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: amoxicillin attending: chief complaint: residual rt frontal mass major surgical or invasive procedure: : right craniotomy for mass resection history of present illness: patient is a 42f electively admitted for right craniotomy for mass resection. she had prior surgery with dr. on , but intraop, lesion was found to infiltrate the bone table and brain parenchyma. surgery was further aborted pending neurosurgical consultation and planning for complete resection. past medical history: s/p aborted r frontal mass , , , htn, anxiety, insomnia and hypercholesterolemia social history: non-contributory family history: non-contributory physical exam: upon discharge: alert and oriented to person, place, and time. mae with 5/5 strength. neuro exam is nonfocal, intact. head incision is c/d/i with dissolveable sutures. ambulating steadily with normal gait. tolerating pos. pertinent results: labs on admisson: 05:27pm blood wbc-11.7* rbc-3.94* hgb-10.9* hct-33.3* mcv-85 mch-27.7 mchc-32.8 rdw-14.0 plt ct-389 05:27pm blood glucose-175* urean-10 creat-0.7 na-144 k-4.5 cl-111* hco3-25 angap-13 05:27pm blood calcium-9.3 phos-3.9 mg-1.7 imaging: post-op mri : impression: expected post-surgical changes are seen following resection of a large bony tumor within the skull in the right frontoparietal region. pneumocephalus and small amount of blood products are seen in the region. no acute infarcts or hydrocephalus. brief hospital course: patient was electively admitted for completion of right sided tumor resection. post-operatively, she was observed in the icu for 24 hours. on pod#2, she was transfer to the nsurg floor, neuro exam remained intact. post-operative mri revealed complete resection of the lesion. she tolerated pos and was cleared by pt for discharge home. she was discharged on . medications on admission: acyclovir fluticasone nasal spray hctz 25mg daily labetolol 100mg discharge medications: 1. duricef 500 mg capsule sig: one (1) capsule po twice a day for 7 days. disp:*14 capsule(s)* refills:*0* 2. acetaminophen 160 mg/5 ml solution sig: po q6h (every 6 hours) as needed for pain/t>100/ha. 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. senna 8.8 mg/5 ml syrup sig: 1-2 tablets po daily (daily) as needed for constipation. 7. levetiracetam 250 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 8. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: right frontal mass discharge condition: neurologically stable discharge instructions: general instructions wound care: ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry for 7 days post-op. your sutures are dissolveable. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. be sure however, to remain well hydrated, and increase your consumption of fiber, as pain medications may cause constipation. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: o narcotic pain medication such as dilaudid (hydromorphone). o an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: follow up appointment instructions you will need to follow-up at the brain clinic in 4 weeks. an mri will not be needed for this appointment. you can make this appointment by calling at ??????you will not need an mri of the brain as this was done during your acute hospitalization. your sutures are dissovleable plastic surgery follow-up: please call dr. office to schedule a follow up appointment on the friday following your discharge. their phone number is (. procedure: other operations on extraocular muscles and tendons other excision or destruction of lesion or tissue of brain other cranial osteoplasty diagnoses: pure hypercholesterolemia unspecified essential hypertension unspecified sleep apnea insomnia, unspecified unspecified condition of brain other conditions of brain 

Answer: The patient is high likely exposed to