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: history of present illness: 55 year old female status post cadaver kidney transplant , complicated by delayed graft function, seen in the office by dr. . noted erythema at the superolateral aspect of the incision, treated with keflex x seven days. the patient continued to have outpatient lab work. on , creatinine was noted to have risen from 2.6 to 3.3, with prograf level of 22. prograf level was 3 mg b.i.d. that dose was lowered to 2 mg twice a day, and at that time labs were remarkable for a creatinine of 5.1 and a prograf level of 16.4 on . the patient was admitted to the transplant unit for further workup. upon review of systems, the patient denied fevers, chills. no shortness of breath, chest pain, palpitations, cough or cold. no change in bowel habits. oral intake was poor. no nausea or vomiting. no dysuria. the patient did report persistent hematuria. reported moderate pain from the incision, with persistence of erythema at the incision site, and the patient's family reported yellow drainage from the wound. past medical history: significant for end stage renal disease on hemodialysis secondary to anca gn, scleroderma, hypertension, coronary artery disease status post myocardial infarction x 2, status post lad stent, congestive heart failure with ejection fraction of 30 percent, peripheral vascular disease, and right upper lobe mass which is chronic. history of mycobacterium avium, gastric erosions and anemia. past surgical history: significant for cadaver renal transplant . she also had a cadaver renal transplant in that failed. history of total abdominal hysterectomy and bilateral salpingo-oophorectomy, cholecystectomy, and repair of a left femoral aneurysm. history of a peritoneal dialysis catheter needing repositioning x 2. also a right a- v fistula. social history: lives at home with family. continues to smoke. medications at home: prograf 2 mg p.o. b.i.d. cellcept mg twice a day. bactrim single strength one tab every day. nystatin swish and swallow 5 ml orally four times a day. valcide 450 every other day. protonix 40 mg p.o. daily. coreg 3.125 mg p.o. twice a day. albuterol p.r.n. allergies: no known drug allergies. hospital course: the patient was admitted to the transplant unit alert and oriented in no acute distress, well appearing. vital signs were stable at 97.6 for temperature, heart rate 78, blood pressure 130/68, respiratory rate 20; 98 percent on room air. lungs were clear to auscultation bilaterally. heart was regular rate and rhythm, no murmurs. abdomen was soft, nondistended, positive bowel sounds. incision was clean, dry and intact. a little bit of erythema with approximately 2 cm to the edge of approximately a 6 cm length of superior edge, tender around incision, not specifically tender over kidney. no expressible drainage from the incision. extremities - no cyanosis, clubbing or edema. the patient was admitted for prograf adjustment based on levels, and intravenous hydration. an ultrasound was ordered and done on . this ultrasound revealed mild hydronephrosis with resistive indices of 0.8 to 0.1. ultrasound also revealed mild hydronephrosis, which was new compared to the exam on . again, the resistive indices at the lower and interpolar regions of the transplanted kidney approached 1, with waveforms demonstrating good systolic upstroke with virtually no diastolic flow. this was an acute change compared to the prior exam. the resistive index at the upper pole of the transplanted kidney was approximately 0.8. the patient was evaluated by the renal attending, dr. , and a transplant biopsy was discussed with the patient and performed on . at this time, prograf was held for the elevated prograf level of 18.8. prograf was resumed on the second postoperative day at 1 mg p.o. b.i.d. on , the prograf level came down to 6.6, and prograf level was adjusted to 2 mg p.o. b.i.d. the transplant kidney biopsy returned with results significant for endothelialitis, significantly more prominent that the tubulitis and significant donor disease, and also acute cellular rejection was noted. atg was initiated on at 100 mg for the acute cellular rejection, and a followup tissue typing and crossmatch was sent post-transplant on , prior to initiating atg, anti-thymocyte globulin. the anti-thymocyte globulin second dose was lowered to 50 mg for white counts of 2.5. she resumed atg 100 mg on the eighteenth, as her white blood cell count improved slightly to 2.6. at this time, hematocrit was noted to be 25.4, and a transfusion of one unit of packed red blood cells was ordered. subsequently, the patient developed shortness of breath and acute pulmonary edema after the first unit of blood was transfused. the patient was sitting up in bed using accessory muscles on a scoop mask, looking very uncomfortable. heart rate was 84, blood pressure 176/84, respiratory rate 28, oxygen saturation 92 percent on three liters. she had bilateral diffuse crackles anteriorly and posteriorly on lung exam, from apex to the base. heart rate was regular. no murmurs were noted. no pedal edema was noted. the patient was given intravenous lasix 40 mg x one, and a stat chest x-ray was obtained, as well as an ekg. chest x-ray revealed