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: this is a 59-year-old woman with history of end stage renal disease with recent second renal transplant who is now admitted with fever and hypoxia. the patient's renal failure dates back to when she was diagnosed with analgesic related nephropathy. she underwent living unrelated donor renal transplant in , complicated by acute and then chronic rejection. she underwent a second renal transplant on , this time a related donor (her son). postoperative course notable for wound dehiscence and urinary tract infection. she had grown out e. coli from a urine, for which she was treated with a course of ceftin. thereafter, she was doing well until when she was admitted with upper abdominal pain and anemia. ct without iv contrast was performed, and it revealed mild fullness of the left transplant kidney but no drainable fluid collection or perinephric abscess. she was transfused for her anemia, admitted for observation, and discharged to home the following day () with resolution of her upper abdominal pain. she returned to the ed on for dyspnea and she was found to have a sat of 79%. temperature at that time was 103 degrees rectally. she was admitted to the micu service, where she ruled out for mi and was pancultured. she was started empirically on levofloxacin given her immunosuppression and her history of recent rll pneumonia on . cultures from this admission have since grown 8/8 bottles positive for enterococcus faecalis. at this point her antibiotic regimen was changed to vancomycin and gentamycin for enterococcus, as well as ceftriaxone for cover gram negative in light of immune status and recent pneumonia. tte was performed and revealed 3+ mr , raising suspicion for bacterial endocarditis. tte was therefore performed after she was transferred to the floor, which revealed no vegetation and no signs of endocarditis. past medical history: esrd diagnosed , nephropathy secondary to analgesics, status post living unrelated donor in , acute and then chronic rejection, recently underwent second renal transplant (living related donor). hyperparathyroidism, osteopenia, bone fractures, recurrent uti, atrial fibrillation, failed cardiac conversion times three. allergies: penicillin, sulfa, iv contrast, iv valium. medications: on admission, gentamycin 80 mg iv q 8 hours, prograf 3 mg po bid, ganciclovir 500 mg po tid, lopressor 25 mg po q 6 hours, rocaltrol 0.5 mcg po q d, oxycodone 5 mg po q 4 hours prn, vancomycin 1 gm iv q 12 hours, rapamycin 4 mg po q d, mycelex troches qid, lipitor 10 mg po q d, cacl3 12 mg po qid, tylenol 650 mg q 6 hours prn, ceftriaxone 1 gm iv q d, prednisone 50 mg po q d, zantac 150 mg po bid, celexa 10 mg po q d. social history: lives in but has come to the u.s. for renal transplant. currently staying in with son and daughter-in-law. tobacco or alcohol. family history: denies any significant family history. physical examination: on admission vital signs after being transferred to regular floor, t max 98.7, heart rate 70, blood pressure 110/60, 90% on rv. she was in no acute distress. heent: anicteric, pupils are equal, round, and reactive to light and accommodation, extraocular movements intact, no oral lesions. neck supple with full range of motion, no adenopathy. heart, regular rhythm, s1 and s2, holosystolic murmur. lungs, decreased breath sounds at both bases. abdomen soft with partly dehiscence along the lower aspect of her recent transplant incision, tenderness along the lower aspect, but without significant erythema or purulent drainage. back, no vertebral or cva tenderness. extremities, no clubbing, cyanosis or edema. no stigmata for endocarditis. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled bacteremia streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] methemoglobinemia kidney replaced by transplant other and unspecified local anesthetics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to