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: percocet / aspirin / tylenol / morphine attending: chief complaint: confusion/hallucination major surgical or invasive procedure: plasmapheresis catheter placement history of present illness: 69f with esrd htn s/p deceased donor renal transplant (pod 9). her course was complicated by atrial flutter requiring attempts at cardioversion (electrical) which failed. she ultimately converted after amiodarone was started. she was discharged on pod 7 () to home with services in sinus rhythm since conversion, a decreasing creatinine and otherwise recovering well. per patient's daughter, on am the patient appeared in her usual state of health. at 6 pm that day, the patient was reported to be lethargic, confused, and experiencing visual hallucinations. in addition, her medications for thursday was missing. the family assumes that the patient took one extra day of medications. patient's mental status improving however still confused. per patient she denies f/c/dysuria. she denies cp/sob. states that she is making "plenty of urine" and that it is clear colored. she states that she is unsteady on her feet because she is "tired." she denies any falls/trauma. she states she last emptied her jp drain wed am for approximately 60 cc of light reddish fluid. past medical history: - cadaveric renal transplant from a pediatric kidney on - esrd htn on pd for 3 years before s/p deceased renal transplant - partial colectomy for colonic polyps - thyroid resection for benign disease - ventral hernia repair - ichemic left leg s/p common femoral and profunda endarterectomy, sfa embolectomy, four compartment fasciotomies social history: - married, lives at a farm house with her husband - has 2 daughters and 1 son (one daughter and a son lives within a block of the patient) family history: noncontributory physical exam: exam on admission gen: wd/wa, nad, aoox3 cv: rrr, nl s1, s2, no murmur appreciated pulm: ctab abdomen: soft/nt/nd, well healed midline scar, pd site c/d/i, post-tranplant incision is c/d/i, there is no edema, no erythema, no drainage extremities: no c/c, 1+ pitting edema left le, 4 incision fasciotomy scars well healed on left foot pulses: 2+ femoral b/l, 1+ right dp/pt, 2+ left dp/pt neuro: cn ii - xii intact at discharge a&ox3, appropriately responding to questions, occasional "picking' motions with hands rrr cta b/l abd obese, soft, nondistended and nontender, incision healing well without drainage or erythema. jp removed. trace le pedal edema pertinent results: on admission: wbc-7.3 rbc-3.06* hgb-9.1* hct-29.9* mcv-98 mch-29.6 mchc-30.3* rdw-15.4 plt ct-367 pt-16.1* ptt-25.4 inr(pt)-1.4* glucose-119* urean-17 creat-1.7* na-135 k-4.5 cl-108 hco3-18* angap-14 alt-11 ast-20 ck(cpk)-56 alkphos-98 totbili-0.4 calcium-9.3 phos-2.5* mg-1.3* drug screen on admit asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg lactate-1.0 at discharge: wbc-3.0*# rbc-3.36*# hgb-9.8* hct-30.5*# mcv-91 mch-29.2 mchc-32.2 rdw-17.7* plt ct-193 pt-11.4 ptt-26.9 inr(pt)-0.9 glucose-103 urean-24* creat-2.4* na-135 k-4.1 cl-105 hco3-20* angap-14 calcium-9.3 phos-3.5 mg-1.9 c3-109 c4-23 12:54am blood tsh-4.6* 08:50am blood tsh-3.4 12:54am blood ck-mb-notdone ctropnt-<0.01 04:20pm blood ck-mb-notdone ctropnt-<0.01 11:50pm blood ck-mb-notdone ctropnt-0.01 stool negative cdiff x3 imaging: ct head :no acute intracranial abnormality. mr :no acute intracranial abnormality renal scan :decreased contrast excretion from the transplanted kidney, can be seen with atn in the appropriate clinical setting. 2. no definite leak identified, though assessment is limited as no delayed images are available. an attempt was made to obtain delayed images, but the clinical team deferred. renal transplant ultrasound : 1. mildly elevated resistive indices since the prior study. 2. small amount of free fluid persists. 3. mild fullness of the collecting system. pathology : renal biopsy: there is no evidence of acute cellular rejection in this sample. the glomerular changes are that of a tma and/or humoral rejection. the c4d preparation suggests humoral rejection, but the material available is severely limited. clinical correlation is therefore indicated. brief hospital course: the patient was admitted to the transplant surgical service with acute mental status changes and presumably taking double medications. a ct of her head was obtained which showed no acute abnormality. labs were unremarkable. a tacrolimus level drawn on the day after admission was 13.9 (those drawn on the day of admission may not represent true trough levels). psych was consulted for her mental status changes and was thought to be