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: patient recorded as having no known allergies to drugs attending: chief complaint: esrd secondary to glomerulonephritis admitted for cadaveric renal transplant major surgical or invasive procedure: : cadaveric renal transplant : echo : kidney ultrasound : kidney ultrasound : nuclear medicine scan of transplant kidney history of present illness: 70 who presents for renal transplant admission. the patient has esrd due to glomerulonephritis, currently on pd with history of hd, with a working av fistula in his lue. he reports no recent infections. he denies recent fevers or chills, or cough. he also denies recent urinary tract infections. no recent infections are reported of his pd cath site. his only current complaints are a transient issue with reflux disease, for which antiacids are of assistance. he also reports a transient complaint of rlq pain at his hernia repair site. last dialysis pd dialysis was tonight. he denies any chest pain or shortness of breath. his activity is limited by spinal stenosis but he is able to walk on flat surfaces and is able to climb two flights of stairs without problems. the patient reports making only a few mls of urine per day. no symptoms of claudication are reported. prior abdominal operations include a remote history of an an appendectomy, a recent prostatectomy in , pd cath placement, bilateral hernia repairs likely with mesh. of note, the patient has been declared free of prostate cancer as of , with undetectable psa levels. past medical history: 1. esrd (?etiology but had episode of glomerulonephritis in ; renal: ) s/p pd cath placement. now treated with hemodialysis. 2. anemia of chronic dz 3. gout prostate ca ( 3+4) s/p radical prostatectomy 4. spinal stenosis 5. htn 6. gerd s/p bx with chronic inactive duodenitis with brunner gland hyperplasia and foveolar cell metaplasia. 7. s/p appendectomy social history: pt emmigrated to us from in . worked at but now retired. lives with wife, has two grown children. denies etoh or tobacco use. family history: non-contributory, although his father may have died from a cardiac event in his 80s. physical exam: weight 53 kg, 5'6" 98.1 60 126/68 97%ra nad, nc/at rrr, no m/r/g lungs clear all lung fields abdom soft, non-tender, pd cath site without erythema, dressing clean dry, intact extremities well perfused, dp/pt/femoral pulses palpable and 2+ in both extremities pertinent results: on admission: wbc-8.6 rbc-3.63* hgb-12.1* hct-33.7* mcv-93 mch-33.2* mchc-35.8* rdw-17.1* plt ct-334 pt-11.4 ptt-25.0 inr(pt)-0.9 urean-66* creat-16.2*# na-134 k-3.8 cl-93* hco3-24 angap-21* alt-42* ast-41* albumin-4.4 calcium-10.3* phos-5.8* mg-2.4 at discharge: wbc-8.8# rbc-2.81* hgb-9.2* hct-26.4* mcv-94 mch-32.9* mchc-35.0 rdw-16.7* plt ct-290 glucose-85 urean-46* creat-3.6* na-139 k-3.6 cl-109* hco3-22 angap-12 alt-14 ast-35 alkphos-47 totbili-0.7 calcium-8.6 phos-2.3* mg-1.7 tacrofk-10.8 brief hospital course: 70 y/o male currently on pd who underwent cadaveric kidney transplant with dr . on induction he becamce hypotensive with sbp of 60-70 and ekg changes. he was started on pressors x 2 and given 2 liters of fluid. an emergent cardiology consult was called, they thought the patient had ischenia secondary to hypovolemia and hypotension. ekg changes resolved, bp returned to baseline and after consulttion with cardiology, renal and the family it was decided to proceed with the transplant. he received routine induction immunosuppression to include cellcept, solumedrol with post op taper and atg (2 doses due to age of recipient) the kidney was reported to pink up immediately. the bladder was extremely difficult to find. it was small and shrunken at time of transplant. he remained intubated and was transferred to the sicu for post op care. he received 3 units of rbcs on pod1. he was extubated on pod 2 and transferred to the surgical unit pod 3. urine output had been around 100 cc/hour but was noted to drop to around 25/ hour and he received a bolus. in addition an u/s was performed showing good arterial and venous flow. a moderate sized peritransplant fluid collection was noted. this was not drained. the patient did have bruising/hematoma along the right flank in addition to massive swelling of the scrotum. the foley was d/c'd on pod 4, and he was able to void. however it was felt that he was having retention which was corroborated by bladder scan so a foley was reinserted. he had a nuclear scan on which showed no evidence of urine leak on initial images. normal perfusion and tracer concentration in the transplanted kidney. excretion of the tracer into the bladder by 4 minutes. the creatinine slowly declined to 3.6 by day of discharge. (slow graft function) he was never dialyzed. his right flank and scrotum remianed bruised although this improved slightly each day. he was seen by pt and was deemed able to discharge to home. he was tolerating diet and had return of bowel function. he demonstrated good understanding of his meds. he is to discharge to home with the foley in place. this will be re-evaluated in clinic. medications on admission: lopressor 25 mg qd, allopurinol 100 mg qd, calcitriol 0.50 mcg t-th-s, 0.25 mcg every other days, 800 mg 3 caps tid, and nephrocaps, epogen 10,000, colace. discharge medications: 1. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 2. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 3. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for pain: do not take more than 6 in one day. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 7. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*2* 8. tacrolimus 1 mg capsule sig: five (5) capsule po twice a day. 9. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 10. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 11. valganciclovir 450 mg tablet sig: one (1) tablet po 2x/week (tu,fr). 12. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: esrd now s/p cadaveric kidney transplant slow graft function discharge condition: stable discharge instructions: please call the transplant clinic at for fever > 101, chills, nausea, vomiting, diarrhea, increased abdominal pain, pain over the kidney transplant. monitor incision for redness, draiange or bleeding. report increased drainage, you may keep a dressing over the incision for small amounts of drainage you may shower, pat incision dry and cover as necessary no driving if taking narcotic pain medications call if the swelling in your scrotum does not continue to get better labs every monday and thursday as directed by the transplant clinic take all medications as directed foley will remain in place for now. empty bag and record outout. bring record with you to the transplant clinic instructions: , transplant social work date/time: 10:00 , md phone: date/time: 10:30 , md phone: date/time: 10:00 procedure: other kidney transplantation other operations on lacrimal gland transplant from cadaver diagnoses: acidosis other iatrogenic hypotension end stage renal disease renal dialysis status personal history of malignant neoplasm of prostate constipation, unspecified other postprocedural status diarrhea hypovolemia spinal stenosis, unspecified region chronic glomerulonephritis with unspecified pathological lesion in kidney 

Answer: The patient is high likely exposed to