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: right renal tumor. major surgical or invasive procedure: : open partial nephrectomy from the transplanted kidney : exploratory laparotomy with lysis of adhesions history of present illness: 68 y/o male who developed renal failure likely secondary to hypertension and underwent a cadaveric kidney transplant at in . he has done well since his transplant, but on routine screening he was found to have a mass in the upper pole of his transplant kidney in the right iliac fossa as well as a left adrenal mass. he has no complaint of pain and has been feeling fine. he has not had chest pain, shortness of breath, hematuria or flank pain. he has been seen by dr in urology and is to undergo surgery with drs and for mass excision from the transplant kidney. past medical history: htn s/p cadaveric renal transplant at s/p cataract surgery social history: married with 2 grown children. moved to us from bangaladesh family history: mother with htn, father with dm physical exam: post op vs: 97.8, 73, 134/51, 17, 98% 3lnc gen: sleepy, nad pain on pca card: rrr lungs: cta bilaterally abdomen: distended, soft, appropriately tender pertinent results: on admission: wbc-17.5*# rbc-3.57* hgb-10.5* hct-30.8* mcv-86 mch-29.3 mchc-34.0 rdw-13.5 plt ct-169 glucose-184* urean-18 creat-1.7* na-134 k-4.8 cl-107 hco3-20* angap-12 calcium-8.2* phos-3.3 mg-2.3 on discharge: wbc-10.0 rbc-3.13* hgb-9.1* hct-28.4* mcv-91 mch-29.0 mchc-31.9 rdw-15.8* plt ct-374 pt-14.6* ptt-31.2 inr(pt)-1.3* glucose-104 urean-30* creat-1.5* na-139 k-4.8 cl-110* hco3-23 angap-11 albumin-3.1* calcium-8.9 phos-2.7 mg-1.8 tacrofk-6.8 iron studies : iron-24* caltibc-237* ferritn-676* trf-182* brief hospital course: 68 y/o male admitted following partial transplant nephrectomy for mass in transplant kidney found on routine screening. due to the complex nature of this case, patient went to the or with dr from urology and dr with transplant. it was stated that due to the complex nature of this case, two attendings were present for the case involving open partial nephrectomy from the transplanted kidney. in summary, the transplanted kidney was completely encased in a large amount of scar tissue making dissection difficult. the tumor was excised, and jp drain was placed. please see the surgical notes of both dr and dr for details. in the post op period, his pain was controlled using a pca. urine output and residual renal function were excellent. pathology of the tumor revealed "oncocytoma, margin free of tumor" on about pod 6, the patient was noted to be increasingly distended. bowel function was very sluggish post op, in addition to a notation on labs of increased wbc as well as development of fever. a ct of the abdomen was obtained showing "moderate grade partial small bowel obstruction with transition point noted within the right lower quadrant, slightly anterior to the transplant kidney." he was taken back to the or on again with drs' and for exploratory laparotomy with lysis of adhesions and freeing up obstruction. per the operative report lysis of adhesions of the bowel was done and the finding that the terminal ileum had been plastered down to the area of the kidney. this was felt to be the transition point seen on ct and this was the cause of the obstruction. no bowel perforation was found or other evidence of intra-abdominal pathology seen. there was a significant amount of fluid encountered when the patient was opened. this fluid was sent for culture and lab tests. creatinine was low, so it was not felt to be a urine leak. enterococcus (vanco sensitive) did grow from the fluid as well as from blood cultures obtained the same day. urine cultures from the day previous were also positive for enterococcus and he was started on vancomycin and flagyl which were given x 7 days. an id consult was obtained. he was switched to ampicillin on and this was continued for 9 days. in addition he received levaquin for a total of 11 days. the patient was started on tpn via a picc line, this was continued for about two weeks. po diet was started back slowly, he will be seen as an outpatient by nutrition. picc line was d/c'd prior to his discharge. the patient started with increased stooling, and c diff a&b was sent. the cultures were negative x 5, however he was started on po vanco as his wbc remained elevated, and no other source was identified. a cmv viral load was sent which was positive at 909 copies, he was started on a 3 week course of valcyte. he also has a positive hsv screen from a lesion on his lip. the valcyte will cover both. in addition, he had a stool for cmv sent, which was negative up to this time, but had not yet been finalized. approximately 2 weeks into the hospitalization, the patient developed new onset afib. he was chemically converted on amiodarone and was started on a heparin drip. due to the interaction between amiodarone, prograf and coumadin, the patient was started on half dose coumadin on . over the next 