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: past medical history: end-stage renal disease secondary to iga nephropathy diagnosed in . hypertension. migraines. peritoneal dialysis since . changed to hemodialysis via left upper extremity. av fistula, which was replaced in 12/98. hypercholesterolemia. gastritis. status post mva in . status post exploratory laparotomy . drainage of pelvic abscess. obstructive peritoneal occlusion cyst. allergies: procardia and diltiazem causing cardiac arrest. social history: no tobacco, no alcohol. medications on admission: 1. iron. 2. lipitor 20 mg q.d. 3. cellcept mg twice daily. 4. bactrim ds monday, wednesday, friday. 5. cozaar 50 mg every day. 6. zantac 150 every day. 7. prednisone 5 mg every day. physical examination: patient was febrile to 102 degrees, heart rate of 85, blood pressure 109/65, respiratory rate of 18, saturation 100 percent on room air. general: a young, well-dressed, well-nourished patient in some moderate distress. heent was perrla, eomi. no photophobia. neck is supple without rigidity. shotty cervical nodes. lungs are clear to auscultation bilaterally. heart was regular rate and rhythm, 2 plus systolic ejection murmur 2 to 3 out of 6. abdomen: soft, nondistended, minimally diffusely tender. no graft tenderness. extremities: warm and well perfused, 2 plus dp pulses. no edema. left upper extremity av fistula. laboratory data: white count on admission was 11, hematocrit 36, and platelets 202. chemistries are 136, 3.8, 99, 22, 25, 2, 101, 9, 9.3, 1.3, 1.9, csf protein is 21, glucose 62, csf white count was 1, white blood cell was 0. blood and csf cultures were pending. a chest x-ray showed no cardiopulmonary disease. blood cultures and urine cultures pending. cryptococcus and csf and serum cryptococcus are pending. ua showed moderate leukocytes, large blood, 2150 white count, nitrite positive. assessment and plan: patient is a 36-year-old female with end-stage renal disease, status post cadaveric renal transplant reported to this room for iga nephropathy. patient presented with fevers, headaches, shortness of breath on exertion with general malaise, was admitted to surgery. had labs sent and was npo on iv fluids. infectious disease was consulted. while working patient up, patient began to decompensate acutely dropping her blood pressures systolic of 70s, diastolic of 30. central line was placed in the ed and patient was resuscitated appropriately. patient was then immediately transferred to the intensive care unit, where on hospital day number 2, she was continued on zosyn and continued to be febrile at 102 degrees. all cultures were pending and chest pt was resumed. renal saw the patient throughout hospital course. patient was started on sips. infectious disease recommended on hospital day 3 likely bacterial sepsis suspecting gu source, i.e., pyelonephritis given tender right lower quadrant and given ultrasound findings positive pyuria and creatinine clearance was on 52.25 gm iv every 6 hours. patient carries with her now a diagnosis of urosepsis and temperature defervesced on . on hospital day 4, patient was stable and was transferred to the floor. on hospital day 6, encouraged to be out of bed, ambulate, chest x-ray improved from original. zosyn was continued. echo was done given bilateral pleural effusions for diagnosis of congestive heart failure. it showed an ef of 60 percent. patient was discharged on hospital day 9, , feeling much better and doing well. patient was discharged home without event, discharged in no acute distress on medications of iron 150 mg every day, lipitor 2 mg orally every day, bactrim 160/800 mg one orally monday, wednesday, and friday; ranitidine 150 mg one tablet orally every day, prednisone 5 mg orally every day, acetaminophen 325 mg tablet two tablets orally every 4 to 6 hours, hydralazine 50 mg tablet one tablet orally every 6 hours, salsalate 750 mg orally twice daily, calcium carbonate 500 mg one four times daily, augmentin 875/125 mg tablet one tablet orally twice daily. the patient was discharged home without event. patient was also discharged on insulin. , procedure: venous catheterization, not elsewhere classified spinal tap incision of lung thoracentesis diagnoses: pneumonia, organism unspecified unspecified pleural effusion complications of transplanted kidney pyelonephritis, unspecified 

Answer: The patient is high likely exposed to