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: malignant melanoma left temple/cheek major surgical or invasive procedure: 1. left modified radical neck dissection. 2. wide re-excision of malignant melanoma left temple/cheek. 3. left parotidectomy with facial nerve monitoring. 4. right antero-medial thigh flap to left face. 5. autologous fat grafting to pedicle left side. 6. harvest of the lateral circumflex pedicle. history of present illness: 70-year-old man who noted the rapid appearance of a raised, red nodular lesion on his left temple area in . excisional biopsy was performed by dr. on , with pathology revealing a 4 mm thick ulcerated melanoma invasive to level iv with up to 3 mitoses per mm squared. he has no prior history of melanoma, although he did have prior basal cell cancers. following surgery, he has noted the appearance of 2 flesh-colored lesions in the area of the resection site, of unclear significance. he denies swollen glands, cough, dyspnea, abdominal complaints, headaches, or anything that might be suggestive of more widespread disease. past medical history: htn hypercholesterolemia social history: he is remarried and has 2 biologic children from his first marriage. he is retired but works part time as a security guard at . he does not smoke but drinks up to 2 beers per night. family history: no history of melanoma physical exam: pre-procedure pe per anesthesia record : pulse: 65/min resps: 16/min bp: 115/70 o2sat: 100% general: nad mental/psych: awake, alert, oriented x 3 airway: as documented in detail on anesthesia record dental: other (torus palatinus of hard palate) head/neck range of motion: free range of motion heart: rrr lungs: clear to auscultation brief hospital course: the patient was admitted to the plastic surgery service on and had a wide re-excision l temple/cheek area, left parotidectomy w/facial nerve monitoring, modified radical neck dissection and thigh free flap to left face. the patient tolerated the procedure well. . neuro: post-operatively, the patient received morphine pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to percocet with good pain control noted. . cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. . pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. . gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. his diet was advanced when appropriate, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement. foley was removed on pod#2. intake and output were closely monitored. . id: post-operatively, the patient was started on iv cefazolin, then switched to po cephalexin on pod#4. the patient's temperature was closely watched for signs of infection. . prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. . at the time of discharge on pod#4, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. patient was discharged on cefadroxil po for antibiotic. his left temple/cheek flap remained pale in color (baseline), warm to touch, with good cap refill and good doppler pulse. sutures were clean and dry. left clavicular jp with serosang fluid draining. right lower abdominal jp drain with serosang fluid. right thigh incision clean, dry intact without signs of infection or dehiscence with steri-strips intact. medications on admission: percocet 5-325 1-2 tabs q4h prn pain, keflex 500 mg qid, enalapril 20 mg daily, pravastatin 20 mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, ha, t>100 degrees: max 12/day. do not exceed 4gms/4000mgs of tylenol per day. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, chewable sig: 1.5 tablet, chewables po daily (daily) for 30 days. disp:*45 tablet, chewable(s)* refills:*0* 4. enalapril maleate 10 mg tablet sig: two (2) tablet po daily (daily). 5. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 6. cefadroxil 500 mg capsule sig: one (1) capsule po every twelve (12) hours for 7 days. disp:*14 capsule(s)* refills:*1* 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain: max 12/day. 325 mg of tylenol per tablet. do not exceed 4gms/4000mgs of tylenol per day. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: the homemakers discharge diagnosis: 1. malignant melanoma left temple/face. 2. metastatic melanoma left parotid region. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: discharge instructions: personal care: 1. please keep your right thigh steri-strips in place. they will fall off on their own. 2. clean around the drain site(s), where the tubing exits the skin, with soap and water. 3. strip drain tubing, empty bulb(s), and record output(s) times per day. 4. a written record of the daily output from each drain should be brought to every follow-up appointment. your drains will be removed as soon as possible when the daily output tapers off to an acceptable amount. 5. you may shower daily with assistance as needed, but no baths until after directed by your surgeon . activity: 1. you may resume your regular diet. avoid caffeine and chocolate for 1 week. 2. do not engage in strenuous activity for 6 weeks following surgery. 3. do not lie/sleep on the left side of your face. . medications: 1. resume your regular medications unless instructed otherwise and take any new meds as ordered . 2. take aspirin, 120 mg by mouth once daily, for 30 days after surgery. 3. you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so do not take these meds with additional tylenol. 4. take prescription pain medications for pain not relieved by tylenol. 5. take your antibiotic as prescribed. 6. take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication. you may use a different over-the-counter stool softener if you wish. 7. do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. . call the office immediately if you have any of the following: 1. signs of infection: fever with chills, increased redness, welling, warmth or tenderness at the surgical site, or unusual drainage from the incision(s). 2. a large amount of bleeding from the incision(s) or drain(s). 3. fever greater than 101.5 of 4. severe pain not relieved by your medication. . return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness,swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. . drain discharge instructions you are being discharged with drains in place. drain care is a clean procedure. wash your hands thoroughly with soap and warm water before performing drain care. perform drainage care twice a day. try to empty the drain at the same time each day. pull the stopper out of the drainage bottle and empty the drainage fluid into the measuring cup. record the amount of drainage fluid on the record sheet. reestablish drain suction. followup instructions: provider: , md phone: date/time: 1:40 . provider: , md phone: date/time: 12:00 procedure: attachment of pedicle or flap graft to other sites radical neck dissection, unilateral reconstruction of eyelid with tarsoconjunctival flap radical excision of skin lesion sialoadenectomy, not otherwise specified diagnoses: pure hypercholesterolemia unspecified essential hypertension personal history of other malignant neoplasm of skin pressure ulcer, stage i secondary and unspecified malignant neoplasm of lymph nodes of axilla and upper limb pressure ulcer, upper back malignant melanoma of skin of other and unspecified parts of face 

Answer: The patient is high likely exposed to