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: oxycodone/acetaminophen / mirapex attending: chief complaint: the patient is a 70-year-old male with end stage renal disease and poor dialysis access. he presents for a renal transplant. major surgical or invasive procedure: cadaveric renal transplant jp drain placement history of present illness: the patient is a 70-year-old gentleman with end-stage renal disease secondary to diabetes mellitus, currently on hemodialysis through a right tunneled catheter three times a week. he continues to make small amounts of urine- about 200 to 300 ml per day and has not received any recent blood transfusions. he is active on the blood group o list for both the standard and extended criteria donor kidney. he has received his heptavax and pneumovax vaccinations as well as the flu vaccine. his energy is currently diminished, with significant neuropathy involving the legs and upper extremities. he denies any ulcers, chest pain, shortness of breath, nausea, vomiting, diarrhea or difficulty urinating. pertinent laboratory investigations for his transplant evaluation include his last psa from of 6.3 and a stress test from showing transient ischemic dilatation in addition to baseline left ventricular dilatation and an ef of 31% that decreased since his prior study. he had a colonoscopy also in that was normal. past medical history: 1. esrd on hemodialysis m/w/f 2. dm type 1 3. right aca territory cva 4. cad s/p 3-vessel cabg in 5. chf with ef 20-25% in and severe mr. 6. hypertension 7. hypercholesterolemia 8. hypothyroidism 9. retinopathy 10. neuropathy 11. copd per patient report. no pft's online. no prior psteroids, no intubation. 12. s/p right aca and left pca stroke social history: lives alone, retired. does all adls. social etoh use. smoked 1 ppdx35 yrs, quit 9 months ago. family history: father died of mi at 62. brother . brother cad. sister dm2. physical exam: general: elderly and chronically ill-looking gentleman, nad vitals: t98 bp 96/44 hr 80 rr 15 wt 149lbs heent: benign resp/cvs: unremarkable, right internal jugular tunneled catheter abd: ntnd, soft.he had a right internal jugular ext: no edema and moderately diminished pedal pulses pertinent results: 05:08am blood wbc-6.9 rbc-3.59* hgb-12.3* hct-34.6* mcv-96# mch-34.2* mchc-35.5* rdw-14.9 plt ct-264 04:25pm blood wbc-8.6 rbc-3.01* hgb-10.6* hct-28.7* mcv-96 mch-35.1* mchc-36.8* rdw-16.2* plt ct-197 04:00am blood pt-18.6* ptt-34.6 inr(pt)-2.4 04:25pm blood plt ct-197 05:08am blood glucose-290* urean-22* creat-2.9*# na-133 k-7.6* cl-99 hco3-26 angap-16 04:25pm blood glucose-57* urean-23* creat-2.6* na-142 k-3.5 cl-112* hco3-23 angap-11 05:08am blood alt-11 ast-76* 05:08am blood calcium-9.6 phos-3.9 cholest-117 04:25pm blood phos-3.1 mg-1.3* 05:08am blood triglyc-115 hdl-56 chol/hd-2.1 ldlcalc-38 01:24pm blood freeca-1.21 03:15pm blood hgb-11.0* calchct-33 06:27am blood wbc-11.5* rbc-2.99* hgb-10.1* hct-28.7* mcv-96 mch-34.0* mchc-35.4* rdw-16.3* plt ct-188 06:00am blood pt-16.0* ptt-33.9 inr(pt)-1.8 03:56pm blood fibrino-328 04:11am blood glucose-234* urean-59* creat-4.0* na-134 k-5.3* cl-101 hco3-20* angap-18 11:48pm blood ck(cpk)-406* 03:56pm blood lipase-7 11:48pm blood ck-mb-6 03:56pm blood ck-mb-7 ctropnt-0.26* 03:56pm blood albumin-2.9* calcium-8.7 phos-5.6* mg-1.6 07:03am blood fk506-3.5* 02:43pm blood freeca-1.22 05:57am blood wbc-5.3 rbc-3.32* hgb-11.1* hct-31.4* mcv-95 mch-33.5* mchc-35.4* rdw-15.9* plt ct-207 05:57am blood pt-14.5* ptt-31.2 inr(pt)-1.4 05:57am blood plt ct-207 05:57am blood glucose-113* urean-74* creat-2.5* na-137 k-4.1 cl-104 hco3-23 angap-14 03:40am blood ck(cpk)-29* 03:40am blood ck-mb-4 07:39pm blood ck-mb-notdone ctropnt-0.31* 05:57am blood albumin-2.8* calcium-8.8 phos-3.5 mg-1.6 06:00am blood fk506-13.0 10:02am ascites creat-3.6 brief hospital course: prior to surgery, the patient underwent cxr and ecg evaluation, showing changes consistent with known cad and cabg. on the patient underwent transplant of a cadaveric right kidney. a jp drain was also placed. immunosuppressive therapy was begun pre-operatively, including atg, mmf, and solumedrol. tacrolimus was later added, and titrated to 4mg . due to minimally improved post-operative urine output (20-30cc/hr), a renal ultrasound was obtained, showing unremarkable appearance of the renal transplant. endocrine was consulted regarding management of the patient's insulin regimen throughout