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: patient recorded as having no known allergies to drugs attending: chief complaint: tachycardia / elctrolyte abnormalities major surgical or invasive procedure: scc excision and skin grafting history of present illness: 73 y/o man w/a history of sceroderma, s/p kidney transplant 7 years ago on mycophenolate and prednisone, htn, and baseline lbbb who was admitted to the surgical service for an elective removal of several squamous cell carcinomas and skin grafting. he tolerated the procedure well, but on the post-op day was noted to have a mag of 0.6 and ca of 5.6. he was also noted to have runs of sinus tachycardia on telemetry. of note pt has been having diarrhea since one month per his wife and 20 ib weight loss. . on review of system, patient is completely asymptomatic. denies any sob, chest pain, palpitation, doe, vomiting. no ha, no cardiac hx or hx of electrolyte abnormalities. past medical history: scleroderma renal failure s/p transplant hip repair arthritis lbbb htn social history: lives with wife ) and 4 grand kids, no smoking, drinking family history: n/c physical exam: 97.6 160/80 90 18 99%ra gen: well appearing, no acute distress heent: head wrap in place, ? cell in right -labial fold cv: rrr s1 ,s2 , no m/g/r resp: cta b/l abd: soft, non-tender, non-distended ext: right upper thigh skin graft wound pertinent results: labs on admission: 06:30am blood wbc-9.8 rbc-3.22* hgb-9.9* hct-31.1* mcv-97 mch-30.7 mchc-31.8 rdw-15.1 plt ct-215 06:30am blood glucose-100 urean-13 creat-1.4* na-144 k-3.2* cl-108 hco3-20* angap-19 06:30am blood albumin-3.3* calcium-5.3* phos-2.6* mg-0.6* 01:35am blood pth-533* 10:45pm blood type-art po2-80* pco2-34* ph-7.46* caltco2-25 base xs-0 intubat-not intuba 05:16pm blood freeca-0.71* . labs on discharge: 05:30am blood wbc-7.5 rbc-2.81* hgb-8.4* hct-27.3* mcv-97 mch-29.9 mchc-30.7* rdw-15.1 plt ct-190 05:30am blood glucose-97 urean-10 creat-1.3* na-141 k-4.8 cl-109* hco3-27 angap-10 05:30am blood calcium-7.6* phos-1.8* mg-2.1 . ekg: sinus tachycardia with left bundle branch. no evidence for vt brief hospital course: this is a 73 year old man with scleroderma status post kidney transplant with electrolyte abnormalities after presenting for scheduled squamous cell carcinoma scalp excision which was without complications. . # electrolyte abnormalilities: the patient was noted to have hypomagnesemia, hypokalemia and hypocalemia in setting of routine labs following his squamous cell carcinoma excision, of unclear etiology. initially some concern for diarrhea-related, but patient reports only infrequent episodes of loose stools, no profuse diarrhea. likely etiology is related to renal wasting, ?related to medications. renal was involved during hospital course, patients electrolytes were repleted, and he was discharged with outpatient renal follow up. he was discharged on magnesium oxide 400mg , with instructions to follow up with his nephrologist on discharge, and again prior to his outpatient colonoscopy. . # status post squamous cell carcinoma scalp excision: patient underwent excisions by plastics team without complication. he will go home with 5 days of keflex, and follow up with plastics as directed. . # weight loss: the patient reports some weight loss over the past months, already scheduled for an outpatient colonoscopy at the end of . gi was involved with his hospital course here given his question of diarrhea leading to electrolyte abnormalities as above, which was determined unlikely, but per gi recommendations, they recommend the patient have an outpatient egd along with his colonoscopy to evaluate his weight loss. again, he should be seen by his nephrologist prior to this procedure. . # hypertension: the patients bp remained stable and he was continued on his home dose of lisinopril. . # renal transplant: the transplant team was notified. he was maintained on his immunosuppressive medications. medications on admission: cellcept 1000mg twice daily prednisone 10 mg daily cyclosporine 100mg daily metoprolol 100mg twice daily lipitor 10mg daily ranitidine 300mg daily darvocet 50-100mg as needed warfarin 2.5 mg 5x/week catapres .3mg q weekly colace as needed daily discharge medications: 1. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 5. ranitidine hcl 150 mg tablet sig: two (2) tablet po daily (daily). 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 7. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). 8. cyclosporine 100 mg capsule sig: one (1) capsule po q12h (every 12 hours). 9. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: primary: electrolyte abnormalities secondary: scleroderma status post renal transplant squamous cell carcinoma hypertension discharge condition: good. patient feels well, electrolytes normalized. discharge instructions: you were admitted to the hospital after you were found to have electrolyte abnormalities when you came in for removal of your squamous cell carcinoma. these were corrected and you were discharged home with follow up with your primary care physician. please take medications as directed - there were no alterations made in your medications. please follow up with appointments as directed. please contact physician if develop chest pain/pressure, shortness of , other questions or concerns. followup instructions: please follow up with your primary care physician . on wednesday at 10:45am please follow up with dr. (plastic surgery) next week. call to schedule your appointment. please follow up with your colonoscopy as previously scheduled. procedure: other skin graft to other sites excisional debridement of wound, infection, or burn diagnoses: hypocalcemia cardiac complications, not elsewhere classified hypopotassemia long-term (current) use of anticoagulants personal history of venous thrombosis and embolism diarrhea disorders of magnesium metabolism kidney replaced by transplant non-healing surgical wound systemic sclerosis 

Answer: The patient is high likely exposed to