges closure of skin and subcutaneous tissue of other sites endovascular (total) embolization or occlusion of head and neck vessels central venous catheter placement with guidance diagnoses: systemic lupus erythematosus personal history of malignant neoplasm of breast hemorrhage complicating a procedure benign neoplasm of cerebral meninges hypovolemia allergy to latex hypoparathyroidism postsurgical hypothyroidism other specified idiopathic peripheral neuropathy abnormal involuntary movements other frontotemporal dementia dementia in conditions classified elsewhere with behavioral disturbance 

Answer: The patient is high likely exposed to