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: patient recorded as having no known allergies to drugs attending: chief complaint: right frontal meningioma major surgical or invasive procedure: right frontal craniotomy for meningioma history of present illness: patient is a 57m electively admitted for right meningioma resection past medical history: epilepsy (dr & dr ) right frontal meningioma, diagnosed 5 years ago alcohol abuse, stopped 4 years ago, but recent binge on hyperlipidemia macular degeneration social history: mr does not work and is on medical disability, and he likes playing the drums. he lives in with a roommate ( ). he is a drummer. he has smoked cigarettes since age 14, up to 2 ppd. he currently smokes 1 ppd. he has a history of alcohol abuse until 4 years ago. however, he had a 3 day binge on leading to a fall and probably fractured ribs and another smaller drinking 1 week before the last admission. he has a history of illicit drug use and has snorted cocaine and heroin, done mescaline, psilocybin, mushrooms, and marijuana up to 4 years ago. family history: his parents are alive. his father has disease. he has 2 sisters and 2 brothers, and they are all healthy. his 2 daugthers are healthy. physical exam: on discharge: exam: t-99.3 bp-129/62 hr-98 rr-12 o2sat-97% weight 75kg gen: r craniectomy scar heent: nc/at, moist oral mucosa neck: no tenderness to palpation, normal rom, supple, no carotid or vertebral bruit back: no point tenderness or erythema cv: rrr, nl s1 and s2, no murmurs/gallops/rubs lung: clear to auscultation bilaterally abd: +bs soft, nontender ext: no edema neurologic examination: mental status: a&ox3, following commands cranial nerves: pupils equally round and reactive to light, 3 to 2 mm, eomi, face symmetric, tongue midline motor: he moves all extremities symmetrically sensation: intact to light touch and temperature pertinent results: labs on admission: 02:11am blood wbc-12.7* rbc-3.90* hgb-11.8* hct-33.8* mcv-87 mch-30.3 mchc-34.9 rdw-14.0 plt ct-209 02:11am blood glucose-119* urean-10 creat-0.6 na-141 k-4.1 cl-110* hco3-25 angap-10 labs on discharge: 06:15am blood wbc-6.9 rbc-3.50* hgb-10.5* hct-29.9* mcv-85 mch-29.9 mchc-35.0 rdw-13.6 plt ct-202 06:15am blood glucose-84 urean-12 creat-0.6 na-142 k-3.6 cl-109* hco3-24 angap-13 06:15am blood phenyto-15.7 ----------------- imaging: ----------------- nchct : expected post-surgical changes after resection of right frontal tumor and craniotomy. brain mri : status post resection of right frontal mass with postoperative hemorrhage and possibly a small amount of residual enhancing tumor. note that the study is limited due to the patient's inability to remain motionless. brief hospital course: patient was electively admitted on for right frontal crani for mass resection. post-operatively he was taken to the icu for q1h neurochecks. he had multiple seizures post-operatively and neurology was consulted. the patient received a dilantin bolus, was started on standing ativan and was continued on his home zonegram. he was seizure-free the night on and on . after recovery from his seizures, the patient's neurologic examination remained unchanged relative to his preoperative examination. pt and ot were consulted and determined he was safe to return to his facility without any services. medications on admission: zyprexa, simvastatin, dilantin, zonisamide, dex discharge medications: 1. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for fever. 2. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 3. simvastatin 10 mg tablet : two (2) tablet po daily (daily). 4. sulfamethoxazole-trimethoprim 800-160 mg tablet : one (1) tablet po 3x/week (mo,we,fr). 5. calcium carbonate 500 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 6. multivitamin tablet : one (1) tablet po daily (daily). 7. zonisamide 100 mg capsule : four (4) capsule po daily (daily). 8. phenytoin sodium extended 100 mg capsule : two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*0* 9. lansoprazole 30 mg tablet,rapid dissolve, dr : tablet,rapid dissolve, (daily). disp:*60 tablet,rapid dissolve, dr(s)* refills:*0* 10. hydromorphone 2 mg tablet : one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 11. lorazepam 0.5 mg tablet : one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*0* 12. dexamethasone 4 mg tablet : one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*0* 13. nicotine 14 mg/24 hr patch 24 hr : one (1) patch 24 hr transdermal daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: right frontal 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 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. ?????? you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? 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/ and a wound check. although we try to be thorough, we may miss or staples. be sure to point out any incisions, which may be covered by clothing at the time of suture/staple removal. 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 2:00 pm. 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. ??????you will not need an mri of the brain as this was done in the hospital. ??????you will follow up with neurology as well. you will see . & phone: on at 4:00pm. procedure: venous catheterization, not elsewhere classified excision of lesion or tissue of cerebral meninges other immobilization, pressure, and attention to wound diagnoses: anemia, unspecified alcohol abuse, unspecified other and unspecified hyperlipidemia benign neoplasm of cerebral meninges cerebral edema macular degeneration (senile), unspecified generalized convulsive epilepsy, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to