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: heparin agents / sulfa (sulfonamides) attending: chief complaint: pneumonia major surgical or invasive procedure: nasointestinal tube placement (now removed) intubation central line placement (now removed) history of present illness: 34 yf with longstanding dm-i c/b severe gastroparesis, autonomic neuropathy, and esrd who is s/p lurt and pak . she subsequently underwent re-exploration for intraabdominal hemorrhage. she presented to osh and was found to have a bibasilar pneumonia and was placed on 100% nrb and received 1 dose of levaquin. upon arrival to the ed, she was sat'ing in the mid 80's to 90's on 100%nrb and 99-100% on bipap. she received 1g of vancomycin and 1l of crystalloid before admission to sicu. past medical history: s/p hitt from admission: hit ab positive, but sra negative status post pancreas transplant status post living unrelated renal transplant end-stage renal disease secondary to type 1 diabetes mellitus gastroparesis autonomic neuropathy diabetic retinopathy and peripheral neuropathy osteopenia depression r vitrectomy left antecubital arteriovenous fistula on social history: social history: married, no children, denies alcohol, ivdu and tobacco. her husband was the donor for her kidney transplant in . family history: there is no history of dm in her family. her father died of lymphoma and her mother has htn. physical exam: vitals: 99.4 109 142/82 17 100% cpap general: + labored breathing, awake alert and oriented x 3 heent: mucous membranes dry, no lad, neck supple cvs: tachycardic, no arrhythmias, no m/r/g chest: bibasilar crackles, labored breathing abdomen: soft, nontender, + tympany to percussion, no hsm, nabs extremities: no c/c/e rectal: no masses, guaiac negative pertinent results: cxr moderately severe pulmonary edema, not appreciably changed since earlier in the day, the lung volumes have improved. bibasilar consolidation, presumably represents coalescent edema and atelectasis. small bilateral pleural effusions are present. heart size normal. et tube and nasogastric tube, and right pic catheter in standard placements respectively. no pneumothorax. cxr previous severe pulmonary edema has improved substantially. consolidation is largely restricted to the lower lungs which may be a combination of edema and atelectasis, not necessarily pneumonia. heart size is normal. pleural effusions if any are small and there is no pneumothorax. tip of the endotracheal tube is partially obscured but appears to be more than a centimeter above the upper margin of the clavicles and 7 cm from the carina, and should be advanced 3-4 cm. nasogastric tube ends in the lower stomach and an esophageal manometer in the upper. right jugular line ends in the upper right atrium. nasointestinal tube placement successful placement of post-pyloric feeding tube with tip in the distal duodenum . labs on admission: wbc-16.9* rbc-2.70* hgb-6.7* hct-22.7* mcv-84 mch-24.8* mchc-29.4* rdw-16.0* plt ct-263 pt-25.2* ptt-40.9* inr(pt)-2.5* glucose-144* urean-69* creat-2.6*# na-137 k-3.5 cl-110* hco3-13* angap-18 alt-19 ast-40 alkphos-133* amylase-45 totbili-0.5 lipase 12 albumin-2.2* calcium-7.3* phos-3.7 mg-1.5* . labs on discharge: 05:33am blood wbc-7.2 rbc-2.84* hgb-8.1* hct-25.6* mcv-90 mch-28.4 mchc-31.5 rdw-19.6* plt ct-364 05:33am blood glucose-84 urean-67* creat-2.3* na-142 k-3.9 cl-113* hco3-17* angap-16 05:33am blood calcium-8.6 phos-4.5 mg-1.9 brief hospital course: the patient was admitted to transplant surgery as a transfer from an outside hospital for management of her bilateral pneumonias. upon arrival to the ed, she was transfered immediately to the icu. # neuro - the patient was sedated with propofol and versed throughout initial period of intubation. pain was adequately controlled during hospitalization. # pulmonary - upon arrival to the sicu, she was intubated and bronchoscopied. pulmonary was consulted. on hd 6 () the patient was successfully extubated without complications. # cardiovascular - upon arrival to the sicu, she was started on pressors for hemodynamic instability and transfused 1u prbc. by hd2, she was weaned off of pressors but eventually required another 2 units of prbc. # renal - the patient required aggressive diuresis with furosemide after she was hemodynamically stable. creatinine 2.6 on admission and 2.5 on discharge with mild variations during hospitalization. followed by renal, no biopsy at this time # infectious diseases - upon arrival, she was started on iv vanco/zosyn/cipro. infectious diseases service was consulted. bal revealed no organisms on gram stain or culture. pcp stains were all negative but the patient was switched from inhaled pentamidine to bactrim for prophylaxis. vanco was d/c'd on hd5 cmv viral load was found to be positive with initial result of 922 copies. she was started on iv gancyclovir. she on iv prophylaxis as an outpatient for 2 weeks post discharge due to concerns that po dosing will not be appropriately absorbed. # endocrine - the patient's glucose was initially labile and required an insulin drip. followed by while hospitalized, she will resume lantus and humalog upon discharge. # fen/gi - nasointestinal tube was placed via fluoroscopy on to start tube feeds which were d/c'd by . # immunosuppression - she was maintained on her cyclosporin but required