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: chocolate attending: chief complaint: left lower quadrant pain major surgical or invasive procedure: exploratory laparotomy, left salpingo-oophorectomy history of present illness: 42 y/o g0 w/ lmp 6 yrs ago s/p endometrial ablation presents w/ 3d h/o llq pain. pt w/ h/o ovarian cysts followed w/ similar pain. pt reports intense pain on l side associated w/ nausea/dry heaves x 3 days & w/ diarrhea x 1 day. no further n/v/d today. no f/c/dysuria. continues to have sharp pain in llq, does not radiate, better w/ rest, worse w/ sitting up/activity. initially pain but now s/p morphine 2mg iv at 9:30 am. past medical history: obhx: g0 gyn hx: - gyn md -> dr. (gyn onc) at (followed for cervical dysplasia) - h/o ovarian cysts x 2 yrs - menarche age 12, no h/o ocps - h/o menorrhagia s/p endometrial ablation in w/ no further menses after that point - no h/o stds - h/o abn pap - s/p colpo/bx -> leep w/ persistent dysplasia - recent wnl - colonoscopy yrs ago wnl pmhx: 1. focal segmental glomerulosclerosis s/p living unrelated donor renal tranplant in c/b acute rejection treated with okt3 (most recently ) 2. osteonecrosis of b/l hips/shoulders/knees requiring replacements at each site (2/t long term steroid tx) 3. h/o cmv infection, s/p transplant treated with gancyclovir 4. bilateral cataracts 5. htn 6. nephrolithiasis 7. gout pshx: 1. appendectomy 2. s/p bilateral hip/shoulder/knee replacements 3. s/p endometrial ablation social history: works at in radiology, no alcohol use, non smoker family history: family hx: - sister w/ fsgs s/p renal transplant - paternal aunt d of breast/ov ca at 52 y/o - no other h/o breast/ov ca - h/o htn/dm physical exam: 97.3 160/86 76 16 100%ra nad rrr ctab breasts - no masses, no nipple discharge abd - soft, mild ttp in llq, nd, + bs, + implanted kidney in rlq palpable on exam (nt) ext - nt, no edema pelvic (by dr. ) - sse - nefg, normal vagina, gc/chlam collected, nulliparous os w/ no discharge - bme - av uterus, nml size, 5cm l adnexal mass w/ mod ttp, no r adnexal mass, no cmt pertinent results: urine: 01:30pm urine color-straw appear-clear sp -1.006 01:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg chem 10 09:30am glucose-103 urea n-37* creat-1.9* sodium-143 potassium-3.9 chloride-108 total co2-26 anion gap-13 hcg/tumor markers 09:30am hcg-<5 09:30am cea-1.5 ca125-62* cbc 09:30am wbc-7.0 rbc-4.10* hgb-11.6* hct-33.1* mcv-81* mch-28.4 mchc-35.1* rdw-14.8 09:30am neuts-72.9* lymphs-20.3 monos-4.1 eos-1.2 basos-1.3 09:30am plt count-254# brief hospital course: the pt was admitted to the gyn/oncology service on and on , underwent an exploratory laparotomy and left salpingo-oophorectomy. please see the operative report for full detail on the procedure. the pt's postoperative course was complicated by the following: 1) oversedation: on the evening of pod#0, the pt was noted to be quite somulent upon transfer to the floor after having received both iv morphine and dilaudid for pain control. she was thus transferred to the icu for close monitoring overnight. the pt's somulence resolved overnight and she was tranferred to the floor the next morning. the pt was transitioned to po vicidin that day and had no further issues w/ somulence. 2) pain: nsaids were avoided given the pt's hx of renal transplant. 3) renal: the pt's renal status remained at baseline throughout her hospital course. her creatinine was measured daily and found to range from 1.8 - 2.0. the pt's blood levels of tacrolimus and rapamycin were also checked and found to be within the therapeutic range. the pt's postoperative course was otherwise uncomplicated. on pod#3, her pain was well-controlled w/ oral pain medication, she was tolerating a full diet and able to ambulate and void without difficulty. the pt was thus discharged to home on pod#3 in stable condition and will follow-up with dr. in 4 weeks. medications on admission: 1. sirolimus 2mg qd 2. tacrolimus 2mg qam, 1mg qhs 3. celexa 40 mg qd 4. ambien 5mg prn 5. terazosin 5mg qhs 6. lasix 40mg qam 7. diltiazem sr 240mg qd 8. lopressor 100mg discharge medications: 1. sirolimus 1 mg tablet sig: two (2) tablet po daily (daily). 2. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q3-6h () as needed for pain. disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: left adnexal mass discharge condition: good discharge instructions: - please call dr. if you experience fever > 100.5, chills, nausea and vomiting, worsening or severe abdominal pain, or if you have any other questions or concerns. please call if you have redness and warmth around your incision, if you have pus draining from your incision, or if your incision reopens. - no heavy lifting or exercise for six weeks. no driving for 2 weeks and while taking vicodin as it can make you drowsy. nothing per vagina (no tampons, intercourse, douching) until you see dr. in follow-up. - please keep all follow-up appointments as outlined below. followup instructions: please call dr. office at to set up a follow-up appointment to be seen in 4 weeks. procedure: other unilateral salpingo-oophorectomy diagnoses: unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use gout, unspecified chronic kidney disease, unspecified knee joint replacement other alteration of consciousness kidney replaced by transplant hip joint replacement other sedatives and hypnotics causing adverse effects in therapeutic use corpus luteum cyst or hematoma shoulder joint replacement aseptic necrosis of bone, other 

Answer: The patient is high likely exposed to