2 days, his hct was noted to fall from 27% to 17%. the anticoagulation was stopped and he received 3 units of prbc's. of note, his stool at this time was noted to be dark and guaiac positive. the heparin drip and coumadin were placed on hold. the amiodarone was discontinued and it was decided to rate control the patient which was well achieved with beta blockade. the coumadin was restarted at an even lower dose, as well, the heparin remained off and he was started on lovenox injection, which he will be continuing at home short term. dr performed a cystoscopy on due to concern for fluid from the jp drain from initial surgery was found to have a creatinine of 22.9. he underwent cystoscopy, a 4.8 french x 10 cm double-j stent was placed with the proximal coil in the collecting system and distal coil in the bladder. a foley drain was left in place which should be left in place for two weeks. patient to be seen in followup clinic with dr . a jp drain is also in place, removal will be following foley removal by several days and will be determined by urology. patient was given a glucometer and will check blood sugars at home. given signs and symptoms of low blood sugar and started on glipizide recommendations. scripts were given to the patient for new medications which will be filled at patients home transplant center med center at their free pharmacy as this has been his usual source for his medications. dr (pager , fax , his pcp will be monitoring pt/inr and was contact on to verify this. vna will draw and fax results of first two inrs and then they will be arranged as an outpatient. medications on admission: lopressor 100", cozaar, hctz, spironolactone, hydralazine, lipitor 10, asa 81, colace, hytrin discharge medications: 1. tacrolimus 1 mg capsule sig: two (2) capsule po q12h (every 12 hours). 2. prednisone 2.5 mg tablet sig: one (1) tablet po daily (daily). 3. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*15 tablet(s)* refills:*0* 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. spironolactone 50 mg tablet sig: one (1) tablet po once a day. 6. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 7. lopressor 100 mg tablet sig: one (1) tablet po twice a day. 8. mycophenolate mofetil 250 mg capsule sig: one (1) capsule po twice a day. 9. hydralazine 100 mg tablet sig: one (1) tablet po at bedtime. 10. hytrin 10 mg capsule sig: one (1) capsule po at bedtime. 11. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. 12. losartan 25 mg tablet sig: one (1) tablet po once a day. 13. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily) for 17 days. disp:*17 tablet(s)* refills:*0* 14. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 15. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po daily (daily). disp:*30 tab,sust rel osmotic push 24hr(s)* refills:*2* 16. lovenox 80 mg/0.8 ml syringe sig: one (1) subcutaneous once a day for 5 days. disp:*5 syringes* refills:*0* 17. warfarin 2.5 mg tablet sig: one (1) tablet po once a day. disp:*15 tablet(s)* refills:*0* 18. one touch ii test strip sig: one (1) strip in once a day. disp:*1 vial* refills:*2* 19. lancets misc sig: one (1) miscellaneous once a day. disp:*1 vial* refills:*2* 20. lipitor 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: right renal tumor - oncocytoma afib cmv anemia urinary leak ileus, resolved discharge condition: stable discharge instructions: please call dr. at if you have temperature>101.5, chills, nausea or vomiting, worsening abdominal pain, vomiting blood or bloody/black bowel movements, redness/pus or drainage around incision, or drains, cloudy foul smelling urine, or drain output stops or increases empty the drain (jp) and foley (urine bag) when half full and record volume of outputs. bring this record of drain/urine outputs to next appointment with dr. pt and inr will be drawn by the visiting nurse and monday . results to be faxed to dr , who will be managing your anticoagulation check your blood sugar by fingerstick at least once daily. if you feel sweaty, clammy, confused or anxious, these can be signs of low blood sugar. have some juice and then check your blood sugar. a low is less than 70 no heavy lifting followup instructions: , md (surgery) phone: date/time: 8:30 dr. (urology) phone: date/time: 9:45 , md (infectious disease) phone: date/time: 10:00 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other cystoscopy other lysis of peritoneal adhesions ureteral catheterization retrograde pyelogram partial nephrectomy nephrotomy diagnoses: other postoperative infection acute kidney failure, unspecified severe sepsis cardiac complications, not elsewhere classified atrial fibrillation atrial flutter paralytic ileus hydronephrosis streptococcal septicemia urinary complications, not elsewhere classified complications of transplanted kidney pneumonia due to streptococcus, unspecified intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) carcinoma in situ of breast 

Answer: The patient is high likely exposed to