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: vicodin / sustiva / abacavir sulfate / bactrim ds / augmentin attending: chief complaint: increased size of meningioma major surgical or invasive procedure: : right craniotomy and resection of parasaggital meningioma history of present illness: 52yo woman with history of hiv/aids who was hospitalized in for arf and pna. at that time a ct and mri were performed of her brain revealing 2 meningiomas. these have been treated conservatively and monitored with surveillance scans since this time. recently it was noted that there was significant increase in size of the right parasaggital meningioma. it was recommended that this be surgically removed and she electively presents now for this procedure. past medical history: - hiv/aids (on haart since ) - meningiomas - a1 cerebral aneurysm s/p coiling - hx cmv retinitis in right eye - cervical dysplasia - rectal cancer in had xrt, chemo, and surgery. - s/p tah/bso - history of oral hsv social history: she smokes one pack per day; she doesn't drink alcohol; she has a distant history of cocaine use family history: maternal grandparents died of cancer (unknown type) in their 60s or 70s. her parents are alive in their 70s. no other known cancer in the family. paternal grandmother diet of cirrhosis. pertinent results: pathology report tissue: tumor, fs tumor. procedure date of *********report not finalized***************** mr head w/ contrast study date of 5:24 am impression: 1. multiple dural-based lesions, likely meningiomas again noted with increase in size of the right parasagittal and right paratentorial lesions compared to the prior exam and no change in size of the left occipital, right sphenoid and planum sphenoidale lesions. 2. right maxillary sinus thickening. ct head w/o contrast study date of 1:56 pm conclusion: 1. status post resection of right parasagittal meningioma with evidence of pneumocephalus, blood, and edema in the operative bed, consistent with appropriate post-operative changes. there is also evidence of pneumocephalus tracking anteriorly to the right frontal lobe. no other evidence of hemorrhage, mass effect, or acute infarction. 2. stable meningioma in the left occipital lobe as noted previously on mri. mr head w & w/o contras ***************** brief hospital course: the patient electively presented and underwent a craniotomy and resection of mass. post operatively and she was extubated and transferred to the icu for close neurological observation. post op head ct revealed expected post operative change. on post operative exam, the patient left lower extremity showed poor motor function and was given dexamethasone 15mg. dexamethasone 6mg every 6 hours was initiated. intravenous fluid was increased and the systolic blood pressure goal was liberalized to 160. the neurological exam began slowly improving and some left lower extremity lateral movement was noted. on , the patient motor exam continued to improve slowly. transfer orders were written for the patient to transfer to the floor and the patient was awaiting an available bed. a decadrom wean was initiated and the patient was mobilized out of bed to the chair. a physical therapy consult was placed.the foley catheter was discontinued. subcutaneous heparin was initiated for deep vein thrombosis prophylaxis. on she was neurologically stable. pt and ot were requested for discharge planning. they recommended discharge.... medications on admission: emtricitabine-tenofovir etravirine famciclovir gabapentin imiquimod levetiracetam prochlorperazine maleate raltegravir cromolyn loratadine multivitamin naproxen discharge medications: 1. acetaminophen 325-650 mg po q6h:prn pain 2. acyclovir 400 mg po q12h 3. dexamethasone 3 mg po q8hrs duration: 2 days then discontinue rx *dexamethasone 1.5 mg 2 tablet(s) by mouth every 8 hours disp #*12 tablet refills:*0 4. dexamethasone 2 mg po q8hrs duration: 2 days then discontinue tapered dose - down rx *dexamethasone 2 mg 1 tablet(s) by mouth every eight (8) hours disp #*6 tablet refills:*0 5. dexamethasone 1 mg po q8hrs duration: 2 days then discontinue tapered dose - down rx *dexamethasone 1 mg 1 tablet(s) by mouth every eight (8) hours disp #*6 tablet refills:*0 6. dexamethasone 1 mg po q12hrs duration: 2 days then discontinue tapered dose - down rx *dexamethasone 1 mg 1 tablet(s) by mouth every twelve (12) hours disp #*4 tablet refills:*0 7. dexamethasone 1 mg po q24hrs duration: 2 days then discontinue rx *dexamethasone 1 mg 1 tablet(s) by mouth once a day disp #*2 tablet refills:*0 8. docusate sodium 100 mg po bid 9. emtricitabine-tenofovir (truvada) 1 tab po daily 10. etravirine 200 mg po bid 11. famotidine 20 mg po q12h rx *famotidine 20 mg 1 tablet(s) by mouth every twelve (12) hours disp #*14 tablet refills:*0 12. gabapentin 100 mg po hs 13. imiquimod *nf* 1 appl tp 3x/week (,we) reason for ordering: wish to maintain preadmission medication while hospitalized, as there is no acceptable substitute drug product available on formulary. apply to molluscum 3 times a week 14. levetiracetam 1000 mg po bid rx *levetiracetam 1,000 mg 1 tablet(s) by mouth twice a day disp #*28 tablet refills:*0 15. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every 4-6 hours disp #*30 tablet refills:*0 16. raltegravir 400 mg po bid 17. heparin 5000 unit sc tid rx *heparin (porcine) 5,000 unit/ml please inject subcutaneously into abdomen three times a day disp #*60 cartridge refills:*0 discharge disposition: extended care facility: hospital - discharge diagnosis: right parasaggital meningioma discharge condition: 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. ?????? **your wound was closed with staples so you must wait until after they are removed to wash your hair. 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. 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 ?????? your staples need to be removed 10-14 days from your date of surgery. this can be done at your rehab facility. if they have questions or if you are discharged prior to this, please call to make an appt. 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 2pm. 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: excision of lesion or tissue of cerebral meninges diagnoses: tobacco use disorder human immunodeficiency virus [hiv] disease benign neoplasm of cerebral meninges personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus degeneration of intervertebral disc, site unspecified 

Answer: The patient is high likely exposed to