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: no known allergies / adverse drug reactions attending: chief complaint: ataxia and dizziness major surgical or invasive procedure: : occipital craniotomy and resection of supratentorial and infratentorial mass history of present illness: ms. is a 63 year old left handed female with htn and hyper lipidemia who was trasferred to the ed with new right cerebellar mass. basically, for the past 4-5 years she has had gait ataxia and dizziness. she was seen today, with similar symptoms but was seen by another provider who notice her gait was very ataxic. a brain mri was obtained which demonstrated a large homegenous enhancing mass of the right cerebellar consistent with meningioma. today, she also complains of head fullness and occasional headaches. she has noticed decrease taste in her mouth recently. she denies any nausea, vomiting, weakness, paresthesia or blurry vision past medical history: hypertension, hyperlipidemia, depression social history: left handed, married with 2 children, live in , sells text book for a living, no tobacco, occ etoh, no ilicit drug use family history: non-contributory physical exam: admission: gen: wd/wn, comfortable, nad, looks nervous. heent: atraumatic, normocephalic, eyes are clear, conjunctiva clear, hearing grossly intact, nasal passages , oropharynx is pinkwithout exudate pupils: 4-2mm b/l eoms - full no nystagumus neck: supple, no thyromegaly lungs: cta bilaterally, no w/c/r, a/p diameter normal, resonant to percussion cardiac: rrr. s1/s2. no murmurs abd: soft, nt, bs+, no organomegaly extrem: warm and well-perfused, no clubbing, cyanosis, edema neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: objects at 5 minutes. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, to mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue deviates to the unaffected side (left), no fasciulations motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b t br pa ac right 2+---------- left 2+---------- toes downgoing bilaterally coordination: slight dysmetria on the right with finger-nose-finger, rapid alternating movements intact, ataxia more porofoudn with heel-to-toe walking on discharge: a&ox3 perrl eoms intact face symmetrical slight deviation of tongue to l no pronator motor full pertinent results: brain mri osh () - brain mri - homogenously enhancing mass extending from right sphenoid distally to right cerebellar lesion measuring ~6.2 x 5.6 x 4.5 cm with effacement of thh 4th ventricle and brainstem. dilated ventricles bilaterally with prominent temporal horns. mri brain here large posterior fossa mass consistent with meningioma with mass effect and obstructive hydrocephalus. the mass also has produced cerebellar tonsillar herniation and a small syrinx is visualized in the cervical spinal cord at c3 level. mr head w & w/o contrast expected post-operative changes from subtotal resection of right posterior fossa meningioma. while there is decrease in mass effect, persistent deformity of the cerebellum and brainstem is seen with persistent herniation of the cerebellar tonsils and a small syrinx in the cervical spinal cord. hydrocephalus has improved slightly. brief hospital course: ms. was admitted to neurosurgery on for further management. on she went to the or for a suboccipital craniotomy for resection of her lesion. she tolerated the procedure without intraoperative complications. see the operative report for full details. she was transferred to the icu post-operatively. head ct revealed no hemorrhage and almost complete resection of the mass. on , her physical examination was significant for being afebrile, mild tongue deviation to the left, antigravity extremities x 4, following commands, and no drift which was her baseline. evd was continued at 5cmh20 and open cont with vancomycin, nafcillin & ceftazadime for prophylaxis & csf was sent for cx, gram stain, prot & glucose. she was cleared for transfer to the stepdown unit. on she was transferred to the sdu for further care and her evd was discontinued. she worked briefly with pt as well. on 3.31 she was deemed stable enoguh to transfer to floor status and was mobilized with pt. pt recommends home with services and walker. she was discharged home with pt and keflex x 2 weeks on . she was given a stool softners and enema to help her have bm, she was was passing flatus at time of discharge. she should follow up with btc on and been seen in clinic for a wound check. medications on admission: celexa 40mg daily simvistatis 20mg daily fosamax 20mg q sunday ativan .5mg as needed for sleep 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. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. alendronate 70 mg tablet sig: one (1) tablet po qsun (every sunday). 5. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 6. dexamethasone 2 mg tablet sig: as directed tablet po every eight (8) hours for 5 days: please take 4mg (2 tabs)every 8 hrs on , take 3mg (1.5 tabs) every 8 hrs on , take 2mg every 8 hrs on , then 2mg twice a day . disp:*16 tablet(s)* refills:*0* 7. lorazepam 0.5 mg iv q6h:prn anxiety 8. ceftazidime 2 g iv q8h 9. keflex 500 mg capsule sig: one (1) capsule po every six (6) hours for 2 weeks. disp:*56 capsule(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: brain mass discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: ?????? have a friend/family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair only after sutures and/or staples have been removed. if your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? 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 have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? if you are being sent home on steroid medication, make sure you are taking a medication to protect your stomach (prilosec, protonix, or pepcid), as these medications can cause stomach irritation. make sure to take your steroid medication with meals, or a glass of milk. ?????? 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. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: increasing redness, increased swelling, increased tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: ??????please return to the office in days (from your date of surgery) for removal of your staples/sutures and/or a wound check. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????you have an appointment in the brain clinic on at 3:00pm. the brain clinic is located on the of , in the building, . their phone number is . please call if you need to change your appointment, or require additional directions. procedure: arterial catheterization excision of lesion or tissue of cerebral meninges other repair of cerebral meninges diagnoses: obstructive hydrocephalus unspecified essential hypertension depressive disorder, not elsewhere classified compression of brain other and unspecified hyperlipidemia anxiety state, unspecified benign neoplasm of cerebral meninges dizziness and giddiness lack of coordination syringomyelia and syringobulbia other cerebellar ataxia 

Answer: The patient is high likely exposed to