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: vasotec / bactrim attending: chief complaint: cadaveric renal transplant major surgical or invasive procedure: s/p crt history of present illness: 67 y/o female with a a history of esrd on hd secondary to iddm and hypertension -- presents for cadaveric renal transplant. past medical history: esrd on hd tue/thurs/sat insulin dependent diabetes hypertension sigmoidectomy vaginal hysterectomy appy knee arthroscopy avf social history: n/a family history: n/a physical exam: on discharge: vitals: 98.9 bp 125-70 to 140/69 hr 70-85 99% on ra cv: rrr abd: soft, ntnd ext: no edema pertinent results: radiology final report persantine mibi persantine mibi reason: chest pain. history: patient is s/p renal transplant and now with chest pain. summary of exercise data from the report of the exercise lab: dipyridamole was infused intravenously for 4 minutes at a dose of 0.142 mg/kg/min. two minutes after the cessation of infusion, tc-m sestamibi was administered iv. interpretation: image protocol: gated spect. resting perfusion images were obtained with thallium-201. tracer was injected 15 minutes prior to obtaining the resting images. findings: the image quality is good. comparison was made to a prior pharmacological stress test dated . there is a moderate sized, reversible inferior and inferolateral wall perfusion defect which is a new finding when compared to the report from the prior examination. there are no fixed perfusion defects identified. left ventricular cavity size is normal. the study was interpreted using the 17-segment myocardial perfusion model. gated images reveal normal wall motion. the calculated left ventricular ejection fraction is 49%. impression: 1) new, reversible, moderate sized inferior and inferolateral perfusion defect. 2) normal left ventricular cavity size and function. /nkg approved: 4:52 pm ____________________________________ exercise results resting data ekg: sinus, voltage for lvh with nssttw heart rate: 84 blood pressure: 128/ protocol / stage time speed elevation heart blood rpp (min) (mph) (%) rate pressure i 0-4 .142mg kg/min 91 total exercise time: 4 % max hrt rate achieved: 60 symptoms: none interpretation: 67 yo woman (s/p renal tx) was referred to evaluate an atypical chest discomfort. the patient was administered 0.142 mg/kg/min of persantine over 4 minutes. no chest, back, neck or arm discomforts were reported during the procedure. during the procedure, and in the presence of prominent voltage, 0.5-1.5mm of slowly upsloping/horizontal st segment depression over baseline was noted in the lateral leads early in the postinfusion period. the rhythm was sinus with frequent aea noted during the procedure: frequent apd's, intermittent atrial couplets and triplets. the patient reported no palpitations or fluttering. the hemodynamic response to the persantine infusion was appropriate. three min post-mibi, the patient was administered 125 mg aminophylline iv. impression: st segment changes that are probably nondiagnostic in the presence of baseline abnormalities; in the absence of anginal symptoms. nuclear report sent separately. signed: , , ____________________________________________ radiology final report renal u.s. port 9:43 am renal u.s. port; -59 distinct procedural servic reason: ?flow to transplanted kidney medical condition: 67 year old woman with renal transplant reason for this examination: ?flow to transplanted kidney indication: postop day 2 after renal transplant. prior renal ultrasound with no antegrade diastolic flow or discernible venous outflow. renal transplant ultrasound: again identified is an 11.4 cm transplanted kidney. the size is unchanged. there is no hydronephrosis or perinephric collection. doppler evaluation of blood flow to the transplanted kidney shows improved systolic upstrokes in the peripheral renal arteries, with antegrade diastolic flow now present. some of the waveform measurements are limited, but resistive indices range from 0.68 to 0.75. the main renal artery was not fully evaluated due to technique. good venous outflow is now seen from the kidney, with a normal venous waveform present. impression: improvement in appearance of arterial waveforms, now with antegrade diastolic flow. venous outflow present from the kidney, with normal-appearing renal vein waveform. results were discussed with dr. , the transplant fellow, at the time this study was performed. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 8:47 am _ _ _ _ _ _ ________________________________________________________________ brief hospital course: this pleasant 67 y/o woman underwent a cadaveric renal transplant -- please see operative note for further information -- on . post-operatively she was admitted to the icu for management secondary to blood loss in the operating room. she did have some small ischemic changes at this time, but had a negative troponin. patient was monitored and was started on a low dose of lopressor (5mg iv x once) for cardioprotection. patient tolerated the dose. she initially continued to make urine with improvement each day. renal ultrasound on did show a potential of a vein clot, but repeat ultrasound did not illstrate any abnormalities and were able to visualize the vein and artery without difficulty. she did get intermittent dialysis while awaiting for the graft to fully function: hd: 0.5l 3.0l 0.5l. she was transferred to the floor and on pod 6, she began to experience intermittent chest pain without shortness of air or diaphoresis. cardiology was consulted and in light of creatine, though improving a cardiac cath was not an option. a stress test performed after athe chest pain was negative. she was ruled out and restarted on her imdur and increased the dose to 60mg po bid. patient was also started on lopressor 12.5 mg po bid and increased to 25 mg po bid, she tolerated the dose. however, she remains apprehensive about the lopressor -- worried that it will make her weak. though her pressure and heart rate are better controlled she will need additional management as an out patient. she was discharged to rehab in good condidition -- she wishes to have cardiology care here and will see the transplant office within the next week. her creatine on admission was 6.8 and discharge was 4.3 with her last dialysis being . medications on admission: isosorbid mono 30", nephrocaps', allopurinol 300', verapamil 120', quinine 260' before hd, captopril 12.5' discharge medications: 1. valganciclovir hcl 450 mg tablet sig: one (1) tablet po every other day (every other day). disp:*qs tablet(s)* refills:*2* 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed. disp:*qs ml(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*qs tablet, chewable(s)* refills:*2* 8. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po bid (2 times a day). disp:*60 tablet sustained release 24hr(s)* refills:*2* 9. verapamil hcl 120 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). disp:*30 tablet sustained release(s)* refills:*2* 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed. disp:*qs suppository(s)* refills:*0* 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. tacrolimus 1 mg capsule sig: 1.5 capsules po twice a day: take as directed by transplant surgery office. disp:*90 capsule(s)* refills:*2* discharge disposition: extended care facility: & rehab center - discharge diagnosis: s/p crt esrd secondary to htn and dm chest pain with negative stress test discharge condition: good discharge instructions: keep incision clean and dry. please call for fever >100.5, chills, nausea, emesis or any other worrisome symptoms followup instructions: please call the cardiology office to make an appointment provider: , md where: lm center phone: date/time: 9:40 provider: , md where: lm center phone: date/time: 2:50 provider: , md where: lm center phone: date/time: 11:40 procedure: hemodialysis closed [percutaneous] [needle] biopsy of kidney suture of vein ureteral catheterization other kidney transplantation transfusion of packed cells other operations on lacrimal gland transplant from cadaver diagnoses: acidosis hyperpotassemia anemia, unspecified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hemorrhage complicating a procedure surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chest pain, unspecified complications of transplanted kidney diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled unspecified circulatory system disorder accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to