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: fluoxetine / aspirin / seroquel / cogentin / antihistamines attending: chief complaint: "i'm feeling depressed. i'm having some problems." major surgical or invasive procedure: none. history of present illness: the patient is a 48 year old woman, who carries a psychiatric diagnosis of schizoaffective disorder and has a complicated medical history of esrd secondary to iddm s/p kidney transplant, htn, pud, anemia, hepatitis, and alcohol dependence (in remission for two years), who was biba on section 12 from her outpatient therapist after reporting increasing depression, self-destructive thoughts, and fearfulness for her safety. her depressive symptoms at this time include depressed mood, anhedonia, increased sleep, increased appetite, decreased energy, self-destructive thoughts "i hate myself. i should shoot myself" but she denies si, or having a plan to harm herself. also denies hi. confirms ah telling her to wreak vengeance on herself. she states that she has been taking all of her medications, including her psychiatric medications, but is having some difficulty checking her blood sugar, "maybe because i've been sleeping so much". the patient continues to have concerns about the hacker who "hacks into computer then blows out his mother board and his hard drive". she feels that these people have been tampering with the patient's personal information, medical information, and her ride services. the patient left a long and detailed message for the fbi about and , but fears that she is still in danger. past medical history: psychiatric history: first psychiatric hospitalization . she has been hospitalized once in after an attempted od on ativan, and then twice in late , and once in for etoh detox and depression. the patient was last hospitalized in at with a similar presentation. her psychiatric medications at this time include: seroquel, trazadone, effexor, and cogentin. the patient has had trials of celexa, and zyprexa in the past. psychiatrist: dr. for outpatient psychopharmacological management x 2.5 years. social worker: day treatment for group therapy daily . the patient reports a hx of physical and sexual abuse by her boyfriend x 3 years when she was in her 30s. past medical history: iddm with neuropathy and retinopathy chronic renal failure s/p hd, s/p transplant tertiary hyperparathyroidism with hypercalcemia s/p kidney stone cad, but no focal lesions on cardiac cath (), ef 55% 5/04 htn anemia hepatitis pud etoh dependence social history: substance abuse history: the patient has a prior history of alcohol dependence with previous detoxes (last in ). she denies any hx of withdrawal seizures or dts. she states her last drink was after her admission and that she has been active in aa since then. regarding etoh she states "i've got this new kidney". social history: the patient is currently single with no significant other. she has no children. she lives alone. she attends the day program, and reports that it is very helpful. the patient has a ba from the mass college of art. she worked in graphic design and photography until and is not on ssdi. she lives in in public housing. family history: family psychiatric history: states all of her siblings (2 are now deceased) have had histories of depression, alcoholism, and suspects one living sister may have schizophrenia. the patient suspects her mother and father may have had depression. physical exam: mental status exam: appearance & facial expression: the patient is a well nourished, well-developed woman appears slightly older than her stated age, somewhat disheveled wearing hospital gown and lying in bed posture: lying in bed. sat up for interview. behavior: no psychomotor slowing agitation or retardation. no abnormal movements attitude: cooperative, pleasant; engaged in interview, fair eye contact. speech: normal rate, volume, inflection. mood: "depressed and withdrawn" affect: flat, depressed thought form: mostly linear, perseverating on conspirational delusion thought content: long-standing conspiratorial delusion about internet hacker, paranoia regarding her medical records, and alteration of transport schedules. abnormal perceptions: reports recent ah as described in hpi. denies vh, si, hi. neurovegetative symptoms: increased sleep, increased appetite, weight gain, decreased energy suicidality/homicidality: denies si/hi. insight and judgment: poor/fair (she came to the hospital and has stayed on her medications) pertinent results: 11:04pm urine color-yellow appear-clear sp -1.025 11:04pm urine blood-lg nitrite-neg protein-neg glucose-1000 ketone-tr bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:04pm urine rbc-0 wbc-0-2 bacteria-few yeast-none epi-0-2 07:43pm urine hours-random tot prot-16 07:43pm urine u-pep-no protein 04:40pm glucose-120* urea n-21* creat-0.6 sodium-134 potassium-4.5 chloride-102 total co2-24 anion gap-13 04:40pm alt(sgpt)-15 ast(sgot)-20 alk phos-156* tot bili-0.2 04:40pm calcium-12.3* phosphate-2.0* magnesium-1.6 04:40pm tsh-0.78 04:40pm hcg-<5 04:40pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 04:40pm wbc-3.9* rbc-5.42* hgb-15.9 hct-49.7* mcv-92 mch-29.3 mchc-31.9 rdw-13.8 04:40pm neuts-58 bands-3 lymphs-16* monos-13* eos-3 basos-1 atyps-6* metas-0 myelos-0 04:40pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-1+ microcyt-normal polychrom-normal 04:40pm plt smr-normal plt count-337 brief hospital course: the patient was admitted to the 4 inpatient psychiatric unit. the patients outpatient psychiatrist and psychologist were contact. they added that the patient has been recently becoming more disorganized and depressed after a series of romantic disappointments that have followed the patient's renal transplant in . they report the patient had hoped that after her transplant her life would be less complicated and she could have more of a full social life. she has been disappointed that things have not turned out as she wished. dr. notes that the patient has had eps effects from typical antipsychotic medications and has not appeared to be getting more stability in her life on her current dose of abilify (45mg qhs). her plan