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: percocet attending: chief complaint: admitted for pancreas following kidney () major surgical or invasive procedure: : pancreas after kidney with duodenojejunostomy x-ray laparotomy with transplant pancreatectomy and wound debridement. history of present illness: diabetes mellitus type 1 status post kidney transplant. active on pancreas list for pak, currently on prograf and cellcept. denies fever or chills. has a non-productive dry cough with intermittent sore throat x 1 month. occasional constipation. denies complaints regarding urine output. blood sugar control extremely variable (60-400). has not taken prograf on day of admission. past medical history: esrd dm since age 7 lupus htn kidney tx from father retinopathy with laser rx c section x 2 social history: married with son family history: n/c physical exam: vs: 98.0, 131/91, 101, 20, 97% wt 65.1 gen: a+ox3, sitting on bed, no fever or chills heent: oral mucosa pink/moist, no evidence of pharyngeal illness lungs: cta bilaterally card: rrr, no mrg abd: soft, nt, nd, well healed scar r iliac fossa, + bs extr: no edema, + radial, pedal and femoral pulses bilaterally pertinent results: on admission: glucose-97 urea n-20 creat-0.9 sodium-139 potassium-4.6 chloride-106 total co2-25 anion gap-13 wbc-8.5 rbc-4.17* hgb-13.0 hct-35.9* mcv-86 mch-31.2 mchc-36.3* rdw-13.3 plt count-257 alt(sgpt)-25 ast(sgot)-18 ld(ldh)-144 alk phos-88 amylase-51 tot bili-0.2 lipase-12 albumin-4.6 calcium-10.2 cholest-151 ucg-negative urine color-straw appear-clear sp -1.013 blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0-2 brief hospital course: diabetes mellitus type 1 status post kidney transplant now admitted for pak. during the surgical procedure the pancreas pinked-up immediately, and the duodenum began filling with exocrine secretions. once hemorrhage was controlled from the gland itself, duodenojejunostomy completed. the jejunum was anastomosed side-to-side to the duodenum. patient extubated in the or. please see op note for additional details. in the immediate post op period the patient was transferred to the icu. it was noted that bladder pressure increased overnight, and was also reintubated due to increasing respiratory distress and hypotension. extubated on pod 3. serial abdominal exams revealed protuberant abdomen, but softer and appropriately tender. abdominal wound intermittently had large amounts of sero-sang drainage when patient coughed. pancreas u/s showed the pancreas transplant identified in the right mid abdomen with no discrete peripancreatic collections. ascites was noted. arterial flow is abnormal with a resistive index of one and no flow in diastole, however, the entire graft is well vascularized and venous outflow was normal. arterial waveforms may reflect swelling due to transplant pancreatitis. patient received atg 100 intra-op and then 4 additional doses of 75 mg through pod 4 for a total of 5 doses. continued on prograf and cellcept. creatinine had one bump to 1.9 on pod but otherwise remained around baseline of 1.0. blood sugars were variable with occasional bs > 200, but mostly 100-150. amylase and lipase initially elevated but returned to by pod 7. patient transferred to floor on pod 5. patients' abdomen was noted to be more distended, and on pod 6, ct exam of abdomen showed: thrombus in the donor venous anastomosis extending to the recipient inferior vena cava, as well as likely compromised arterial supply to the transplanted pancreas with findings suggestive of necrosis within the pancreas head. plan was to place an ivc filter with possible thrombectomy/thrombolysis. patient underwent uncomplicated deployment of a gunther tulip ivc filter via the right ij approach, with filter placed just above the ivc thrombus tip. if removal of filter is considered, this would be best performed within 2-3 weeks from now. (by ) at the same time there were failed attempts to opacify and catheterize the transplant outflow vein. patient was kept anticoagulated overnight and a pancreatectomy of the transplant pancreas was performed on . during the procedure, the pancreas was inspected on the back table, it appeared to be mainly a venous thrombosis. an organized clot at the y graft to sma anastomosis was seen. the anastomoses themselves appeared to be intact. biopsy results showed -vascular thrombosis of major vessels, with transmural hemorrhagic necrosis of donor duodenal wall. -mucosal ischemic necrosis involves both duodenal resection margins. -pancreatic parenchyma with localized areas of necrosis and acute inflammation, consistent with vascular ischemia. wound vac was placed to