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: codeine attending: chief complaint: hypertension, nausea, vomiting major surgical or invasive procedure: none history of present illness: 21 year old female with mpgn s/p renal transplant () and recurrent mpgn who was recently admitted several times over the last few months for hypertensive emergency and for generalized tonic clonic seizures at the end of . she recently started peritoneal dialysis. she began to complain of headache, nausea and vomiting and was unable to take her blood pressure medications. in the ed, she was hypertensive to 260/120. head ct was negative for bleed. she was given labetalol 10 iv x 1 then started on labetalol gtt. she was noted to have a k of 6.5 so she was given bicarb, insulin, glucose, and calcium. bun/cr notably increased from baseline despite peritoneal dialysis. she was admitted to the icu for further evaluation and blood pressure control. in the icu, she is very tired, pressure was down to 180's and she feels that her headache is a bit better than when she first arrived. she c/o nausea. past medical history: 1) mpgn: diagnosed age 9 by biopsy. s/p lrrt in 08/. post transplant pt was doing well, but had rising cr for two year. in pt presented with uncontrolled bp requiring icu admission for isradipine drip. repeat biopsy showed a type 1 mpgn. negative hepc,hepb,, and renal u/s from nmec showed stable avf. her creatinine peaked to 4's and she was started on steroids, prograf and cellcept. in , she required 3 sessions of hd through a right upper chest catheter. creatinine slowly recovered to 3.2. plasmapheresis was then initiated with plan to then treat with rituximab. she only underwent 3 sessions of . she is now transferred her care to dr. at to an adult clinic. 2) peripheral edema and abdominal striae steroids 3) htn steroids and renal disease, multiple admissions for hypertensive emergency. 4) hemolytic anemia - was seen by heme/onc who felt it was to malignant hypertension. 5) migraines social history: lives at home with , brother and sister, college student at in the health sciences. denies etoh, illicit drugs, tobacco. family history: no history of kidney disease, malignancy, heart disease, or diabetes. physical exam: vs: t 98.5 bp 187/135 p 106 r 18 95% ra gen: eyes closed, does not open when asks, but will answer questions : eomi, perrl, anicteric. op clear, mmm resp: ctab no w/r/r cv: rrr 2/6 sm lusb no rubs chest: hd catheter in right chest wall abd: soft nd + bs no rebound or guarding but mild ttp on epigastrium. pd catheter in place ext: warm well perfused, no peripheral edema skin: no rashes but excoriations over back neuro: nonfocal neuro exam, diffusely weak on strength exam but ?cooperative pertinent results: 05:07am glucose-107* lactate-2.9* na+-140 k+-6.0* cl--94* tco2-25 05:07am freeca-1.20 07:55pm glucose-161* urea n-66* creat-11.6*# sodium-137 potassium-4.3 chloride-96 total co2-25 anion gap-20 alt(sgpt)-12 ast(sgot)-16 ld(ldh)-383* alk phos-49 amylase-71 tot bili-0.1 albumin-3.4 calcium-9.5 phosphate-5.9*# magnesium-1.4* wbc-8.3 rbc-3.49*# hgb-10.2*# hct-31.4*# mcv-90 mch-29.2 mchc-32.4 rdw-18.0* ecg study date of 6:50:56 am sinus tachycardia. poor r wave progression. non-specific st-t wave changes. compared to the previous tracing of sinus tachycardia is new and the t waves are now upright. chest (portable ap) study date of 5:29 am impression: no signs of acute cardiopulmonary process. ct head w/o contrast study date of 5:30 am impression: normal head ct. brief hospital course: 21 year old female with mpgn s/p renal transplant () and recurrent mpgn now on pd with multiple recent admissions over the last few months for hypertensive emergency and for generalized tonic clonic seizures at the end of again presents with hypertensive emergency. # hypertension. on initial presentation, the patient was hypertensive to 260/120. head ct was negative for bleed. she was given labetalol 10 iv x 1 and was then started on labetalol gtt. additionally upon presentation, she was noted to have a k of 6.5 so she was given bicarb, insulin, glucose, and calcium. bun/cr notably increased from baseline despite peritoneal dialysis. from the ed, she was admitted to the icu where she was continued on a labetalol drip until 9am; it was d/c'd after she was able to tolerate her po antihypertensive medications. after