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: penicillins / tetracyclines / erythromycin base / codeine attending: chief complaint: the patient is a 60-year-old female who has been found to have a moderately differentiated squamous cell carcinoma involving predominantly the right anterior floor of the mouth, but extending over the midline and into the lateral floor of the mouth somewhat. patient presented to for treatment. major surgical or invasive procedure: ent: procedure: 1. laryngoscopy. 2. rigid esophagoscopy. 3. bilateral modified neck dissection. 4. transoral resection of anterior floor of mouth tumor. 5. tracheostomy. plastic surgery: procedure performed: 1. split-thickness skin grafting, 2 inches x 10 cm to the floor mouth and ventral surface of the tongue. 2. local tissue rearrangement of the upper lip for closure, status post removal basal cell carcinoma. 3. closure of neck wound. history of present illness: the patient is a 60-year-old female with a hx of a lesion of the floor of the mouth. she noted an irritation and a lumpy sensation in the right floor of the mouth, no bleeding or pain. no limitation of tongue movement. she has a history of 70-pack-year history of tobacco use. past medical history: past medical history includes arthritis, basal cell cancer, high blood pressure, fibromyalgia, and allergies. past surgical history includes tonsillectomy, appendectomy, foot bone spur, and complete hysterectomy in . medications include nasonex, astelin, premarin, enalapril, nortriptyline, skelaxin, wellbutrin. social history: social history: does not smoke currently and drinks two times a week, is retired from the federal government from project management of mass transit. family history: family history is significant for high blood pressure, heart disease, diabetes. physical exam: vitals: 96.4 114/90 102 17 98% ra exam: nad, pt ambulating, tolerating liquid diet, voiding, +bm, pain well controlled on 4 mg dilauded / day. gen: well dressed, standing in room waiting to go home heent:symetric smile, crainial nerve ii-xii grossly intact, hypoglossal midline, mouth/ tongue: graph pink, healing well. incision: four sugical sites: mouth/ tongue, left side neck, tracheal area, or left thigh. all three healing well, no calor, tubor, dolor, rubor. no drainage. steri strips on neck, dressing on trach site, xeroform on graph site on leg. dressings dry. cvs: tachy but no mumor or rubs, s1, s2 regular rhythm lungs: ctab abd:soft non tender ext:no edema neuro: grossly intact. psych: mood positive, cheerful excited to go home. pertinent results: 03:09am blood wbc-9.1 rbc-3.26* hgb-9.7* hct-29.4* mcv-90 mch-29.6 mchc-32.8 rdw-13.8 plt ct-217 03:44am blood wbc-10.9 rbc-3.78* hgb-11.1* hct-33.0* mcv-87 mch-29.3 mchc-33.5 rdw-14.3 plt ct-266 07:27pm blood wbc-8.7 rbc-3.74* hgb-11.3* hct-32.3* mcv-86 mch-30.2 mchc-35.0 rdw-13.5 plt ct-224 07:27pm blood neuts-82.8* lymphs-13.4* monos-3.0 eos-0.6 baso-0.3 03:09am blood plt ct-217 03:44am blood plt ct-266 07:27pm blood plt ct-224 07:27pm blood pt-11.8 ptt-26.1 inr(pt)-1.0 06:10am blood glucose-129* urean-20 creat-0.9 na-137 k-4.9 cl-98 hco3-24 angap-20 06:10am blood calcium-9.8 phos-5.1*# mg-2.3 brief hospital course: patient is a 60 yo female with a hx of squamous cell carcinoma of the right anterior floor of mouth. patient presented to the and underwent a laryngoscopy, rigid esophagoscopy, bilateral modified neck dissection, transoral resection of anterior floor of mouth tumor, tracheostomy, skin graft and closure of the floor of the mouth. please see dr. op note for details of the procedure. patient tolerated the procedure well and was admitted to the sicu for observation. rest of the hospital course will be on systems: neuro: patient on propofol for sedation and was weaned of of sedation pod1. patient placed on dilaudid pca post operatively and weaned of of pca to q4 oxycodone. patient given skelaxin and tca for fibromyalgia. cardiovascular: patient placed on metoprolol in sicu and switched to enalapril and hydralazine for htn. patient continously tachycardic throughout hospital stay. patient claims to have tachycardia as an outpatient for years. pt to see pcp as for work up of chronic tachycardia. pulmonary: patient s/p trach and weaned off of vent on pod1 in sicu. patient with generalized trach care and placed on trach mask. trach down sized and capped on pod#6. she was decannulized on pod#8 () gastrointestinal: patient given pepcid for gi prophylaxis. patient placed on tube feeds via dobhoff. pt was removed by plastics. speech and swallow cleared pt for full liquid diet/ puree diet. donhoff d/c on . pt placed