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: sulfonamides / benzodiazepines / percocet attending: chief complaint: fevers, uti, bacteremia major surgical or invasive procedure: cvl placement history of present illness: 47 yo female with pmhx sig for developmental delay, renal transplant x 2, iddm, and multiple utis who was brought to the ed from her nh today for low grade temp, 2/2 blood cultures drawn on the 21st positive for gpc. . on arrival to the , pt febrile to 101.4, hypotensive to 70's systolic. ua suggestive of uti, urine culture and blood cultures sent. the patient was given dose of vanc/levo for empiric coverage. r 18 guage was placed, lij was attempted x3 without success due to inability to pass the wire. rsc cvl also attempted x3 without success. the patient received 3 liters ivf, with improvement of bp to systolic of 95-110. in addition, the patient's oxygen saturation dropped from 100% to 86%, increased to 93-94% on nrb. . on arrival to icu the patient is awake, complaining of "pain all over". 100% on nrb, remains 100% on 3l nc. agitated, but able to answer questions, requesting vicodin for headache. past medical history: 1. s/p lrt- esrd dm, failed 1st tx (, lasted yrs, donor was sister), 2nd transplant from unrelated donor in , postop course c/b klebsiella uti and ureteral necrosis requiring stent and percutaneous nephrostomy tube in 2. type i dm- dx at age 10; c/b esrd, severe neuropathy, chronic heel ulcers, dka, autonomic dysfunction; on lantus as outpatient 3. hypertension 4. hypercholesterolemia 5. hypothyroidism 6. s/p multiple av access surgeries - hx. of av fistula infection 7. squamous cell carcinoma of the vulva 8. legally blind- impaired visually guided reaching, inability to see the whole but only pieces at a time (simultanagnosia), and impaired volitional saccades (optic apraxia) as evaulated by dr. of neuroophthalmology likely related to her tacrolimus toxicity 9. osteoporosis 10. posterior leukoencephalopathy tacrolimus toxicity- found by mri during a prolonged hospital course in c/b coma requiring intubation, aspiration pneumonitis with methicillin resistant staphylococcus aureus and aspergillus in her sputum 11. psych- narcotic and benzodiazepine dependence, eating disorder, depression, personality disorder 12. chronic constipation/diarrhea since her second transplant. 13. shingles social history: currently at hunt nh, since after long hospital stay. sister is very involved in her care and is hcp. physical exam: 98.6/ 108/40/ 84/ 12/ 100% on 3l nc gen: agitated, four point restraints in place. responsive heent: normocephalic, anicteric, eomi, dry mucosa neck: no jvd, no lad cv: rrr, nml s1/s2, no murmurs appreciated lungs: rhonchi b/l, no wheeze or crackles, no accessory muscle use or tachypnea abd: soft, nt, nd, nabs. l-sided surgical scar. ext: warm, dry. no , faint dp and radial pulses b/l neuro: a/o x2, not to date. moves all extremities spontaneously, follows commands skin: rash suggestive of yeast on groin, no areas of breakdown or ulcerations pertinent results: cxr (preliminary result): no pneumothorax is identified. compared to prior exam from , there are markedly diminished lung volumes with secondary bronchovascular crowding. allowing for this, the heart size and pulmonary vascularity are probably within normal limits. no pleural effusion is detected. again identified are old rib fractures involving the right fifth rib. impression: compared to prior exam, there are markedly diminished lung volumes. no pneumothorax is detected. brief hospital course: # sepsis - patient was found to have mrsa bacteremia and was treated with vancomycin intravenously for this. the source was thought to be a cellulitis. she also had esbl e. coli urinary tract infection and was treated with meropenem. she developed hypotension due to the sepsis, but responded well to fluids, and did not require vasopressors while in the icu. she was subsequently transferred out to the floor. while on the floor, patient continued to receive antibiotics and was stable. however, on , she was found pulseless while morning vitals were being obtained. given that she was dnr, patient was not resuscitated. mode of death unclear. ? myocardial infarction/arrhythmia versus pulmonary embolism. . # renal failure - most likely pre-renal due to sepsis and resultant hypotension. creatinine returned to baseline. rejection was entertained given history of transplants, but was felt to be unlikely, given resolution of creatinine. she was continued on immunosuppressive medications. . # diabetes- type i, 35 + years. glycemic control achieved with glargine and regular insulin sliding scale. . # anemia- anemia of chronic disease secondary to renal disease, remained stable through hospital course. . # psych- depression, personality disorder nos, outpatient treatment regimen of risperdal, buspirone was continued. . # hypothyroidism- continued levothyroxine . # gerd- continued outpatient ppi . # access- right fem line placed from , as ir unable to place picc . # prophyalxis- dvt prophylaxis with heparin sc. . # code- dnr, but intubation ok . # sister is hcp . (h), (c); other sister (w), (h) medications on admission: lantus 14 qam/ 12 units q pm humalog sliding scale azathioprine buspirone cyclosporine colace lasix 80 mg levothyroxine metoprolol omeprazole risperdal ambien tylenol bisacodyl vicodin loperamide lorazepam discharge medications: n/a discharge disposition: expired discharge diagnosis: n/a discharge condition: n/a discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart diagnoses: anemia in chronic kidney disease esophageal reflux acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified hyposmolality and/or hyponatremia severe sepsis unspecified acquired hypothyroidism chronic kidney disease, stage iv (severe) methicillin susceptible staphylococcus aureus septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cellulitis and abscess of leg, except foot long-term (current) use of insulin hypovolemia complications of transplanted kidney diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled legal blindness, as defined in u.s.a. personal history of malignant neoplasm of other female genital organs 

Answer: The patient is high likely exposed to