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: chlohexadine attending: chief complaint: metastatic melanoma major surgical or invasive procedure: 1. right frontal craniotomy. 2. excision of tumor with stereotactic navigation. history of present illness: hpi: patient is a 58 year old gentleman with a history of malignant melanoma who presented to an outside hospital complaining of nausea and headaches. he was previously on hospice care but had a change of heart. his melanoma had previously metastasized to his lungs,brain, and bowels, which required surgical intervention. ct scan recently at osh showed new lesions in the head necrosis vs. new mets. the patient changed his mind re hospice care and would like this treated. an mri today at the osh showed edema concerning for metastatic disease at r frontal parietal. there was also increase vasogenic edema, and 5mm osseous neoplastic disease. was transfered here to get thallium pet. get cyberknife vs resection. past medical history: past medical history: htn(?) atrial fibrillation, , resolved depression bradycardia social history: lived with his brother . was a polaroid technician. never smoked tobacco, rare etoh use. family history: mom and dad with diabetes. aunt with unknown malignancy, cousin with breast ca. physical exam: on admission vitals - t:97.6 bp:116/64 hr:74 rr:18 02 sat:94 general: slow to respond, but aaox3 skin: warm and well perfused, no excoriations or lesions, no rashes, some hemangiomas throughout body. heent: at/nc, eomi, perrla, anicteric sclera, pink conjunctiva, patent nares, mmm, good dentition, nontender supple neck, no lad, no jvd. eyes dysconjugate. cardiac: rrr, s1/s2, no mrg lung: ctab abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly m/s: moving all extremities well, no cyanosis, clubbing or edema, no obvious deformities pulses: 2+ dp pulses bilaterally neuro: cn ii-xii intact . on discharge: vitals - 96.6, 122/70, 87, 16, 95ra general: lying in bed skin: warm and well perfused, no excoriations or lesions, no rashes, some hemangiomas throughout body. heent: at/nc, eomi, anicteric sclera, mmm, nontender supple neck, no lad, no jvd. cardiac: rrr, s1/s2, no mrg lung: ctab abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly m/s: moving all extremities well, no cyanosis, clubbing or edema, no obvious deformities pulses: 2+ dp pulses bilaterally neuro: cn ii-xii intact pertinent results: on admission: 05:35am blood wbc-8.0 rbc-4.87 hgb-14.1 hct-43.5 mcv-89 mch-29.0 mchc-32.5 rdw-12.4 plt ct-260 05:35am blood plt ct-260 05:35am blood glucose-83 urean-16 creat-0.8 na-138 k-4.0 cl-101 hco3-29 angap-12 06:00am blood alt-21 ast-13 ld(ldh)-170 alkphos-87 totbili-0.2 05:35am blood calcium-8.8 phos-2.9 mg-2.0 02:09pm blood type-art po2-174* pco2-24* ph-7.61* caltco2-25 base xs-4 02:09pm blood glucose-98 lactate-1.1 na-135 k-2.8* cl-107 02:09pm blood freeca-0.99* . pertinent results: . ct head impression: no acute hemorrhage or mass effect. expected post-surgical changes. . cxr findings: right internal jugular vascular catheter has been repositioned, now terminating in the mid superior vena cava, with no visible pneumothorax. endotracheal tube and nasogastric tube have been removed. cardiomediastinal contours are stable in appearance. persistent right lower lobe scarring versus atelectasis adjacent to surgical chain sutures as well as a small right pleural effusion versus pleural thickening. no new or worsening lung or pleural abnormalities. . ecg sinus tachycardia, rate 107 with frequent ventricular premature beats. there is moderate baseline artifact. left atrial abnormality. compared to the previous tracing of , except for the change in rate and the presence of frequent ventricular premature beats, no diagnostic interval change. . brain tissue biopsy diagnosis: i. brain, right craniotomy: necrosis and changes consistent with radiation changes. see note. ii. brain, right craniotomy: necrosis and changes consistent with radiation changes. see note. . mri brain impression: 1. right frontal enhancing mass from tumor/radiation necrosis at the resection site with associated significant perilesional edema/ radiation induced changes. there is extensive perilesional flair and t2 hyperintensity surrounding this mass. there is mild decrease in enhancement as compared to the previous mris with no change in the perilesional hyperintensity. this mass is likely to represent radiation induced necrosis rather than residual/ recurrent neoplasm. for surgical planning. 