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: miss is a 39 year old female with a complicated past medical history including diabetes mellitus and end stage renal disease status post living donor transplant on immunosuppression with a history of gastroparesis, who presented with five days of nausea and vomiting with some diarrhea. her finger stick blood sugars at home were also upwards of 500. on the day of admission, the patient went to where she was noted to be hypertensive with an anion gap and positive ketones in her serum and was transferred to because of her kidney transplant. on admission to the , the patient had no further complaints of nausea and vomiting and had not had a bowel movement for several hours. she also denied chest pain, shortness of breath, fever, or abdominal pain. past medical history: 1. type i diabetes mellitus, complicated by gastroparesis, retinopathy, neuropathy, end stage renal disease status post living related donor transplant in . 2. coronary artery disease status post coronary artery bypass graft in , with left internal mammary artery to left anterior descending, saphenous vein graft to patent ductus arteriosus, om1 and a diagonal. catheterization on with a patent left internal mammary artery to patent ductus arteriosus, occluded saphenous vein graft to om1, ejection fraction 45 to 50%. 3. peripheral vascular disease status post right profundus, and femoral-popliteal bypass. 4. chronic toe and heel ulcers. 5. depression. 6. hypertension. 7. sarcoidosis. medications: 1. lantus insulin 26 units qhs plus a regular insulin sliding scale. 2. prograf 3 mg po twice a day. 3. bactrim double strength on monday/wednesday/friday. 4. zantac 150 mg po twice a day. 5. metoprolol 100 mg po three times a day. 6. reglan 10 mg po three times a day with meals. 7. aspirin 81 mg po once daily. 8. zoloft 150 mg po qhs. 9. pravachol 40 mg po qam. 10. remeron 15 mg po qhs prn. 11. prednisone 5 mg po qam. 12. vitamin d 50,000 units intravenous qweek. 13. calcium and vitamin d qday. social history: smokes one half pack per day for 22 years. no ethanol use. occasionally uses marijuana. lives with her mother. not currently sexually active. physical examination: blood pressure 198/80; heart rate 78; sedimentation rate 100% on room air; generally, she was lethargic but in no apparent distress; mucous membranes were dry in the oropharynx; there was no lymph adenopathy; heart was beating with regular rate and rhythm with a 206 systolic ejection murmur heard at the left upper sternal border without radiation; lungs were clear to auscultation bilaterally; abdomen was soft, non-tender, non-distended, with normal active bowel sounds; extremities were without edema; there were 2+ dorsalis pedis pulses bilaterally, the right ankle was covered with gauze; rectal was of normal tone; guaiac negative; neurological examination was non-focal. laboratory data: laboratories were significant for a white count of 9; hematocrit of 44; blood sugar of 584; bun and creatinine 22/1.3; liver function tests were within normal limits; venous blood gas showed ph 7.28; anion gap was 29. chest x-ray was negative for infiltrate in the lungs or free air in the abdomen; abdominal film showed no obstruction. electrocardiogram showed normal sinus rhythm at 88 with normal axis; t wave flattening in i and l; st depressions in ii, iii and f. hospital course: her hospital course by problem is as follows: 1. diabetic ketoacidosis on clear etiology but likely related to gastroparesis versus gastroenteritis. patient was transferred to the medical intensive care unit and initially treated with an insulin drip until her anion gap closed. she was then slowly covered with titration of her regular insulin and long acting insulin regimen, per the regimen she was given at the on . she was discharged on that regimen. 2. renal transplant. patient on chronic immunosuppression per living related donor kidney transplant. she had not taken her immunosuppression medications for several days prior to admission. prograf levels were checked. she was evaluated by the renal transplant service and she was discharged on her outpatient regimen of prograf and prednisone. 3. diarrhea. patient had recent admission for cryptosporidium. stool studies were sent during this admission, though her diarrhea had slowed considerably. she was restarted on her gastroparesis medications. stool studies were pending at the time of discharge. 4. coronary artery disease. the patient was continued on her outpatient regimen and had no issues during this hospitalization. discharge: the patient was discharged on with follow-up with dr. at the clinic and dr. of the renal transplant service as scheduled. discharge medications: as on admission. discharge diagnosis: 1. diabetic ketoacidosis. 2. nausea and vomiting. 3. electrolyte imbalances. 4. gastroenteritis. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: acidosis other and unspecified noninfectious gastroenteritis and colitis peripheral vascular disease, unspecified sarcoidosis diabetes with neurological manifestations, type i [juvenile type], uncontrolled diabetes with ketoacidosis, type i [juvenile type], uncontrolled kidney replaced by transplant gastroparesis 

Answer: The patient is high likely exposed to