reinitiation of her oral meds and discontinuation of labetalol gtt, her bp remained consistantly 140s/70s. she was discharged to the medical floor and remained normotensive. she was discharged on ger home anti-hypertensive regimen. # nausea/vomiting. patient reported this has been an ongoing issue. symptoms improved with antiemetics and at the time of discharge the patient was able to tolerate po meds. # hyperkalemia: likely in the setting of worsened renal function and has since remained normal after initial treatment as outlined in hpi. potassium was 4.7 on discharge. # renal failure d/t recurrent mpgn in transplant. pt on ambulatory peritoneal dialysis as outpatient. during her hospital course, the concentration of dextrose in her bath solution was lowered to 1.5% due to hyponatremia and concern that intravasular dehydration in the setting of her nausea and vomiting. hyponatremia resolved and the patient was discharged on her home regimen of 4.25% dextrose dialysate. # metabolic acidosis. anion gap was 23 on admission. althouth lactate was elevated, there were no clear localizing symptoms of infection and she was been afebrile without leukocytosis. peritoneal fluid negative for infection by cell counts. a cxr was without e/o infiltrate. over the course of admission, the anion gap was trending down and was 15 at the time of discharge. medications on admission: aliskiren 150mg daily renagel tid clonidine 0.1mg tid clonidine 0.2 patch weekly furosemide 80mg hydralazine 100mg tid isradipine 15mg tid lisinopril 40mg daily losartan 100mg metoprolol 150mg cellcept 250mg ondansetron 4mg prn prednisone 5mg qod nephrocaps daily discharge medications: 1. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 2. mycophenolate mofetil 250 mg capsule sig: one (1) capsule po bid (2 times a day). 3. sevelamer hcl 800 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 4. hydralazine 50 mg tablet sig: two (2) tablet po q8h (every 8 hours). 5. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsat (every saturday). 6. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 7. aliskiren 150 mg tablet sig: one (1) tablet po daily (). 8. zolpidem 5 mg tablet sig: one (1) tablet po at bedtime. 9. isradipine oral 10. prednisone 5 mg tablet sig: one (1) tablet po every other day (every other day). 11. zofran 8 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. disp:*30 tablet(s)* refills:*0* 12. compazine 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. disp:*30 tablet(s)* refills:*0* 13. losartan 100 mg tablet sig: one (1) tablet po twice a day. 14. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 15. metoprolol tartrate 50 mg tablet sig: three (3) tablet po twice a day. discharge disposition: home discharge diagnosis: hypertensive urgency nausea vomiting esrd discharge condition: pt was hemodynamically stable, afebrile and without pain. discharge instructions: you were admitted for treatment of your high blood pressure. during your hospitaization, you were given iv medication to lower your blood pressure and your fluid status was carefully monitored. you responded well to this therapy and the day of discharge your blood pressures were relatively well controlled on your home medications. we have discontinued your lasix, but you should otherwise take your blood pressure medications as previously described. you were also found to have elevated potassium on admission and this was thought to be related to your worsening renal function. this imbalance was corrected and your potassium was normal upon discharge. you should continue your home peritoneal dialysis as directed. you have been scheduled for an appointment with dr. . please follow-up as directed below. you should also follow-up with your primary nephrologist, dr. . please call your doctor or return to the emergency room if you develop fevers, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, changes in vision, worsening headache, abdominal pain or any other symptoms of concern. followup instructions: provider: , md phone: date/time: 10:30 provider: , md phone: date/time: 6:00 provider: , md phone: date/time: 1:00 procedure: peritoneal dialysis diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease acidosis hyperpotassemia anemia in chronic kidney disease end stage renal disease hyposmolality and/or hyponatremia 

Answer: The patient is high likely exposed to