2. no evidence of new enhancing lesion. . discharge labs: . 01:45pm blood wbc-8.5 rbc-4.32* hgb-13.1* hct-37.1* mcv-86 mch-30.2 mchc-35.2* rdw-12.9 plt ct-227 07:45am blood wbc-12.0* rbc-4.84 hgb-14.7 hct-41.6 mcv-86 mch-30.3 mchc-35.3* rdw-12.7 plt ct-270 01:45pm blood glucose-91 urean-15 creat-0.5 na-134 k-3.7 cl-97 hco3-27 angap-14 01:45pm blood alt-24 ast-20 alkphos-95 totbili-1.2 01:45pm blood albumin-3.5 calcium-8.6 phos-2.6* mg-1.6 08:01pm blood type-art po2-147* pco2-40 ph-7.45 caltco2-29 base xs-4 brief hospital course: mr. presented from an outside hospital with severe headaches and nausea. thallium scan that was inconclusive. the neurosurgical team saw the patient and agreed to do a craniotomy and biopsy. following the surgery, was cared for by the neurosurgical team for several days. the patient had some relief to nausea and headache, but symptoms were not completely resolved. the pathology shows necrosis and arrangements were made for an outpatient family meeting with neuroncology next week. in the meantime, he will go to a living facility. during his stay, mr. received pt for general weakness. palliative care provided significant input regarding medication for pain and anxiety. medications on admission: scopolamine patch 1.5mg td q3days (next change ) dilaudid 4mg po q4h prn pain dilaudid 6mg po q4h prn pain senna 2tabs po qhs bisacodyl 10mg pr qod fentanyl 25mcg td q3days (next change ) dilaudid 6mg po q4h decadron 4mg po q6h ativan 1mg po q6h prn compazine 10mg po q6h prn keppra 750mg po bid mvi 1tab po daily miralax 17g po daily fioricet 2tab po daily haldol 2mg po daily valium 10mg pr prn q15min x 4 doses until seizure activity subsides maalox 15ml q4h prn baclofen 5mg po tid prn effexor 37.5mg po daily zofran 4mg po q6h prn levsin 0.125mg po daily qidachs levsin 0.125mg po q6h prn secretions reglan 10mg po qidachs colace 100mg po bid discharge medications: 1. venlafaxine 37.5 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po daily (daily). 2. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. labetalol 100 mg tablet sig: one (1) tablet po tid (3 times a day). 5. dexamethasone 2 mg tablet sig: one (1) tablet po q 12h () for 4 days. 6. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain/fever. 8. fentanyl 12 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 9. lorazepam 0.5 mg tablet sig: one (1) tablet po three times a day as needed for nausea or anxiety. 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 12. olanzapine 2.5 mg tablet sig: one (1) tablet po hs (at bedtime). 13. zofran odt 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every eight (8) hours as needed for nausea. discharge disposition: extended care facility: rehabilitation and nursing center - discharge diagnosis: metastatic malignant melanoma discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: mr. , you presented to us with severe headaches and nausea and were to be worked up for possible new brain metastasis of your pre-existing cancer. while with us, you underwent several imaging studies of your brain, and had neurosurgical intervention to remove the mass from your head. we have changed several of your medications. please only take the medications listed below. do not take any medications not listed below. followup instructions: department: neurology when: tuesday at 9:30 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other immobilization, pressure, and attention to wound diagnoses: hyperpotassemia urinary tract infection, site not specified adrenal cortical steroids causing adverse effects in therapeutic use depressive disorder, not elsewhere classified candidiasis of mouth secondary malignant neoplasm of brain and spinal cord cerebral edema other constipation nausea alone streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] headache encounter for palliative care do not resuscitate status secondary malignant neoplasm of lung drug-induced delirium personal history of malignant melanoma of skin delirium due to conditions classified elsewhere personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health leukocytosis, unspecified personal history of pulmonary embolism physical restraints status 

Answer: The patient is high likely exposed to