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: sulfa (sulfonamides) / tape / ativan / aloe / dilantin attending: chief complaint: rash/fever major surgical or invasive procedure: none history of present illness: 51 year old female h/o metastatic melanoma s/p ich and placement of vp shunt presented with fever and rash. on patient had left hemiplegia and ha, was diagnosed with ich from metastatic melanoma. underwent emergent craniotomy for evacuation of bleed and tumor rescetion, she was also started on dilantin for seizure prophylaxis. she then developed hydrocephalus and had vp shunt placed on and repeat vp shunt operation on secondary to her failure at clamping trials. prior to discharge she was noted to be febrile to 103 on temp spiked to 101.5 with a productive cough, influenza was negative so she was discharged on levofloxacin, completed course . three sets of blood cultures and urine culture negative. she also developed a diffuse morbiliform eruption rash after dilantin was started. however, dilantin was continued since the benefits of sizure prophylaxis outweighed risks of continuing medicaitons. after discharge her fever resolved but the rash did not. she used sarna lotion and benadryl at home, but noted spread of the rash from truck outwards to extremities, sparing face palms and soles. . on day of admission () she developed a high fever with chills and was brought to , and was then transfered here for further care. upon arrival to the ed the patient recieved 125 mg solumedrol, 50 mg iv benadryl, 1 gram tylenol, motrin 800 mg and 4 liters of normal saline. her fever initially was >104.8 rectally (107 temporal) but trended down to 99.1. got cxr, cultures, urine and shunt tapped. id was consulted who recommended holding on abx given lack of source, did not feel that vp fluid cell count was indicative of shunt infection, more likely blood. dermatology was also consulted. past medical history: - malignant melanoma w/ metastases to brain s/p ich evacuation and ip shunt placement for hydrocephalus - graves' disease s/p tapazole treatment 13yrs ago - cervical dysplasia s/p leep - s/p resection of melanoma from left lower back - s/p resection of intradermal melanocytic nevus from left lateral chest wall social history: previous smoker 28 pack years, recently quit. social alcohol. denies illicit drug use. no pets, currently living with her mother and working as a buyer for ny. never married. family history: father with carotid stenosis and history of cva x2, age 78. mother age 68 and healthy. brother, age 50, healthy. no known early cad or cancer history. physical exam: on admission vitals: t: 99.6 bp: 110/58 hr: 117 rr: 18 02 sat: 97% general: awake, conversant heent: large craniotomy wound w/o erythema or purulence on r skull. smaller shunt wound w/ shunt present on l skull, no erythema, tenderness or purulence, no fluctuence. mmm, op clear, slight exophthalmos cardiac: rrr, no mrg lung: ctab abdomen: soft, nt, nd, bs+, 6cm well healing surgical wound in ruq, no erythema or purulence, nontender. ext: no edema, 2+ dp/pt pulses. neuro: a&ox3, slight facial droop on left o/w cnii-xii intact, 5/5 strength, no gross sensory deficits skin: diffuse, highly confluent, deeply erythematous maculopapular blanching rash, no bullae, no bleeding. mucous membranes and palms/soles unaffected. on discharge: general: nad heent: large craniotomy wound w/o erythema or purulence on r skull. smaller shunt wound w/ shunt present on l skull, no erythema, tenderness or purulence, no fluctuence. mmm, op clear without evidence of oral lesions cardiac: rrr, no mrg lung: ctab abdomen: soft, nt, nd, bs+, 6cm well healing surgical wound in ruq, no erythema or purulence, nontender. ext: no edema, 2+ dp/pt pulses. neuro: a&ox3, slight facial droop on left o/w cnii-xii intact, 5/5 strength, no gross sensory deficits skin: diffuse, highly confluent, erythematous maculopapular blanching rash, no bullae, no bleeding over truck and extremities. mucous membranes and palms/soles unaffected. pertinent results: labs on admission: wbc-7.3# hgb-10.9* hct-31.4* mcv-88 mch-30.7 mchc-34.8 rdw-13.7 plt ct-518*# diff: neuts-74.8* lymphs-11.0* monos-2.8 eos-11.0* baso-0.5 pt-11.6 ptt-26.7 inr(pt)-1.0 ret aut-2.8 caltibc-173* ferritn-769* trf-133* glucose-124* urean-12 creat-0.8 na-131* k-6.7* cl-95* hco3-26 angap-17 alt-78* ast-111* alkphos-107 totbili-0.3 lipase-39 hbsag-negative hbsab-pnd hbcab-pnd igm hbc-negative igm hav-negative hcv ab-negative labs on discharge: wbc-8.7 hgb-9.6* hct-29.1* mcv-92 mch-30.3 mchc-33.0 rdw-14.9 plt ct-525* diff: neuts-48* bands-1 lymphs-21 monos-7 eos-23* baso-0 atyps-0 metas-0 myelos-0 glucose-117* urean-4* creat-0.5 na-140 k-3.7 cl-106 hco3-27 angap-11 alt-78* ast-62* alkphos-116 totbili-0.1 albumin-3.0* calcium-7.9* phos-3.4 mg-1.8 11:57pm cerebrospinal fluid (csf) wbc-13 rbc-1075* polys-10 lymphs-18 monos-0 eos-57 macroph-15 11:57pm cerebrospinal fluid (csf) totprot-33 glucose-95 imaging: cxr: no acute cardiopulmonary process. ct head: 1. interval evolution of encephalomalacia and decrease of blood products at prior sites of hemorrhage. 2. slight increase in right frontal subdural low density collection. 3. stable ventriculostomy catheter location with no interval development of hydrocephalus. 4. no new site of hemorrhage. 5. 