several modifications to her dosages. she also was placed on iv solumedrol until she was able to take adequate po and was switched to prednisone 40mg. this was subsequently tapered and she will be discharged home on 5 mg daily. upon discharge, the patient was afebrile with all vitals stable, tolerating po feeds, ambulating but requiring assistive devices which were provided for home use through , and with pain controlled on po pain medication. medications on admission: albuterol 90 mcg--1 pf in prn with pentamidine treatments ativan 0.5 mg--1 tablet(s) by mouth as needed alendronate 35 mg--1 tablet(s) by mouth qweek aranesp (polysorbate) 40 mcg/ml--once per week weekly benadryl 25 mg--1 capsule(s) by mouth as needed calcitriol 0.25 mcg--1 capsule(s) by mouth once a day cellcept mg--1 capsule(s) by mouth three times a day cellcept mg--500 tablet(s) by mouth three times a day domperidone (bulk) --10mg prn 10-20mg tid with meals ergocalciferol (vitamin d2) 50,000 unit--1 capsule(s) by mouth qmonth x6months fluoxetine 20 mg--3 capsule(s) by mouth once a day florinef 0.1 mg--1 tablet(s) by mouth as needed for low bp gengraf 100 mg--3 capsule(s) by mouth twice a day metoprolol succinate 50 mg--1 tablet(s) by mouth twice a day prednisone 5 mg--1 tablet(s) by mouth once a day pentamidine 300 mg--300 mg ih once per month may give albuterol pre and post treatment discharge medications: 1. ganciclovir sodium 500 mg recon soln sig: sixty (60) mg intravenous once a day for 3 weeks. disp:*18 * refills:*0* 2. picc line care avoid heparin products flush with 10 cc ns following use flush daily and prn 3. normal saline 0.9% normal saline 1000 ml bag infuse 1-2 liters daily as needed for hydration dispense # 40 (forty) (4 boxes of 10 bags) refills 2(two) 4. picc line care picc line dressing kit change dressing q 3 days and as needed per agency protocol dispense # 10 (ten) refills 2 (two) 5. home oxygen therapy oxygen via nasal cannula at 2l maintain sats > 92% diagnosis: pulmonary cmv infection with o2 sats documented less than 88% disp : qs for maintenance of 2l o2 6. outpatient physical therapy please provide wheelchair for patient use at home diagnosis: pulmonary cmv infection/weakness 7. commode please provide bedside commode diagnosis: pulmonary cmv infection, weakness 8. glucose test strips accucheck aviva glucose test strips dispense # 3 (three) refills: 6 (six) 9. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous once a day. disp:*2 bottles* refills:*2* 10. insulin lispro 100 unit/ml solution sig: as directed per sliding scale subcutaneous four times a day. disp:*2 bottles* refills:*2* 11. insulin syringe microfine 0.3 ml 28 x syringe sig: one (1) syringe miscellaneous 5 times daily. disp:*1 box* refills:*5* 12. outpatient lab work biweekly cbc with diff, chem 7, ast, alt, alk phos, t.bili, and trough cyclosporine level. fax to (transplant office) and (infectious disease) 13. outpatient lab work weekly cmv viral load fax to attn dr. (infectious disease) 14. calcitriol 0.25 mcg capsule sig: one (1) capsule po every other day (every other day). 15. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 16. fluoxetine 20 mg capsule sig: three (3) capsule po daily (daily). 17. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. 18. aranesp (polysorbate) 40 mcg/0.4 ml syringe sig: one (1) injection once a week. 19. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 20. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 inhaler* refills:*2* 21. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 22. prednisone 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 23. cyclosporine 100 mg capsule sig: one (1) capsule po twice a day. 24. cyclosporine 25 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 25. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 26. guaifenesin 100 mg/5 ml syrup sig: ten (10) ml po q6h (every 6 hours). disp:*1200 ml(s)* refills:*2* discharge disposition: home with service facility: hospice discharge diagnosis: pulmonary cmv infection s/p kidney transplant with elevated creatinine discharge condition: fair/stable discharge instructions: please call the transplant clinic at if you experience fever > 101, chills, increased difficulty with breathing, increased cough or sputum production. monitor for nausea/vomiting/diarrhea wear o2, goal is to maintain sats> 92% on 2l nasal cannula picc line inplace, maintain hydration at 1-2 l ns daily as needed use commode and wheelchair as needed. you will be receiving home pt have labwork drawn per transplant clinic guidelines followup instructions: , md phone: date/time: 8:00 pft,interpret w/lab no check-in pft intepretation billing date/time: 9:00 pulmonary function lab phone: date/time: 9:00 follow up with dr. (pulmonologist) at 10:00 please schedule follow up with dr. and dr. , md phone: date/time: 2:00 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] biopsy of bronchus diagnoses: thrombocytopenia, unspecified acute kidney failure, unspecified acute respiratory failure pneumocystosis dehydration cytomegaloviral disease complications of transplanted kidney diabetes with neurological manifestations, type i [juvenile type], uncontrolled pneumonia in cytomegalic inclusion disease peripheral autonomic neuropathy in disorders classified elsewhere 

Answer: The patient is high likely exposed to