pulmonary edema. abg's were obtained. abg results were as noted - 7.09/100/58/19/-12. x-ray revealed pulmonary edema. the patient was transferred to the sicu and received a respiratory treatment x 1 and the thymoglobulin infusion was stopped. the patient's urine output remained low after intravenous lasix. cardiac enzymes were sent off, and the patient was intubated and further lasix was given. of note, during transport to the sicu, the patient became unresponsive and the patient was cyanotic. anesthesia intubated the patient. apparently the patient had vomited a little bit prior to becoming unresponsive. copious sputum was suctioned from the endotracheal tube. during this time, the patient did not lose her blood pressure or pulse. cardiac enzymes returned with a ck-mb of 17, a troponin of 0.31, and a ck-mb of 10.8. at that time, creatinine was 6, potassium 3.4, sodium 141, chloride 108, co2 20, bun 49, calcium 9.5, phosphorus 4.3, magnesium 1.2, hematocrit 24.6. the patient resumed consciousness, remained intubated for a second intensive care unit day. cardiology was consulted for evaluation of increased enzymes. the patient was monitored by telemetry. blood pressure was controlled with intravenous metoprolol and nitroglycerin drip, and volume was removed with further intravenous diuresis. the patient put out 3530 cc of urine, with an intravenous intake of 903 and 370 cc p.o. breath sounds were improved, but diminished at the bases. cardiology had also recommended obtaining an echocardiogram. on , a cardiac echo was obtained. the left atrium appeared normal in size. the right atrium appeared normal in size. the left ventricle revealed mild, symmetric left ventricular hypertrophy with normal cavity size. there was some severe regional left ventricular systolic dysfunction noted. no resting left ventricular outflow tract gradient. no left ventricular mass or thrombus was noted. regional left ventricular wall motion abnormalities include mid anteroseptal hypo, mid inferoseptal hypo. the anterior apex was akinetic. septal apex akinetic. inferior apex akinetic, as well as the apex. the right ventricle appeared normal in size and had free wall motion. there was no aortic stenosis, no aortic regurgitation. one plus mitral regurgitation was noted. there was normal tricuspid valve reflux with trivial tricuspid regurgitation. the ejection fraction was 25-30 percent. the patient had excellent diuresis following intravenous lasix. renal function was stable, with a creatinine of 3. the new b cell cross match was positive, but there was no clear evidence of antibody mediated rejection on biopsy. the patient was transferred after three days in the sicu to the transplant unit on , where she continued to receive her atg, for a total of seven doses, as well as solu-medrol on a tapering dose. she continued on cellcept one gram b.i.d., and her creatinine continued to trend down to a low of 1.5 on . urine output was good, at one liter, 460 cc for 24 hours, with an oral intake of 880 cc. she had stable vital signs, with a high of 169/67 for blood pressure and a low of 113/37, with a heart rate in the fifties to sixties. the patient was beta blocked, and per cardiology recommendations, she was switched from carvedilol to lopressor. of note, the patient's respiratory status was improved. she had been successfully weaned from the ventilator when she was in the intensive care unit, with the patient able to tolerate room air off the ventilator. the patient was comfortable. denied shortness of breath or chest pain. of note, the patient was also started on hydralazine 10 mg p.o. q 6 hours per cardiology recommendations, to get her systolic blood pressure approximately in the range of 120. the patient was discharged home on after a ten day stay. vital signs were stable. urine output was approximately averaging a liter and a half. labs on discharge: the patient's white blood cell count was 3.9, hematocrit 31.6, platelets 132, sodium 138, potassium 4.5, chloride 103, co2 28. bun 32, creatinine 1.5, with a glucose of 175. during this hospital stay, the patient's glucoses were elevated, with a low of 120 to a high of 215. she did receive insulin drip in the intensive care unit and on the floor, sliding scale insulin. given her prednisone dose, 20 mg tapered down to 10 mg on , she was discharged on 10 mg of prednisone, and her glucoses will be monitored on an outpatient basis. she may need an oral if glucoses do not improve with steroid taper. of note, her sk level on discharge was 12.9. her discharge prograf level dose was 3 mg orally twice a day. she will follow up in the outpatient clinic. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube injection or infusion of other therapeutic or prophylactic substance closed [percutaneous] [needle] biopsy of kidney transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use acute kidney failure, unspecified peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease old myocardial infarction surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution hydronephrosis complications of transplanted kidney other drugs and medicinal substances causing adverse effects in therapeutic use systemic sclerosis 

Answer: The patient is high likely exposed to