the abdominal wound at the closure of the pancreatectomy due to some necrotic subcutaeous tissue. patient was transferred back to the sicu following the pancreatectomy. cmv negative on patient complained of increased abdominal pain. ct exam of abdomen on showed a 5 x 6 cm fluid collection with enhancing wall in the right lower quadrant extending from the level just inferior to the right lobe of the liver to the renal transplant (in the old pancreas transplant bed). a second small phlegmonous area was seen inferiorly and posteriorly to this larger collection. two small encapsulated fluid collections were seen at the pancreatic arterial anastomotic site and adjacent to the anterior abdominal wall as described above. on , drainage of collection resulted in 20 ml of serous sanguinous fluid. a pigtail drain was left in place. gram stain showed no bacteria and cultures are negative after 48 hours. wbc was 225. amylase 19, t bili 1.7. a large clot was noted in the fluid. patient continued to improve. diet advanced. last day of tpn coumadin therapy initiated on due to thrombus and filter placement. patient will continue coumadin as an outpatient. on an unsuccessful attempt to retrieve the gunther filter was tried. the filter remains in at the time of discharge. patient continued to convalesce, started eating a bit better and got blood sugars under control. will continue on lantus and humalog at home. offered support during hospitalization and is available for post care if patient requests. wound vac changed on day of discharge. will continue at home for now. assessment of need for continuing will be at outpatient appointment. wound appears well granulated but remains deep and wide. will continue mmf and prograf for immunosuppression for kidney transplant. also sent home with valcyte and bactrim medications on admission: prograf , cellcept /750, lisinopril 5', humulin n 20 q am, lantus 45u q am, humalog ss, colace prn discharge medications: 1. warfarin 1 mg tablet sig: two (2) tablet po once (once). disp:*60 tablet(s)* refills:*0* 2. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 3. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. tacrolimus 1 mg capsule sig: four (4) capsule po bid (2 times a day) for 2 doses. 5. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qthur (every thursday). 6. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 7. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). 8. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. insulin glargine 100 unit/ml solution sig: thirty eight (38) units subcutaneous once a day: take in the morning. 12. insulin lispro (human) 100 unit/ml solution sig: one (1) subcutaneous four times a day: please follow sliding scale. discharge disposition: home with service facility: gentiva discharge diagnosis: dmi s/p pak with failed pancreas transplant due to thrombus discharge condition: stable discharge instructions: please call if you experience: -fever -chills -nausea, vomiting, inability to eat or keep medications down -increase or change in nature of drainage from wound vac -low urine output continue prograf and cellcept as prescribed and have labs drawn and faxed to (transplant office) cbc, chem 7, ca, phos, ast, t bili, u/a and trough prograf level vna will assist with wound vac dressing changes, which should be done every 3 days. followup instructions: provider: , md phone: date/time: 2:20 provider: , md phone: date/time: 1:10 provider: , md phone: date/time: 1:20 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube interruption of the vena cava percutaneous abdominal drainage percutaneous abdominal drainage insertion of other (naso-)gastric tube closed [endoscopic] biopsy of bronchus homotransplant of pancreas transfusion of packed cells excision of lesion of other soft tissue small-to-small intestinal anastomosis total pancreatectomy other immobilization, pressure, and attention to wound angiocardiography of venae cavae other operations on lacrimal gland transplant from cadaver diagnoses: systemic lupus erythematosus acute kidney failure with lesion of tubular necrosis cellulitis and abscess of trunk urinary tract infection, site not specified congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hematoma complicating a procedure polyneuropathy in diabetes embolism and thrombosis of other specified artery 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 acute pancreatitis diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled complications of transplanted pancreas other venous embolism and thrombosis of inferior vena cava vascular complications of other vessels 

Answer: The patient is high likely exposed to