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: tetracycline / percocet attending: chief complaint: end stage renal disease major surgical or invasive procedure: 1) s/p cadaveric kidney transplant history of present illness: mr. is a 62-year-old male with end-stage renal disease who underwent pretransplant evaluation and after risk-suitable workup is now ready for transplantation after a donor organ became available. the crossmatch was negative and the abo compatibility was confirmed. he has had no recent changes in his health status, including no recent cough, chest pain or shortness of breath, or fevers. please see the results section of this discharge summary for the results of his pre-op work-up. past medical history: 1) coronary artery disease, status post cabg in the year , s/p multiple pci's 2) end-stage renal disease secondary to polycystic kidney disease and is on hemodialysis. 3) status post failed renal transplant. 4) gerd. 5) peptic ulcer disease 6) mitral regurgitation. 7) diabetes mellitus type 2. 8) hypertension. 9) hyperlipidemia. 10) peripheral vascular disease. 11) gout. 12) status post appendectomy. 13) depression and anxiety. social history: lives at home with his wife and one of his children. family history: notable for cad, diabetes mellitus, hypertension, and a sister with kidney disease. physical exam: a+o x 3. afebrile, vital signs stable in the pre-operative holding area. cor: systolic murmur lungs: bil. rales. abd s/nt/nd. his prior kidney transplant incision has healed nicely without evidence of wound breakdown or discharge. le his femorals are 2+ and equal bilaterally. pertinent results: 11:30pm wbc-5.7 rbc-4.37* hgb-13.6* hct-40.9 mcv-93 mch-31.1 mchc-33.2 rdw-15.0 plt count-146* 11:30pm urea n-74* creat-10.1*# sodium-141 potassium-5.5* chloride-98 total co2-19* anion gap-30* 11:30pm calcium-9.6 phosphate-7.8*# cholest-130 11:30pm alt(sgpt)-8 ast(sgot)-9 ld(ldh)-144 11:30pm triglycer-101 11:30pm pt-14.5* ptt-27.7 inr(pt)-1.4 cmv (-) ebv (-) sinus rhythm left atrial abnormality low limb lead qrs voltages probable right ventricular conduction delay consider prior inferolateral myocardial infarct clinical correlation is suggested also for possible in part rv overload since previous tracing of , tachyarrhythmia absent renal transplant ultrasound 1. normal perfusion with normal ri of 0.8 of transplanted kidney. 2. a complexed superficial fluid collection in the left lower quadrant inferior to the transplanted kidney, probably representing hematoma, seroma, or lymphocele. 3. empty bladder with foley catheter, which cannot be further evaluated. echo conclusions: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with focal hypokinesis of the inferior and inferolateral walls. the aortic valve leaflets (3) are moderately thickened. aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. severe (4+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior report (tape unavailable for review) of , the severity of mitral regurgitation is increased. and pulmonary artery systolic hypertension is now identified. kub there are gas-filled loops and non-dilated small bowel gas in the colon, and no obvious evidence for intestinal obstruction or free intraperitoneal gas on the suboptimal film. brief hospital course: this 61 year old male was admitted for cadaveric kidney transplant. he underwent a successful transplant along with a left inguinal hernia repair. given his significant cardiac history he was monitored in the pacu then transferred to the sicu after extubation. he required pressor support following the surgery. immunosuppressants were started intra-operatively per the standard protocol. he also required an intermittent insulin drip to tightly control his blood glucose. cardiology was consulted to help in management of the patient post-operatively given his hypotension and pre-op history. they recommended a temporary hold on plavix and to hold aggrenox. aspirin was continued. he initially made 25-35cc of urine per hour but this decreased to 189 cc for the 24 hrs on pod 3. this was due to delayed graft response. on pod 4 the patient received a treatment of hemodialysis for fluid overload-- this decreased his weight from 79.9 to 76.0 kg (pre-op weight 64). on pod the patient's diet was advanced to full. his urine output rose to 990 cc for the day on pod 7. his cr dropped to 5.1 from over 8 previously. the renal transplant service (following) felt he would no longer need hemodialysis. he complained of nausea and vomiting while taking , this was discontinued. in addition, his cellcept was tapered to 500 . lft's and an ekg were also checked to r/o any biliary or cardiac disease, and these were at baseline. he was started on levoquin x 7 day course for a uti on pod 5, sensitivities pending at time of discharge. otherwise, his home medications were restarted, with the exception of aggrenox as cardiology could find no reason to continue this. he was tolerating a regular diet and he remained afebrile. before discharge the patient's foley was reinserted for urinary retention. this should be continued for 2 weeks, when a voiding trial can be conducted. his immunosuppressive regimen was maintained per protocol throughout his hospital course. daily prograf levels were checked and his doses adjusted accordingly. his prograf level was stable at approximately 10 on 4 mg . he received atg x 4 doses per protocol. his cellcept was tapered to 500 mg for nausea and vomiting. medications on admission: asa325, folate, prilosec 30, lopressor 100, plavix 75, dig.125 mwf, aggrenox 75 , neurontin 100tid, isosorbide 40 tid, trazadone 50 qhs, lactulose 30. discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 2. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 6. diphenhydramine hcl 25 mg capsule sig: capsules po q12h or qhs prn () as needed for sleep. 7. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day). 9. digoxin 125 mcg tablet sig: one (1) tablet po mon/wed/ (). 10. insulin lispro (human) 100 unit/ml solution sig: one (1) syringe subcutaneous asdir (as directed): bedtime glargine 6 units insulin sc sliding scale breakfast lunch dinner bedtime humalog humalog humalog humalog glucose insulin dose insulin dose insulin dose insulin dose 0-50 mg/dl amp d50 amp d50 amp d50 amp d50 51-120 mg/dl 0 units 0 units 0 units 0 units 121-160 mg/dl 2 units 2 units 2 units 0 units 161-200 mg/dl 4 units 4 units 4 units 0 units 201-240 mg/dl 6 units 6 units 6 units 2 units 241-280 mg/dl 8 units 8 units 8 units 3 units 281-320 mg/dl 10 units 10 units 10 units 4 units . 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 12. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 13. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 14. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day): hold for sbp < 100, hr < 60. 15. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 16. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 17. tacrolimus 1 mg capsule sig: four (4) capsule po bid (2 times a day). 18. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 19. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 20. levofloxacin 250 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 4 doses. 21. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: center - discharge diagnosis: end stage renal disease s/p cadaveric kidney transplant. discharge condition: stable. discharge instructions: 1) please call dr. office or return to the ed if you have increasing abdominal pain, fevers > 101.5 f, redness around or drainage from your wound, or a drop-off in urine output. 2) sponge bath only until staples come out at your first follow-up visit. the incision may get wet but do not soak or scrub it. followup instructions: 1) provider: , md phone: date/time: 1:10 pm 2) provider: , md phone: date/time: 3:40 pm 3) provider: , md phone: date/time: 3:20 pm procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours hemodialysis other kidney transplantation transfusion of packed cells other and open repair of direct inguinal hernia infusion of vasopressor agent other operations on lacrimal gland transplant from cadaver diagnoses: acidosis mitral valve disorders acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified gout, unspecified aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes peripheral vascular disease, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease complications of transplanted kidney inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) polycystic kidney, unspecified type hyperplasia of prostate, unspecified, with urinary obstruction and other lower urinary symptoms (luts) 

Answer: The patient is high likely exposed to