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: sulfa (sulfonamide antibiotics) / bactrim attending: chief complaint: intradural, extramedullary spinal cord mass causing pain and parasthesias major surgical or invasive procedure: c3-c6 bilateral laminectomy with decompression history of present illness: ms. is a 50 year old woman referred to dr. by dr. of neurology. she reported that she had experienced paresthesias involving her right hand for approximately a year. these have become more intense over time and have not been confined to a particular region of the hand. there does not seem to be any specific precipitant. she has noticed some altered dexterity that she attributes to the intense paresthesias. an emg evaluation revealed only a mild ulnar neuropathy with conduction delay at the elbow. last , she experienced low back pain, which she attributed to her yoga routine. she was evaluated by dr. and was not noted to have any weakness or altered sensation or radicular symptoms. the back pain improved with physical therapy and no diagnostic evaluations were undertaken. more recently, she has developed numbness and paresthesias involving the left foot. she specifically denies any known weakness or bowel or bladder complaints. she also denies recalling any remote neurological symptoms. mri of the cervical spine was performed, which revealed an enhancing extra-axial mass that appears to originate in the right antero-lateral recess of c4 that severely compresses the spinal cord over to the left side of the canal and is no longer visible below the mid c5 vertebral body level. as such, the patient elected to proceed with c3-c6 bilateral laminectomy and decompression. past medical history: depression social history: she is married, not currently working, with no children. she has a graduate mba degree. she reports occasional vigorous exercise and follows a normal diet. she rarely drinks. there is no history of smoking. family history: her father has atrial fibrillation, hypertension, hearing loss and cognitive impairment related to an undiagnosed dementing illness. her mother has early disease. they both live in an arrangement. physical exam: pre-op physical examination motor: she had normal strength, tone and dexterity in the upper extremities. in the lower extremities, she had mild weakness of the right extensor hallucis longus and toe extensors without appreciable atrophy. cerebellar: normal on finger-to-nose and heel-to-shin testing, although she seemed to be somewhat hesitant on right finger-to-nose testing for unclear reasons. sensation: slightly diminished vibratory sensation for age at the toes (right over left: 14/14 seconds) and relatively normal the fingers (24 seconds/25 seconds). right hand sensation appeared relatively normal to primary modalities such as pinprick and temperature despite the intense paresthesias. she did have subtle but reproducible decreased sensation to pinprick in the left foot, predominantly the lateral and plantar aspect of the foot, extending over the dorsum. there was no diminished sensation in the peroneal distribution on the right. reflexes: right/left: biceps , brachioradialis , triceps 2+/2+, patella and ankle reflex 2+/2+. interestingly, the right toe was consistently upgoing on plantar stimulation. discharge physical examination: motor: she had normal strength, tone and dexterity in the upper extremities. 5/5 strength in bilateral le with extensor hallucis longus weakness resolved. sensation: continued parasthesias of r hand and numbness of l foot. reflexes: right/left: biceps , brachioradialis , triceps 2+/2+, patella and ankle reflex 2+/2+ pertinent results: mri c-spine with and without gadalinium: 1. status post c3 through c6 laminectomy for resection of c4/c5 intradural extramedullary mass, with expected posoperative changes in the posterior paraspinal soft tissue but no evidence of abcess. 2. residual remodelling of the spinal cord without t2 signal abnormality. no evidence of cord infarct, intracanal hemorrhage or epidural abcess. 