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: dilantin attending: chief complaint: 59f h/o presents with sob. major surgical or invasive procedure: none history of present illness: hpi: 59f h/o esrd on hd iga nephropathy s/p failed cadaveric transplant, malignant htn complicated by seizures, diastolic chf, afib, h/o medical non-complaince presents with sob. . the patient receives hd 3x per week, last session was saturday. sunday she felt more fatigued in the am, but was able to work 12-6pm and perform physical labor. ate dinner of fried fish around 8pm and took all of her medications (reports no lapses recently). at 10pm, she went to bed and noted a 'gurgling' sensation in her chest/throat with fluid 'dripping from her mouth' that she has had before with chf exacerbations. while she usually only uses 1 pillow at night, she had to sit nearly upright to fall asleep. she awoke 1 hour later with sob acutely and called 911. denies associated cp or nausea, but did feel diaphoretic. no recent pnd or peripheral edema. of note, her bp regimen was recently simplified from 4 agents to only toprol xl and diltiazem er, and she wonders if her bp is being effectively controlled. in the ed, afebrile, 200/100, 90, 100% on nrb. labs notable normal ck, trop at baseline, bnp>. ecg with ? st segment changes in v1,2 thought to be due to j-point elevation. cxr showed mild congestion consistent with chf although pna could not be excluded. started on nitro gtt, and also given asa 325 and tylenol for ?pna. renal consulted from ed, no emergent need for dialysis, planned for am. admitted for chf, hypertensive urgency. . currently sob completely resolved. notes headache that coincided with initiation of nitro gtt in the ed. no nausea, cp, diaphoresis, or other complaints. past medical history: past medical history: 1. esrd secondary to iga nephropathy in s/p renal transplant with acute on chronic rejection, resumed hd ; per priro renal notes, there may have been a component of non-compliance with immunosupression meds 2. malignant htn complicated by seizures () not on anti-epileptics and seizure free since this time; denies h/o cva 3. depression 4. rheumatic fever in childhood 5. diastolic chf 6. afib (recently diagnosed , not on coumadin) 7. h/o bleeding duodenal ulcer social history: social history: single, never married british female with no children. lives alone in her own apartment with cats. no family in the area and few social supports. has 2 sisters, one in she speaks with infrequently and one in from which she is estranged. former smoker. denies current tobacco, etoh, illicits. works part-time as asst coffee shop manager. family history: family history: father died age 80. mother with lung ca, died @64. many aunts/uncles with ca. sister with breast ca, survived. no family hx renal problems. physical exam: physical exam: t hr bp rr sao2 weight general: wdwn, nad, breathing comfortably on ra heent: perrl, eomi, anicteric sclera, conjunctivae pink neck: supple, trachea midline, no thyromegaly or masses, no lad cardiac: rrr, s1s2 normal, no m/r/g, jvp 8cm pulmonary: bibasilar crackles (r>l), no wheeze abdomen: +bs, soft, nontender, nondistended, no hsm extremities: warm, 2+ dp pulses, no edema, left av fistula neuro: a&ox3, speech clear and logical, cnii-xii intact, moves all extremities, no focal deficits noted pertinent results: 10:10pm ck(cpk)-57 10:10pm ctropnt-0.18* 01:46pm ck(cpk)-84 01:46pm ck-mb-notdone ctropnt-0.23* 09:24am ck(cpk)-71 09:24am ck-mb-notdone ctropnt-0.20* 04:10am lactate-1.3 02:05am glucose-95 urea n-95* creat-11.9*# sodium-138 potassium-4.9 chloride-93* total co2-26 anion gap-24* 02:05am estgfr-using this 02:05am ck(cpk)-85 02:05am ctropnt-0.07* 02:05am ck-mb-notdone probnp-greater th 02:05am calcium-9.1 phosphate-6.6* magnesium-2.6 02:05am wbc-10.8 rbc-3.60* hgb-11.9* hct-36.0 mcv-100* mch-33.1* mchc-33.1 rdw-15.1 02:05am neuts-74.5* lymphs-17.4* monos-3.5 eos-3.9 basos-0.7 02:05am plt count-271 02:05am pt-14.1* ptt-26.8 inr(pt)-1.2* ecg: sinus, 85bpm, lvh w/ repolarization v1-3, twi i/avl, similar to prior tracing except st changes v1-3 are slightly more pronounced . cxr: *prelim* prominent vascular markings with ?slight increase in right base opacity compared to , improved left lung aeration . prior studies - . echo (): the left atrium is mildly dilated. the right atrial pressure is indeterminate. