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: no known allergies / adverse drug reactions attending: chief complaint: left sided brain lesion major surgical or invasive procedure: left craniotomy for mass resection history of present illness: is a 62-year-old left-handed man who is here for a follow up of his left sphenoid meningioma. i last saw him on and his head ct showed growth of the left sphenoid meningioma. he is seizure free. today, he is here with his wife and daughter. does not have headache, nausea, vomiting, urinary incontinence, or fall. his neurological problem began on when he became confused and disoriented in a hotel bathroom. at that time, he was visiting his daughter for a wedding. his wife found him slumped over in the bath tube. according to her, his eyes looked funny. he could not stand up. his verbal output did not make sense. he was brought to hospital in placentia, ca. he woke up 7 to 8 hours later in the emergency room. he felt very tired after the event. he was hospitalized from to . he had a cardiac pacemaker placement due to irregular heart rate and bradycardia. he also had a head mri that showed a less than 1 cm diameter sphenoid meningioma. past medical history: cardiac arrhythmia as noted above, has a pacemaker in place, prostate cancer with prostatectomy, and hypertension. social history: lives with his wife. retired, works parttime driving a school bus. family history: nc physical exam: temperature is 97.8 f. his blood pressure is 150/92. pulse is 80. respiration is 16. his skin has full turgor. heent is unremarkable. neck is supple. cardiac examination reveals regular rate and rhythms. his lungs are clear. his abdomen is soft with good bowel sounds. his extremities do not show clubbing, cyanosis, or edema. neurological examination: his karnofsky performance score is 100. he is awake, alert, and oriented times 3. there his language is fluent with good comprehension. his recent recall is intact. cranial nerve examination: his pupils are equal and reactive to light, 4 mm to 2 mm bilaterally. extraocular movements are full. there is no nystagmus. visual fields are full to confrontation. funduscopic examination reveals sharp disks margins bilaterally. his face is symmetric. facial sensation is intact bilaterally. his hearing is intact bilaterally. his tongue is midline. palate goes up in the midline. sternocleidomastoids and upper trapezius are strong. motor examination: he does not have a drift. his muscle strengths are at all muscle groups. his muscle tone is normal. his reflexes are 0 in upper and lower extremities bilaterally. his ankle jerks are absent. his toes are down going. sensory examination is intact to touch and proprioception. coordination examination does not reveal dysmetria. his gait is normal. he can do tandem. he does not have a romberg. physical exam upon discharge: non focal incision c/d/i, dissolvable sutures pertinent results: ct head: impression: 1. likely meningioma along the greater of the left sphenoid bone, measuring 18 mm in diameter, unchanged since the most recent study of , with reactive bony changes, as above. 2. bifrontal cortical atrophy, which has progressed slightly over the series of studies since the earliest studies of . ct head: impression: expected post-operative changes with the left frontal craniotomy including subcutaneous air and soft tissue swelling, moderate pneumocephalus overlying predominantly the bilateral frontal lobes, and foci of hemorrhage in the surgical bed. no evidence of residual tumor on this non contrast ct. cxr: findings: the lung volumes are rather low. there is moderate cardiomegaly without evidence of overt pulmonary edema. no areas of atelectasis or pneumonia. right pectoral pacemaker in situ, with correct lead placement. head ct /c contrast: impression: status post left frontal craniotomy changes with improvement of pneumocephalus and stable 3 mm left to right midline shift; focus of hemorrhage with/without residual tumor in the resection bed is similar in appearance to prior exam but now with more surrounding vasogenic edema. stable appearance of subarachnoid hemorrhage. followup to assess for residual tumor/ interval change. brief hospital course: patient presented electively on for left sided craniotomy for mass resection. he tolerated the procedure well and was taken to the trauma icu post-operatively still intubated. shortly thereafter he was deemed fit for extubation which was done without difficulty. at post-op check he was neurologically intact. on he was neurologically intact and cleared for transfer to the stepdown unit. this did not happen due to bed shortage. a ct with contrast was ordered for post op evaluation. on he was again stable and cleared for transfer to the floor. decadron taper was initiated. he was seen by pt and cleared for discharge home. on the patient was being prepped for discharge but was noted to have intermittent heart rate in the 130-170's. his other vitals were stable. electrophysiology was consulted and they recommended increasing the metoprolol xl dose to 100mg qday. the patient was kept overnight to monitor this new dose. on her remained stable neurologically and hemodynamically therefore he was cleared for discharge. medications on admission: coumadin, keppra, toprol xl, diovan, zocor discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 2. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain or fever > 101.4. 5. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. levetiracetam 250 mg tablet sig: three (3) 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). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 9. metoprolol succinate 100 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 10. dexamethasone 2 mg tablet sig: taper tablet po taper for 6 days: 3mg q8hr on , then 2mg q8hr x2 day, 1mg q8hr x2 day, 1mg q12hr x1 day then d/c. disp:*qs tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: left sided brain lesion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. 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 have dissolvable sutures so you may wash your hair and get your incision wet day 3 after surgery. 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) & senna 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 discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? 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: ??????you need an appointment in the brain clinic. the brain clinic is located on the of , in the building, . their phone number is . they will call you with an appointment within the next 2 weeks. please call if you do not hear from the, you need to change your appointment, or require additional directions. ?????? changes were made to your heart rate/blood pressure medication while you were in house. you were seen by the cardiology team who made these recommendations. please follow up with your pcp within one week to check your heart rate and blood pressure. procedure: excision of lesion or tissue of cerebral meninges diagnoses: unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate benign neoplasm of cerebral meninges long-term (current) use of anticoagulants cardiac pacemaker in situ 

Answer: The patient is high likely exposed to