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: no known allergies / adverse drug reactions attending: chief complaint: lung cancer major surgical or invasive procedure: 1. left thoracotomy. 2. left pneumonectomy. 3. buttressing of bronchial staple line with intercostal muscle 4. mediastinal lymph node dissection. history of present illness: a 59m with a 6x4.8x3cm mass encasing the lul pa as well as bronchus extending towards the hilum, was path positive for scc . he also had 11l node + for met scc and was diagnosed with probable n2 disease. a pet scan was performed on which demonstrated fdg activity in the lul mass as well as the ap windo lymph node. in addition, there were 2 indeterminate lingular nodes that were suspicious, though not fdg avid. he had mri of the brain which was negative. the pt was reluctant to have surgery and came for eval . he has recently started induction chemoradiation with dr on the . tolerating well and will be completed tues . currently, the pt denies and sob, doe, cough, chest pain, wt loss, ha, dizziness, new bony pain. he presents now for surgery. physical exam: bp: 110/65. heart rate: 96. weight: 148.2. height: 73. bmi: 19.6. temperature: 97.6. resp. rate: 18. pain score: 0. o2 saturation%: 99. gen: nad neck:no chest: clear ausc cor:rrr no m abd:benign extrem:no cce pertinent results: 09:06am hgb-10.8* calchct-32 10:47am hgb-10.7* calchct-32 03:45pm glucose-143* urea n-17 creat-0.9 sodium-138 potassium-4.5 chloride-106 total co2-25 anion gap-12 cxr : expected post-operative progressive changes following left pneumonectomy. brief hospital course: mr. was admitted to the hospital and taken to the operating room where he underwent a left pneumonectomy. he tolerated the procedure well and returned to the pacu in stable condition. he maintained stable hemodynamics and his pain was well controlled with an epidural catheter. his iv fluids were minimized in light of his pneumonectomy. following transfer to the surgical floor he was able to maintain good oxygen saturations and did effective incentive spirometry. he developed some rapid atrial flutter on post op day #1 and was treated with lopressor and eventually diltiazem. his electrolytes were repleted and he soon converted to normal sinus rhythm where he remained. his chest tube was removed on post op day #1 and serial chest xrays thereafter showed a gradual increase in fluid accumulation and at discharge it was about 1/3rd up. his room air ambulatory saturations were 99% and in general room air saturations at rest or with activity were > 94%. his left thoracotomy was healing well. on post op day # 2 he developed a rash which progressed over the next few days. it was on his back, palms of hands and forearms as well as back of the knees and thighs. it was vesicular on an erythematous base, itchy and seemed to be occurring at "moist " areas. the dermatology service was consulted and felt it was a contact dermatitis as opposed to histamine effect. triamcinolone was recommended and after 24 hours it started to recede. he will continue this treatment for 2 weeks and if his symptoms get worse, he will call the clinic. the culprit was never identified. as he continued to progress well, he was discharged to home on with vna services and will follow up in the thoracic clinic in 2 weeks. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. lamotrigine 100 mg po daily 2. bupropion 75 mg po bid take 2 tabs in am, 1 tab in pm 3. buspirone 30 mg po bid 4. methylphenidate (ritalin) 20 mg po bid discharge medications: 1. bupropion 75 mg po bid take 2 tabs in am, 1 tab in pm 2. buspirone 30 mg po bid 3. lamotrigine 100 mg po daily 4. acetaminophen 1000 mg po q6h 5. diltiazem 30 mg po qid rx *diltiazem hcl 30 mg 1 tablet(s) by mouth four times a day disp #*100 tablet refills:*2 6. docusate sodium 100 mg po bid 7. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every four (4) hours disp #*80 tablet refills:*0 8. sarna lotion 1 appl tp tid:prn itching rx *anti-itch 0.5 %-0.5 % 1 application twice a day disp #*1 bottle refills:*2 9. senna 1 tab po bid 10. methylphenidate (ritalin) 20 mg po bid 11. triamcinolone acetonide 0.1% cream 1 appl tp to affected areas rx *triamcinolone acetonide 0.1 % 1 application twice a day disp #*1 tube refills:*0 12. albuterol inhaler 2 puff ih q4h:prn wheezing rx *albuterol sulfate 90 mcg 2 puffs four times a day disp #*1 inhaler refills:*0 discharge disposition: home with service facility: / vna discharge diagnosis: left upper lobe lung cancer atrial flutter contact dermatitis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: * you were admitted to the hospital for lung surgery and you've recovered well. you are now ready for discharge. * continue to use your incentive spirometer 10 times an hour while awake. * check your incisions daily and report any increased redness or drainage. cover the area with a gauze pad if it is draining. * your rash was evaluated by the dermatology service and they feel it is a contact dermatitis. continue to use the triamcinolone cream twice a day for 2 weeks to the affected areas. do not use it on your incision, face, axilla or groin. if it does not continue to improve, call the dermatology clinic. see number below. * your chest tube dressing may be removed in 48 hours. if it starts to drain, cover it with a clean dry dressing and change it as needed to keep site clean and dry. * you will continue to need pain medication once you are home but you can wean it over a few weeks as the discomfort resolves. make sure that you have regular bowel movements while on narcotic pain medications as they are constipating which can cause more problems. use a stool softener or gentle laxative to stay regular. * no driving while taking narcotic pain medication. * take tylenol 1000 mg every 6 hours in between your narcotic. if your doctor allows you may also take ibuprofen to help relieve the pain. * continue to stay well hydrated and eat well to heal your incisions * shower daily. wash incision with mild soap & water, rinse, pat dry * no tub bathing, swimming or hot tubs until incision healed * no lotions or creams to incision site * walk 4-5 times a day and gradually increase your activity as you can tolerate. call dr. office if you experience: -fevers > 101 or chills -increased shortness of breath, chest pain or any other symptoms that concern you. followup instructions: department: hematology/oncology when: tuesday at 11:30 am with: , md building: sc clinical ctr campus: east best parking: garage please report 30 minutes prior to your appointment to the radioligy department on the of the clinical center for a chest xray. please call the clinic at to make an appointment if your rash does not improve. procedure: fiber-optic bronchoscopy division or crushing of other cranial and peripheral nerves regional lymph node excision other and unspecified pneumonectomy diagnoses: chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial flutter malignant neoplasm of upper lobe, bronchus or lung secondary and unspecified malignant neoplasm of intrathoracic lymph nodes contact dermatitis and other eczema, unspecified cause 

Answer: The patient is high likely exposed to