3. stable degenerative changes of the cervical spine as detailed above. brief hospital course: ms. was admitted to . she was taken to the or with dr. on . she had a posterior cervical decompression for extramedullary tumor. the mass was sent to pathology intraoperatively. fresh frozen slides were consistent with schwannoma. final pathology was pending at time of discharge. upon completion of the procedure, the patient was extubated and taken to the icu. she was neurologically intact at her post-op check. she had an mri that showed no residual tumor. her diet was advanced, her foley was removed. she was in an hard cervical collar at all times. she was transferred to the floor on , pod #1. overnight on , the patient sustained a witnessed fall. there was no associated trauma. on , patient continued to recover on the floor. her dressings were removed, and the incision appeared clean, dry, and intact. the patient continued to have neck pain and stiffness and worked with physical therapy. on , patient complained of constipation. her bowel regimen was escalated. she continued to ambulate and take in food well. on , patient reported bowel movement. her pain was controlled, and she was able to ambulate independently. patient was discharged to home on with instructions to wear her cervical hard collar at all times until she is 2 weeks post-op. patient may start to remove her collar on for hygiene purposes. patient was carefully instructed to not lift > 10 lbs for 4 weeks and no sports participation for 8 weeks. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. bupropion (sustained release) 200 mg po qam 2. calcium carbonate 500 mg po bid 3. multivitamins 1 tab po daily 4. vitamin d 1000 unit po daily 5. venlafaxine xr 150 mg po daily 6. adderall xr *nf* (amphetamine-dextroamphetamine) 10 mg oral qday prn discharge medications: 1. bupropion (sustained release) 200 mg po qam 2. calcium carbonate 500 mg po bid 3. multivitamins 1 tab po daily 4. venlafaxine xr 150 mg po daily 5. vitamin d 1000 unit po daily 6. acetaminophen 650 mg po q6h:prn pain 7. dexamethasone 2 mg po daily rx *dexamethasone 2 mg 1 tablet(s) by mouth qday disp #*3 tablet refills:*0 8. docusate sodium 100 mg po bid rx *colace 100 mg 1 capsule(s) by mouth twice a day disp #*60 capsule refills:*0 9. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *dilaudid 2 mg tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 10. polyethylene glycol 17 g po daily:prn constipation rx *miralax 17 gram 1 packet by mouth qday disp #*30 packet refills:*0 11. pantoprazole 40 mg po q24h rx *pantoprazole 40 mg 1 tablet(s) by mouth qday disp #*30 tablet refills:*0 12. tizanidine 4 mg po tid rx *tizanidine 4 mg 1 capsule(s) by mouth three times a day disp #*60 capsule refills:*0 13. adderall xr *nf* (amphetamine-dextroamphetamine) 10 mg oral qday prn decreased concentration discharge disposition: home discharge diagnosis: intradural, extramedullary tumor with pathology consistent with schwannoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: spine surgery dr. ?????? do not smoke. ?????? keep your wound(s) clean and dry / no tub baths or pool swimming for two weeks from your date of surgery. ?????? dressing may be removed on day 2 after surgery. ?????? no pulling up, lifting more than 10 lbs., or excessive bending or twisting. no sports for 8 weeks. ?????? limit your use of stairs to 2-3 times per day. ?????? have a friend or family member check your incision daily for signs of infection. ?????? wear one, wear your cervical collar as instructed. wear your hard cervical collar for 24 hours/day, 7 days/week for 2 weeks. ?????? you may shower briefly without the collar or back brace; unless you have been instructed otherwise. ?????? take your pain medication as instructed; you may find it best if taken in the morning when you wake-up for morning stiffness, and before bed for sleeping discomfort. ?????? do not take any medications such as aspirin unless directed by your doctor. ?????? unless you had a fusion, you should take advil/ibuprofen 400mg three times daily ?????? increase your intake of fluids and fiber, as pain medicine (narcotics) can cause constipation. we recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? clearance to drive and return to work will be addressed at your post-operative office visit followup instructions: follow up instructions/appointments ??????please return to the office in days (from date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the physician assistant or 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 x-rays/ct-scan prior to your appointment. procedure: imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges other exploration and decompression of spinal canal other exploration and decompression of spinal canal other exploration and decompression of spinal canal diagnoses: personal history of tobacco use depressive disorder, not elsewhere classified anxiety state, unspecified brachial neuritis or radiculitis nos other constipation myelopathy in other diseases classified elsewhere other drugs and medicinal substances causing adverse effects in therapeutic use family history of other cardiovascular diseases thoracic or lumbosacral neuritis or radiculitis, unspecified benign neoplasm of spinal meninges personal history of allergy to sulfonamides 

Answer: The patient is high likely exposed to