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: elective surgery for: 1. complex bony skull base malformation with dehiscence of the medial orbital wall, posterior ethmoidal cells and sphenoid cells as well as anterior skull base. 2. encephalocele with subsequent anterior frontal lobe infarct. major surgical or invasive procedure: bifrontal craniotomy with frontal sinus release and repair of anterior frontal skull base lesion. history of present illness: 50-year-old female who was recently seen in our ed as well as in dr. office after the patient had been worked up for dizziness, stumbling and garbled speech. cat scan at that time showed an incidentally found anterior lobe infarct and concomitant anterior skull base defect. the patient was also seen by ent for an unrelated avm in the nasal cavity. past medical history: dm asthma htn ra elevated cholesterol s/p l tka s/p tah s/p c section x 3 social history: no tobacco / no etoh family history: non contrib physical exam: 98.8 70s 118/54 18 100% ra nad, a&ox3, comfortable, pain controlled. neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. follows commands x 4. orientation: oriented to person, place, and date. motor: d b t fe ff ip q at g sensation: intact to light touch and propioception reflexes: b t br pa ac right 2 2 2 2 2 left 2 2 2 2 2 propioception intact toes downgoing bilaterally pertinent results: 07:47pm type-art po2-162* pco2-36 ph-7.38 total co2-22 base xs--2 07:47pm glucose-220* lactate-1.1 na+-140 k+-4.1 cl--116* 07:47pm freeca-1.10* 05:55pm type-art po2-264* pco2-42 ph-7.36 total co2-25 base xs--1 05:55pm lactate-1.5 05:55pm o2 sat-99 05:55pm freeca-1.16 05:42pm glucose-221* urea n-18 creat-1.0 sodium-142 potassium-4.5 chloride-113* total co2-21* anion gap-13 05:42pm calcium-7.9* phosphate-4.6* magnesium-1.5* 05:42pm wbc-7.5 rbc-3.20* hgb-9.8* hct-28.0* mcv-88 mch-30.7 mchc-35.1* rdw-14.8 05:42pm plt count-208 05:42pm pt-12.6 ptt-23.4 inr(pt)-1.1 03:40pm type-art po2-164* pco2-32* ph-7.46* total co2-23 base xs-0 intubated-intubated vent-controlled 03:40pm glucose-130* lactate-1.7 na+-139 k+-3.9 cl--112 03:40pm hgb-10.4* calchct-31 03:40pm freeca-1.18 02:08pm type-art rates-9/ tidal vol-650 po2-173* pco2-27* ph-7.53* total co2-23 base xs-1 intubated-intubated vent-controlled 02:08pm glucose-110* lactate-1.9 na+-138 k+-3.4* cl--111 02:08pm hgb-9.0* calchct-27 02:08pm freeca-1.05* 12:25pm type-art po2-127* pco2-28* ph-7.54* total co2-25 base xs-3 intubated-intubated vent-controlled 12:25pm glucose-108* lactate-1.5 na+-135 k+-3.5 cl--105 12:25pm hgb-10.8* calchct-32 12:25pm freeca-1.09* 10:04am type-art po2-142* pco2-38 ph-7.45 total co2-27 base xs-3 intubated-intubated vent-controlled 10:04am glucose-87 lactate-1.1 na+-137 k+-3.9 cl--106 10:04am hgb-10.4* calchct-31 10:04am freeca-1.13 brief hospital course: on the patient presented electively for surgery secondary to complaints of stumbling, garbled speech, numbness, and ct showing bifrontal encephalomalacia with an anterior skull base lesion. the patient underwent surgery without complications. she was admitted to the sicu postoperatively where she tolerated extubation without event. while in the sicu the patient continued to have a stable ms/neurological exam. she was transfered from the sicu to the floor on . she was evaluated by physical therapy who documented that the patient was safe for discharge on . on the patient was examined and has improved. her pain is under control and she is steady on her feet per pt. neurologically she was awake, alert and orientated x3, following commands, no motor deficits. her staples were dry and intact, no redness. medications on admission: lantus, avandia, albuterol, asa, hctz, insulin, lasix, lipitor, metformin, nifedipine, toprol discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 3. dexamethasone 2 mg tablet sig: one (1) tablet po q8h (every 8 hours): start on . disp:*6 tablet(s)* refills:*0* 4. dexamethasone 2 mg tablet sig: 0.5 tablet po q8h (every 8 hours) for 1 days: start on - one day. disp:*2 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: anterior lobe infarct and concomitant anterior skull base defect. discharge condition: neurologically stable discharge instructions: call for fever or any signs of infection - redness, swelling or drainage from wound. do not allow staples to get wet; no heavy lifting please take your medicines as prescribed. if you have worsening shortness of breath, chest pain, fevers, chills, or any other concerning symptoms please contact a physician . no driving while on narcotics. followup instructions: follow up with dr. for staple removal 10-14 days post op - call for appointment . procedure: pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance excision of lesion of skull other repair of cerebral meninges bone graft to skull insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled rheumatoid arthritis cerebral artery occlusion, unspecified with cerebral infarction other specified acquired deformity of head encephalocele 

Answer: The patient is high likely exposed to