on full liquid diet on tolerating well. nutrition: patient place on repleate with fiber at a goal of 55cc. pt switched to full liquid diet. infectious disease: patient placed on clindamycin post operative for prophylaxis (). pt remained afebrile. incisions: left neck: healing well, stiches removed on , steri strips placed. no erythema no edema, no calor or dolor. no discharge. mouth/tongue: healing well, graft pink healthy. no erythema no edema, no calor or dolor. no discharge. left thigh: healing well, xeroform, scabbing underneath. no erythema no edema, no calor or dolor. no discharge. general care: pt cleared by pt for discharge to home. ambulating well. medications on admission: medications azelastine bupropion hcl conjugated estrogens enalapril maleate imiquimod metaxalone mom nortriptyline discharge medications: 1. bupropion hcl 75 mg tablet sig: two (2) tablet po bid (2 times a day). 2. nortriptyline 10 mg capsule sig: four (4) capsule po hs (at bedtime). 3. enalapril maleate 5 mg tablet sig: two (2) tablet po daily (daily). 4. conjugated estrogens 0.3 mg tablet sig: one (1) tablet po daily (daily). 5. hydromorphone 2 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain for 7 days. disp:*30 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 7 days. disp:*30 tablet(s)* refills:*0* 7. skelaxin 800 mg tablet sig: one (1) tablet po qam (). 8. skelaxin 800 mg tablet sig: one (1) tablet po qhs (). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane twice a day as needed for mouth rinse. disp:*500 ml(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: moderately differentiated squamous cell carcinoma of floor of the mouth discharge condition: stable discharge instructions: general recovery: - you should continue on all medications you were prescribed or started on in the hospital - physical activity: o for the first 1-2 months, you need to avoid any vigorous activity that places strain and pressure on your neck; no racquetball, tennis, basketball, weight lifting o routine, non-contact, low impact exercise is good ?????? walking is excellent - swelling after surgery is common. different people have different amounts of swelling. please call if you are concerned about it - no driving until after your first post-op visit - you may be more comfortable sleeping with the head of the bed elevated or with an extra pillow or two - for the next year, avoid prolonged sun exposure ?????? use either a scarf or zinc oxide to protect the incision wound / healing: - minor seepage or crusting is not cause for alarm - avoid immersion of the incision under water or in the direct path of the shower - you can cover the incision with a light, non-abrasive dressing or scarf if you wish - your sutures will be removed at your post op visit pain and stiffness: - your neck / shoulder will be stiff after the surgery ?????? when you come in for your post op visit, we will have you start stretching exercises which will help - if you continue to have pain or movement issues, we will refer you to physical therapy - you should continue to take your pain medication as you need it. with time, we expect pain to resolve - if you are on narcotic pain medication, you also need to be on a stool softener / laxative - you may have a sore throat after surgery ?????? this is expected and will improve come to the hospital or contact pcp if feeling short of breath, fever, your wound has become red, you have drainage from your wound, you have any new concerning symptoms including new pain. followup instructions: please follow up with dr. at 11:20 am on friday . please call the office to confirm your appointment. please follow up with your oncologist dr/ mohadivan. please call them on monday at to make the follow up apt. please follow up with dr. plastic surgery on at 14:15. go to 110 5a. please call to confirm the apt. follow up with speech and swallow on thursday . scheduled appointments : provider , ms slp phone: date/time: 10:30 please follow up with your primary care physician . wed at 1445 regarding your elevated heart rate during your stay. call to confirm at . procedure: other esophagoscopy enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy temporary tracheostomy other skin graft to lip and mouth other excision of mouth radical neck dissection, bilateral attachment of pedicle or flap graft to lip and mouth diagnoses: tobacco use disorder unspecified essential hypertension personal history of other malignant neoplasm of skin tachycardia, unspecified myalgia and myositis, unspecified malignant neoplasm of anterior portion of floor of mouth 

Answer: The patient is high likely exposed to