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: the patient is a 44-year-old male with a history of end stage renal disease due to type i with a baseline creatinine of 1.8. he also had a history of deep vein thrombosis and pulmonary embolus. he had an inferior vena cava filter in place. he also had a cerebrovascular accident in . on , the patient was taken to the operating room and underwent a pancreatic transplant by dr. . cold was 15 minutes. please see the detailed operative report for any details of his intraoperative course. he was stable intraoperatively without a need for any pressors. the pancreas transplant was from a 19-year-old donor and he underwent a hand-sewn, double-layered anastomosis of the allograft. the patient subsequently was taken to the intensive care unit for tight blood pressure control as well as to minimize the chance of thrombosis. past medical history: the past medical history was significant for pulmonary embolus, deep vein thrombosis, type i diabetes, hypertension and status post cerebrovascular accident. past surgical history: the past surgical history was significant for a living related kidney transplant in , inferior vena cava filter and uvulectomy for sleep apnea. medications on admission: his medications at the time of admission to the intensive care unit were thymoglobulin, solu-medrol, fluconazole, unasyn, zantac, heparin drip and pamidronate as well as dilaudid pca. hospital course: postoperatively, the patient did very well. there were no complications. he continued on a dilaudid pca. he received a perioperative course of unasyn for 48 hours and was on a heparin drip until postoperative day #10. for his immunosuppression, he received a thymoglobulin, rapamycin and solu-medrol taper and he was subsequently started on prograf. his creatinine remained stable in the 1.2 to 1.4 range. he was able to tolerate a regular diet. his amylase on postoperative day #1 was 69 and his hematocrit remained stable. his heparin drip was at 250 units/hour. for our records, the donor was cytomegalovirus positive and the patient will receive six weeks of ganciclovir. in terms of immunosuppression, the patient initially was on thymoglobulin and solu-medrol and rapamycin and prograf were started on postoperative day #3. the patient was transferred to the regular floor from the intensive care unit on postoperative day #2. norvasc was started for blood pressure control. his blood sugars remained in the 90 to 120 range initially postoperatively. thyroglobulin was stopped after four doses. subsequently, the patient developed constipation and his narcotics were minimized and he was started on a bowel regimen. the patient had a rise in his blood sugars on postoperative day #7 in the 170 to 210 range and, due to this, he underwent an allograft ultrasound, which showed normal patency of his vessels. his amylase and lipase were normal. subsequently, on postoperative day #8, the patient underwent a ct scan of the abdomen, which showed no pancreatic bleed and no abscess. following that, he underwent a ct guided biopsy of the allograft, which did not show any abnormalities. there was no rejection. after the biopsy, the patient developed pain in the left lower quadrant at the site of biopsy of the allograft site. on postoperative day #10, his abdominal pain slightly improved and he was able to tolerate p.o. intake. his heparin drip was changed to subcutaneous heparin and his rapamune level on was 13. on postoperative day #11, the patient developed increasing abdominal pain and underwent another ct scan with intravenous contrast, which showed some fluid around the head of the allograft, but no abscess and no fluid collections at the tail of the allograft, where the biopsy had been taken. his abdominal pain subsequently improved and he was able to tolerate p.o. intake. the patient was discharged in stable condition on postoperative day #12. his prograf level on during the last couple of days of his admission ranged from 8 to 12. discharge medications: rapamycin 5 mg p.o. q.d. prednisone 20 mg p.o. q.d. prograf 3 mg p.o. b.i.d. ganciclovir 500 mg p.o. t.i.d. for six weeks. reglan. neutra-phos. bactrim single strength p.o. q.d. enteric coated aspirin. norvasc. zantac. peri-colace. mycelex. percocet for pain. follow up: the patient will follow up with dr. and dr. as an outpatient. , md dictated by: medquist36 procedure: homotransplant of pancreas closed [aspiration] [needle] [percutaneous] biopsy of pancreas diagnoses: unspecified essential hypertension polyneuropathy in diabetes personal history of venous thrombosis and embolism diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled kidney replaced by transplant 

Answer: The patient is high likely exposed to