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: 58 year old female status post cadaver renal transplant on , seen in the office by dr. . noted a little incision infection, transplant incision infection treated with keflex x seven days. the patient was followed on an outpatient basis and noted to have an elevated creatinine on - the creatinine was 3.3 and the prograf level was 22. the prograf level dose was reduced from 3 mg twice a day to 2 mg twice a day. on , the patient's creatinine was noted to be 5.1, with a prograf level of 16.4. the patient was admitted to the transplant unit for further evaluation of elevated creatinine. review of systems included the patient denying fevers, chills, shortness of breath, chest pain, palpitations, cough, cold. no change in bowel habits. no melena, no bright red blood per rectum, though poor p.o. intake. patient without explanation why. no nausea or vomiting. no dysuria, though the patient reported persistent hematuria. the patient reports moderate pain from incision, with persistent of erythema. family reports yellow drainage from wound. past medical history: significant for end stage renal disease on hemodialysis, secondary to anca glomerulonephritis, scleroderma, hypertension, coronary artery disease status post myocardial infarction x two, status post lad stent, congestive heart failure with ejection fraction of 30 percent, peripheral vascular disease, right upper lung mass, chronic, history of mac. history of gastric erosions and anemia. past surgical history: significant for chronic cadaver renal transplant on . also cadaver renal transplant in which failed. history of total abdominal hysterectomy and bilateral salpingo-oophorectomy, history of cholecystectomy and a repair of a left femoral aneurysm, and peritoneal dialysis catheter with repositioning x 2 and a right a-v fistula. socially, the patient lives at home with family, continues to smoke. medications at home: prograf 2 mg p.o. b.i.d. cellcept mg p.o. b.i.d. bactrim single strength one daily. nystatin q.i.d. valcide 450 mg q.o.d. protonix 40 mg once a day. coreg 3.125 mg twice a day. albuterol inhaler p.r.n. the patient was admitted, received initial intravenous fluid hydration, and ultrasound was obtained on . ultrasound of the right kidney transplant revealed mild hydronephrosis, which was new compared to . resistive indices at the lower and interpolar regions of the transplant kidney approached 1, with waveforms demonstrating good systolic upstroke with virtually no diastolic flow. this was an acute change compared to the prior exam. it was noted that at the upper pole of the transplanted kidney, the resistive index was 0.8. nephrology was consulted. the patient was seen by dr. , and it was decided that a kidney biopsy would be obtained. this was done on , and the patient was not given any prograf on hospital day one, and the prograf was held on hospital day two in the morning. this was re-started on hospital day two for a level of 18.1. prograf was resumed at one mg p.o. b.i.d. biopsy results returned significant for acute cellular rejection. the patient was initiated on atg. the patient was also initiated on 500 mg of solu-medrol. she received three doses of atg on separate days. her white count did trend down to 3.5. it was noted on hospital day five that the patient's crit was low at 25.4. she was ordered for one unit of packed red blood cells. just after this infusion, the patient was noted to be acutely short of breath. she was sitting up in bed using accessory muscles on a scoop mask, looking uncomfortable. vital signs were as follows: temperature 96.2, heart rate 84, blood pressure 176/84, respiratory rate 28, oxygen saturation on three liters 92 percent. she had bilateral diffuse crackles anteriorly and posteriorly. cardiovascularly, the heart rate was regular, with a normal s1 and s2 without any murmurs. there was no pedal edema. lasix iv 40 mg x 1 was given. a chest x-ray was ordered stat, and an ekg was done as well. the patient was transferred to the intensive care unit for respiratory distress. her chest x-ray result revealed pulmonary edema her ekg was normal. initial abg's were 7.09, 100, 58, 19 and negative 12. upon transfer to the sicu, the patient was briefly unresponsive until arrival in the sicu, where she was cyanotic. she was bagged and her oxygen saturation was 72 and came up to 100 percent with the bag breathing. anesthesia was called stat to intubate the patient. the patient had vomited a small amount after becoming unresponsive. once the patient was intubated successfully, the patient was suctioned for a copious amount of sputum, and the sputum was frothy. the