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: codeine / amoxicillin / blood-group specific substance attending: chief complaint: nausea, vomiting, diarrhea major surgical or invasive procedure: egd history of present illness: 41 yo f with dm1, s/p renal transplant in , cad s/p transferred from osh for dka. . initially presented to osh (southern medical center) with n/v, altered mental status on x 2-3 days. her initial vs were: t 91.4, bp 82/53, rr 32, o2 sat 95% on ra. her inital glu was 1148, ag 36, ph 6.9, bicarb was 4. she was given ns and started on an insulin gtt and admitted to the icu. anion gap at 2pm on day of transfer was 13. pt arrived with insulin gtt running. total amount of fluid she recieved at osh is unclear. pt has history of frequent recurrent dka episodes with no known precipitating factors. she states that she stopped taking her insulin because she was feeling sick from her menses with diarrhea. . of note, her creatinine, which runs 0.9- 1.0 at baseline, was 2.1 on admission. repeat crt at 2pm on day of transfer was 1.2. . she was also initially noted to be in aflutter and spontaneuously converted to nsr. her ekg showed tw-inversions in lateral leads. her troponin i was 0.11 on admission and increased to 12.0. this was felt to be due to demand ischemia by the osh icu team. a cardiology consult was obtained at the osh and the pt was started on lovenox, asa, plavix, integrellin. . recently admitted /- to for chf exacerbation due to dietary non-complaince. she was ruled our for mi by enzymes x 3. past medical history: 1.esrd s/p living related donor 2.diabetes mellitus type i with retinopathy, gastroparesis and neuropathy 3.cad s/p cabg (lima-lad, svg-pda, omi-diag). (echo at showed mild symmetric lvh with a normal ef of greater than 55%. there were subtle apical, anterior, and lateral areas of hypokinesis. there was also moderate 2+ mitral regurg and moderate pulmonary artery hypertension. she had a stress test and exercise mibi in that showed reversible defects in the territory ofthe lad and left circumflex similar in appearance to a prior study in . a normal ejection fraction of 51% was reported.) 4.pvd s/p bypass fem- 5.chf ef = 45-50% 6.htn 7.chronic ulcers 8. sarcoidosis 9. depression 10. blindness bilaterally. l eye prosthesis. . medications on admission to osh: 1. bactrim double strength one tab every monday, wednesday and friday. 2. aspirin 81 mg daily. 3. prednisone five milligrams daily. 4. reglan ten milligrams four times a day before meals and at bedtime. 5. zoloft 75 mg at bedtime. 6. sirolimus three milligrams daily. 7. lopressor 150 mg t.i.d. 8. plavix 75 mg daily. 9. ramipril 2.5 mg daily. 10. tacrolimus two milligrams b.i.d. 11. insulin lantus 22 units qhs 12. humalog insulin sliding scale. 13. zantac 75 mg b.i.d. 14. lipitor 80 mg daily. 15. compazine 20 mg p.o. q. 4h. as needed for nausea. 16. remeron 15 mg p.o. at bedtime as needed for sleeplessness. 17. calcium 500 mg b.i.d. 18. vitamin d 425 mg daily. 19. fosamax 70 qweek on weds 21. ranitidine 150 . meds on transfer: 1. insulin gtt 2. integrilin gtt at 1 mcg/kg/min 3. rocephon 1g iv qd 4. ranitidine 150mg po bid 5. solucortef 100mg iv q8h x 2 doses, then 50mg iv x 1 dose 6. protonix 40mg qd 7. lovenox 60mg sc qd 8. lopressor 5mg iv q6h 9. prograft 2mg 10. ramamune 3mg po qd 11. ecasa 81mg po qd 12. plavix 75mg qd . allergies: codeine / amoxicillin social history: lives with her mother in . quit tobacco 3 months ago; prior, smoked 1/2ppd - 1 ppd for about 15 years. no alcohol or ivdu. family history: no diabetes "heart trouble" in father and mother of unknown type f - mi at 74y/o m - htn physical exam: physical exam: 102 154/48 54 40 100%2lnc gen: ill appearing but in in nad heent: mucous membranes dry. lips dry and cracked. op clear, jvp 8 cm, l eye prosthesis. r eye blind reactive to light. cv: rr, 4/6 systolic murmur across precordium lungs: crackles at bases bilaterally abd: s/nd. +bs, minimal tender diffusely, no rebound or guarding ext: trace edema bilaterally. 1+ dp/pt pulses bilaterally. neuro: a&ox3. pertinent results: labs on xfer: . wbc 24.2 n82 b13 l3 hct 47.3 mcv: 103 plt: 442 . inr 1.03 ptt 32 . ua: 3+ glucose, 3+ ketones, neg le, nitrites . na: 145 cl: 117 bun: 19 glu: 138 k: 4.0 hco3: 15 cr: 1.3 . ca: 8.3 mg: 1.7 ph: 1.6 . ck: 240 tropi 12.15 . lipase 399, 182 hcg neg. . abg: 7.38/20/103 08:10pm glucose-55* urea n-17 creat-1.0 sodium-147* potassium-3.7 chloride-120* total co2-15* anion gap-16 08:10pm alt(sgpt)-11 ast(sgot)-39 ck(cpk)-233* alk phos-82 tot bili-0.2 08:10pm ck-mb-19* mb indx-8.2* ctropnt-0.72* 08:10pm calcium-8.5 phosphate-2.3* magnesium-1.6 08:10pm wbc-20.8*# rbc-3.78* hgb-11.1* hct-32.6* mcv-86 mch-29.5 mchc-34.2 rdw-13.6 08:10pm neuts-93.1* bands-0 lymphs-3.8* monos-1.6* eos-1.3 basos-0.1 08:10pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 08:10pm plt smr-normal plt count-287 08:10pm pt-12.5 ptt-30.3 inr(pt)-1.0 cmv viral load (final ): cmv dna not detected. performed by pcr. mra: 1. no evidence of aortic pathology. 