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: keppra attending: chief complaint: left sided weakness and loss of balance major surgical or invasive procedure: : right craniotomy for mass resection history of present illness: mr. is a 49 y/o male in previously good health who presents via transatlantic from an italian vacation with head ct revealing a large right temporal/basal ganglia mass with edema. he presented to his pcp in with headaches. his symptoms at the time were accompanied by , he was diagnosed with sinusitis and given prescriptions and advised to take nasonex, amoxicillin, sudafed, and motrin. these provided modest benefit and the patient boarded his flight to on . while in he continued to have headaches which he treated as above. on the his wife noted that the patient was "behind in the conversation" and "appeared to have a thick tongue". she also noted that his gait was shuffling. that night they presented to a hospital in sorrento. as the ct scanner was down the went to the following day and obtained a head ct that revealed a large right temporal mass and massive edema extending vertically into the temporal, occiptial, parietal and frontal lobes. the patient was informed that he would need a biopsy and he decided that he should come here to have that done. the patient was placed on dexamethasone 4mg and mannitol 25gm q4h. on the flight over the patient recieved ativan, motrin, mirapex, benadryl, decadron, and mannitol. past medical history: hyperlipidemia htn sleep apnea, uses cpap restless leg syndrome social history: retired computer developer/software architect - now an artist. no tobacco etoh 2-3 per day. family history: no personal or family history of cancer. physical exam: on admission: gen: wd/wn, comfortable, nad. heent: pupils: bilaterally eoms intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ 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. mild dysarthria noted. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial sensation intact; left facial droop noted. 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. right sided strength full power throughout. positive for left sided pronator drift. delt bic tri wre ffl fe io ip quad ham ta edb l 4 5- 4+ 4+ 5 4+ 4+ 4 5- 5- 4 5 4 4 r 5 5 5 5 5 5 5 5 5 5 5 5 5 5 sensation: intact to light touch, propioception, pinprick and vibration bilaterally. toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin pertinent results: 05:20am blood wbc-10.0 rbc-4.21* hgb-12.7* hct-37.5* mcv-89 mch-30.1 mchc-33.8 rdw-12.9 plt ct-270 07:00pm blood neuts-85.6* lymphs-12.2* monos-1.8* eos-0.2 baso-0.2 07:10am blood glucose-101 urean-21* creat-0.8 na-139 k-4.0 cl-102 hco3-25 angap-16 05:20am blood phos-3.2 mg-2.0 07:28am blood phenyto-2.6* 07:00pm blood redhold-hold 07:38am blood type-art po2-102 pco2-40 ph-7.40 caltco2-26 base xs-0 06:14pm blood hgb-15.1 calchct-45 brief hospital course: the patient was admitted on and his imaging exams showed a 4 x 5 cm right temporal intraparenchymal brain lesion. his neurological exam on admission was remarkable for left sided weakness, facial droop and gait disorders. on he underwent a right craniotomy for mass resection. the patient handled the procedure very well and on he was extubated. on he was transferred to floor. his neurological status has improved,the patient now has full stregth of both his lower extremities. he is now on a 10 days treatment with ampicillin for enterococcus in his urine. he will have radiation therapy he is having planning started. on discharge he was ambulating with a cane and tolerating a regular diet. medications on admission: atenolol 100 mg po qd mirapex 0.75 mg po qd fish oil discharge medications: 1. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 2. pramipexole 0.25 mg tablet sig: one (1) tablet po daily (daily) as needed for restless legs syndrome. 3. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. ampicillin 250 mg capsule sig: two (2) capsule po q6h (every 6 hours) for 8 days. disp:*32 capsule(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take if using dilaudid. disp:*60 capsule(s)* refills:*1* 8. dexamethasone 2 mg tablet sig: two (2) tablet po twice a day for 3 days. disp:*12 tablet(s)* refills:*0* 9. dexamethasone 2 mg tablet sig: one (1) tablet po three times a day for 4 days: start after 4mg dose. disp:*12 tablet(s)* refills:*0* 10. dexamethasone 2 mg tablet sig: one (1) tablet po twice a day: start after 2mg tid dose continue until follow up. disp:*60 tablet(s)* refills:*2* 11. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day): use while on decadron. disp:*60 tablet(s)* refills:*1* discharge disposition: home discharge diagnosis: brain mass discharge condition: neurologically stable discharge instructions: general 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. ?????? you may wash your hair only after staples have been removed. ?????? 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. ?????? you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. 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 10 days for removal of your staples. ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will not need an mri of the brain. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain non-invasive mechanical ventilation diagnoses: obstructive sleep apnea (adult)(pediatric) urinary tract infection, site not specified unspecified essential hypertension compression of brain other and unspecified hyperlipidemia cerebral edema streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] restless legs syndrome (rls) malignant neoplasm of temporal lobe 

Answer: The patient is high likely exposed to