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. brief hospital course: a/p: 59f h/o esrd on hd iga nephropathy s/p failed cadaveric transplant, malignant htn complicated by seizures, diastolic chf, afib, h/o medical non-compliance presented with sob and hypertensive urgency. bp's and sob normalized after dialysis x2 and patient was discharged home in stable condition. . # chf: diastolic. ef>55% on echo. euvolemic on discharge. exacerbation likely due to dietary indiscretion. also h/o med noncompliance although denies currently and seems reliable. severe htn contributed to exacerbation. patient was started on a nitro gtt and place on oxygen on arrival to the icu, both of which were quickly weaned. during hemodialysis 3l of fluid taken off with subsequent resolution in respiratory symptoms. repeat dialysis removed an additional 2.2 kg. . # hypertensive urgency: history of med noncompliance and htn emergency complicated by seizures. bp 200/100 in the ed without focal symptoms, improved on nitro gtt. question of ecg changes although appear to be consisent with priors and no other symptoms consistent with angina. cardiac enzymes were cycled, and she received morphine prn for pain serial ecgs, and fluid and na restricted diet with monitoring of both. nitro gtt weaned as pt transitioned to her home medications. second round of hd further improved bps to 130-150 which is the patient's baseline pressures. she was discharged on her home medications of toprol xl, diltiazem er and a new medication of lisinopril 20mg. . # esrd: due to iga nephropathy s/p failed transplant. on hd as outpatient, tuthsat, dr. is nephrologist. does not produce urine. renal consulted in ed, and received hd the morning after presentation and then on out patient schedule. continued home renal regimen. patient to return to regular dialysis schedule upon discharge. per renal, an additional 0.5kg was removed while in-patient and they suspect patient needs to be at a slightly lower dry weight. . # headache: likely due to nitro gtt and temporally coincided and worsened with improved control of htn. no other neurologic symtpoms. resolved prior to discharge. . # afib: stroke risk factors include htn, currently on asa 325 daily. could consider coumadin as likely beneficial, however defer to outpatient providers. also has h/o bleeding duodenal ulcer. . # code status: dnr/dni per patient. medications on admission: renagel 2400 tid w/ meals protonix 40 daily asa 81 daily phoslo 667 w/ meals sensipar at dinner ?dose toprol xl qhs ?dose diltiazem er ?dose discharge medications: 1. sevelamer hcl 800 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. calcium acetate 667 mg capsule sig: one (1) capsule po bid with breakfast, lunch (). 4. cinacalcet 30 mg tablet sig: two (2) tablet po daily (daily). 5. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: hypertensive urgency chf exacerbation . end stage renal disease iga nephropathy atrial fibrilaltion discharge condition: stable discharge instructions: you were admitted with hypertensive urgency and a heart failure exacerabation to the intensive care unit. you were treated there with dialysis and your breathing difficulty resolved. you were transferred to the general medical floor where your blood pressure came back down to your baseline. you were also continued on your home blood pressure medication. . no medication changes were made. you should continue taking all your home medications as directed. . you should continue your regular dialysis schedule of tuesday, thursday, saturday. . if you have shortness of breath, fever, chest pain or other concerning symptom, please seek medical care immediately. . it was a pleasure meeting you and participating in your care. followup instructions: please follow up with your pcp as necessary. procedure: hemodialysis diagnoses: end stage renal disease renal dialysis status congestive heart failure, unspecified atrial fibrillation acute on chronic diastolic heart failure depressive disorder, not elsewhere classified epilepsy, unspecified, without mention of intractable epilepsy surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney chronic diastolic heart failure personal history of peptic ulcer disease hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage v or end stage renal disease 

Answer: The patient is high likely exposed to