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: seizures major surgical or invasive procedure: crani for mass resection history of present illness: this is a 58 year old female who is known to our neurosurgery clinic. she is status post left frontal anaplastic oligodendroglioma mass resection in , with subsequent xrt and ctx treatments. over the past year or so she has shown increased occurrence of her seizures despite high dose of antisiezure medications. sequential mri imaging have demonstrated recurrence of the tumors. she presents to clinic today to discuss the possibility of a craniotomy for mass resection. she currently complains of nausea, vomiting, dizziness. she denies headaches or unintentional weight loss. past medical history: left frontal anaplastic oligodendroglioma with 1p and 19q deletions s/p nearly complete resection , postoperative temozolomide, radiation therapy 6000cgy gastric ulcer hypothyroidism bilateral knee osteoarthritis. history of perioral dyskinesias on risperdal. past surgical history: left frontal craniotomy. cesarean section . past psychiatric history: depression, ocd. social history: living situation: living alone, in senior center. has dog walker 3x daily. meals provided. son and sister help with shopping, cleaning. marital status: divorced children and ages: 26 year old son. highest education: masters, sw employment: occupational therapist, not working since tumor diagnosis. disability: yes, since tumor diagnosis family history: (per dr. note of , confirmed w/ pt) mother: died age 78, hypercholesterolemia and htn. father: died 67, lung cancer siblings: twin sister, . 60 year old sister, breast cancer. 50 year old sister has special needs, in a group home, but otherwise well. three brothers, one died 1.5 years as above from seizures, one died 25 from seizure, hydrocephalus, shunt complication. brother died 59 from sepsis. physical exam: physical exam: on admission gen: well developed, well nourished, comfortable, no apparent distress. heent: normocephalic, atraumatic, anicteric sclerae,. neurological examination: mental status: awake and alert, cooperative with exam, slightly flatened affect, but normal interactions when prompted. orientation: oriented to person, place, and date. language: speech fluent with good comprehension. no dysarthria or paraphasic errors. prosodia flat. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to 4 mm 3.5 bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. grip tri delt we wf ip quad ham at ? r drift sensation: intact to light touch. denies paresthesias no extrapyramidal signs no hoffmann's, no clonus or babinski. stable, somewhat broad based gait. physical exam upon discharge: awake, a+ox3 perrl slight r nl fold slight l tongue deviation mae's with good strengths. incision- well healing, sutures pertinent results: admission labs: 12:50pm glucose-156* lactate-1.8 na+-142 k+-3.9 cl--110 05:56pm glucose-160* urea n-10 creat-0.9 sodium-148* potassium-4.5 chloride-118* total co2-21* anion gap-14 discharge labs: imaging: post op head ct : expected postoperative changes after left frontal craniotomy and resection of left frontal lobe. no hemorrhage seen. mri: impression: post-surgical changes after left frontal craniotomy, resection of the left frontal lobe, with residual smaller area of encephalomalacia. no acute hemorrhage. brief hospital course: the patient was taken to the operating room electively on for a frontal craniotomy for resection of the right frontal lobe. she tolerated the procedure well and was transferred directly to the sicu for further care including q1 neuro checks and strict blood pressure control. she did well overnight and had a normal post op head ct. on the morning of she had mild nausea, but felt well. she was transferred to the sdu on the afternoon of . upon arrival to the sdu she was able to void on her own and she was tolerating a po diet. she remained on her current anti-epileptic drugs with no change in regimen. on pt was transfered to the floor and she was seen by pt/ot and cleared for dc to a rehab facility. her incision remained clean and dry while in the hospital and she had no complications or complaints. she will be discharged to rehab facility on in stable condition. on she was neurologically stable and cleared for discharge to rehab. medications on admission: keppra 1250 zonisamide 500 qpm vimpat 200 diazepam 2.5 mg qid discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever/pain. 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. lacosamide 200 mg tablet sig: one (1) tablet po bid (2 times a day). 6. citalopram 20 mg tablet sig: three (3) tablet po daily (daily). 7. diazepam 5 mg tablet sig: 0.5 tablet po qid (4 times a day). 8. levetiracetam 500 mg tablet sig: 2.5 tablets po bid (2 times a day). 9. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 10. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 11. zonisamide 100 mg capsule sig: five (5) capsule po qpm (once a day (in the evening)). 12. lithium carbonate 450 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 13. insulin lispro 100 unit/ml solution sig: one (1) subcutaneous asdir (as directed). 14. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 15. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). discharge disposition: extended care facility: for the aged - discharge diagnosis: left frontal brain mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). 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: o narcotic pain medication such as dilaudid (hydromorphone). o 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. ?????? if 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 . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your surgery, you may safely resume after your neurosurgeon tells you ?????? 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. ?????? if 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. followup instructions: follow up appointment instructions ??????please have the rehabilitation facility remove your staples/sutures 10days from surgery (). if they have questions, please call . ??????you have an appointment in the brain clinic on at 9:30 am. the brain clinic is located on the of , in the building, . this is a multi-disciplinary appointment. their phone number is . please call if you need to change your appointment, or require additional directions. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain electroencephalogram diagnoses: unspecified acquired hypothyroidism nausea with vomiting long-term (current) use of other medications major depressive affective disorder, single episode, unspecified headache osteoarthrosis, unspecified whether generalized or localized, lower leg personal history of peptic ulcer disease other conditions of brain family history of malignant neoplasm of breast encounter for therapeutic drug monitoring family history of other cardiovascular diseases essential and other specified forms of tremor malignant neoplasm of frontal lobe localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures, with intractable epilepsy 

Answer: The patient is high likely exposed to