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: sulfa (sulfonamide antibiotics) / vancomycin attending: chief complaint: n/v, poor po intake major surgical or invasive procedure: kidney biopsy received 2 units rbcs history of present illness: 20f with esrd atrophic kidneys now s/p recent cadaveric renal tx on . post-op course c/b htn and n/v. patient was hypertensive in the 180-190's and experienced signficant nausea and emesis while in the sicu. after her bp was better controlled, her n/v stopped. the rest of her post-operative course was uncomplicated. she is now coming to the ed after experiencing n/v. the nausea started 8 am today, followed by emesis (breakfast the light green yellowish fluid). still passing gas, normal bowel movements. no f/c. no dysuria. urine output is brisk and clear, not concentrated per patient. because of the emesis, she has not been able to keep any of her medications down except for the tacrolimus. she has been nauseated all day and continues to be even with zofran. she currently denies cp or sob. no has or difficulties with vision. her bp in the ed is 200/110. past medical history: - hypertension - ovarian cyst (s/p dermoid ovarian cystectomy) - avf creation - congenitally small kidneys, right smaller than left social history: lives at home with parents, single, currently not working. denies smoking, etoh, or illicits. no herbal medications. family history: her father had a cabg, diabetes, hypertension, hypercholesterolemia. mother died of breast cancer. physical exam: 99.2 79 200/103 16 100 anxious, a+ox3 rrr, soft systolic murmur at llsb ctab soft, nt/nd, incision is c/d/i, some eechymosis around the incision, previous jp site is c/d/i no c/c/e noted labs: wbc: 10.8 hct: 30.5 plt: 362 chem 10: 137/5.1/107/18/41/3.1 (4.9)/101 lactate: 0.9 ekg: nsr @ 82, no significant st or q waves seen (compared to pre-op). pertinent results: 06:15am blood wbc-9.2 rbc-2.51* hgb-7.8* hct-23.5* mcv-94 mch-30.9 mchc-32.9 rdw-13.1 plt ct-244 05:40pm blood pt-14.0* ptt-25.8 inr(pt)-1.2* 06:15am blood tacrofk-7.3 05:55pm blood glucose-101 urean-41* creat-3.1*# na-137 k-5.1 cl-107 hco3-18* angap-17 06:15am blood glucose-92 urean-21* creat-3.0* na-137 k-5.0 cl-110* hco3-18* angap-14 brief hospital course: 20f s/p cadaveric renal transplant readmitted with persistent n/v likely secoondary to htn. she was admitted to sicu where she was started on a labetolol drip with some improvemet of her bp. a clonidine patch was started to achieve better bp control. she was also bolused with iv fluids. her home meds were resumed including her immunosuppressive meds. a renal transplant duplex good resistive index, and evidence of good venous flow in the transplant renal vein. good flow was identified in the transplant renal artery without focal abnormality. she was transferred out of the sicu afer 3 days. sbp was down to the 130-140 range. a renal transplant biopsy was performed on for creatinine that was stable at 3.1-3.2. biopsy was reported to be negative for rejection. hematocrit decreased to 23.5 on from 25.6 on . 2 units of prbc were administered on . prograf dose was adjusted while in hospital based on trough levels. she was discharged to home on in stable condition with creatinine of 3.0 voiding 2600cc/day of urine. the biopsy site was without bleeding. medications on admission: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 5. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 6. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). 7. clonidine 0.1 mg tablet sig: two (2) tablet po bid (2 times a day). 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 10. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). disp:*360 tablet(s)* refills:*1* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 12. sodium bicarbonate 650 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 13. tacrolimus 1 mg capsule sig: four (4) capsule po q12h (every 12 hours). discharge medications: 1. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). 2. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 3. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). disp:*360 tablet(s)* refills:*2* 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 6. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po tid (3 times a day). 7. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qmon (every monday). disp:*4 patch weekly(s)* refills:*2* 8. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 9. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 11. tacrolimus 1 mg capsule sig: four (4) capsule po twice a day: starting am . 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. tacrolimus 1 mg capsule sig: three (3) capsule po once for 1 doses: pm dose 8/21. discharge disposition: home discharge diagnosis: s/p kidney transplant readmitted with hypertension, nausea/vomiting prograf toxicity discharge condition: good discharge instructions: please call the transplant clinic at for fever > 101, chills, nausea, vomiting, diarrhea, constipation, inability to take or keep down food, fluids or medications. monitor the incision for redness, drainage or bleeding, the clips are out, the steri strips will fall off on their own labwork every monday and thursday per transplant clinic guidelines drink enough fluids to keep your urine light yellow in color no driving if taking narcotic pain medication you may shower, pat incision dry monitor blood pressures and call if consistently greater than 140 no heavy lifting you do not need to restart coumadin. aspirin on hold until clinic appointment followup instructions: , md phone: date/time: 8:40 , transplant social work date/time: 10:00 , md phone: date/time: 10:40 procedure: closed [percutaneous] [needle] biopsy of kidney diagnoses: unspecified essential hypertension nausea with vomiting antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use kidney replaced by transplant unspecified adverse effect of other drug, medicinal and biological substance 

Answer: The patient is high likely exposed to