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) attending: chief complaint: seizures major surgical or invasive procedure: right frontal craniotomy resection of right frontal mass history of present illness: as you will recall, he is a very pleasant, right-handed 31-year-old male who presented with a seizure about a week ago. he was lying in bed when he woke up and clenched his mouth, rolled to the right side and started shaking and became cyanotic. the seizure spontaneously stopped after five minutes. the paramedics were called and he was taken to the hospital. he had another episode in the hospital, which consisted of focal motor seizures involving his left upper extremity. ct scan and mri scan had revealed a right frontal lesion. he had a similar such sensation years ago. he has difficulty in moving his right shoulder secondary to the injury sustained at the time of the seizure. his mri scan of the brain which was consistent with a cystic lesion in the right frontal area anterior to the motor cortex. i would think that there is a significant possibility that this is a low-grade astrocytoma and an excisional biopsy is warranted. prior to this, i would like him to get a functional mri to delineate the motor cortex and also to see dr. in neuro-oncology. functional mri showed activation area for motor activity involving the left hand in close proximity posterior to the mass lesion. the language areas, foot movement, and tongue movement activation areas are not located adjacent to the mass. surgical intervention was recommended. risks and benefits were discussed in a frank and candid matter. he wished to proceed. past medical history: past medical history is significant for an accident in when his vehicle was hit by explosive. this resulted in loss of consciousness, which was treated as a concussion, and shrapnel in his elbow. history of gerd, traumatic brain injury, hypercholesterolemia. social history: social history: he is retired from the marines and works in the u.s. fish and wildlife. he lives with wife and son aged five years. he quit smoking about 18 months ago and takes alcohol rarely. family history: nc physical exam: on examination, his speech is fluent, oriented to person, place and date. pupils are equal and reactive to light. extraocular movements are intact. face is symmetric. hearing is intact bilaterally. palate elevation is symmetric. shoulder shrug is symmetric. fundus shows no papilledema. there is no babinski. his gait and coordination was normal. discharge exam: on examination, his speech is fluent, oriented to person, place and date. pupils are equal and reactive to light. extraocular movements are intact. face is symmetric. hearing is intact bilaterally. palate elevation is symmetric. shoulder shrug is symmetric. fundus shows no papilledema. there is no babinski. his gait and coordination was normal. motor: lue paresis with improvement of left deltoid 4-/5, tri , biceps/br/hi 0/5. rue , le with slight paresis of lle 5-/5. pertinent results: mri brain (wand) - 3.3 x 2.8 x 2.5 cm right frontal lobe mass, involving the ipsilateral pre-central gyrus, unchanged over the short-interval and likely a low-grade glial neoplasm (by previous imaging characteristics). ct head - expected postoperative changes following right frontal craniotomy and mass resection, without acute intracranial abnormalities. brain mri post op - fluid and blood products in the right frontal surgical bed without associated edema or mass effect. appears to be a gross total resection. f/u recommended brief hospital course: patient was admitted to neurosurgery on and underwent the above stated procedure. please review dictated operative report for details. patient was remained intubate or extubated without incident and transferred to icu in stable condition. post operative ct showed post-operative changes within the surgical bed without evidence of infarct or hemorrhage. diet was advanced slowly and iv fluids was heplocked accordingly. brain mri was obtained the following day which showed 100% resection. foley was removed in routine fashion and pt voided without incident. pain medication was titrated and transitioned for iv to oral regimen. patient was transferred to floor or sdu in stable condition. pt/ot and speech were consulted. pt/ot recommended acute rehave vs. home. patient's neurological status improved during their course with increase strenth of left deltoid/tri. now dod, patient is afebrile, vss, and neurologically stable. patient's pain is well-controlled and the patient is tolerating a good oral diet or tubefeeds. pt's incision is clean, dry and intact without evidence of infection. patient is ambulating without issues. the patient will be continued on the antiseizure prophylaxis medication, valproate and keppra, until follow-up in in brain tumor clinic. he is set for discharge home in stable condition and will follow-up accordingly. medications on admission: medications currently are diazepam, keppra, morphine, omeprazole, dilantin and simvastatin. allergies to sulfa, which causes a rash and increased lfts. discharge medications: 1. dexamethasone 4 mg po qid duration: 1 days then discontinue rx *dexamethasone 2 mg 1 tablet(s) by mouth per taper disp #*44 tablet refills:*0 2. dexamethasone 2 mg po qid duration: 5 days then discontinue 3. dexamethasone 2 mg po bid duration: 5 days then discontinue 4. levetiracetam 750 mg po tid rx *levetiracetam 750 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*1 5. multivitamins 1 tab po daily 6. simvastatin 20 mg po daily 7. vitamin d 1000 unit po daily 8. zolpidem tartrate 5 mg po hs rx *zolpidem 5 mg 1 tablet(s) by mouth at bedtime disp #*20 tablet refills:*0 9. 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 10. famotidine 20 mg po bid rx *famotidine 20 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 11. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 capsule(s) by mouth twice a day disp #*60 capsule refills:*0 12. valproic acid 500 mg po q12h rx *valproic acid (as sodium salt) 250 mg/5 ml (5 ml) 750 mg/ml by mouth twice a day disp #*45 unit refills:*0 13. clonazepam 0.5 mg po bid anxiety patient may refuse discharge disposition: home discharge diagnosis: right frontal lesion 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 shower and 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. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. please continue this and your valproic acid ?????? clearance to drive and return to work will be addressed at your post-operative office visit. 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 _4-6__weeks. ??????you will need an mri of the brain with and without gadolinium contrast. - you have been scheduled a follow-up with dr. accordingly - please f/u with your pcp procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain diagnoses: esophageal reflux pure hypercholesterolemia personal history of tobacco use epilepsy, unspecified, without mention of intractable epilepsy pain in joint, shoulder region unspecified episodic mood disorder malignant neoplasm of frontal lobe personal history of traumatic brain injury 

Answer: The patient is high likely exposed to