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: history of present illness: ms. is a 70-year-old rican spanish-speaking woman with history of hypertension, diabetes mellitus and malignant melanoma, who presented to the outpatient surgery center for recurrence of a neck mass which was concerning for a melanoma recurrence. she was taken to the operating room on , and underwent a resection of a right preauricular subcutaneous soft tissue mass and right parapharyngeal space dissection, resection of parapharyngeal space mass which included resection of a portion of the right internal jugular vein. she was found to have mental status changes which turned out to be a result of anesthesia. past medical history: includes malignant melanoma, status post parotidectomy in , hypertension, non-insulin- dependent diabetes mellitus. no evidence of coronary artery disease (normal mibi ), psychotic depression status post ect and glaucoma. outpatient medications: include celexa, glipizide, metformin, meclizine, atenolol, hyzaar and neurontin. allergies: no known drug allergies. hospital course by system: ms. was found to have mental status changes which required a neurology workup. she was kept in the intensive care unit for several days and transferred to the floor on postoperative day five, . 1. as mentioned ms. had mental status changes in which she was minimally responsive in the post anesthesia care unit. a head ct was performed at that time which was negative. ekg was performed which was negative. over the course of the next one or two days her mental status improved and she was at her baseline mental status. she has a history of psychotic depression, requiring ect in the past. she did return to her baseline mental status where her postoperative delirium did improve. however, of note, on , ms. was found on the floor after a fall. a neuro examination was without any significant changes. 1. cardiovascular: ekg in the post anesthesia care unit was normal. she has history of hypertension which was somewhat controlled to her baseline. she was restarted on her home blood pressure medications. she was hemodynamically stable throughout her hospital stay. 1. respiratory: she was extubated on postoperative day two. chest x-rays in the intensive care unit have been stable. 1. gastrointestinal: on postoperative day zero an ng tube was placed for a large gastric polyp found on chest x-ray. she has a question of liver disease due to some abnormal pet scan as reported by the daughter. a set of liver function tests were drawn. they were normal. bedside swallow evaluation , was performed by speech and swallow. this was normal. she was started on a regular diet. she is currently tolerating a regular diet. 1. renal: the foley catheter was removed on postoperative day four by the surgical intensive care unit team. she is currently voiding. her creatinine is normal. 1. hematology: her hematocrit is stable and her white count is within normal limits. she is ambulating several times per day. 1. oncology: she was seen by her oncologist while in house. she will follow up with him for radiation therapy if indicated. disposition: ms. was seen by physical therapy and occupational therapy who recommended rehabilitation. she is ready for discharge to rehab when stable. discharge medications: per discharge order. , procedure: other excision of vessels, other vessels of head and neck excision of preauricular sinus other excision or destruction of lesion or tissue of pharynx diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled secondary malignant neoplasm of other specified sites unspecified transient mental disorder in conditions classified elsewhere personal history of malignant melanoma of skin benign neoplasm of stomach 

Answer: The patient is high likely exposed to