4-mm leftward midline shift. ct abd/pelv: 1. interval vp shunt placement, with no adjacent fluid collection. no evidence of acute intra-abdominal process. 2. left adrenal adenoma, unchanged. 3. small amount of pelvic free fluid, fluid in the endometrial cavity, and a small amount of air in the bladder may relate to recent leep procedure. 4. increase in size of left buttock subcutaneous nodule, highly concerning for metastatic disease in this patient with known melanoma. 5. right paramedian bartholin gland cyst with tiny dependent stone; less likely urethral diverticulum. ekg: sinus tach brief hospital course: initially transferred to micu for closer monitoring for development vessicles/bullae or mucosal involvment. stable overnight. developed fever to 104 following morning with hr in the 130s, which improved with fluids, acetaminophen and motrin. dilantin held and keppra started for seizure , dr. . #rash: most likely hypersensitivity reaction (dress) from dilantin vs famotidine. both were held. concerned for sjs initially, however rash did not appear to involve mucosa or palms/soles, and no bullae. also considered toxic shock syndrome initially w/ fever and rash, but no tampon use. no evidence of meningitis given neck supple, no headache, csf fluid does not appear infected, no fluid around abdominal portion of vp shunt. seen by dermatology who recommended clobetasol, hydrocortisone cream, steroids as well as benadryl, sarna and atarax. rash remained stable, not spreading and perhaps slighty improving. her fever decreased and she was able to tolerate po. lfts trending down, cr stable, but she had a persistant eosinophilia. per derm, rash likely to last for several weeks prior to resolution. will follow up with dermatology as an outpatient. . #fever: most likely drug reaction. infection considered, however no localizing signs of infection and no sick contacts. cultures negative. no abx given. flu negative. given acetaminophen and motrin as well as ivf. temperature trended down and had normalized at time of discharge. . # tachycardia: persistant in 90-100s, fluid responsive, improving when afebrile. likely insensible losses from fever and rash. encouaged po fluids on discharge, fever control and close followup. . #malignant melanoma: s/p ich w/ multiple mets to brain. no current e/o neurologic defict other than left facial droop likely residual from previous ich. will follow up as outpatient. . medications on admission: acetaminophen 325 mg tablet sig: 1-2 tablets po q6h famotidine 20 mg tablet sig: one (1) tablet po q12h metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours prn levofloxacin 500 mg tablet sig: one (1) tablet po daily finished 2 days ago. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day) benadryl discharge medications: 1. clobetasol 0.05 % ointment sig: one (1) appl topical (2 times a day) for 2 weeks. disp:*1 tube* refills:*0* 2. hydrocortisone 2.5 % cream sig: one (1) appl rectal (2 times a day) for 2 weeks: do not use for greater than 2 weeks. disp:*1 tube* refills:*0* 3. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for fever. 4. diphenhydramine hcl 25 mg capsule sig: two (2) capsule po every 6-8 hours as needed for itching. 5. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 6. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pruritis. disp:*30 tablet(s)* refills:*0* 7. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) for 7 days. disp:*140 ml(s)* refills:*0* 8. prednisone 10 mg tablet sig: five (5) tablet po once a day for 10 days: take 5 tabs daily for two days, take 4 tab daily for two days, take 3 tabs daily for two days, take 2 tabs daily for two days and then take 1 tab daily for two days. 10 days total. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: drug related esosinophilia and systemic symptoms secondary diagnosis: metastatic melanoma discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were seen in the hospital for a fever and rash that is likely due to the dilantin you were prescribed for seizure propalaxis. you were evaluated by the dermatology team and given steroids and medication to decrease itching. it is important to drink lots of fluids to avoid dehydration with your fever. the rash might worsene before it gets better and it is possible your skin will slough off as it heals. you should stop your dilantin. instead take keppra as prescribed for seizure prophalaxis. you were given prescriptions for steroids and anti-itch cream that you should take as directed. followup instructions: post clinic phone: date/time: 1:50 dermatology: , md phone: date/time: 2:30 procedure: spinal tap incision of lung diagnoses: anemia, unspecified obstructive hydrocephalus candidiasis of mouth secondary malignant neoplasm of brain and spinal cord unspecified disorder of skin and subcutaneous tissue dermatitis due to drugs and medicines taken internally fever, unspecified other postprocedural status tachycardia, unspecified personal history of malignant melanoma of skin presence of cerebrospinal fluid drainage device benign neoplasm of adrenal gland nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] other late effects of cerebrovascular disease, facial weakness hydantoin derivatives causing adverse effects in therapeutic use antacids and antigastric secretion drugs causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to