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: history of present illness: patient is a 67-year-old female, who underwent a living related kidney transplant on the , who was discharged to home on the , and at that time had a urine output about 3 liters per day and a serum creatinine that had stabilized at 0.9. on the day of admission, the patient was receiving a cerezyme treatment for her gaucher's disease through a right permacath, and at this time she experienced a fever and severe shaking chills. because of this finding, she was admitted to the hospital for evaluation of her possible infection or bacteremia. past medical history: 1. end-stage renal disease secondary to focal segmental glomerulosclerosis. 2. gaucher's disease. 3. depression. 4. avascular necrosis of her left hip. past surgical history: 1. left total hip replacement. 2. partial hysterectomy. 3. appendectomy. 4. living related kidney transplant. allergies: the patient has no known drug allergies. medications at time of admission: 1. cellcept 1,000 mg . 2. valcyte 450 mg daily. 3. colace 100 mg po bid. 4. nystatin 5 mg qid. 5. ambien 10 mg po q hs prn. 6. lipitor 20 mg po daily. 7. trazodone 50 mg q hs prn. 8. zoloft 200 mg po daily. 9. estrace 1 mg po daily. 10. xanax 0.5 mg tid. 11. tums 500 mg po tid. 12. multivitamin. 13. vitamin e. 14. vitamin b6. 15. vitamin b12 daily. 16. levaquin 250 mg po daily for seven days. 17. lopressor 75 mg po bid. 18. tacrolimus 4 mg po bid. 19. dilaudid prn to control her pain from the incision. social history: the patient is married with two sons and denies ingestion of alcohol or tobacco. family history: noncontributory. details of hospital course: the patient was admitted and had pancultures, and had her permacath removed. she was treated with antibiotics and her immunosuppressives were continued and she was followed with daily laboratories. she received 2 units of packed red blood cells for a low hematocrit at 25.2. patient's creatinine on admission had risen to 2.2 and there was concern that the patient may have undergone a rejection episode, and so a kidney biopsy was performed. this biopsy revealed a neutrophilic infiltrate, which was consistent with an acute humoral rejection. patient was pulsed with steroids and at this time, the crossmatch tissue typing laboratory came back as strongly positive for b cell and so a diagnosis of humoral-related rejection was confirmed. because of this, the course of action to treat this, it was decided upon, was plasmapheresis. given that the patient had her permacath removed for fear of sepsis and bacteremia, a temporary pheresis catheter was attempted. a cxr demonstrated that the catheter kinked and turning back on itself. the patient was taken to interventional radiology for manipulation under fluoroscopy and with contrast injection it appeared the catheter was in the carotid artery. immediately following this, a vascular surgery consultation was obtained and the patient, who remained neurologically intact and had been started on a heparin drip was taken to the operating room, where she underwent a neck exploration. this was performed by dr. , and please see his operative note for details of this procedure. the catheter was found to be in the vertebral artery at this exploration and safe removal of the catheter necessitated a partial sternotomy, which was performed during the case by the thoracic surgery team, who were consulted intraoperatively. the patient tolerated this procedure well, however, because of the prior heparinization, was found to be oozing at the conclusion of the case. hemostasis was obtained, but because of the concern for mediastinal hematoma compromising her airway, she was transferred to the surgical intensive care unit for closer monitoring. in the surgical intensive care unit, she received her plasmapheresis, and her kidney function began to improve. she was continued on her antibiotics. with her rejection episode coming under control and the patient beginning to stabilize, she was able to be transferred to the floor. an mri was obtained that demonstrated a vertebral internal jugular fistula and an stenosis/intimal flap of the carotid artery. the latter was successfully stented by dr. in neurosurgery. the approach to the fistula is still under discussion the options being continued f/u (neurology recommendation - dr. , endovascular embolization or operative repair with high ligation of the vertebral artery. a second opinion has been requested from and the information is being sent there for evaluation. the patient continued to recover, while her kidney function remained good with a creatinine at 0.5. her immunosuppression levels were adjusted appropriately, and by the , she was deemed stable for discharge home, and she was discharged home in stable condition. the patient was neurologically stable at the time of discharge. she was discharged home on all of her preoperative medications. postoperative diagnoses: 1. end-stage renal disease. 2. focal segmental glomerulosclerosis. 3. gaucher's disease. 4. depression. 5. avascular necrosis of left hip. 6. status post left total hip replacement. 7. status post partial hysterectomy. 8. status post appendectomy. 9. status post living related kidney transplant. 10. status post right neck exploration with vertebral artery ligation. 11. status post sternotomy. 12. status post angioplasty and stenting of a right common carotid intimal flap. follow-up instructions: the patient had plans to followup after having received her second opinion from the for embolization of her vertebral jugular fistula by dr. in two weeks' time. condition on discharge: she was discharged home in stable condition. , m.d.,ph.d. 02-366 dictated by: medquist36 d: 16:01 t: 10:57 job#: procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) arteriography of cerebral arteries closed [percutaneous] [needle] biopsy of kidney insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) therapeutic plasmapheresis exploratory thoracotomy other surgical occlusion of vessels, other vessels of head and neck application or administration of an adhesion barrier substance diagnoses: acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) accidental puncture or laceration during a procedure, not elsewhere classified acute respiratory failure peripheral vascular complications, not elsewhere classified infection and inflammatory reaction due to other vascular device, implant, and graft 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 persistent postoperative fistula 

Answer: The patient is high likely exposed to