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: compazine / keflex attending: chief complaint: vertigo major surgical or invasive procedure: : exploration and decompression or right cerebello-pontine angle mass history of present illness: is a 50-year-old right-handed man with complaints of vertigo since . he had nausea but no vomiting. he presented to the emergency room at . mri imaging on showed a right cerebellopontine angle mass. he underwent a steretactic biopsy of this lesion with dr. , m.d. on and the pathology showed grade i meningioma. he did well after surgery and his vertigo was well controlled. he did have some right sided neck pain. past medical history: 1. hx of sarcoidosis - diagnosed by pulmonary nodule biopsy in ; normal f/u's including optho. 2. sleep apnea - not on cpap for claustrophobia but on nc at bedtime 3. depression 4. bph 5. asthma 6. gerd 7. hx of bacterial meningitis 10 yrs ago - no seizures and not immunocompromised. 8. central serous retinopathy 9. herniarraphy social history: lives alone - works for under admitting. denies smoking or illicit drug use. rare etoh. full code. family history: father died of retinal/liver cancer in his late 40's, mother alive. physical exam: on discharge: awake and alert, oriented to self, place, date, motor strength 5/5 in all extremities, perrl bilaterally, extraocular movements intact, incision clean dry and intact, no pronator drift, no clonus, ambulating without difficulty in halls pertinent results: 05:50am blood wbc-5.9 rbc-4.52* hgb-13.0* hct-37.9* mcv-84 mch-28.8 mchc-34.4 rdw-14.3 plt ct-205 05:50am blood pt-11.2 ptt-23.6 inr(pt)-0.9 05:50am blood glucose-97 urean-19 creat-0.8 na-140 k-4.1 cl-103 hco3-30 angap-11 05:50am blood calcium-9.2 phos-3.6 mg-2.3 mr status post partial resection of invasive mass at the right cerebellomedullary angle, with post-operative changes and unchanged mass effect. mr extra-axial mass centered in the right cerebellomedullary angle and extending into the right jugular foramen and right hypoglossal canal, stable since the prior studies. brief hospital course: mr. was admitted to and was taken to the or with dr. on . he underwent an exploration and decompression of a right cerebello-pontine angle mass. he was extubated after the procedure and taken to the icu post-operatively. he remained stable overnight. on he was neurologically intact with the exception of a mild dysconjugate gaze thought to be related to manipulation of the cerebellum. transfer orders for the step down unit were ordered. his neuro checks were liberalized to q2hrs. he remained stable on the floor with resolution of his disconjugate gaze noted on . he was seen by pt and ot on and was cleared to go home with pt services. he was discussed in brain tumor conference and appropriate follow up was arranged. medications on admission: albuterol - 90 mcg aerosol - 2 puffs inhaled every 6 hours as needed for shortness of breath bupropion hcl - (prescribed by other provider) - 100 mg tablet sustained release - 1 tablet by mouth twice daily buspirone - (prescribed by other provider) - 10 mg tablet - 2 tablet(s) by mouth twice daily dexamethasone - (prescribed by other provider) - 2 mg tablet - 1 tablet(s) by mouth every eight (8) hours elocon - 0.1% cream - apply to affected area once daily as needed. escitalopram - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth daily fluticasone - (prescribed by other provider) - 50 mcg spray, suspension - 1 spray intranasal once a day fluticasone-salmeterol - (dose adjustment - no new rx) - 250 mcg-50 mcg/dose disk with device - 1 puff inhaled daily rinse mouth after use lorazepam - 1 mg tablet - tablet(s) by mouth at bedtime take night of sleep study omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth daily phenytoin sodium extended - (prescribed by other provider) - 100 mg capsule - 1 capsule(s) by mouth three times a day tamsulosin - (prescribed by other provider) - 0.4 mg capsule, sust. release 24 hr - 1 capsule by mouth daily discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 7. buspirone 10 mg tablet sig: two (2) tablet po bid (2 times a day). 8. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 9. bupropion hcl 100 mg tablet sig: one (1) tablet po bid (2 times a day). 10. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for pain: caution not to exceed more than 4gm apap in 24h. disp:*40 tablet(s)* refills:*0* 11. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 12. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep. 13. prednisone 5 mg tablet sig: one (1) tablet po every six (6) hours for 1 days. disp:*4 tablet(s)* refills:*0* 14. prednisone 5 mg tablet sig: two (2) tablet po once a day for 3 days. disp:*6 tablet(s)* refills:*0* 15. outpatient physical therapy discharge disposition: home discharge diagnosis: meningioma discharge condition: neurologically stable discharge instructions: general instructions wound care: ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. be sure however, to remain well hydrated, and increase your consumption of fiber, as pain medications may cause constipation. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: -narcotic pain medication such as dilaudid (hydromorphone). -an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. ?????? you are being sent home on steroid medication, make sure you are taking a medication to protect your stomach (prilosec, protonix, or pepcid), as these medications can cause stomach irritation. make sure to take your steroid medication with meals, or a glass of milk. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. 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 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. ??????you have an appointment in the brain clinic on at 9:30 am. 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. procedure: other exploration and decompression of spinal canal excision of lesion or tissue of cerebral meninges other repair of cerebral meninges other craniotomy insertion of skull plate diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux asthma, unspecified type, unspecified depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) benign neoplasm of cerebral meninges retention of urine, unspecified obesity, unspecified dizziness and giddiness central serous retinopathy 

Answer: The patient is high likely exposed to