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 / biaxin / vancomycin / haldol / heparin agents / flagyl attending: chief complaint: 47 y/o female admitted for living related kidney transplant major surgical or invasive procedure: living related kidney transplant history of present illness: 47 y/o female with esrd on hemodialysis, highly sensitized with current desensitization protocol of ivig and plasmapheresis now admitted for kidney transplant from her sister. been in her usual state of health, no fevers, chills or problems with hemodialysis. past medical history: 1) esrd on hd tues, thurs, sat; l dialysis fistula 2) sle: dx , h/o lupus cerebri, membranous glomerulonephritis, boop , raynaud's, dip arthritis, avascular necorsis of hips and shoulder. 3) htn 4) dyslipidemia (not on any meds): lipid panel wnl 5) cardiomyopathy & chf: normal cath in ; tte in showed ef 45%, 1+ mr, mild global left ventricular hypokinesis, lvh; exercise mibi in showed ef 62% 6) history of salmonella bacteremia 7) gastritis: dx by egd 8) anemia: ? thallesemia, autoimmune hemolytic anemia 9) ttp/hus 10) thrombocytopenia/itp 11) hsv 12) cervical dysplasia lgsil - 13) breast dcis 14) adrenal crisis (was on chronic prednisone- finished in ) 15) osteoporosis 16) h/o hypothyroidism 17) seizures 18) s/p hysterectomy for dysfunction uterine bleeding of etiolgoy. 19) pancreatitis pancreatic divisum 20) status post cholecstectomy in , 21) adrenal crisis in social history: lives with her brother. part time as a bookkeeper and tax preparer. no etoh/tob. single. family history: she reports a family history of lupus and autoimmune diseases. physical exam: on admission: vs: 99.3, 140/72, 80, 20, 100% ra wt 55 kg ht 5'4" gen: nad, sitting up in bed, a&ox3 heent: normocehphalic, atraumatic, no nodes palpated, no thrush noted cv: rrr, no m/r/g resp: lungs cta bilaterally abd: soft, nt except for area in ruq (not new), no scars noted, + bs extr: + femoral pulses, 2+ dp and radial pulses, no edema noted. luarm avf with + bruit and thrill. dialyzed today and experienced some extended bleeding post hd today. dsg, cdi pertinent results: on admission: 10:20pm urea n-30 creat-6.8 sodium-144 potassium-3.8 chloride-106 total co2-29 anion gap-13 alt(sgpt)-14 ast(sgot)-16 ld(ldh)-97 calcium-8.5 phosphate-3.6 magnesium-1.7 cholest-36 triglycer-85 wbc-2.0* rbc-2.97* hgb-9.0* hct-26.8* mcv-90 mch-30.2 mchc-33.5 rdw-21.6* plt smr-very low plt count-62* pt-14.6* ptt-46.5* inr(pt)-1.3* brief hospital course: she underwent hemodialysis and then received rituximab. she was plasmapheresed with ffp replacement then she received ivig and prograf per desensitization protocol. she was taken to the or on for living related renal transplant placed on the right side by dr. without complications. a jp was placed. she received a reduced dose of atg 50mg for wbc of 1.8 and solumedrol induction. ebl was 200cc. she produced urine ranging between 250-500cc per hour. preop creatinine was 8.1. the creatinine trended down to 1.7 on pod 9. she did experience right lateral leg numbness which was slightly swollen. a non-in she received plasmapheresis x4 on subsequent days. atg was given x4. prograf was continued at 2mg for level in the 11-12 range. imuran was started at 50mg qd then increased to 75mg qd when wbc increased. prednisone was tapered per protocol then she was maintained on 25mg qd. her platelet count was low (62-51)postop.she received 1 unit prbc on for hct of 21.7. nephrology followed throughout this hospitalization making recommendations which included increasing lopressor for elevated bp. followed for glucoses in the 113-168 range secondary to steroids. sliding scale insulin was recommended. on she had a temperature of 101.5. she was started on vanco and zosyn. her cline was changed over a wire without complications. urine culture was positive for 10-100,000 col enterococcus sensititive to vanco. she received 4 days of iv vanco and zosyn then this was switched to augmentin x2 days. a repeat urine culture was negative. a repeat crossmatch was sent and this was negative. on , she complained of diarrhea. stool was sent x 3 for c.diff. these samples were negative. the jp was removed. she had a small amount of drainage from this site. on pod 7 she c/o pain in rlq. an u/s demonstrated a fluid collection which was successfully aspirated under u/s and a catheter was placed. this fluid was sent for approximately 130 cc of clear yellow fluid with the appearance of urine, was removed. culture was negative for growth. fluid from this drain was sent for creatinine which was 1.4-1.8. three days later a rpt u/s revealed no interval change in the appearance of the arterial waveforms within the transplanted kidney. the resistive indices range from 0.73 to 0.8. a fluid collection adjacent and deep to the transplanted kidney was seen, measuring 7.0 x 5.6 x 5.4 cm. this was slightly smaller. a pigtail drain was left in place. initially, the patient was to d/c home at this time with pigtail drain in place and finish augmentin course. creat at that time was 1.7. renal u/s shoewed good blood flow to the graft. on post-op day 11 a biopsy was performed that showed glomerular and vascular changes suggestive of thrombotic microangiopathy and patient was kept for