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: ampicillin / penicillins / morphine hcl attending: chief complaint: chemotherapy major surgical or invasive procedure: chemotherapy dialysis history of present illness: 39-year-old woman with h/o type i diabetes since age 14 months, glomerulonephritis, kidney transplants in and , and a double kidney and pancreas transplant on , who has newly diagnosed ebv-driven cns lymphoma. she was discharged on following an identical course of mtx and leucovorin- this admission required both hd and cvvh to manage toxicity in the setting of her renal transplant. since discharge, the patient had a negative ros and no issues. past medical history: past oncologic history: ====================== her neurological problems began in when her mother noted psychomotor slowing, short-term memory problems, inability to tolerate stress, and tremors in the hands. by , she had additional symptoms including word-finding difficulty and slurred speech. her mother took her to , and she was released. her mother then took her to see a neurologist at hospital, and he put her on zoloft for possible depression. she was admitted to the on for admitted for elective ventral hernia repair with mesh. she also had a workup for her mental status status change. a head mri without gadolinium performed on showed moderate atrophy and mild periventricular hyperintensities. there was a question of mild communicating hydrocephalus. a spinal tap performed on showed 2 wbc, 49 protein, and 72 glucose, but she was positive for ebv pcr in the csf. but hhv-6, hsv1 and 2, and virus pcr were all negative. she was placed on 15 days of iv ganciclovir for meningoencephalitis with positive ebv pcr in csf. a repeat lumbar puncture on yield negative ebv pcr, both qualitative and quantitative, in the csf. but her memory function improved but it was still off. a repeat head mri without gadolinium showed 3 hyperintense flair lesions in the left caudate, right parietal periventricular region, and left frontal region near the surface of the brain. she underwent a stereotaxic brain biopsy by , m.d. on and the pathology showed ebv-driven cns lymphoma. her cyclosporin was taken off subsequently. i saw her for the first time in the clinic on , and her lumbar puncture that day showed 6 wbc, 61 protein, 56 glucose, atypical lymphocytes on cytology and negative flow cytometry. she also had an fdg-pet of the entire body on . it showed focal increased uptake in known right parietal (suvmax 5.0) and left basal ganglia lesions (suvmax 6.8), and there was no fdg avid disease outside the brain. she has just finished cycle 1 of mtx with leucovorin rescue. . past medical history: ==================== she had a history of diabetes, and it resolved after her double kidney and pancreas transplant on . she has hypertension and hypercholesterolemia, but no copd. she was diagnosed with ebv encephalitis in and treated with gancyclovir. she had her first kidney transplant in , and then a second kidney transplant in , followed by a double kidney and pancreas transplant on . social history: she lives with her parents in , ma. she does not smoke cigarettes, drink alcohol, or use illicit drugs family history: her parents are healthy. her two sisters are healthy. she does not have children. her grandfather had niddm and her great grandmother apparently had iddm. physical exam: vitals - t: 97 bp:110/85 hr:88 rr:18 02 sat: 99ra general: nad skin: warm and well perfused, : at/nc, , perrla, anicteric sclera, patent nares, mmm, good dentition, nontender supple neck, no lad, cardiac: rrr, s1/s2, no mrg lung: ctab abdomen: nondistended, +bs, nontender in all quadrants, no rebound/guarding, no hepatosplenomegaly m/s: moving all extremities well, no cyanosis, or edema, no obvious deformities pulses: 2+ dp pulses bilaterally neuro: cn iii-xii intact pertinent results: discharge labs: . . . . reports: cxr: there is new development of bilateral vascular engorgement, upper zone redistribution of vasculature, interstitial extensive opacities and bilateral perihilar alveolar opacities continuing toward the lung bases, findings that are representing interstitial-alveolar pulmonary edema, at least moderate in severity. cxr: in comparison with study of , there has been a substantial decrease in the pulmonary vascular congestion. bibasilar opacification persists, consistent with pleural effusion and compressive atelectasis. . micro: urine culture: no growht to date blood culture x 4: no growth to date blood culture: no growth to date brief hospital course: this is a 39 year old female with esrd s/p panc/kidney transplant, recently diagnosed with cns lymphoma. pt was admitted for methotrexate therapy and hemodialysis. . # ebv-drived cns lymphoma: patient tolerated iv high-dose methotrexate well; she was started on hemodialysis 6 hours later and simultaneously started on leucovorin rescue. she was dialyzed again on . she continued to get iv fluids to help clear mtx until when she developed flash pulmonary edema. she was transferred to the , but was quickly stabilized and transferred back. she was given lasix 40mg iv bid and her oxygen requirement which was initially 4l. on transfer she was transitioned to po lasix and weaned off oxygen with improvement in cxr. . # fever: the