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: the patient is a 46 year old male status post renal transplant for insulin dependent diabetes mellitus now here for a pancreas after kidney transplant. the patient denies nausea or vomiting. the patient denies recent history of the flu or lymphadenopathy. past medical history: 1. stroke five years ago secondary to hypertension. 2. hypertension. 3. insulin dependent diabetes mellitus. 4. hypothyroidism. 5. end-stage renal disease. past surgical history: 1. renal transplant in . 2. appendectomy. 3. foot surgery. medications: 1. prograf 3 mg p.o. twice a day. 2. prednisone 7.5 mg p.o. q. day. 3. cozaar 25 mg monday, wednesday and friday q. day. 4. levoxyl 100 micrograms p.o. q. day. 5. aspirin 81 mg p.o. monday, wednesday and friday. 6. insulin 30 units q. a.m. 7. neurontin 100 mg p.o. q. two tablets q. h.s. 8. lipitor 10 mg p.o. q. day. physical examination: initial physical temperature maximum 97.5 f.; pulse 64; blood pressure 132/80; respiratory rate 20; o2 saturation is 94% on room air. cardiovascular: regular rate and rhythm. respiratory is clear to auscultation bilaterally. abdomen is soft, nontender, nondistended. extremities: no peripheral edema. laboratory: white cell count 10.0, hematocrit 38.7, platelets 252. chem-7 is 139/4.5, 101/29 and 40/1.7. glucose of 216. hospital course: the patient was admitted and brought to the operating room with the initial diagnosis of status post living related kidney transplant with diabetes mellitus. the patient had a pancreas after kidney transplant. the patient tolerated the procedure well and was transported to the postoperative area in stable condition. on postoperative day one, the patient continued to do well; had his nasogastric tube continued for the postoperative ileus and averaged urine output of roughly 60 to 180 cc. an hour. the patient's glucose also stayed in the range of 151 to 205. on postoperative day two, the patient continued to do well. his renal dose dopamine was discontinued. on the fifth of the patient was transferred to the floor without issues. the patient continued to produce good urine and had his blood glucose in control less than 250. on postoperative day five, the patient continued to be npo because of increased distention and the lack of flatus. on the eighth, the patient had a considerably increased abdominal pain for which he was transferred back to the intensive care unit. a ct scan of the abdomen showed a fluid collection around the pancreas. at that time, the patient's blood sugar levels also increasing to levels well above 300. that same night, dr. evaluated the patient in the intensive care unit and decided that the patient would be brought back to the operating room to evaluate the pancreas transplant. during the surgery, it was noted that the patient was most likely rejecting the pancreas. an allograft pancreatectomy was performed. the patient tolerated the procedure well and was transported to the sicu in stable condition. postoperative day one from the allograft pancreatectomy, the patient had his blood sugars controlled with insulin and was overall doing well. on , it was decided that the patient could be transferred to the floor. on postoperative day 8 and 3, the patient continued to do well, was on the insulin sliding scale and was restarted and continued on his immunosuppressive regimen for his kidney transplant. the nasogastric tube was discontinued and the patient had a psychiatric consultation for a change in mood. psychiatry's impression was the patient was suffering from resolving delirium which was complicated by a history of bipolar disorder. they recommended that the patient have his depakote level checked, b12 checked, thyroid function checked, folate checked. they also stated that the patient's mental status was improving but there was a slight worry of suicide at that time. on postoperative day 9 and 4, the patient's mental condition improved and the patient stated that he was less depressed. on postoperative day 11 and 6, the patient's mental status continued to improve. his postoperative ileus was resolving. his incision was clean, dry and intact, and the patient was slated for discharge home. on discharge physical, temperature maximum 99.1 f.; blood pressure 126/78; heart rate 82; o2 saturation 99% on room air. blood sugars were 156 to 240. cardiovascular: regular rate and rhythm. lungs are clear to auscultation. abdomen soft, nontender, nondistended. surgical wound was intact with no significant tenderness. extremities with no peripheral edema. white blood cell count 6.2, platelets 181, hematocrit 20.7. chem-7 was 137/3.7, 105/24, 25/1.8, glucose of 142. discharge diagnoses: 1. status post pancreas after kidney transplant. 2. status post allograft pancreatectomy. 3. history of insulin dependent diabetes mellitus. 4. hypertension. 5. hypothyroidism. 6. history of a stroke. 7. status post renal transplant in 03/98. disposition: the patient will be discharged home in stable condition. discharge medications: 1. prednisone 7.5 mg p.o. q. day. 2. prograf 3 mg p.o. twice a day. 3. regular insulin sliding scale. 4. ganciclovir 500 mg p.o. three times a day. 5. aspirin 81 mg p.o. q. day. 6. bactrim ss 1 tablet p.o. q. day. 7. zantac 150 mg p.o. twice a day. 8. levoxyl 100 meq p.o. q. day. 9. colace. 10. epogen. 11. nph. discharge instructions: 1. the patient will be discharged home. 2. the patient will follow-up with dr. per prescheduled plans. 3. the patient will also follow-up with his preoperative laboratory schedule for his prograf. , md dictated by: medquist36 procedure: homotransplant of pancreas total pancreatectomy homotransplant of pancreas total pancreatectomy diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism paralytic ileus drug-induced delirium diabetes with renal manifestations, type i [juvenile type], uncontrolled kidney replaced by transplant complications of transplanted pancreas diabetes with other specified manifestations, type i [juvenile type], uncontrolled 

Answer: The patient is high likely exposed to