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: past medical history: multiple sclerosis diagnosed in , including tremors of the left arm and inability to write, and dragging of the left leg. status post corneal scar on the left, and she has occasional constipation. past surgical history: tubal ligation several years ago. medications: neurontin 300 mg three times a day, amitriptyline 75 mg daily at bedtime, primidone one-half tablet twice a day, and baclofen 10 mg three times a day. allergies: she has an allergy to penicillin, which causes hives, and an allergy to bee stings. physical examination: blood pressure 154/67 taken on the right, pulse 100. general: well-appearing, appears her stated age, walks with a cane, uses wheelchair for long distances. head, eyes, ears, nose and throat: no lymphadenopathy. tympanic membranes clear. chest and lungs clear to auscultation bilaterally. cardiac examination: regular rate and rhythm. abdominal examination: soft, nontender, slightly distended, with no hepatosplenomegaly and positive bowel sounds. extremities: motor strength 5/5 bilaterally in the lower extremities. reflexes are 3+ patellar bilaterally, and 2+ achilles tendon bilaterally. plan: schedule for nucleus caudalis drez procedure. hospital course: the patient was admitted on , and she was taken to the operating room, where she underwent a suboccipital craniectomy and a c1-c2 laminectomy with a radio frequency drez lesion in the trigeminal nucleus caudalis (c2 to obex) on the left side. findings included possible mild atrophy of the caudal medulla with left-sided pica adherent to an grooving the surface directly over the nucleus caudalis. this was separated and held apart with shredded teflon. the patient tolerated the procedure well, and was taken to the surgical intensive care unit postoperatively. her left-sided facial pain had been resolved. her trigeminal sensation appeared symmetric at branches v1 and v3. grip was good bilaterally. her iliopsoas motor strength was symmetric, though examination was somewhat limited secondary to her pronounced nausea. over the next several days, her postoperative nausea improved substantially. she was transferred up to the neurosurgical floor, and continued to do well. she was seen postoperatively on , by the cardiology service, following up her preoperative evaluation by dr. , in which she seemed to have an abnormal preoperative electrocardiogram. cardiac enzymes were sent, and her ck/mb came back at 15, slightly elevated, however, her mb index was 2%, and her troponin was 0.4. her ck was substantially elevated at 872. cardiology recommended increasing her lopressor to 50 mg twice a day and start aspirin as soon as safe postoperatively. the patient remained neurologically stable, and was discharged to rehabilitation on . discharge medications: enteric coated aspirin one tablet by mouth once daily, lopressor 50 mg by mouth twice a day, tylenol 650 mg by mouth every four hours as needed, percocet one to two tablets by mouth every four hours as needed, colace 100 mg by mouth twice a day, dulcolax suppositories per rectum once daily as needed, baclofen 10 mg by mouth three times a day, primidone one-half tablet by mouth twice a day, amitriptyline 75 mg by mouth daily at bedtime, neurontin 300 mg by mouth three times a day. follow ups: 1. follow up with dr. in four weeks. call to schedule this appointment. 2. follow up with dr. of cardiology in three to four weeks. 3. follow up at the cc7 neurosurgical floor in seven to ten days for staple removal. keep dressings on until staples are removed. 4. physical therapy and occupational therapy to evaluate and treat. the patient is discharged in stable condition. , m.d. dictated by: medquist36 procedure: other chordotomy other excision of lung diagnoses: old myocardial infarction multiple sclerosis 

Answer: The patient is high likely exposed to