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: cephalosporins / erythromycin / clotrimazole / prednisone / bactrim / azithromycin / cefuroxime attending: chief complaint: r meningioma major surgical or invasive procedure: r crani for meningioma resection history of present illness: this is a 58yo morbidly obese white female with a possible enlarged known right frontal meningioma. pt presented to hospital for evaluation after an episode of left ue and le shaking. en route to hospital she had another episode of left sided shaking that patient stated was witnessed by ems/ no documentation of same was noted. at she has a nchct which showed potential enlargement of her meningioma. pt had one episode of emesis, denies nausea, no change in bowel or bladder habits, transferred to for further evaluation past medical history: meningioma(), asthma, copd, dm ii, fibromyalgia, htn, gerd, high cholesterol, osa(uses cpap), hep c, cholecystectomy, bilat oopherectomy, c-section, appendectomy, recent mrsa pna. social history: nagative for tobacco, etoh, and recreational drugs. pt lives alone. family history: n/a physical exam: admission physical exam: o: t:96.2 bp: 172/75 hr:110 r:20 o2sats:97% gen: obese wd/wn, comfortable, nad. heent: nc/at pupils: perrl 4mm to 2mm bilat eoms: intact neck: supple. lungs: lscta bilat 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. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4mm to 2mm 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: 4+/5 strength throughout lue and lle, otherwise strength , no pronator drift sensation: intact to light touch, propioception coordination: normal on finger-nose-finger, rapid alternating movements appeared limited possibly due to body habitus (unable to rest hands on lap completely), heel to shin intact. pertinent results: 07:02pm wbc-7.9 rbc-3.93* hgb-11.6* hct-34.3* mcv-87 mch-29.4 mchc-33.8 rdw-13.1 02:08am blood wbc-12.9*# rbc-3.82* hgb-11.4* hct-33.4* mcv-87 mch-30.0 mchc-34.3 rdw-12.9 plt ct-283 post op head ct: the patient is status post a right craniotomy with a surgical defect seen in the parietal bone. there is a small amount of underlying pneumocephalus as well as subjacent vasogenic edema in the underlying frontal lobe. there is no acute intracranial hemorrhage brief hospital course: ms. an uncomplicated resection of the meningioma, and was transferred directly to the tsicu. it was here where she had good pain control, and non-focal neurological exams post op. she did have an issue with hyperternsion both during the case and in the post operative phase. she was placed on a nicardipine drip for a goal sbp <140. she remained at 140-150 on pod #1 with nicardipine and po labatelol. she tolerated both of these medications, and was transferred to the floor. pod #2 she remained stable, she received a dilantin bolus of 500mg and her levels were rechecked and found to be 9.6. she was cleared for disharge on medications on admission: medications prior to admission: advair 1 puff spiriva 1 puff daily singulair 10mg daily 180mg daily proair 2 puffs prn prandin 1 tab tid actos 15mg daily lodine 500mg tid tramadol 10mg tylenol # 3 prn paxil 10mg daily clonidine 0.2mg 4 times daily lasix 20mg kdur 10mg daily protonix 40mg calcium dose unk zetia 10mg daily ambien 5mg qhs asa 81mg discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 4. fexofenadine 60 mg tablet sig: three (3) tablet po daily (daily). 5. paroxetine hcl 10 mg tablet sig: one (1) tablet po daily (daily). 6. clonidine 0.2 mg tablet sig: one (1) tablet po qid (4 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 10. phenytoin sodium extended 100 mg capsule sig: 1.5 capsules po tid (3 times a day). disp:*135 capsule(s)* refills:*2* 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 12. dexamethasone 2 mg tablet sig: one (1) tablet po every eight (8) hours for 6 days: 2 q 8hrs x 1 days 1.5 q8 hrs x 2 days 1 q8hrs x 1 day 1 q 12hrs x 1 day 1 q day x 1 day. disp:*28 tablet(s)* refills:*0* 13. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 14. repaglinide 0.5 mg tablet sig: two (2) tablet po tidac (3 times a day (before meals)). 15. acetaminophen 500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain or fever. discharge disposition: home discharge diagnosis: meningioma - pathology pending discharge condition: stable, a&ox3 discharge instructions: general instructions/information ?????? 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 sutures and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? 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 have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? if 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. ?????? 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. 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: increasing redness, increased swelling, increased 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 removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . you will also need to schedule an appointment to see dr. to be seen in one month. ??????you have an appointment in the brain clinic on , at 1030. 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. ??????you will not need an mri of the brain md procedure: excision of lesion or tissue of cerebral meninges other immobilization, pressure, and attention to wound diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified viral hepatitis c without hepatic coma other convulsions benign neoplasm of cerebral meninges cerebral edema morbid obesity chronic obstructive asthma, unspecified myalgia and myositis, unspecified 

Answer: The patient is high likely exposed to