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: past medical history: end-stage renal disease as above, hypertension secondary to renal disease, moderate diastolic dysfunction on catheterization in , malaria one year ago. past surgical history: left arm arteriovenous fistula. medication: 1. minoxidil 5 mg twice a day. 2. valsartan 80 mg twice a day. 3. carvedilol 25 mg twice a day. 4. nifedipine 20 mg twice a day. 5. nephrocaps. 6. multivitamins. allergies: no known drug allergies. social history: no smoking, no alcohol. mba student. physical examination: temperature 95.6, heart rate 74 through 96. blood pressure 174 to 216 systolic, diastolic 74 to 106. respirations 16. saturation 100% on room air. alert and oriented times three in pain and heart with heart rate tachycardiac without murmurs, rubs or gallops. abdomen is soft, nondistended, nontender in the left upper quadrant to percussion. extremities: warm, no edema. laboratory: white blood cell count 8.2, hematocrit first sample 38, pulse 81.4, 148, sodium 142, potassium 4.1, chloride 93, bicarbonate 37, bun 12, creatinine 6.2, glucose 129. prothrombin time 13.7, ptt 29.1, inr 1.2. alt 16, ast 21, ck 172, alk phos 105, amylase 153, total bili 101, mb 2. troponin 0.04. abdominal ct on showed acute hemorrhage in the left renal fossi and large retroperitoneal hematoma with moderate amount of intraperitoneal fluid likely. extension of the retroperitoneal bleed. multiple kidney cysts bilaterally. the patient was admitted the same day, went to the o.r. on the 16th where he underwent emergent left nephrectomy. postop the patient developed increased ap drainage output of bright red blood, became tachycardiac in the 100's. the patient was taken back to the o.r. for re-exploration to evaluate bleeding. during the operation he was found to have 1500 cc's of blood intra-abdominally. no source of bleeding was discovered. the patient was hemodynamically depleted and idiopathic in post anesthesia care unit preop hematocrit had dropped to 20 before exploration interop the patient received 6 units of packed red blood cells, 250 cc's of cells and 4 units of ffp with two units of platelets. after surgery the patient was taken to the intensive care unit where he was stabilized and eventually was transferred to the floor. eventually the patient had an uneventful course on the floor, started tolerating clears on the 21st. the patient's blood pressure was controlled with minoxidil, valsartan, nifedipine and carvedilol. his pain medication was well controlled with dilaudid 2 mg p.o. and was initially treated with unasyn antibiotics as a prophylaxis. the patient is currently afebrile, has been receiving hemodialysis every monday, wednesday and friday and his labs remained within normal limits with the above aforementioned values. the patient is being discharge today to health care center and was instructed to resume outpatient dialysis at . medications: 1. carvedilol 12.5 mg twice a day. 2. nifedipine 20 mg q day. 3. valsartan 80 mg q day. 4. folic acid. 5. vitamin b complex. 6. vitamin c. 7. calcium oscitate 60 mg three times a day. 8. dulcusate sodium 9. bisacodyl. 10. lactulose p.r.n. constipation. 11. percocet for pain. 12. albuterol aerosol p.r.n. the patient was instructed to follow-up with dr. in . outpatient treatment includes physical therapy, and hemodialysis. diet: renal diet as tolerated. physical therapy: weight bearing as tolerated. , m.d. dictated by: medquist36 procedure: hemodialysis incision of abdominal wall nephroureterectomy reopening of recent laparotomy site diagnoses: congestive heart failure, unspecified acute posthemorrhagic anemia hematoma complicating a procedure hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hemoperitoneum (nontraumatic) cyst of kidney, acquired nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney other specified disorders of kidney and ureter 

Answer: The patient is high likely exposed to