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: diabetes type 1. status post pancreas transplant in . end-stage renal disease status post kidney transplant. hypertension. coronary artery disease status post cabg in . diarrhea. depression. gastroparesis. hearing loss. right-hand fracture. claudication. asthma. osteopenia. hyperlipidemia. medications on presentation: 1. rapamycin 3 mg q.d. 2. prednisone 5 mg q.d. 3. imuran 50 mg q.d. 4. bactrim single strength 1 q.d. 5. multivitamin 1 q.d. 6. vasotec, dosage unknown. 7. lopressor, dosage unknown. 8. norvasc, dosage unknown. physical examination: vitals: pulse 90, blood pressure 253/135, respirations 20, and 99 percent on room air. general: a well-developed female, confused, alert, oriented x1 to person, mumbled responses requiring frequent prompting. she did move all extremities well and ambulated steadily. head is normocephalic, atraumatic. extraocular muscles are intact. she has anicteric sclerae. right pupil is mildly reactive, left pupil is nonreactive to light. no lymphadenopathy. neck: supple. heart: regular rate and rhythm. lungs: clear to auscultation bilaterally. abdomen: soft, nontender, nondistended, with a well-healed midline incision, with no hernia. extremities: show no edema. laboratory data: white count is 6, hematocrit 37.1, and platelets 145. electrolytes: sodium 131, potassium is 4.6, chloride 104, bicarbonate 17, bun is 42, creatinine is 4.2 and glucose 106, lactate is 1.5. alt is 15, ast is 37, alkaline phosphatase is 67, total bilirubin is 0.2. urine tox screen is negative. imaging data: chest x-ray showed no infiltrate. ct of the head showed no infarct, no bleed. ekg was unchanged from prior. assessment: this is a 46-year-old female with a history of diabetes type 1 status post pancreas and kidney transplant, on immunosuppression, who presents with confusion. the plan is to admit the patient to the icu for iv, blood pressure management, neurology consult, frequent neurologic checks, transplant nephrology consult regarding her recently rising creatinine and to continue immunosuppression. neurology saw the patient, and during her icu course, she also had an mri of her head, which was negative. her blood pressure was initially controlled on labetalol drip, which she responded nicely to, and her po regimen was increased and she was able to be weaned off her lopressor drip. the patient's mental status returned to baseline after her blood pressure control was obtained. additionally, an lp was performed, which was negative. the patient had no respiratory issues on this admission. gi: she tolerated a regular diet without difficulty. gu: again, the patient's creatinine remained in the 4s. she had a recent biopsy, as her creatinine has been rising steadily in the last couple of months, and this showed apparently no evidence of rejection. a concern for possible renal artery stenosis was ruled out with an mri/mra of her abdomen which showed widely patent transplant renal artery. she has been making good urine, over 2 liters a day, and her immunosuppressions have been continued. she is deemed stable for discharge today to home. discharge instructions: follow up in transplant center on monday for labs. condition on discharge: stable. she is alert and oriented. she has a gcs of 15. she is oriented x3 and has no focal neurologic deficits. her abdomen is soft and benign. her lungs are clear. heart is regular in rate and rhythm. discharge medications: she was sent home with prescription for, 1. lipitor 10 q.h.s. 2. imuran 25 q.d. 3. desipramine 150 q.d. 4. doxazosin 1 q.h.s. 5. folate 1 q.d. 6. hydralazine 25 every 6 hours. 7. labetalol 300 every 12 hours. 8. multivitamin q.d. 9. protonix 40 q.d. 10. prednisone 5 q.d. 11. sirolimus 3 q.d. 12. bactrim single strength 1 every monday, wednesday and friday. , procedure: spinal tap incision of lung diagnoses: acute kidney failure with lesion of tubular necrosis coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status diarrhea malignant essential hypertension complications of transplanted kidney gastroparesis pancreas replaced by transplant peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to