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: patient recorded as having no known allergies to drugs attending: chief complaint: unresponsive major surgical or invasive procedure: none history of present illness: 82yo female with past medical history of asthma was admitted from an osh with hypotension, altered mental status, and likely metastatic brain lesions. history obtained primarily from osh records, notes, and ed records. on the day prior to admission, patient reported the sudden onset of a severe headache for which she took approximately 7 advil tablets. shortly afterwards, she reportedly developed increasing lethargy, vomiting, weakness, and subsequently became unresponsive. ems was called and took patient to . upon arrival at at 1:45pm on , bp 91/34, hr 85, rr 18, and o2 sat 97% on 100% nonrebreather. patient was noted to be unresponsive and was intubated. she received lidocaine 100mg iv x 1, pancuronium 1mg iv x 1, etomidate 20mg iv x 1, and succinylcholine 100mg iv x 1. shortly after intubation she was noted to be hypotensive with sbp in the 50s and she was started on dopamine gtt with improvement in sbps to 70-80s. initial head ct at noted a hyperdense lesion in the right posterior temporal lobe with suggested intraparenchymal hemorrhage versus metastatic lesion. she was then transferred to for neurosurgical evaluation of possible intraparenchymal bleed. additional medications received at include zofran 4mg x 1 and fosphenytoin loading dose. upon arrival at , radiology reviewed her imaging and found her images most consistent with a metastatic lesion, concerning for a primary adenocarcinoma. clinically patient remained unresponsive despite having not received any sedation in the last 6-8 hours prior to arrival. neurosurgery evaluated patient and found her exam concerning for unresponsiveness and posturing, although with no other acute surgical issues. neurology also evaluated patient and will be following closely. while in the ed, she received ceftriaxone 1gram iv, vancomycin 1gram iv, and 4l ns with 1600ml uop. regarding likely metastatic lesion, unclear that patient has ever had age-appropriate cancer screening, including mammogram or colonoscopy. past medical history: asthma social history: home: lives with son and daughter-in-law; recently immigrated from , speaks albanian occupation: unknown tobacco, etoh, and drugs: could not obtain history family history: noncontributory physical exam: t 93.7 / hr 86 / bp 122/76 / rr 24 / pulse ox 97% vent settings: ac with fio2 .5, set tv 500 with obs tv 472 by rr 24. peep 5 gen: lying in bed, responsive to irritative stimuli, nad heent: dry mucous membranes neck: supple, no lad, no jvd cv: rr, nl rate. nl s1, s2. no murmurs, rubs or gallops lungs: cta, bs bl, no w/r/c abd: soft, nt, nd. nl bs. no hsm ext: no edema. 2+ dp pulses bl. dusky extremities but warm skin: no rashes neuro: intermittently arousable. cn 2 intact but could not test eom. symmetric facies. not cooperative with additional cn exam. decreased tone in all extremities but with spontaneous movement of left upper and lower extremities. pertinent results: blood cx pending x 2 urine cx pending osh studies: - ct chest/abdomen/pelvis - - no abnormality identified within the chest, abdomen, or pelvis to account for loss of consciousness; mild dependent atelectasis within the lung; abdominal examination is normal. - ct head - - 11mm round hyperdense focus centered at the -white junction of the posterior right temporal lobe, seen in association with vasogenic edema. ? hemorrhagic metastasis or focal parenchymal bleed. studies: - ecg - nsr at 85 bpm with no st changes - head ct - - 1. 1.1-cm hyperdense lesion with surrounding edema seen in the right temporal lobe, suggestive of metastatic lesion. 2. linear hyperattenuation seen at the posterior right lateral ventricle, possibly representing venous filling, however, assessment for hemorrhage is limited by intravenous contrast. - head mri - - final read pending - cxr - - final read pending brief hospital course: the patient is an 82 yo f with asthma admitted with hypotension and altered mental status found to have profound metabolic acidosis (lactate 7). she was also found to have a brain lesion, with possible hemorragic component based on imaging at the osh. she was treated aggressively with a bicarbonate drip to correct her acidosis. her lactate trended down and her gap closed. initially she was intubated and on pressors for hypotension. she was started on broad spectrum antibiotics (ceftriaxone/vancomycin) because of concern for sepsis. cultures were all negative. it was thought that the patient may have had a seizure from the brain lesion. the patient was quickly extubated and maintained her pressures off pressors. she was started on keppra . the neurosurgeons evaluated the lesion and felt that a brain biopsy of the lesion would be necessary for diagnosis. the patient and her family the decided on dnr/dni/cmo. arrangements were made for the family to be discharged home with hospice care and plans for the patient to fly to (her home) in the near future. discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 2. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po tid (3 times a day) as needed: give 1 tab 30 minutes prior to airline flight to . take additional tab as needed. hold for sedation. disp:*10 tablet, rapid dissolve(s)* refills:*1* 3. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*360 tablet(s)* refills:*1* discharge disposition: home with service facility: vna in discharge diagnosis: primary diagnosis: altered mental status brain lesion discharge condition: stable; tolerating po's, mental status clear discharge instructions: you were admitted to the hospital with altered mental status and were found to have a lesion in your brain. because of this lesion you may have suffered a seizure. in order to know exactly what the lesion is, you would have had to have a brain biopsy which you and you family declined. you should continue on the anti-seizure medication we have prescribed for you. we have also prescribed a number of other medications to help you be comfortable. 1. percocet - this is a pill for pain. please take pills as you need to control you pain. please do not take more that every 4 hours. 2. keppra - this is a pill to prevent seizures. please take 1 pill twice a day. 3. zydis - this is a pill to help with anxiety. please take this is you are feeling anxious or agitated. it is a pill that will disolve under your tongue. it might help if you took one of these prior to your flight to . followup instructions: please follow up with your primary care doctor as needed. you are being provided with the phone numbers for visting nurses to assist you prior to your dpearture for . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: acidosis acute kidney failure, unspecified unspecified septicemia asthma, unspecified type, unspecified other convulsions acute respiratory failure secondary malignant neoplasm of brain and spinal cord septic shock hyperosmolality and/or hypernatremia other malignant neoplasm without specification of site systemic inflammatory response syndrome due to noninfectious process with acute organ dysfunction 

Answer: The patient is high likely exposed to