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: morphine sulfate / oxycodone attending: chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: this is a 39 yo woman with tuberous sclerosis, b/l nephrectomy on hd, frequent ed visits/admissions for abdomen/stoma pain who presented to the ed with same. she has had some nausea and decreased po and potentially loose ostomy output over the past day but at present describes no alterations in her ostomy bag. she has chronic pain around her ostomy site, where there is a medium sized hernia, and recently escalated her home pain medication taking po dilaudid with some relief. she describes the pain as sharp without referred pain. she denies any change in character from her chronic pain. she was planning on undergoing take-down of her ostomy tomorrow (dr. , ) but called to reschedule because she is moving. in the ed, it was noted that she was hypotensive, and this is consistent with recent history over the past few days. usual bps in her are 100s-110s and usual heart rates are in the 90s-100s per patient. the patient had hd/uf today per patient no fluid remoced and 1.4l of fluid was given back given that she was initially under her dry weight. in the ed, initial vs were: t p 116 bp 93/58->87/56 r o2 sat. patient was given dilaudid 1mg iv x2. she got 1l total of ns. she was evaluated by surgery who felt there was no incarceration of her hernia or any acute abdominal process. kub was obtained which showed no e/o perforation. at present, she is comfortable and hungry, wanting to trial pos past medical history: 1) tuberous sclerosis s/p bilateral nephrectomy () at , complicated by bowel perforation, now hemodialysis dependent 2) ostomy s/p bowel perforation during nephrectomy 3) tertiary hyperparathyroidism s/p parathyroidectomy 4) hypertension 5) gerd social history: lives with 16 year-old son currently disabled no alcohol use, no current cigarette use (1 ppw for several years) no history of ivdu/illegal drugs family history: father: tuberous sclerosis mother: htn, breast cancer pt. has had 3 children w/ tuberous sclerosis, one of her children passed from seizures. her grandchildren also have tuberous sclerosis. physical exam: general appearance: well nourished, no acute distress eyes / conjunctiva: perrl head, ears, nose, throat: no(t) normocephalic, multiple facial tumors cardiovascular: (s1: normal), (s2: normal), no(t) s3, no(t) s4, (murmur: no(t) systolic, no(t) diastolic) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ), kyphotic abdominal: soft, tender: peri-ostomy extremities: right: absent, left: absent skin: not assessed neurologic: attentive, follows simple commands, responds to: not assessed, oriented (to): x3, movement: not assessed, tone: not assessed pertinent results: imaging: ======= abdomen (supine & erect) study date of 10:09 pm impression: 1. no obstruction or ileus. 2. osseous changes of renal osteodystrophy. micro: ===== none labs: ==== 06:40pm blood wbc-6.2 rbc-4.51 hgb-12.8 hct-38.8 mcv-86 mch-28.4# mchc-33.0# rdw-19.8* plt ct-256 05:30am blood wbc-3.7* rbc-3.56* hgb-10.4* hct-30.3* mcv-85 mch-29.2 mchc-34.3 rdw-19.8* plt ct-217 09:50pm blood pt-14.7* ptt-26.7 inr(pt)-1.3* 06:40pm blood glucose-101 urean-10 creat-4.2* na-141 k-3.8 cl-94* hco3-27 angap-24* 05:30am blood glucose-90 urean-18 creat-7.2*# na-137 k-4.2 cl-96 hco3-26 angap-19 06:40pm blood alt-13 ast-22 alkphos-378* totbili-0.3 06:40pm blood albumin-4.7 calcium-9.2 phos-1.7*# mg-1.7 02:22pm blood pth-59 brief hospital course: 39 y/of with ts on hd s/p b/l nephrectomy with recent hypotension likely attributable to poor po intake presenting for abdominal pain and admitted to icu for relative hypotension with lactate of 3.0. there was no evidence of infection and the patient clinically responded to fluids. she was transferred to the floor in stable condition and her bps remained adequate. her abdominal pain was consistent with her chronic pain and she was seen by surgery given her reducible hernia, although this was thought not to be strangulated, thus not likely to be the cause of her pain. she was dialyzed without event and remained on her renal medications. after discussion with the patient and the medical team, all were in agreement that ms. was a suitable candidate for discharge. medications on admission: dialavite 1 daily calcium/tums 5 daily lopressor 100mg twice in last week prilosec discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 2. calcium carbonate 500 mg (1,250 mg) tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 3. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 4. calcitriol 0.25 mcg capsule sig: two (2) capsule po daily (daily). disp:*60 capsule(s)* refills:*2* 5. lopressor 50 mg tablet sig: one (1) tablet po twice a day: hold for blood pressure <100/60. 6. vicodin 5-500 mg tablet sig: one (1) tablet po q8h prn as needed for pain. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: dehydration. hypotension. gastroenteritis. end-stage renal disease . secondary diagnosis: tuberous sclerosis discharge condition: good. discharge instructions: you were admitted with low blood pressure and diarrhea. your diarrhea improved while you were in the hospital, and your blood pressure was low because you were dehydrated. you received intravenous fluids and a regular diet and your blood pressure improved. . you will continue all the medications that you take at home except for sevelamer and losartan. please do not take sevelamer and losartan. please take your medications as they are prescribed. . please call ( to arrange an appointment with your primary care doctor dr. . . if you develop sudden chest pain, shortness of breath, loss of consciousness or lightheadedness, please call your primary care doctor or go to the nearest emergency room. followup instructions: please call ( to arrange an appointment with your primary care doctor dr. . procedure: hemodialysis diagnoses: anemia in chronic kidney disease end stage renal disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease dehydration hypoparathyroidism tuberous sclerosis 

Answer: The patient is high likely exposed to