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: along with her nephrologist, dr. ............, at hospital since when she was evaluated for kidney transplant. in brief, she has past medical history significant for type 2 diabetes diagnosed when she was 52 years old with no known history of cardiac disease, retinopathy or gastropathy. she is status post left av fistula placement in 09/99 and has been on significant for hyperlipidemia and hypertension but denies any peripheral vascular disease or chronic obstructive pulmonary disease or pancreatitis. she has no history of angina. she has no known drug allergies. medications at admission: 1. epogen given with dialysis. 2. diltiazem 240 mg a day. 3. norvasc 2.5 mg a day. 4. nph 30 units in the morning and 10 units in the p.m. with a humalog sliding scale. 5. digoxin 0.125. 6. coumadin 3 mg a day. 7. phos-lo. 8. renogel. 9. amiodarone 200 a day. 10. nephrocaps. all preoperative clearance done without complications. she underwent an uncomplicated cadaveric renal transplant on . the kidney was noted to be well perfused with good dopplerable signal throughout the entire operation. it was noted that her blood pressure, however, during the case was in the mid to upper 80's which was of some concern for overall kidney perfusion although the kidney appeared well during the case. the patient was placed on immunosuppression with solu-medrol taper, cellcept postoperatively and was restarted on her preoperative amiodarone with the addition of bactrim single strength and ganciclovir. her postoperative course was notable for low urine output. she was recovered and spent the first few postoperative days in the surgical intensive care unit requiring blood pressure support with pressors, but these were weaned successfully although it was of concern what her overall poor hemodynamics would be to this newly transplanted kidney. when she was transitioned to the transplant unit floor, she was on hemodialysis temporarily, and then started on lasix infusion to help continue good perfusion through the kidney and to inspire the kidney to have more urine output. these interventions seemed somewhat successful. the patient was transitioned off the lasix strip to a daily dose of lasix with zaroxolyn, and was followed very closely. off the lasix strip, her urine output went from approximately 1200 cc a day to about 500 cc a day with elevated bun in the low 100's and creatinine of 7. for this reason, given the patient's intermittent nausea, it was discussed with the nephrology team and surgical team perhaps restarting dialysis would be a good option. the patient was dialyzed successfully for two sessions during this course, postoperative day 13 and 15 and this was successful. following this, the patient's mental status which had been clear throughout even improved, her volume status improved and she was no longer short of breath with ambulation and her bun decreased successfully which was accompanied by a decrease in nausea. the patient at the time of discharge had improved/recovered urine output to the 1200 cc range. it had been postulated before this urine output recovered as to whether the patient needed a repeat renal biopsy ultrasound but as her kidneys seemed to be recovering a hold was placed on this plan, especially since the patient had been on coumadin and aspirin which had only been held two days prior to the proposed biopsy time. the patient's last kidney ultrasound was on which showed that she had some decreased flow and no real antegrade diastolic flow but as the patient's urine output had improved with just the use of zaroxolyn and a daily dose of lasix, the surgeons were very encouraged. the patient was discharged to rehabilitation with very close follow-up and would need to have strict i's and o's, for her follow-up visit. the patient was going to return with the log of daily urine output to be able to present to dr. . and the nephrology team so that an educated discussion of her kidney function could be had. the patient was discharged on the following medications. discharge medications: 1. cellcept mg q.i.d. which had been changed from 1 gram b.i.d. with the thought that the smaller doses more frequently would hopefully decrease overall nausea. 2. rapamune. at 2 mg q.d. and this had been decreased a few days prior to discharge with the thought that her level had been 29, a little bit on the high side and could be decreased. 3. prednisone 20 mg a day. 4. epogen 5000 units given q. tuesday and thursday. 5. amiodarone 200 mg q. day. 6. bactrim single strength q. day. 7. ganciclovir 500 mg q.d. 8. zaroxolyn 5 mg q.d. 9. lasix 160 mg q. day. the patient will continue to have her coumadin and aspirin held because at a follow-up visit a renal biopsy may be in order depending upon the log of her urine output displayed. the patient would not need hemodialysis from her rehabilitation facility. the patient was discharged to rehabilitation in good condition and comfortable with this discharge plan. , md dictated by: medquist36 procedure: hemodialysis hemodialysis hemodialysis hemodialysis arterial catheterization pulmonary artery wedge monitoring other kidney transplantation open biopsy of kidney diagnostic ultrasound of urinary system diagnoses: hyperpotassemia anemia in chronic kidney disease atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease urinary complications, not elsewhere classified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled other specified retention of urine 

Answer: The patient is high likely exposed to