patient spiked to 101.5 on the same day as transfer. she was empirically started on meropenum and vancomycin. upon transfer to the floors, patient remained afebrile. infectious work up was negative and so antibiotics were discontinued. . # kidney transplant: she was followed by the renal transplant team while in the hospital. she tolerated hemodialysis well. the patient was maintained on prednisone. mycophenolate was initially held and restarted at a reduced dose. . # pancreas transplant: stable. patient continued on prednisone and mycophenolate was restarted later during patient's hospitalization. . # hypertension: in the her atenolol was switched to carvedilol and her amlodopine was continued. medications on admission: 1. sodium chloride 0.9 % 0.9 % syringe sig: ten (10) ml injection prn (as needed) as needed for line flush: daily and then as needed. disp:*1 box* refills:*3* 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 3. prednisone 1 mg tablet sig: four (4) tablet po daily (daily). 4. bacitracin 500 unit/g ointment sig: one (1) appl ophthalmic (2 times a day) as needed for with dressing changes. disp:*1 tube* refills:*0* 5. atenolol 100 mg tablet sig: one (1) tablet po once a day. tablet(s) 6. atorvastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). 7. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. sevelamer hcl 400 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 10. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 11. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep/anxiety. 12. citalopram 40 mg tablet sig: one (1) tablet po once a day: take tablet daily for the next week and then take 1 tablet daily from then on. . disp:*30 tablet(s)* refills:*2* 13. lasix 20 mg tablet sig: one (1) tablet po once a day as needed for swelling. 14. aranesp (polysorbate) 100 mcg/0.5 ml syringe sig: 0.5 ml injection once a week. 15. folic acid 1 mg tablet sig: one (1) tablet po once a day. . discharge medications: 1. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 2. prednisone 1 mg tablet sig: four (4) tablet po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. sevelamer hcl 400 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 8. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 9. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 10. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 11. aranesp (polysorbate) 100 mcg/ml solution sig: one (1) injection injection once a week. 12. lasix 20 mg tablet sig: one (1) tablet po once a day as needed for leg swelling. 13. zofran 8 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. disp:*90 tablet(s)* refills:*0* 14. compazine 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. disp:*120 tablet(s)* refills:*0* 15. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days. disp:*6 tablet(s)* refills:*0* 16. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 17. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 18. outpatient lab work please have basic metabolic panel drawn thursday . send results to dr. office at fax . thanks. discharge disposition: home with service facility: home therapies discharge diagnosis: primary: 1. central nervous system lymphoma 2. diabetes type i s/p kidney and pancreas transplant . secondary: 1) hypertension discharge condition: stable discharge instructions: you were admitted the hospital for chemotherapy. you received methotrexate and shortly after received hemodialysis. you tolerated chemotherapy well. you developed subconjunctival hemorrhages in your eye likely secondary to temporarily high blood pressure. these will resolve on their own. you also developed fluid in your lungs as a complication of high blood pressure. you were transferred to the icu but stabalized and soon returned to a regular bed. you were temporarily on supplemental oxygen, but this was decreased as we gave you medications to decrease the fluid in your lungs. you diuresed well with iv lasix. you can now return to your home doses. . we have made the following changes to your medication list: ******* 1) zofran 8mg by mouth every 8 hours as needed for nausea 2) compazine 10mg by mouth every 6 hours as needed for nausea 3) cipro 500 mg daily for 7 days for a uti 4) cellcept mg 5) we switched your atenolol to carvedilol 12.5 mg . please continue all your other home meds. . please seek medical care if you develop nausea, vomiting, fevers/chills, shortness of breath, dizziness, fainting, chest pain, eye pain or vision changes. followup instructions: provider: , md phone: date/time: 10:10 . please follow up with dr. as well as previously scheduled. you will be readmitted for your next cycle. md procedure: hemodialysis injection or infusion of cancer chemotherapeutic substance diagnoses: pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified long-term (current) use of steroids acute respiratory failure other encephalopathy acute diastolic heart failure surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney pancreas replaced by transplant conjunctival hemorrhage unspecified hypertensive heart disease with heart failure encounter for antineoplastic chemotherapy late effects of other and unspecified infectious and parasitic diseases primary central nervous system lymphoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to