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: all drug allergies previously recorded have been deleted attending: chief complaint: brain lesion: oligodendroglioma major surgical or invasive procedure: neurosurgery: right craniotomy for tumor resection vascular surgery: ivc cage placement history of present illness: this is a 25 year old man who is a marine who noted left dysmetria when stationed in afganistan. he was on leave in and he suffered from one generalized tc convulsion on . he had been seizure free on dilantin since that time. he underwent an incomplete resection of a right brain lesion in and had a temporary resevoir for the cystic component. he returned to the east coast and was diagnosed with a pe and had an ivc filter placed on at , dr. . he saw dr. in the clinic and he recommended further decompression of his tumor. past medical history: oligodendroglioma seizure pe s/p ivc filter social history: marine, recently served in afganistan. denies tob. social etoh, no other drugs. family history: nc physical exam: on discharge: he is alert and oriented to person, place, and time. , , no pronator drift. head incision is c/d/i, dissolveable sutures. he is oob and ambulating. pertinent results: ct head : subtotal resection of right oligodendroglioma, with residual postoperative hemorrhage. recommend mri to assess for residual tumor bulk. mri brain : 1. subtotal resection of right oligodendroglioma, with residual surrounding tumor. 2. post-resection central and subdural hemorrhage. 3. acute infarct versus post-surgical cytotoxic edema in superior right frontal lobe. 4. unchanged inferior cerebellar tonsillar displacement. lens : non-occlusive thrombus in the right iliac vein. cta chest : 1. extensive new pulmonary emboli in the right lower lobe artery and posterior/lateral segmental arteries of the right lower lobe. 2. associated pleural effusion, atelectasis, and likely pulmonary infarction in the right lung base. 3. apparent resolution of left lower lobe pulmonary embolus. 4. mild right hilar lymphadenopathy. cta/v abdomen : 1. small right pleural effusion with adjacent right lower lobe atelectasis and likely pulmonary infarction, as seen on earlier same day cta chest. 2. ivc filter in place as noted above, with the superior tip of the filter 1.3 cm below the lowest renal vein. 3. large ivc clot burden seen extending from the confluence of the iliac veins, through the infrarenal ivc filter, and extending superiorly beyond the tip of the ivc filter for 3.2 cm, just beyond the level of the inferior renal vein. of note, iliac veins below the iliac crests are not assessed. 4. stranding along the right iliac vessels and the lower ivc likely due to thrombosis. ct head : stable post-op ct. increased vasogenic edema noted. bil. upper ext us : impression: distal left basilic vein thrombus. ct head : impression: stable post-surgical changes from the partial resection of the large right frontal mass. ct l-spine : 1. no fractures or alignment abnormalities. 2. retroperitoneal stranding, could be related to chronic venous thrombosis with a potential non-occlusive thrombus in the left common iliac vein, subptimally evaluated in non-contrast setting. ct abdomen/pelvis : brief hospital course: mr. was admitted to on . he was taken to the or by dr. for a stereotactic approach to further decompression of right sided lesion previously classified at oligodendroglioma. post-op imaging was consistent with surgery and continued midline shift. he was monitored closely in the pacu overnight without event. he was on decadron with plan to taper after 2 days to 4mg q6hrs. he was on mannitol with a 2 day taper. floor orders were written on as he was neurologically intact. sq heparin was started. he had a fever to 101.2 on . lens studies showed non-occlusive thrombus in the right iliac vein. he already had an ivc filter. hematology was consulted. they were considering future lovenox use. he developed midsternal chest pain overnight into . cta chest was ordered. there was a question of an iodine allergy when the cta was ordered. the history is as follows. he was started on dilantin in early . he developed a pe and had an ivc filter placed on . he had contrast during this admission. he developed a truncal rash later in the week and took benadryl. his rash recently resolved when we transitioned him to keppra and dc'ed the dilantin. he never had an anaphylactic reaction. the time course for the development of the rash seems more consistent with a dilantin rash than an iodine allergy. after discussions with the radiology department, he was cleared for the cta. cta showed extensive right pe. vascular surgery was re-consulted. they recommended bilateral ue lens and a ctv of the abdomen to evaluate patency and placement. transferred to the sdu with telemetry and continuous o2 saturation was initiated. cta/ctv of the abdomen showed that the ivc filter was no longer patent. he was taken to the or with vascular surgery and a cage was placed. he was started on a heparin drip for a goal ptt of 40. no bolus was given as he was at high risk for ich. he was transferred to the sicu for q1 hr neuro checks. on he was neurologically intact. he continued to have midline lbp thought to be a result of immobility. imaging was deferred in the acute icu setting. flexeril was prescribed. ct head in the morning showed increase in vasogenic edema but stable. on lumbar spine ct was done and was negative for any fractures or malalignment. coumadin was started. on he was transferred to the floor and was walking the halls. he remained on the heparin drip and his coumadin dosing was increased. on his coumadin was discontinued per hematology. on his ptt was 80 and his heparin was held. follow up ptt was 30 and hematology recommended starting heparin again at 2100 with coumadin 5mg qhs. cta abdomen/pelvis to evaluate the cage/filter showed no new thrombus. he has a recurrence of cp during the afternoon of . his vs were stable and he was not complaining of sob. it was similar in quality to pain that he had previously. a chest x-ray was ordered. this showed no acute pulmonary issues. his heparin was discontinued the evening of . lab work on showed inr 2.8 ptt 30. hematology cleared him for dc on . vascular surgery cleared him for discharge on as well and he was discharged to home. medications on admission: dilantin 200mg discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain or fever. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*7 tablet, delayed release (e.c.)(s)* refills:*0* 4. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*7 tablet(s)* refills:*0* 6. methocarbamol 500 mg tablet sig: 1.5 tablets po q6h (every 6 hours) as needed for back pain. disp:*60 tablet(s)* refills:*0* 7. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 8. dexamethasone 2 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*40 tablet(s)* refills:*0* discharge disposition: home with service discharge diagnosis: oligodendroglioma right iliac vein superficial thrombus right pulmonary embolus distal left basilic vein thrombus lumbar back pain discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent 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. ?????? you may wash your incision with shampoo/water. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive. ?????? 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 discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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 ?????? neurosurgery: 11am, dr.. please call for any questions. -hematology 10:00am, dr. ,, sc clinical ctr, -dr 3:50pm ,central suite bld. it is very important that you keep this appointment to follow your inr/coumadin. -vascular surgery 1pm, . procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain interruption of the vena cava diagnoses: other convulsions peripheral vascular complications, not elsewhere classified cerebral edema iatrogenic pulmonary embolism and infarction other venous embolism and thrombosis of inferior vena cava neoplasm of uncertain behavior of brain and spinal cord acute venous embolism and thrombosis of superficial veins of upper extremity 

Answer: The patient is high likely exposed to