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: tetracycline / penicillins / sulfa (sulfonamide antibiotics) / clindamycin / cephalosporins / macrolide antibiotics / lactulose / cefuroxime / ciprofloxacin / levaquin / erythromycin base attending: chief complaint: skull defect major surgical or invasive procedure: : right cranioplasty history of present illness: 49 yo woman with a hx brain abscess s/p craniectomy. her bone flap was lost from her empyema surgery. she has been doing rather well. no fevers, chills or sweats. no systemic malaise. she continues on iv vancomycin due to her many allergies to antibiotics. she now presents electively for cranioplasty. past medical history: brain aneurysm s/p coiling (vs. surgery?) at , 1st surgery followed by a 2nd surgery . tubal ligation dmii- (patient states that she does not have diabetes but this is listed in her chart in multiple places)/polycystic ovarian syndrome. admission for meningitis social history: she does smoke 1ppd. she drinks alcoholic beverages occasionally. no ivdu. family history: non contributory physical exam: on discharge: perrl, oriented x3, mae full motor, no drift pertinent results: head ct : findings: study is compared with the most recent nects of and , as well as enhanced mr examination of . the patient is now status post right frontovertex cranioplasty with expected subcutaneous emphysema in the overlying scalp soft tissues. however, there is no significant subgaleal fluid collection. there is expected small pneumocephalus within a thin subdural collection measuring up to 6-7 mm in maximal thickness overlying the right frontotemporal convexity. no other acute intra- or extra-axial hemorrhage is seen, and there is no significant mass effect or evidence of cerebral edema. again demonstrated are aneurysm clips involving the tip of the basilar artery and the right mca at its bifurcation, with associated metallic artifact, limiting the evaluation of the immediately adjacent parenchyma. impression: status post right frontal cranioplasty, with expected post-surgical changes but only a thin subdural collection overlying the right frontotemporal convexity. brief hospital course: on the patient electively presented and underwent cranioplasty. surgery was without complication and she tolerated it well. post operative head ct was stable. she was kept in the pacu until a icu bed was available. id was consulted for antibiotic desensitization. she was admitted to the sicu for desensitization x 24hrs. she was then transferred to the floor in stable condition late . she remained stable but c/o pain especially to her r jaw. pt has chronic r facial/jaw pain but post-surgical swelling has intensified the pain. patient is tolerating po intake and ambulating safely. med changes were made and she was discharged home with her family on with 2 weeks of narcotic supply. medications on admission: alprazolam - 0.5 mg tablet - 1 tablet(s) by mouth once take 1hr before mri. mrx1 15min before mri if necessary duloxetine - (prescribed by other provider) - 30 mg capsule, delayed release(e.c.) - 4 capsule(s) by mouth daily (daily) as taken at home please see your pcp for continued scripts gabapentin - (prescribed by other provider) - 400 mg capsule - 4 capsule(s) by mouth three times a day home medication - please see your pcp for continued scripts for this medication trazodone - (prescribed by other provider) - 50 mg tablet - 1.5 tablet(s) by mouth hs (at bedtime) as taken at home- please see your pcp for continued scripts discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). :*60 capsule(s)* refills:*2* 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 3. duloxetine 30 mg capsule, delayed release(e.c.) sig: four (4) capsule, delayed release(e.c.) po daily (daily). 4. cephalexin 250 mg capsule sig: one (1) capsule po q12h (every 12 hours): please f/u with id regarding this med. :*60 capsule(s)* refills:*0* 5. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours). 6. gabapentin 300 mg capsule sig: four (4) capsule po tid (3 times a day). 7. trazodone 100 mg tablet sig: two (2) tablet po hs (at bedtime). 8. morphine 30 mg tablet extended release sig: one (1) tablet extended release po q12h (every 12 hours) for 14 days: f/u with pain md. :*28 tablet extended release(s)* refills:*0* 9. dilaudid 4 mg tablet sig: one (1) tablet po q 3-4 hrs as needed for pain for 14 days. :*100 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: skull defect discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed, we provided 2 week supply until you see your md. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? your wound was closed with non-dissolvable sutures, you must wait until after they are removed to wash your hair. 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) 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 were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your injury, do not resume these until cleared by your surgeon. ?????? 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, unless you have been instructed not to. followup instructions: follow-up appointment instructions ??????please return to the office in days(from your date of surgery/ the office will clarify) for removal of your sutures. this appointment can be made by calling . ??????please call ( to schedule an appointment with dr. , to be seen in weeks. ??????you will need a ct scan of the brain without contrast procedure: other cranial osteoplasty reopening of craniotomy site immunization for allergy diagnoses: need for desensitization to allergens personal history of infections of the central nervous system other specified acquired deformity of head jaw pain 

Answer: The patient is high likely exposed to