in delirium. neurology was also consulted and recommended mri and eeg as well as lp. the mri and eeg were unremarkable. an lp was not performed. there was concern that this was a prograf toxicity effect and on rapamycin was initiated and prograf was discontinued. the level increased quickly on initation and dosing was adjusted with most recent level of 7.2 the day of discharge. dose was set at 4mg once daily at 6am with trough levels to be checked every monday and thursday with results called to transplant center . a kidney biopsy was performed on which showed that there was no evidence of acute cellular rejection. the glomerular changes were consistent with tma and/or humoral rejection. the c4d preparation suggested humoral rejection, but the material available was severely limited. she received one session of plasmapheresis and then this therapy was terminated due to lack of indication in this setting based on the biopsy results. creatinine was elevated as high as 3.1 and settled out at 2.4 by day of discharge. the patient was followed by psychiatry and neurology while she was admitted. psychiatry was noting this seemed less of a psych issue and so neurology was consulted who did a complete workup and evaluation. over the course of the hospitalization they found the patient less agitated although she is not at her pre-operative baseline. she reports that the room "flips" when she first wakes up, but this resolves once she is fully awake. otherwise, vital signs have been stable. she is alert and oriented. amiodarone dose was dropped to 200 per cardiology protocol and she will have outpatient followup. amiodarone was started for atrial flutter resistant to electrical cardioversion. coumadin for afib was resumed and restarted. she received 1mg on and then 0.5mg on and with inr of 0.9 on . coumadin was increased to 1mg once daily. she will need twice weekly inr checks every monday and thursday. she was discharged to in . medications on admission: hydralazine 20''', amlodipine 10', tacrolimus 2", trimethoprim-sulfamethoxazole 80-400', nystatin 5ml qid, cellcept ", valcyte 450', pantoprazole 40", hydromorphone 2 prn, 0. bupropion hcl 150", metoprolol 150''', coumadin 1', colace 100", amiodarone 400" x 2 weeks then 200" x 4 weeks, alendronate 35 q month discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day): last date . 2. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 3. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 6. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 8. hydralazine 25 mg tablet sig: one (1) tablet po tid (3 times a day). 9. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day): stop when inr goal reached (2-2.5 inr). 11. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical daily (daily). 12. insulin regular human 100 unit/ml solution sig: follow sliding scale units injection asdir (as directed). 13. warfarin 1 mg tablet sig: one (1) tablet po once daily at 4 pm: inr check every monday and thursday. 14. sirolimus 1 mg tablet sig: four (4) tablet po daily (daily): trough trough levels every monday and thursday. discharge disposition: extended care facility: - discharge diagnosis: s/p kidney transplant with subsequent mental confusion/delirium atrial flutter on warfarin therapy and amiodarone discharge condition: stable/fair discharge instructions: please call the transplant clinic at for fever, chills, nausea, vomiting, increased confusion, inability to take or keep down food, fluids or medications baseline mental status is alert and oriented. she does still c/o feeling like the "room is flipped upside down" when she first awakens. patient may shower, pat incision dry and leave open to air please measure and record urine output. assure patient drinks enough fluids to keep urine light yellow in color labs to include pt/inr, chem 7, cbc, ca, phos, ast, t bili, u/a and trough rapamycin levels to be drawn every monday and thursday with results faxed to the transplant clinic at no heavy lifting avoid narcotic pain medications and nsaids followup instructions: dr. (surgeon) 9:30 (, ) , md (cardilogy, building , ) phone: date/time: 10:00 , md (transplant ) phone: date/time: 1:40 , md phone: date/time: 3:00 procedure: venous catheterization, not elsewhere classified closed [percutaneous] [needle] biopsy of kidney diagnoses: acute kidney failure with lesion of tubular necrosis atrial flutter antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use long-term (current) use of anticoagulants encephalopathy, unspecified complications of transplanted kidney other venous embolism and thrombosis of unspecified site 

Answer: The patient is high likely exposed to