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: penicillins attending: chief complaint: esrd major surgical or invasive procedure: living non-related renal transplant history of present illness: 59 y.o. female with esrd who dialysis m-w-f using left arm loop graft presents for lurt. she is on coumadin which she stopped on . last dialyzed today to her dry weight of 124 kg. past medical history: esrd (diabetic nephropathy) on hd for the last 9 months dm2 x 30yrs with subsequent nephropathy, retinopathy, neuropathy htn cad s/p 3v cabg in hyperlipidemia pvd with several toe amputations; s/p bilateral leg revascularization in remote hx of skin cancers on back and face social history: smokes 1 ppd x 30 yrs, denies heavy etoh, denies drugs incl ivdu. on disability family history: father died of bulbar palsy, mother died of mi. physical exam: 99 90 127/63 24 95% wt 124kg nad, lying in bed oral mucosa pink/moist, dentition okay, no pharyngeal reness or exudate lungs cta, bilaterally cards-+femoral pulses card-rrr, no m/r/g noted. 2+ pedal and radial pulses abd-soft, non-tender, obese. +bs ext-1+ le edema bilaterally. +bruit/thrill in left arm avg loop skin-warm&dry pertinent results: 03:20pm pt-18.1* ptt-30.9 inr(pt)-1.7* 03:20pm plt count-217 03:20pm wbc-6.0 rbc-4.03* hgb-13.0 hct-39.4 mcv-98 mch-32.4* mchc-33.1 rdw-15.7* 03:20pm albumin-4.0 calcium-8.9 phosphate-2.4*# magnesium-1.5* 03:20pm alt(sgpt)-16 ast(sgot)-17 03:20pm estgfr-using this 03:20pm urea n-19 creat-3.1* sodium-141 potassium-3.8 chloride-96 total co2-35* anion gap-14 09:15pm ptt-45.0* brief hospital course: she was admitted the night prior for iv heparin given h/o of cabg/leg bypass for which she was on coumadin. she was also dialyzed the day of admission. heparin was stopped preop. she underwent living unrelated renal transplant on by dr. . intraop after arterial anastomosis, "the kidney filled up with blood but remained somewhat dusky and bluish-appearing." iv fluid bolus was given to improve bp and neo-synephrine was given, but this didnot make any substantial improvement. thebookwalter retractors were adjusted and "this appeared to take some compression off the right-sided iliac artery and dramatically improved flow to the kidney which then pinked-up immediately." cardiac, she was transferred to the icu post-op because she was having hypotension in the recovery room which she was started on levophed. she was then weaned off of levophed by the am of pod 1 and did not require pressors for the rest of her hospitalization. on pod 3 she was started on lopressor low dose due to her cardiac history and she was re-started on her aspirin. renally she had low urine output and early impaired graft function. on pod 4 she had a renal ultrasound that showed loss of diastolic flow consistent with atn. on pod 8 she had a kidney biopsy done. the pathology was not finalized at time of discharge. gi: she tolerated a regular diet but by pod 7 she still had not had a bowel movement and she even started to have some bilious emesis. she was started on an aggressive bowel regimen with gastrograffin enemas, and go-lytley. she finally had several bowel movements on pod 12 when she was given lactulose. when she was straining her bowels she had some leakage of blood from her wound. at ct scan was done revealing a fluid collection in the left flank inseparable from the small bowel. subcutaneous hematoma anteriorly in the pelvis with intact underneath fascia. there was no bowel obstruction. she was discharged home in stable condition with persistent difficulty moving her bowels. vital signs were stable. creatinine had decreased to 4.5. urine output for 24 hours was 400cc. medications on admission: coumadin 5 qd: last dose 3/31, lyrica 75', phos-lo 667 2 tabs q meals, lisinopril 40', effexor xr 150', renal cap', protonix 40', toprol 50', lipitor 20', ambien 10'hs, aspirin 81', colace 100', insulin n 4units breakfast/dinner, novolog ss discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 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): take while on pain medication. stop if diarrhea. disp:*60 capsule(s)* refills:*2* 4. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 5. valganciclovir 450 mg tablet sig: one (1) tablet po qod (). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 7. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 8. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). disp:*1 * refills:*2* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 10. metoprolol tartrate 25 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 12. venlafaxine 75 mg capsule, sust. release 24 hr sig: two (2) capsule, sust. release 24 hr po daily (daily). 13. furosemide 80 mg tablet sig: one (1) tablet po once a day: take in am. disp:*30 tablet(s)* refills:*0* 14. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 15. tacrolimus 1 mg capsule sig: six (6) capsule po twice a day. 16. insulin glargine 100 unit/ml solution sig: thirty (30) units subcutaneous once a day: take at lunchtime. disp:*2 bottles* refills:*2* 17. insulin lispro (human) 100 unit/ml solution sig: per sliding scale subcutaneous four times a day: please follow printed sliding scale. disp:*2 bottles* refills:*2* 18. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: esrd delayed graft function depression discharge condition: good discharge instructions: please call transplant office if fevers, chills, nausea, vomiting, inability to take medications, incision red/bleeding/draining, decreased urine ouptut, shortness of breath or increased edema labs every monday and thursday for cbc, chem 7, calcium, phosphorus, ast, t.bili, albumin, urinalysis, and trough prograf level. fax to no driving while taking pain medications. shower, pat incision dry. no heavy lifting (nothing >10lbs.) measure and record jp drain output. bring record to clinic with you followup instructions: , md phone: date/time: 10:40 provider: , md phone: date/time: 1:00 provider: , md phone: date/time: 2:00 procedure: venous catheterization, not elsewhere classified closed [percutaneous] [needle] biopsy of kidney other kidney transplantation transplant from live non-related donor diagnoses: end stage renal disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled complications of transplanted kidney 

Answer: The patient is high likely exposed to