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: morphine attending: chief complaint: seizure major surgical or invasive procedure: intubated at outside hospital, extubated at history of present illness: mr. is a 48yo male with metastatic renal cancer to brain s/p removal, cyberknife who presents after new-onset seizure at home after self-d/cing his steroids last week. please see onc history below for further details. per patient, he was slowly tapering steroids over the last 1-2 months (he states dr. was aware) and went down to 2mg qam. decreased to 1mg approx 1 week ago and stopped altogether approx 4 days ago. he was tapering due to emotional lability and side effects. yesterday while eating he developed a sensation that his arms would fall off and le numbness. per micu notes, his sister witnessed a grand-mal seizure for several minutes. his sister called an ambulance and he was brought to where the last thing he remembers is being told to swallow by a nurse. hospital he was intubated and placed on propofol, given 10mg iv decadron, 2mg ativan, ?8mg dilantin with resolution of seizures, and transferred to . . in micu he was extubated, kept on steroids, restarted on keppra, and dilantin was stopped. he has been doing well except for some subjective confusion at times. . ros: no fevers, chills, neurologic symptoms, chest pain, sob, abdominal pain, dysuria, or other symptoms. + palps earlier today, now resolved, + nausea, now resoved past medical history: presented with headache and clumsiness, found to have brain mass, subsequently found to have renal cancer with pulmonary mets. : resection of a solitary brain metastasis from the right parietal brain suggestive of clear cell carcinoma by . underwent 1600 cgy cyberknife radiosurgery to the resection cavity. underwent radical left nephrectomy, cholecystectomy, and omentectomy for renal cell carcinoma (renal vein invasion; subsequently found to have pulmonary mets). found to have new rt-sided weakness and found to have new brain masses; stereotactic bx ws non-diagnositic; underwent cyberknife to l parasagital metastasis (2200 cgy). current discussion is for resection. . pmh: 1. hypertension 2. l-inguinal hernia, s/p surgery 3. rcc metastatic to brain, lung and liver 4. s/p radical left nephrectomy 5. s/p open cholecystectomy 6. s/p omentectomy 7. s/p right craniectomy social history: prior heavy etoh abuse (12pk daily); after cancer dx in about 6pk weekly no tob no ivdu family history: presented with headache and clumsiness, found to have brain mass, subsequently found to have renal cancer with pulmonary mets. : resection of a solitary brain metastasis from the right parietal brain suggestive of clear cell carcinoma by . underwent 1600 cgy cyberknife radiosurgery to the resection cavity. underwent radical left nephrectomy, cholecystectomy, and omentectomy for renal cell carcinoma (renal vein invasion; subsequently found to have pulmonary mets). found to have new rt-sided weakness and found to have new brain masses; stereotactic bx ws non-diagnositic; underwent cyberknife to l parasagital metastasis (2200 cgy). current discussion is for resection. . enrolled in dendritic cell tumor fusion vaccine protocol . other past medical history: 1. hypertension 2. l-inguinal hernia, s/p surgery 3. rcc metastatic to brain, lung and liver 4. s/p radical left nephrectomy 5. s/p open cholecystectomy 6. s/p omentectomy 7. s/p right craniectomy 4/0 physical exam: t 97 bp 115/78, rr 16, 100% on ac 600 x 20 with peep 5, fio2 15% general: intubated sedated; has occational tremors of l foot. cv: tachy, no m/r/g pulm: clear b abd: s/nd/nt ext; no c/e/c neuro: when propofol is off he squeezes hands to command, moves all extremities sponataneously, although rt arm/leg appear weaker than the left and he clearly favors the left. reflexes: rt biceps reflex absent; l biceps reflex 3+, b patellar reflexes 3+, 8-beat clonus of l foot. babinsky: l foot with triple flex response, rt foot unable to illicit. face symmetric, eyes close tightly. perrl (3mm to 1mm), + gag reflex. pertinent results: complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 06:55am 10.3 3.85* 12.4* 34.8* 90 32.1* 35.6* 14.9 182 10:30pm 9.4 3.98* 12.9* 35.6* 89 32.4* 36.3* 14.7 175 . renal & glucose glucose urean creat na k cl hco3 angap 06:55am 128* 19 1.0 141 3.9 104 29 12 10:30pm 173* 18 1.3* 136 3.6 99 25 16 . portable cxr satisfactory position of endotracheal and nasogastric tubes. brief hospital course: assessement/plan: 48 yo man with metastatic renal cell carcinoma and large brain metastasis presenting with new-onset generalized tonic/clonic seizures after self-d/c of decadron. . # seizure: first episode due to brain mets with significant vasogenic edema and steroid non-compliance, no evidence of hemorrhage or herniation on ct scan. pt started on dexamethasone iv and increased home regimen keppra to 1g po bid. he did not have any more seizure activity while in house and mental status improved to baseline. pt was discharged on keppra as well as oral dexamethasone. pt to follow up with dr. . . # respiratory distress: pt was intubated at outside hospital for airway protection at outside hospital then extubated once stable. . # metastatic renal cell ca: currently on dendritic-cell vaccine protocol, however with disease progression with brain metastases. further therapies per primary oncologist dr. as well as dr.. . # hypertension: was well controlled during admission. pt was discharged to continue home regimen of atenolol & hydrochlorothiazide. . pt reached maximal hospital benefit and was discharged home to follow up with dr. on in clinic. . medications on admission: keprra 500mg atenolol 37.5mg daily prilosec otc 20mg hctz 12.5mg daily benadryl 25mg as needed for allergies lorazepam 0.5mg q 6-8h prn anxiety . allergies: morphine discharge medications: 1. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 months. disp:*120 tablet(s)* refills:*0* 2. prilosec otc 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 3. dexamethasone 6 mg tablet sig: one (1) tablet po twice a day for 1 months. disp:*60 tablet(s)* refills:*0* 4. lorazepam 0.5 mg tablet sig: one (1) tablet po every hours as needed for anxiety. disp:*20 tablet(s)* refills:*0* 5. atenolol 25 mg tablet sig: 1.5 tablets po once a day. 6. hydrochlorothiazide 12.5 mg tablet sig: one (1) tablet po once a day. 7. benadryl 25 mg capsule sig: one (1) capsule po as dir as needed for allergy symptoms. 8. acetaminophen 325 mg tablet sig: 1-2 tablets po every eight (8) hours as needed for headache. discharge disposition: home discharge diagnosis: seizures metastatic renal cell ca hypertension discharge condition: stable discharge instructions: you were admitted with seizures after you discontinued your steroids. . please continue to take dexamethasone 6mg twice daily and increase keppra dose to 1000mg twice daily. please discuss these changes with dr.. continue to take your other medications as prescribed. . come to the emergency room or call the ed if you develop chestpain, weakness on one side of your body, sensitivity to light or any other worrisome symptoms. followup instructions: provider: , md phone: date/time: 10:30 . provider: , md phone: date/time: 2:00 provider: , md phone: date/time: 2:00 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: malignant neoplasm of liver, secondary unspecified essential hypertension long-term (current) use of steroids other convulsions secondary malignant neoplasm of brain and spinal cord personal history of noncompliance with medical treatment, presenting hazards to health secondary malignant neoplasm of lung personal history of malignant neoplasm of kidney 

Answer: The patient is high likely exposed to