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: end-stage renal disease major surgical or invasive procedure: av graft left upper arm and right groin permacath history of present illness: this is a 60 year old female who presents to the for placement of an av fistula and a right groin permacath. she is a pt with end-stage renal disease on hemo-dialysis. past medical history: esrd on hd, gerd, dm, hyperchol, depression family history: nc pertinent results: 05:54am blood wbc-9.8 rbc-3.34* hgb-11.0* hct-35.5* mcv-106* mch-32.8* mchc-30.9* rdw-16.9* plt ct-485* 11:15am blood wbc-8.7 rbc-3.42*# hgb-10.9*# hct-36.4# mcv-106* mch-31.9 mchc-30.0* rdw-16.8* plt ct-528* 05:54am blood plt ct-485* 05:54am blood pt-25.6* ptt-34.4 inr(pt)-2.6* 05:54am blood glucose-152* urean-56* creat-6.5* na-143 k-5.3* cl-101 hco3-27 angap-20 11:15am blood glucose-172* urean-47* creat-5.6*# na-142 k-4.7 cl-100 hco3-29 angap-18 05:54am blood calcium-9.2 phos-6.7*# mg-3.6* 01:17pm blood k-4.7 . . chest (portable ap) 4:46 pm impression: no pneumothorax. no acute cardiopulmonary process. . . chest fluoro without radiologist in o.r. 3:52 pm a chest fluoroscopy without radiologist was performed in the or to assist with a port insertion. 31 seconds of fluoro time was used. no images were saved. . . cardiology report ecg study date of 11:19:58 am sinus rhythm. borderline left axis deviation. possible left anterior fascicular block, although non-specific. modest non-specific lateral t wave changes. since the previous tracing of sinus tachycardia is absent, axis is more leftward and t wave changes have decreased. intervals axes rate pr qrs qt/qtc p qrs t 71 158 94 422/444.14 60 -30 79 . . brief hospital course: this pt was admitted to on for her procedure as described above. there were no intra or post operative complications. she had no issues overnight; her systolic blood pressure remained in the 90's range, which is baseline for this patient. in the morning, she went for dialysis; no complications or issues. the patient was tolerating a regular diet and complaining of mild pain controlled with pain medications. she was discharged in a stable condition and should continue all medications prior to this admission - no new changes. she should also continue her insulin sliding scale. medications on admission: nexuim 40', paxil 40', renagel 800''', lopressor 25'', lasix 40'', riss discharge medications: 1. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed for constipation. 2. senna 8.6 mg capsule sig: one (1) tablet po qhs tuesday, thursday, saturday (). 3. sevelamer 800 mg tablet sig: one (1) tablet po tid (3 times a day). 4. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 9. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain, fever. 10. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 11. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 12. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. discharge disposition: extended care discharge diagnosis: av graft left upper arm and right groin permacath, with end-stage renal disease. discharge condition: stable discharge instructions: continue your dialysis. please have your rehab facility check your bp closely. take pain medication as needed. resume home medications. please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomitting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomitting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. followup instructions: please see your nephrologist as needed, as well as your pcp. dialysis as scheduled. please see dr - call to make an appointment. ( procedure: hemodialysis venous catheterization for renal dialysis arteriovenostomy for renal dialysis diagnoses: end stage renal disease pure hypercholesterolemia diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to