patient was ventilated, and further intravenous lasix was given. the atg infusion was stopped. hematocrit was stable. vital signs were stable, and labs were as follows: sodium 141, potassium 3.9, chloride 106, co2 20, bun 47, creatinine 3. the patient did receive cardiac enzymes that were as follows: troponin 0.31, ck-mb 17, mbi 10.8. cardiology recommended that the patient receive a transesophageal echocardiogram to evaluate heart function. she was placed on a nitroglycerin drip as well, given the elevated enzymes, and serial enzymes were drawn. she was further diuresed, and gradually her urine output picked up. the atg was resumed. she was given a further transfusion of packed red blood cells for a crit of 27. this was followed by some intravenous lasix. urine output continued to improve. the patient was weaned from the ventilator with stable vital signs and respiratory function. she remained in the intensive care unit for three days, and was transferred back to the medical-surgical floor on hospital day eight. she continued to get atg, for a total of seven days. she received a tapering dose of solu-medrol, and was initiated on prednisone on the day of discharge to 10 mg. that will be further tapered. urine output improved to a liter and a half per day. creatinine trended down to 1.5 on day of discharge on . labs on discharge (): creatinine 1.5, bun 32, sodium 138, potassium 4.5, chloride 103, co2 28, glucose 175. of note, her glucose ranged from a low of 117 to a high of 215. during intensive care unit, she received insulin drip. this was converted to a sliding scale when she was back on the medical-surgical unit, and this was given intermittently based on her lowered prednisone dose. she was discharged without insulin, and she will be followed in the outpatient clinic to monitor the hyperglycemia induced by steroids. she may benefit by an oral . also of note, white blood cell count was improved upon discharge, with a white blood cell count of 3.9. it had trended down to a low of 1.7. her hematocrit was 31.6 on day of discharge. vital signs were stable. she was tolerating diet. no respiratory distress, with clear lung sounds. she was switched from carvedilol per cardiology recommendations, and placed on lopressor to beta block her, and also received a nitroglycerin patch. this was converted on day of discharge to imdur 30 mg. her echocardiogram revealed ejection fraction of 25-30 percent. the left atrium was normal in size. there was mild symmetric left ventricular hypertrophy with normal cavity size. there was severe regional left ventricular systolic dysfunction, with near akinesis of the distal half of the anterior septum and the anterior walls and distal inferior walls. the apex is mildly dyskinetic. no masses or thrombi were seen in the left ventricle. the right ventricular chamber size and free wall motion were normal. the aortic valve leaflets, three of them, appeared structurally normal, with good leaflet excursion and no aortic regurgiation. mitral valve leaflets were structurally normal. mild one plus mitral regurgitation was seen. the pulmonary artery systolic pressure could not be determined. there was very small, circumferential pericardial effusion. she was also started on hydralazine. she will follow up in the outpatient medical clinic for further management of her hypertension and coronary artery disease. the patient was discharged on with creatinine of 1.5. she will stay on 10 mg p.o. daily, prograf 3 mg p.o. b.i.d., cellcept one gram p.o. b.i.d. further medications on discharge are colace 100 mg p.o. b.i.d., metoprolol 75 mg p.o. t.i.d., prednisone 10 mg p.o. daily, hydralazine 25 mg p.o. q 6 hours, protonix 40 mg one tablet p.o. daily, imdur 30 mg p.o. daily, bactrim single strength one tab p.o. daily, valcide 450 mg p.o. q.o.d., nystatin swish and swallow 5 ml p.o. q.i.d. after meals and at bedtime. she will follow up with dr. at the transplant center on at 1 p.m., as well as with dr. on . she was in stable condition, with good urine output, and tolerating a regular diet. , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube injection or infusion of other therapeutic or prophylactic substance closed [percutaneous] [needle] biopsy of kidney transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use acute kidney failure, unspecified peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease old myocardial infarction surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution hydronephrosis complications of transplanted kidney other drugs and medicinal substances causing adverse effects in therapeutic use systemic sclerosis 

Answer: The patient is high likely exposed to