was to try seroquel and if that failed to consider clozaril as the patient has been plagued by paranoid delusion without much improvement in terms of clinical stability for many years despite multiple drug trials. from a psychiatric standpoint, the patient was continued at her outpatient dose of effexor xl 150mg qd for depression. to treat her psychosis, the patient was started on seroquel 100mg daily, and this dose was gradually tapered up to a therapeutic dosing range of 300mg qam and 400mg qpm by the time of discharge. abilify was tapered off. the patient exhibited some improvement while in house, becoming less preoccupied with her delusional system, more able to interact with groups, and less paranoid and fearful that she would be unable to control her life. however at the time of discharge to the surgery service, she was still feeling fearful, paranoid and unsafe to go home. the patient had no behavioral disturbances while on the unit and took all her medications. she reported no significant side effects with seroquel. from a medical standpoint: 1)cardiovascular: the patient's lisinopril and metoprolol were discontinued as the patients blood pressures were low normal and seroquel can have a hypotensive effect. 2)m/r/e: the patient was followed by dr. of the renal transplant service. he advised decreasing the patient's fk506 to 3mg po bid. additionally, the patient had a work up for renal colic that revealed a right 4mm renal stone in right uvj, which was treated with ivfs and prn percocet and resolved without complication. the patient was continued to take 3-4l water after her iv infiltrated. she was started on sensipar for tertiary hyperparathyroidism that resulted from her prior hemodialysis treatment. as a result of the failure of sensipar to decreased the patient's pth/calcium levels, the patient was seen by the surgical service for a planned parathyroidectomy. an ultrasound of the neck was obtained that showed a parathryoid adenoma. a sestamibi scan was ordered, but could not be done becaue after repeated attempts, no peripheral iv access was obtainable. additionally, the patient was followed by the dm fellow, who adjusted the patient's humalog slide scale. the patient had excellent blood sugar control by the time of discharge. 3) gi: the patient continued on protonix and had no episodes of gerd the patient was discharged to the surgical service on for parathyroidectomy. medications on admission: abilify 30mg--take one tablet at bedtime (unclear if pt is still on this) --comfort curve-use four times a day and prn=dx 250.41 albuterol sulfate 17gm--2 puffs four times a day atorvastatin calcium 10 mg--one every day bactrim 400-80mg--one every day bd ultra fine needles 1/2cc --use as directed ca carb. 500 mg--one tablet by mouth three times a day docusate 100 mg--one capsule by mouth twice a day effexor xr 150mg--take one tablet in a.m. folic acid 1mg--one every day glucometer 1--use four times a day and as needed for for monitoring of type inject diabetes humalog 100 u/ml--use per sliding scale four times a day lantus 100 u/ml--34 units sc every day lisinopril 2.5mg by mouth each morning multivitamin/calcium & iron --one every day nitroglycerin 400 mcg (1/150 gr)-- under the tongue as needed for chest pain one inch paper tape 1--use with dsg change protonix 40mg--one every day seroquel: started on , supposedly titrated to current dose of 100mg po qhs, although pt states only on 25mg po qhs. syringe (insulin) lo-dose 0.5 ml--use 3-4 times a day for insulin tacrolimus 1 mg--3 capsule(s) by mouth twice a day as needed for as per transplant team trazodone hcl 100mg--take one tablet at bedtime valganciclovir hcl 450 mg--2 tablet(s) by mouth once a day discharge medications: 1. nicotine 2 mg gum sig: one (1) 1 gum buccal q1h (every hour) as needed. 2. quetiapine fumarate 25 mg tablet sig: one (1) 25 tablet po tid (3 times a day) as needed for agitation. 3. venlafaxine 75 mg capsule, sust. release 24hr sig: two (2) 75mg capsule, sust. release 24hr po daily (daily). 4. trazodone 100 mg tablet sig: one (1) 100mg tablet po hs (at bedtime). 5. atorvastatin calcium 10 mg tablet sig: one (1) 10mg tablet po daily (daily). 6. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) 400mg tablet po daily (daily). 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) 40mg tablet, delayed release (e.c.) po q24h (every 24 hours). 8. alendronate 70 mg tablet sig: one (1) 70mg tablet po qsun (every sunday). 9. tacrolimus 1 mg capsule sig: three (3) 1mg capsule po bid (2 times a day). 10. mycophenolate mofetil 500 mg tablet sig: two (2) 500mg tablet po bid (2 times a day). 11. benztropine 1 mg tablet sig: one (1) 1mg tablet po daily (daily). 12. potassium & sodium phosphates mg packet sig: one (1) 250mg packet po qid (4 times a day). 13. quetiapine fumarate 300 mg tablet sig: one (1) 300mg tablet po qam (once a day (in the morning)). 14. cinacalcet 30 mg tablet sig: two (2) 30mg tablet po q daily () as needed for hyperparathyroidism. 15. quetiapine fumarate 200 mg tablet sig: two (2) 200mg tablet po qpm (once a day (in the evening)). 16. insulin glargine 100 unit/ml cartridge sig: one (1) 40 subcutaneous qam. discharge disposition: home facility: surgical service discharge diagnosis: axis i. schizoaffective disorder, major depression, remote alcohol dependence axis ii. deferred axis iii. iddm, tertiary hyperparathyroidism with resultant hyper calcemia, s/p kidney stone, s/p hemodialysis, s/p renal transplant, hypercholesterolemia, gerd discharge condition: good. discharge instructions: patient being transferred to the surgical service for parathyroidectomy. you should take all medications as directed. followup instructions: patient is being discharged to the surgical service and will return to the psychiatry service when medically stable. procedure: complete parathyroidectomy diagnoses: polyneuropathy in diabetes major depressive affective disorder, single episode, unspecified background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled schizoaffective disorder, unspecified benign neoplasm of parathyroid gland other hyperparathyroidism 

Answer: The patient is high likely exposed to