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: transfer for renal failure and severe hypertension major surgical or invasive procedure: tunnelled hd line placement history of present illness: 29 y/o m no pmh p/w htn and renal failure. he had been in usoh until 1 month prior to admission when he began feeling increased fatigue. then, 1 week prior to admission he began feeling worsening malaise and decreased po intake. he denied any fever, chills, ha, chest pain. then, on morning of admission, he developed acute onset severe upper abd pain which radiated to his back and lasted for 5 hours. he then went to hosp ed. at , 97.4, 77, 229/137, 100%ra. hct 22 and creatinine found to be 23. cxr and kub negative by report. he was started on labatalol gtt with decrease in bp to 170's and received dilaudid and zofran. he was sent to for further care. . in the emergency department, initial vitals: 98.5, 151/90, 55, 18, 100%ra. he was continued on labetalol gtt. cta abd/pelvis was negative for dissection. he had guaiac positive brown stool in ed. he was seen by renal in ed. . upon arrival to icu, he currently reports only fatigue. he denies any pain, n/v, abd discomfort. he denies any chest pain, palpitations, headache, vision changes. he had been taking advil every other day x 1 month, but stopped last week. past medical history: none social history: smoking: none etoh: none ivdu: denies family history: denies renal dz, htn, dm physical exam: vs: t 97.2 bp 147/75 (147-187/76-100) hr 67-79 rr 14 o2 98%ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear temp hd line in r neck neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 04:35am wbc-9.7 rbc-2.73* hgb-7.7* hct-22.4* mcv-83 mch-28.4 mchc-34.2 rdw-14.6 04:35am hcv ab-negative 04:35am asa-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:35am crp-5.4* 04:35am hbsag-negative hbs ab-positive hbc ab-negative 04:35am triglycer-288* hdl chol-25 chol/hdl-8.6 ldl(calc)-132* 04:35am ck-mb-3 04:35am lipase-65* 04:35am alt(sgpt)-6 ast(sgot)-9 ld(ldh)-470* ck(cpk)-681* alk phos-54 tot bili-0.3 04:45am urine eos-negative 04:45am urine amorph-rare 04:45am urine color-straw appear-clear sp -1.011 05:04am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg negative, hiv negative, c3 c4 normal brief hospital course: mr is a 29 yo m, with acute on chronic renal failure on hd and htn controled on po meds. . # acute on chronic renal failure, initiation of hd - his renal failure appears to be of chronic etiology. his symptoms, including had leg swelling, mental status, and abdominal pain/nausea have worsened over months to two years. the urine sediment anaylsis had very large waxy brown muddy casts, consistent with a chronic renal failure picture in addition to possible atn that could have been induced in the setting of nsaid use. despite nephrotic range proteinuria, the patient does not have clinically overt nephrotic stigma of diffuse edema. . definitive diagnosis is to be made upon results of kindey biopsy that was done the day prior to discharge. prilimiary differential is most likely for focal segmental glomulonephritis given age, ethinithy, and severity of disease. however, all hepatic and hiv serologies were negative. second most likely given the severity of the hypertension is hypertensive glomulerosclerosis. anca, , hiv, hepatitis serologies negative. normal c3 c4 complement levels and normal spep. urine tox screen was negative. . patient was receiving daily through a tunnelled hd line at the time of discharge and was clinically stable. patient did not have any symptoms consistent with uremia - no more vague abdominal symptoms, pericarditis, or altered mental status. patient was seen by nutrition regarding having a renal diet. at the time of discharge, patient was making urine, around 100-200 cc/hr. patient is to have here and to be followed by dr. until outpatient is arranged. hep b vaccine was administered. . ppd placed left volar forearm on , will be read in on . . # htn - the chronological relationship to renal failure unknown, but clearly made worse by declining renal function. at the time of discharge, the patient was normotensive with pressures of 121/65 on labetalol and amlodipine. upon presentation to osh pressures were 230/130 suggesting a chronic hypertensive picture. patient says that he had seen a physician as an outpatient within the past year, and was found to be hypertensive and was started on presumably hctz, which the patient was non-compliant. once the results of the renal biopsy are obtained, will consider starting acei. . # hypertriglyergiemia - could be elevated in the setting of nephrotic disease. ldl was 130 and trigs 288. patient was started on simvastatin 10mg po daily. . # secondary hyperparathyoidism in the setting of renal failure - pth elevated 561 suggesting a chronic renal failure picture. the corrected calicium was 7 and the phos 5.8, suggesting that the patient was severely nutritionally deficient. patient was started on phos-lo calcium acetate with meals. . #abdominal pain - although cta showed jejunal changes, benign abdominal exam. the mesentery appears to be non-specific edema in the setting of small ascities in a malnurished, hypoalbuminemic, uremic patient. uremia leads to inflammation and can worsen the edema. the symptoms have resolved with the initiation of and the patient at the time of discharge did not have any nausea or vomitting. phorphria was negative. . #anemia - labs consistent with anemia of chronic disease, most likely secondary to chronic renal failure. epo being administered with and patient being started on folate. normal ferritin levels. red cell morphology normal, normal bili. no evidence of hemolysis but elevated ldh. . # elevated ck - appears idiopathic, and is in the 300-600 range and not correlated clinically to a rhabdomylsis picture. . medications on admission: none discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 2. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). disp:*180 capsule(s)* refills:*2* 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. labetalol 200 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 7. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. multi-day tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: acute on chronic renal failure requiring hd of unknown etiology severe hypertension, well-controlled secondary: hypertriglyeridemia discharge condition: stable, pressure stable, not dizzy or orthostatic at the time of discharge. discharge instructions: you were admitted for acute on chronic renal failure and severe hypertension. you were started on for your renal failure and are to continue here until your outpatient is arranged. you hypertension was controlled intially with iv medications and you were stable at the time of discharge on oral medications. you were instructed on the importance of a renal diet and to take phos-lo calcium acetate with meals. you are to have your ppd read tomorrow at by dr. . please keep the area of your kidney biopsy site clean and dry. replace the bandaid daily for the next four days. please take all medications as prescribed. please contact your pcp or return to the if you develop altered mental status, significant swelling, or develop an infection or pain around the kidney biopsy site. followup instructions: provider: ,schedule hemodialysis unit date/time: 7:30 procedure: hemodialysis venous catheterization for renal dialysis closed [percutaneous] [needle] biopsy of kidney diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease anemia in chronic kidney disease end stage renal disease acute kidney failure with lesion of tubular necrosis pure hyperglyceridemia secondary hyperparathyroidism (of renal origin) unspecified analgesic and antipyretic causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to