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: dilantin attending: chief complaint: left hemiplegia major surgical or invasive procedure: : revision of gbm intracystic catheter history of present illness: asked to eval this 51 year old white male known to this service for gbm. pt presented with one week progression of left sided weakness. went into the bathroom but was too weak to get out. wife present for events. pt did fall but did not have loc or anything that they noticed to be seizure like activity. no incontinence of stool or urine. they called ems. it appears on initial eval that the pt is having focal left sided seizures. past medical history: 1. recurrent left spontaneous pneumothoraces with left apical blebs, s/p left upper lobe bleb resection, pleurodesis, and sclerosis in ; had post operative air leak requiring exploratory thoracotomy 2. right tension pneumothorax, s/p bullectomy with mechanical pleurodesis in 3. childhood strabismus, s/p multiple corrective procedures, last at age 14 4. benign connective tissue nevus 5. gbm social history: lives with wife and two children. former smoker, 1-2 packs daily for 10 years but quit years ago. he denies a history of illicit drug use. he drinks "an occasional beer." family history: son had a febrile seizure at age eight. has a niece with generalized seizures, now ~age 27. no stroke, hemorrhage, or aneurysm. physical exam: exam upon admission: t:af bp:140 /100 hr:100 r20 o2sats100 gen: wd/wn, uncomfortable at rest, nad. heent: pupils: bilaterally eom intact however does not seem to be able to the sclera in lateral gaze, no diplopia neck: supple. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. positive jerking motions seen intermittently to lle > lue. motor rue 4+, tri 5, grip 5. rle full throughout. lue , tri2/5, grip 0/5, lle ip3/5 df/pf no clonus present exam upon discharge: alert, oriented to person, place and date. pupils are equally round and reactive to light. full motor strength throughout upper and lower extremities, however with some deconditioning to the left side. left pronator drift. pertinent results: ct head : findings: the patient has undergone prior resection of gbm. a cystic collection in the resection bed of the right parietal lobe appears slightly larger than on the prior exam, now measuring 5.4 x 3.5 cm, previously 4.7 x 3.5 cm. again, the collection contains an intracranial catheter. surrounding edema within the white matter is unchanged, again extending across the splenium of the corpus callosum to the left. subfalcine herniation of 7 mm is similar to the prior study, measuring 6 mm. overlying sulcal effacement is stable. there is no new intracranial hemorrhage, new edema, or new shift of normally midline structures. there is no major vascular territorial infarct. the -white differentiation is preserved. the basilar cisterns are symmetric. there is no fracture. mastoid air cells and paranasal sinuses are well aerated. soft tissues are unremarkable. impression: 1. small interval increase in size of cystic collection at the site of gbm resection, with intracranial catheter in place. stable degree of subfalcine herniation. 2. no new intracranial hemorrhage, edema or herniation. mri head : findings: the surgical cavity in the right parietal lobe is stable in size. a catheter remains present within the cavity. irregular enhancement along the cavity margins, thickest in the anterolateral and superior aspects, is unchanged. high t2 signal surrounding the cavity and extending into the frontal, parietal, temporal and anterior occipital white matter of the right cerebral hemisphere has increased in extent, resulting in mild leftward shift of the septum pellucidum, which is new since the previous study. the extent of high t2 signal crossing the posterior corpus collosum is unchanged. compression of the atrium of the right lateral ventricle is not significantly changed. no new enhancing foci are seen. there is mucosal thickening in the maxillary sinuses, left greater than right, and in the left middle ethmoid air cell. the major arterial flow voids are preserved. impression: stable size of the surgical cavity and stable extent of associated irregular, nodular rim enhancement. increased associated edema with new mild leftward shift of the septum pellucidum. these findings are likely related to recent radiation therapy. close follow-up is recommended to exclude tumor progression. ekg: baseline artifact, sinus tachycardia, normal ecg except for rate since previous tracing of , sinus tachycardia now present. intervals axes rate pr qrs qt/qtc p qrs t 108 132 92 312/396 75 31 61 head pet scan :study read pending at the time of discharge. brief hospital course: the patient was admitted to the icu with left hemiplegia and focal left sided seizures. he was recently tapered of steroids and was reloaded with 10mg of iv decadron and started on 4mg q6 hours. he improved significantly in a few days and was able to lift his leg against gravity. his arm was about 2/5 strength on . the patient had a brain mri which showed a large amount of post-radiation edema. there was also new mild leftward shift of the septum pellucidum. on the patient was felt to be safe to transfer out of the icu to the neurosurgical floor. he did have what is thought to be two brief focal seizures that day which did not require medication. they both stopped in under a minute. his keppra dosing was increased to 1500mg twice daily however in the event these were in fact seizures. the patient went to the or on for revision of the intracystic catheter. post-operatively he was monitored uneventfully in the recovery room without incident. on , he was seen and evaluated by pt and determined to be appropriate for home disposition, and was done so after his pet scan on the . medications on admission: butalbital-acetaminophen-caff , dexamethasone 2 mg tablet qod, levetiracetam 1000mg , propranolol xr 60 daily discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain fever. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): continue to take as long as you require narcotic pain medication. disp:*30 capsule(s)* refills:*0* 3. dexamethasone 4 mg tablet sig: one (1) tablet po q8h (every 8 hours): after three days; decrease dose to one tablet twice daily. . disp:*90 tablet(s)* refills:*0* 4. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for headache. disp:*30 tablet(s)* refills:*0* 5. propranolol 60 mg capsule,sustained action 24 hr sig: one (1) capsule,sustained action 24 hr po daily (daily). 6. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*0* 7. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: glioblastoma cyst recurrance failed rickham catheter discharge condition: neurologically stable 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 have been removed. ??????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. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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. **make sure to continue to take a medication such as omeprazole(prilosec) daily to protect your stomach while you are taking your decadron, as this is likely to cause stomach irritation. 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 with dr. in 4 weeks with a non-contrast head ct. call to make an appointment. you have an appointment with , md phone: at 9:30 am on the on 8 you will also be having a ct scan of the head without contrast prior to you appointment. please call to have a time assigned. you will not need to have your pet scan as this will have been done prior to your discharge. procedure: intravascular imaging of intrathoracic vessels other incision of brain diagnoses: malignant neoplasm of brain, unspecified cerebral edema epilepsy, unspecified, without mention of intractable epilepsy hemiplegia, unspecified, affecting unspecified side mechanical complication of nervous system device, implant, and graft 

Answer: The patient is high likely exposed to