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: history of present illness: this is a 58 year old woman with end-stage renal disease secondary to membranous glomerular nephritis. she has been on hemodialysis for the past four years previous to admission. she presented to on , for a kidney transplant when a donor organ became available. she has no history of peritoneal dialysis. she denies any recent chest pain, shortness of breath, change in bowel habits, evidence of melena or bright red blood per rectum. past medical history: 1. hypothyroidism. 2. hepatitis c. 3. end-stage renal disease on hemodialysis as described in the history of present illness. 4. hypertension. 5. status post hysterectomy in . medications on admission: 1. norvasc. 2. zestril. 3. renagel. 4. quinine. 5. nephrocaps. 6. levoxyl. 7. b12. physical examination: on admission, ms. is a well appearing woman appearing her stated age. temperature is 97.2 f.; pulse is 98; blood pressure is 198/80; respiratory rate is 18. pupils were equal, round and reactive to light. extraocular muscles are intact. sclerae are anicteric. she has no jugular venous distention and no cervical lymphadenopathy. her lungs are clear to auscultation bilaterally. her heart is regular rate and rhythm without evidence of murmur. her abdomen is soft, slightly distended without any evidence of organomegaly or ascites. rectal examination is no masses and guaiac negative. extremities are warm with palpable dorsalis pedis pulse bilaterally. hospital course: mrs. was admitted to the transplant service and on the day of admission was brought to the operating room whereupon she received a cadaveric renal transplant. the procedure was performed by dr. assisted by dr. . the procedure was performed under general anesthesia with an estimated 50 cc of blood loss. during the procedure she received 2.6 liters of crystalloid and made 25 cc of urine. please see previously dictated operative note for more details. the patient tolerated the procedure well, was extubated in the operating room and transferred to the post-anesthesia care unit. mrs. hospital course was relatively uncomplicated. after the operating room she was admitted to the surgical intensive care unit so that she could be monitored more closely in her postoperative period. on postoperative day one, she was transferred from the intensive care unit to the patient care floor without incident. she was placed on the standard regimen of immunosuppression therapy including cellcept starting at 1000 mg for the first three days and then titrated down to 500 mg thereafter. she was on a sliding steroid taper such that she was tapered down to 20 mg of solu-medrol and then prednisone on postoperative day number seven. she will remain on the 20 mg a day. she received three doses of 100 mg of anti-thymoglobulin, followed by two doses of 50 mg. she was started on rapamune on postoperative day number five. during the rest of this hospitalization, she was slow to make urine and, in fact, required hemodialysis during her postoperative period. however, on postoperative day number six, she made 300 cc of urine. mrs. complained of epigastric discomfort for several days and, in fact, vomited on postoperative day number six. because of this episode of nausea and vomiting, she was ruled out for myocardial infarction by serial enzymes. also, an ekg was obtained which was unchanged from baseline ekg. she is on protonix 40 mg p.o. q. day for her epigastric discomfort. on postoperative day number six, she complained of dysuria. for this, she was placed on ciprofloxacin and started on a five day course. condition at discharge: stable. discharge disposition: to home. discharge diagnoses: 1. status post cadaveric renal transplant. 2. urinary tract infection. medications on discharge: 1. levoxyl 125 micrograms p.o. q. day. 2. protonix 40 mg p.o. q. day. 3. percocet 1 to 2 tablets p.o. q. four to six hours p.r.n. 4. colace 100 mg p.o. twice a day. 5. ganciclovir 500 mg p.o. q.o.d. 6. bactrim single strength 1 tablet p.o. q. day. 7. cellcept mg p.o. four times a day. 8. prednisone 20 mg p.o. q. day. 9. rapamune 5 mg p.o. q. day. 10. amphojel 30 mg p.o. q. eight hours. 11. nystatin swish and swallow. 12. ciprofloxacin 500 mg p.o. q. day. 13. ditropan 5 mg p.o. twice a day. discharge instructions: 1. the patient will follow-up with dr. in the transplant surgery clinic. 2. follow-up for her rapamune levels, blood work has been arranged. , md dictated by: medquist36 procedure: hemodialysis esophagogastroduodenoscopy [egd] with closed biopsy other kidney transplantation diagnoses: hyperpotassemia anemia, unspecified urinary tract infection, site not specified unspecified acquired hypothyroidism acute hepatitis c without mention of hepatic coma acute esophagitis other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms 

Answer: The patient is high likely exposed to