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: iodine attending: chief complaint: confusion major surgical or invasive procedure: vp shunt history of present illness: 62 yo female with a history of metastatic melanoma to liver and lungs with unknown primary on weekly taxol(last dose 11/8) who presented with nausea and vomiting for the past 6 days and increasing confusion for the past 2 days per her husband. pt complained of severe frontal headache as well as some mild neck stiffness w/o photophobia. she also complained of diffuse abdominal pain which she said had been present since last . she reported fatigue for the past week with more confusion over the past 2 days. husband was concerned about her talking nonsense and with possible delusions, so he called clinic and she was referred to the ed. per her husband she had no recent, cough, sob,fever, chills, dysuria, diarrhea. in the ed she was given ativan for nausea, and morphine for pain. ct head was negative and mri showed question of leptomeningeal enhancement. lp performed for hx concerning for meningitis which revealed xanthocromia with fourth tube with 35 wbc(2 neuts, 45 lymphs, 6 monos, 33% atypicals), and 356 rbc's with protein >583 and glucose 28. pt started on acyclovir for herpes encephalitis, but leptomeningeal spread of melanoma was higher on the differential. pt transferred to with hydrocephalus, as demonstrated by lp and ct/mri, secondary to leptomeningeal spread of her metastatic melanoma. pt seen by neurosurgery for placement of ventricular drain at bed side for a communicating hydrocephalus with functional obstruction by atypical cells. past medical history: 1. melanoma- dx on due to elvated lft with bx consistent w/melanoma began biochemotherapy but not tolerated due to nausea, vomiting, diarrhea, changed to cisplatin, vinblastine, and dacarbazine started recently on weekly taxol 2. hypothyroidism 3. ra 4. pilonidal cyst 5. htn 6. diverticulitis 7. tubal ligation physical exam: vs: hr: 61 bp: 118/43 rr: 12 sao2: 95% pain: 0/10 -gen: pt is a well nutritioned pale women with significant alopecia. she is not particularly communicative, but does responds to questions with nodding and gesturing and is otherwise cooperative (s/p olanzapine and ativan prior to imaging this evening). -heent: pupils are 2mm bilaterally and due to their small size, difficult to assess for reactivitiy -cv: rrr, s1, s2, no murmurs, rubs, gallops -chest: cta bilaterally -abd: soft, nt, nd, bs+ (s/p morphine prior to ct scan) -ext: warm, well perfused, no clubbing, cyanosis, edema . pertinent results: cxr: "no acute cardiopulmonary abnormality" . non-contrast head ct: "impression 1. no acute intracranial hemorrhage or evidence of acute major vascular territorial infarction. no overt mass is seen. this study, however, cannot excluded metastatic disease. further evaluation with contrast enhanced mri may be performed to exclude metastatic disease. 2. ventricular dilatation out of proportion to the degree of focal atrophy. is there clinical evidence of normal pressure hydrocephalus? " . head mri: "impression 1. prominent ventricular system including the temporal horns. this may represent early hydrocephalus. this is seen in association with high signal in the periventricular white matter, consistent with trans- ependimal csf flow. no obstructing lesions are identified. 2. no enhancing lesions are identified." . csf: " brief hospital course: 1. melanoma-leptomeningeal enhancement on mri with atypical cells in csf were concerning for metastatic melanoma. cells sent for cytology and revealed melanoma cells. pt initially had wasing and mental status which responded well to serial lp's so neurosurgery was consulted and placed an shunt. her mental status continued to decline despite drainage from her , neurooncology was consulted and decided along with oncology and the pt's huspband to make an attempt at intrathecal chemotherapy. the pt received 2 doses of intrathecal thiotepa with poor response and it was decided at that point she would be made . 2. headache-headache, nuchal rigidity, and xanthocromia and lymphocytic predominance on lp was concerning for hsv. she was continued on acyclovir until hsv culture came back negative. ct findings of enlarged ventricles suggested nph and this was confirmed by response to serial lp's as above. nph due to blockage of csf circulatory system due to leptomengial spread of melanoma. 3. abdominal pain-pt with elevated alk phos but actually lower than pt baseline. pain appears to be longstanding and she has no fever to suggest infection. pt family refused ruq us. we cont pain control with iv morphine and with the addition of zyprexa for agitation. morphine contributed to urinary retention as seen in high pvr so foley placed. 4. htn-cont on her oupatient atenolol dose and htn was well controlled. 5. hypothyroidism-normal tsh so cont on outpatient dose of levothyroxine 6. px-sc heparin, bowel regimen, pt was taking good po's until day 5 of hospitalization 7. code-dnr/dni discussed in full with husband and pt and confirmed with dr. and eventually with dr. . after extensive discussion with heme/onc and neurooncology with husband she was made . medications on admission: medications on transferr: 1. acetaminophen 2. acyclovir 350mg iv q8 hours 3. atenolol 25mg po once daily 4. bisacodyl 10mg po qhs 5. dolasetron mesylate 12.5mg iv q8 hours prn 6. docusate 100mg po bid 7. levothyroxine 75mcg po once dialy 8. lorazepam 0.5mg iv q4 hours prn 9. metoclopramide 5mg po iv qidachs 10. morphine sulfate 2-4mg iv/sc q4hours prn pain 11. senna 1 tab po bid prn discharge medications: 1. roxanol concentrate 20 mg/ml solution sig: 5-20mg po q1-3 h : give po/sl. disp:*qs 60ml* refills:*2* 2. morphine sulfate 8 mg/ml syringe sig: 1-5 mg injection q2h as needed for pain uncontrolled by acetaminophen. disp:*qs 20* refills:*2* 3. fentanyl 25 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). disp:*10 patch 72hr(s)* refills:*2* 4. levothyroxine sodium 75 mcg tablet sig: one (1) tablet po daily (daily). 5. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 6. dexamethasone sodium phosphate 4 mg/ml solution sig: two (2) injection q12h (every 12 hours) as needed for nausea. 7. dolasetron mesylate 12.5 mg/0.625 ml solution sig: one (1) intravenous three times a day as needed for nausea. 8. colace 100 mg capsule sig: one (1) capsule po twice a day. 9. senna 8.6 mg capsule sig: one (1) capsule po once a day as needed for constipation. discharge disposition: extended care facility: hospice or discharge diagnosis: leptomeningeal spread of melanoma discharge condition: comfortable discharge instructions: you will be taken care of by a specialized staff at the facility which you are being transferred to who will make sure that you are comfortable. followup instructions: you will be followed by dr. at the facility which you are being transported to. procedure: spinal tap incision of lung intravascular imaging of intrathoracic vessels other radiotherapeutic procedure diagnoses: obstructive hydrocephalus malignant neoplasm of liver, secondary unspecified essential hypertension unspecified acquired hypothyroidism secondary malignant neoplasm of brain and spinal cord rheumatoid arthritis secondary malignant neoplasm of lung other malignant neoplasm without specification of site secondary malignant neoplasm of other parts of nervous system 

Answer: The patient is high likely exposed to