2. calcified left common carotid plaque < 50% esophagus mucosal biopsy: active esophagitis with fibrinopurulent exudate consistent with ulceration. gms stain for fungal organisms is negative with satisfactory control. no viral cytopathic effect identified blood cultures (): no growth brief hospital course: 41 year old female with type 1 dm, s/p renal transplant transferred from osh with dka, nstemi, possible left lingular pna. . dka: secondary to pneumonia and dietary/insulin non-compliance. ag gap closed with ivf and insulin, and presenting symptoms resolved followed pt through course. . nstemi: pt with h/o cad s/p cabg . tropt 0.72 on admission, trended down to 0.27. ekg at unremarkable. continued asa, plavix, bb, statin, acei . back pain: mra failed to show disection. diminished with resolving dka. given morphine sulfate 2 mg iv q3-4h:prn . melena: in setting of lovenox and integrillin, stopped soon after admission. still on aspirin and plavix. egd showed erosion in the fundus, esophageal candidiasis, but otherwise normal egd to second part of the duodenum . nephropathy: s/p cadaveric renal transplant: creatinine improved from admission suggests likely prerenal failure. continue prednisone/sirolimus/tacrolimus + acei + bactrim. renal transplant floowed pt's course. . leukocytosis/left lingula pna. r/o infection. elevated wbcs may be due to stress-dose steroids started on admission. blood cultures negative. given levofloxacin to cover for community-acquired pna. . d/n/v: patient with gastroparesis. no concerning abdominal exam. given antiemetics prn and reglan standing medications on admission: medications on admission to osh: 1. bactrim double strength one tab every monday, wednesday and friday. 2. aspirin 81 mg daily. 3. prednisone five milligrams daily. 4. reglan ten milligrams four times a day before meals and at bedtime. 5. zoloft 75 mg at bedtime. 6. sirolimus three milligrams daily. 7. lopressor 150 mg b.i.d. 8. plavix 75 mg daily. 9. ramipril 2.5 mg daily. 10. tacrolimus two milligrams b.i.d. 11. insulin lantus 22 units qhs 12. humalog insulin sliding scale. 13. zantac 75 mg b.i.d. 14. lipitor 80 mg daily. 15. compazine 20 mg p.o. q. 4h. as needed for nausea. 16. remeron 15 mg p.o. at bedtime as needed for sleeplessness. 17. calcium 500 mg b.i.d. 18. vitamin d 425 mg daily. 19. fosamax 70 qweek on weds 21. ranitidine 150 . meds on transfer: 1. insulin gtt 2. integrilin gtt at 1 mcg/kg/min 3. rocephon 1g iv qd 4. ranitidine 150mg po bid 5. solucortef 100mg iv q8h x 2 doses, then 50mg iv x 1 dose 6. protonix 40mg qd 7. lovenox 60mg sc qd 8. lopressor 5mg iv q6h 9. prograft 2mg 10. ramamune 3mg po qd 11. ecasa 81mg po qd 12. plavix 75mg qd discharge medications: 1. tacrolimus 1 mg capsule sig: two (2) capsule po bid (2 times a day). 2. sirolimus 1 mg tablet sig: three (3) tablet po daily (daily). 3. metoprolol tartrate 50 mg tablet sig: three (3) tablet po tid (3 times a day). 4. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. ramipril 5 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 7. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). 8. calcium carbonate 1,250 mg tablet sig: one (1) tablet po bid (2 times a day). 9. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 10. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 11. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 10 days. disp:*10 tablet(s)* refills:*0* 12. sertraline hcl 50 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). 13. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po qmowefr (monday -wednesday-friday). 14. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 weeks. disp:*21 tablet(s)* refills:*0* 15. prednisone 1 mg tablet sig: four (4) tablet po once a day. disp:*120 tablet(s)* refills:*2* 16. insulin glargine 100 unit/ml solution sig: sixteen (16) units subcutaneous at bedtime. disp:*qs * refills:*2* 17. metoclopramide hcl 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). disp:*120 tablet(s)* refills:*2* 18. outpatient lab work please check chem 7 panel on . results to dr. at (phone ) discharge disposition: home discharge diagnosis: 1. dmi 2. dka 3. cad s/p cabg 4. s/p renal transplant 5. pneumonia discharge condition: stable discharge instructions: you are discharged to home and should continue all medication as prescribed. try soft foods given your swallowing discomfort. please call your primary care physician or present to the er if you experience chest pain, shortness of breath, bright red blood from your rectum, black tarry stools, increasing finger stick glucose measurements or other concerns. please keep all of your appointments. followup instructions: you should have your blood drawn tomorrow to check your creatinine (kidney function) and the results faxed to dr. . provider: , md where: phone: date/time: 1:30 you should follow-up with your cardiologist dr. within 1-2 weeks after discharge. please call . provider: where: ra (/ complex) hmfp phone: date/time: 10:20 provider: sacks, licsw where: ra (/ complex) hmfp phone: date/time: 11:00 you will also need a colonoscopy in weeks. you should follow-up with dr. (phone number: ). you can schedule this colonocopy by calling . you should also schedule a follow-up appointment with dr. in nephrology in two weeks. his office number is . procedure: venous catheterization, not elsewhere classified esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified aortocoronary bypass status polyneuropathy in diabetes sarcoidosis cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hemorrhage of gastrointestinal tract, unspecified complications of transplanted kidney diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled background diabetic retinopathy gastroparesis candidal esophagitis 

Answer: The patient is high likely exposed to