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: nsaids / bee stings / zyvox attending: chief complaint: brain mass major surgical or invasive procedure: right craniotomy for open biopsy of right parietal brain lesion history of present illness: this is a 55 yo male patient with metastatic lung ca and right parietal mass. he was recently seen by dr. and me and his case was discussed with the brain tumor clinic and a biopsy prior to radiation was recommended. he therefor represents for evaluation. he denies headaches, nausea, emesis, seizure activity. he reports to have a productive cough all winter that is improving. he was recently admitted for tachycardia related to dehydration. past medical history: - paranoid schizophrenia - niddm - depression - hepatitis c - cirrhosis. - lung cancer s/p surgery and chemo-radiation 1 year ago recently found with mets to parietal lobe social history: he lives in a group home/extended care facility. he used to work as a manual laborer. he has 40-pack-year smoking history and prior heavy drinking. family history: coronary artery disease and mis. physical exam: on admission: gen: wd/wn, comfortable, nad. wearing a mask due to cough heent: pupils: 1-0.5 eoms intact extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 1 to 0.5 mm bilaterally. 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. strength full power throughout. no pronator drift coordination: normal on finger-nose-finger on discharge: gen: wd/wn, comfortable, nad. wearing a mask due to cough heent: pupils: 1-0.5 eoms intact extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 1 to 0.5 mm bilaterally. 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. strength full power throughout. no pronator drift coordination: normal on finger-nose-finger on discharge: motor: mild leftsided 4+/5 weakness. right side is full strength. pertinent results: ct head w/o contrast expected post biopsy changes of pneumocephalus, small amount of blood, and fluid. no large hemorrhage. no evidence of infarction mr brain redemonstration of the right parietal lesion measuring 1.8 x 2.3 x 2.4 cm. for surgical planning. other details as above ct head noncontrast : expected post biopsy changes of pneumocephalus, small amount of blood, and fluid. no hemorrhage. no evidence of infarction. chest xray : no change from . no focal consolidation or pleural effusion is seen. the cardiomediastinal silhouette is within normal limits. brief hospital course: this is a 55 year old man with history of metastaic lung ca presents for open biopsy of r parietal brain lesion. post operative head ct was stable. he remained in the icu overnight for close monitoring. on , patient remained stable. overnight his blood glucose was elevated to 455 and an insulin gtt was started. on the morning of , his gtt was weaned off and patient was transferred to the sdu. he had bs over 400 twice and was consulted on . steroids were lowered. on his dexamethasone continued to be weaned and contined to see him titrating his sliding scale. on he was deemed fit from a neurosurgical perspective for discharge to rehab, however after discussion with he continued to require more time to devise an appropriate blood glucose management regimen so his discharge was placed on hold. he was transferred to floor status on . he was seen and evaluated by physical therapy and occupational therapy who felt that he would benefit from rehab. at the time of discharge he was tolerating a diabetic diet, ambulating with a walker, afebrile with stable vital signs. medications on admission: fluticasone-salmeterol, tiotropium bromide, dexamethasone, citalopram, clonazepam, olanzapine, trihexyphenidyl, tamsulosin, aspirin 325, docusate sodium, haloperidol, omeprazole, metformin, albuterol, gabapentin discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 7. olanzapine 5 mg tablet sig: two (2) tablet po hs (at bedtime). 8. trihexyphenidyl 2 mg tablet sig: one (1) tablet po bid (2 times a day). 9. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). 10. haloperidol 5 mg tablet sig: one (1) tablet po bid (2 times a day). 11. gabapentin 400 mg capsule sig: one (1) capsule po daily (daily). 12. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhaler inhalation q6h (every 6 hours) as needed for wheezing. 13. clonazepam 0.5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 14. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 15. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). 17. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 18. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 19. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 20. dexamethasone 2 mg tablet sig: one (1) tablet po bid (2 times a day). 21. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po every 6-8 hours as needed for pain. 22. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed for itching . 23. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po twice a day as needed for constipation. 24. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 25. insulin nph & regular human 100 unit/ml (70-30) suspension sig: per insulin flowsheet per insulin flowsheet subcutaneous per insulin flowsheet: please follow insulin flowsheet. 26. dextrose 50% in water (d50w) syringe sig: one (1) intravenous prn (as needed) as needed for hypoglycemia protocol. discharge disposition: extended care facility: health care center - discharge diagnosis: right parietal brain lesion hyperglycemia tachycardia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. 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. ?????? dressing may be removed on day 2 after surgery. ?????? if you have dissolvable sutures you may wash your hair and get your incision wet day 3 after surgery. you may shower before this time using a shower cap to cover your head. ?????? if your wound was closed with staples or non-dissolvable sutures then 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. ?????? if you were on a medication such as aspirin, prior to your injury, you may safely resume taking this on . ?????? 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 ??????please return to the office in days(from your date of surgery) for a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . ??????you have an appointment in the brain clinic on at 930am. 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: open biopsy of brain diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of bronchus and lung personal history of tobacco use other and unspecified hyperlipidemia secondary malignant neoplasm of brain and spinal cord paranoid type schizophrenia, unspecified acquired absence of organ, lung 

Answer: The patient is high likely exposed to