his hospital stay. post-operatively, the patient also developed abdominal pain for which a portable abdominal x-ray was ordered showing mildly dilated loops of mostly large bowel consistent with an ileus, which subsequently resolved. on , the patient underwent hemodialysis for hyperkalemia, and became bradycardic with decreased respiration for several seconds. the patient was transferred to the icu, where his cardiac enzymes were found to be negative x3. an ekg at the time revealed anterior st-t wave changes from the pre-operative ekg, and cxr revealed mild pulmonary edema. an ekg on revelaed no new changes. on , the patient was started on lasix to increase urine output, which subsequently improved through the remainder of the hospital course to approximately 100cc/hr. the patient was restarted on his pre-operative coumadin dose (), with an inr on of 2.4. physical therapy worked with the patient and determined he would benefit from rehabilitation services. he was discharged to on post op day 8. medications on admission: asa 81, lipitor 20, levothyroxine 125, nephrocaps, sevelamer 800 tid, zyrtec 10, quinapril, coumadin 2.5, nph 22 units am, sliding scale humalog, nph pm. discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). disp:*40 tablet(s)* refills:*1* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*40 tablet, delayed release (e.c.)(s)* refills:*1* 3. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). disp:*600 ml(s)* refills:*1* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*40 tablet(s)* refills:*2* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 7. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 8. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheeze. 9. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 10. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 11. warfarin 1 mg tablet sig: two (2) tablet po daily (daily): check level friday . titrate to inr level 2.0-3.0. 12. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 13. insulin nph-regular human rec 70-30 unit/ml suspension sig: sixteen (16) units subcutaneous qam. 14. insulin nph-regular human rec 70-30 unit/ml suspension sig: five (5) units subcutaneous qpm. 15. insulin lispro (human) 100 unit/ml cartridge sig: one (1) subcutaneous four times a day: sliding scale 101-150 2units 151-200 3units 201-250 5units 251-300 8units 301-350 10units 351-400 12units. 16. tacrolimus 1 mg capsule sig: four (4) capsule po bid (2 times a day): titrate to therapeutic levels. 17. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 18. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 19. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 20. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po qid (4 times a day). 21. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 22. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for pain. 23. dolasetron 12.5 mg/0.625 ml solution sig: one (1) intravenous q8h (every 8 hours) as needed for nausea. discharge disposition: extended care facility: - discharge diagnosis: esrd secondary to type i diabetes mellitus discharge condition: stable discharge instructions: please follow the discharge instructions in your packet. weight yourself and take your temperature every day, call for a temp of >101 or if your weight goes up more than 3 pounds in 2 days. call if you have severe diarrhea, redness swelling or pain around teh incision, red or foul smelling discharge from the wound, or any problems with urination. you may shower, pat your incision dry. take medications as prescribed and plan ahead so you do not run out of medicine. please keep all appointments with your doctors. followup instructions: provider: , md phone: date/time: 11:00 provider: , md phone: date/time: 2:20 provider: , md phone: date/time: 2:00 procedure: hemodialysis other kidney transplantation transfusion of packed cells transfusion of platelets other operations on lacrimal gland transplant from cadaver diagnoses: hyperpotassemia pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified acquired hypothyroidism cardiac complications, not elsewhere classified aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified cardiac dysrhythmias family history of ischemic heart disease complications of transplanted kidney diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled family history of diabetes mellitus 

Answer: The patient is high likely exposed to