further hospitalization. creatinine 3.8 at that time. patient received 2 more rounds of plasmapheresis and ivig for a total of 6 post transplant. abdominal wound from transplant was opened for drainage on . wound packed with ns wet to dry with good wound healing. in spite of wound healing issues, immunosuppression changed from prograf to rapamune for concern of prograf toxicity to the allograft. on patient was having some abdominal pain ct showed that the pigtail drain appeared to be located laterally within the collection. patient underwent successful lysis of presumed loculations within the perirenal transplant fluid collection, with aspiration of all visible fluid in this collection. fluid analysis shows a creatinine content of 2.0 mg/dl. gram stain and culture were no growth. absolute cd3on was 234. patient continued to receive atg. nadir of 0 on . on another allograft biopsy was performed. this was consistent with acute cellular rejection, banff category 3. c4d staining of peritubular capillaries was negative. following biopsy, the hematocrit was noted to have dropped to 19%, ct showed new subcapsular hematoma surrounding the transplant kidney and extending into the right paracolic gutter. transfused with 2 units prbcs with appropriate response. on patient spiked temp to 101.6. blood cultures were negative, however, she did grow vanco resistant enterococcus in the urine. this was covered with linezolid, continued on zosyn, vanco d/c'd. id was consulted and recommended daptomycin. all other antibiotics stopped at this time. blood pressure more elevated at this time, metoprolol increased to 100 mg tid. immunosuppresion: changed to myfortic, imuran d/c'd on patient continued to improve and remained afebrile until discharge home on . patient did have complaint of right hip pain. x-ray on : sclerosis and flattening suggestive of avascular necrosis of the femoral head. long-term steroid therapy may be the etiology. pigtail drain was left in to drainage. immunosuppression home course is rapamycin 8 qd, myfortic 360 and pred 20 final absolute cd3 count on discharge was 57. followed blood sugars all during hospitalization, patient on lantus only for awhile and then changed to ss insulin with adequate control, minimal insulin requirements by end of hospitalization, sent home with no insulin coverage. follow blood sugars with outpatint labs. vna for dressing changes (abdomen still with minor ns wet-to-dry changes) and med teaching medications on admission: prograf 2'',imuran 50', valcyte 450', omeprazole 20', nifedipine 90', renagel 800 3 q meal, metoprolol 100'', folate 1mg', nephrocap ', fosamax 35 mg 1x/week, plaquenil ? dose, nystatin 5 ml s& is pta: prograf 2 , imuran 75 qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): continue as long as you are taking pain medications, or as long as needed. disp:*60 capsule(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. nifedipine 90 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 4. epoetin alfa 4,000 unit/ml solution sig: one (1) injection qmowefr (monday -wednesday-friday). 5. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 10. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 11. sirolimus 1 mg tablet sig: eight (8) tablet po daily (daily). 12. mycophenolate sodium 180 mg tablet, delayed release (e.c.) sig: four (4) tablet, delayed release (e.c.) po bid (2 times a day). 13. dilaudid 2 mg tablet sig: one (1) tablet po prn: q 3-4. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: s/p living related kidney transplant discharge condition: stable discharge instructions: please call if you experience any of the following: fever, chills, nausea, vomiting, diarrhea, inability to eat pain, redness or discharge from the incision any other symptoms concerning to you please have your labs drawn every monday and thursday and faxed to : cbc, chem 10 ca, phos, ast, t bili, u/a and trough prograf level followup instructions: provider: , md phone: date/time: 3:00 provider: , md phone: date/time: 3:40 provider: density testing phone: date/time: 4:40 procedure: venous catheterization, not elsewhere classified hemodialysis percutaneous abdominal drainage percutaneous abdominal drainage closed [percutaneous] [needle] biopsy of kidney closed [percutaneous] [needle] biopsy of kidney other kidney transplantation therapeutic plasmapheresis transfusion of packed cells transfusion of platelets injection or infusion of immunoglobulin injection or infusion of biological response modifier [brm] as an antineoplastic agent transplant from live related donor diagnoses: chronic glomerulonephritis in diseases classified elsewhere systemic lupus erythematosus end stage renal disease urinary tract infection, site not specified congestive heart failure, unspecified long-term (current) use of steroids other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hematoma complicating a procedure other convulsions dermatitis due to drugs and medicines taken internally diarrhea thrombotic microangiopathy aseptic necrosis of head and neck of femur complications of transplanted kidney disruption of external operation (surgical) wound other noninfectious disorders of lymphatic channels penicillins causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to