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 attending: chief complaint: malignant hypertension s/p failed kidney transplant major surgical or invasive procedure: : transplant nephrectomy history of present illness: 21 y/o female with past medical history significant for renal failure secondary to mpgn, s/p lrrt in , now with recurrence of mpgn and on peritoneal dialysis with labile hypertension and chronic daily headaches. here for transplant nephrectomy. past medical history: ) mpgn: diagnosed age 9 by biopsy. s/p lrrt in 08/. post transplant pt was doing well, but had rising cr for two year. in pt presented with uncontrolled bp requiring icu admission for isradipine drip. repeat biopsy showed a type 1 mpgn. negative hepc,hepb,, and renal u/s from nmec showed stable avf. her creatinine peaked to 4's and she was started on steroids, prograf and cellcept. in , she required 3 sessions of hd through a right upper chest catheter. creatinine slowly recovered to 3.2. plasmapheresis was then initiated with plan to then treat with rituximab. she only underwent 3 sessions of . she is now transferred her care to dr. at to an adult clinic. 2) peripheral edema and abdominal striae steroids 3) htn steroids and renal disease, multiple admissions for hypertensive emergency. 4) hemolytic anemia - was seen by heme/onc who felt it was to malignant hypertension. 5) migraines social history: lives at home with , brother and sister, college student at in the health sciences. denies etoh, illicit drugs, tobacco. family history: no history of kidney disease, malignancy, heart disease, or diabetes. physical exam: bp 198/126 hr 66 rr 16 98% ra gen: tired but aox3, nad : mmm, anicteric sclera; tunneled hd line c/d/i heart: rrr, lungs: ctab, abdomen: soft, nt/nd, old txp scar, pd catheter intact extremities: no le edema, 2+ dp/pt pulses bilaterally pertinent results: post op: wbc-7.7 rbc-3.92* hgb-11.8* hct-36.5 mcv-93 mch-30.2 mchc-32.5 rdw-18.4* plt ct-248 pt-12.5 ptt-22.1 inr(pt)-1.1 glucose-112* urean-69* creat-9.9* na-141 k-5.2* cl-103 hco3-24 angap-19 calcium-9.6 phos-7.0* mg-2.0 on discharge wbc-5.1 rbc-3.54* hgb-10.8* hct-33.6* mcv-95 mch-30.4 mchc-32.0 rdw-17.7* plt ct-241 glucose-108* urean-43* creat-9.1* na-139 k-5.2* cl-95* hco3-31 angap-18 calcium-9.7 phos-6.7*# mg-2.3 brief hospital course: 21 y/o female admitted for transplant nephrectomy. blood pressure was initially very difficult to control and surgery was postponed 1 day until administration of iv bp lowering agents were added to po regimen in preparation for surgery on . patient was taken to the or with dr . please see the operative for surgical detail. in summary, the kidney was removed leaving the capsule in place. she tolerated the procedure well and did not have any intra-op complications. in the post op period she required iv labatelol and nitroprusside drip. once she was transitioned off these medications, she was transferred to the regular surgical floor. bp's were around 140-150 systolic generally and diastolic still remains around 105. she continued her peritoneal dialysis under the recommendations of the renal team. she was using capd during the hospitalization. she will return to the cycler once home. there was no evidence of fluid leak. her pain control was difficult to manage, and required the re-addition of the pca (dilaudid)on pod 2. she was able to transition to solely po oxycodone with additional tylenol with much better effect by pod 4. incision remained clean/dry/intact, no evidence of infection. she had a very high serum phosphorus level (>9) that was treated with sevelemer and a short term trial of alternagel. phos down to 6.7 on day of discharge. she used benadryl and atarax with fair relief of symptoms. patient was also followed by outpatient nephrologist dr who will continue her bp medication management as an outpatient. adjustments were made for home. immunosuppression was changed to prednisone 2.5 mg every other day, and she is now off cellcept. by day of discharge she is ambulating, tolerating diet and pain is under much better control. per dr , hd catheter is to in place until follow up clinic visit with him. she will resume the cycler at home and is to contact her outpatient pd nurse for further monitoring. medications on admission: vit b/c, prednisone 5', zofran, mmf 250", lopressor 150", losartan 100", lisinopril 40', isradipine 15"', isradipine sr 15"', hydralizine 100"', clonidine .2mg patch qwk, clonidine .1"', aliskiren 150' discharge medications: 1. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 2. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 3. losartan 100 mg tablet sig: one (1) tablet po twice a day. 4. lopressor 50 mg tablet sig: three (3) tablet po twice a day. 5. b-complex with vitamin c tablet sig: one (1) tablet po daily (daily). 6. isradipine 5 mg capsule sig: three (3) capsule po three times a day. 7. isradipine 5 mg tab,sust rel osmotic push 24hr sig: three (3) tab,sust rel osmotic push 24hr po three times a day. 8. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qmon (every monday). 9. sevelamer hcl 800 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 10. prednisone 2.5 mg tablet sig: one (1) tablet po every other day (every other day). disp:*15 tablet(s)* refills:*2* 11. oxycodone 5 mg tablet sig: 2-3 tablets po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 12. acetaminophen 500 mg tablet sig: one (1) tablet po q4h (every 4 hours). 13. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po once (once) as needed for itching for 1 doses. 14. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 15. hydralazine 50 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: malignant hypertension s/p renal transplant nephrectomy discharge condition: good discharge instructions: please call dr at for fever > 101, chills, nausea, vomiting, diarrhea, constipation, inability to take or keep down medications. continue pd per dr recommendations, you will return to the cycler on discharge home. please call , your pd nurse on day of discharge. monitor incision for redness, drainage or bleeding please do not shower until hd catheter removed, which will be done by dr at your clinic visit. use spray shower below waist, allow water to run over incision and pd exit site. pat area dry, dress pd exit site per protocol no tub bath or swimming until cleared by dr heavy lifting do not drive if taking narcotic pain medications continue stool softener there have been changes to your blood pressure medications to include discontinuing the aliskaren, change hydralazine to 50 mg tid. immunosuppression changes include prednisone 2.5 mg every other day and discontinue cellcept. followup instructions: , md phone: date/time: 6:00 , md phone: date/time: 1:00 , md phone: date/time: 8:20 procedure: removal of transplanted or rejected kidney peritoneal dialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease end stage renal disease disorders of phosphorus metabolism surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney nephritis and nephropathy, not specified as acute or chronic, with lesion of membranoproliferative glomerulonephritis 

Answer: The patient is high likely exposed to