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: equine protein / penicillins attending: chief complaint: esrd, pre-emptive living related kidney transplant major surgical or invasive procedure: : living related kidney transplant history of present illness: 67m with longstanding diabetes maintained on oral agents for 17 years. approximately one year ago, his creatinine was increasing. in , his creatinine went up fairly acutely to 7.4. since that time, he has had some problems with edema, but this has been managed recently with lasix. he feels remarkably well for someone with advanced renal disease. he has no pain and is able to perform his daily activities without any problem. this includes a fairly rigorous teaching schedule as well as other activities. he now presents for kidney transplant. past medical history: htn, exposure in , anemia, diabetic retinopathy, s/p lens procedure, granulomatous disease of the bone marrow. social history: he is a former hospital administrator. he was the former president and ceo of hospital. he is married with three children ages 38, 34 and 34. family history: his father died of congestive heart failure at age 83. mother died of myocardial infarction at age 66. she also had diabetes. physical exam: on day of discharge: afebrile, vital signs stable and within normal limits. gen: alert and oriented, no obvious discomfort. pulm: cta b/l cvs: rrr abd: soft / min distended / non tender / bowel sounds present incision: minimal swelling with ecchymosis, minimal serosanginous drainage pertinent results: 02:52pm blood hct-26.9* 04:52am blood pt-17.3* ptt-26.5 inr(pt)-1.5* 04:52am blood glucose-61* urean-30* creat-1.3* na-139 k-5.0 cl-113* hco3-21* angap-10 renal transplant u/s: normal blood flow and normal resistive indices, large fluid collection adjacent to the upper pole of the transplant kidney measuring 13 x 6 x 9 cm, no mass effect on kidney brief hospital course: the patient was admitted to the pacu following his surgery. he tolerated the procedure well. following the procedure, he had a pca for pain control, foley in place, ivf at 50cc per hour plus cc per cc replacement of urine output, mmf started, bactrim, valcyte, tacrolimus started, lopressor, hydralazine given, diet advanced to clear liquids. : vancomycin and levofloxacin x 1, diet advanced to a regular diet, replacement fluid discontinued, atg 100 mg given, asa 81 mg started, tacro , steroid taper started : the patient reported chest pain, ekg performed demonstrating atrial fibrillation, lopressor and nitroglycerin given without relief, digoxin 0.25 mg iv x1 given, 2 units rbc transfused, atg 100 mg iv x 1, tacro , transferred to the icu for continued monitoring. cardiology consult obtained : atg 100 mg iv x1, asa increased to 325 mg, continued digoxin, tacrolimus : coumadin 4 mg started, heparin drip started, tacro , foley discontinued, pca stopped, po medication started, transferred to the floor, amiodarone started : continued coumadin and heparin drip, continued regular diet, amio continued, tacro : transfused 2 units rbc, continued heparin drip and coumadin, tacrolimus , continued valcyte : renal ultrasound performed which demonstrated a hematoma, heparin drip stopped, continued coumadin 1 mg, tacro , transfused one unit rbc : ambulating without assistance, cont coumadin, tacrolimus , discharged to home medications on admission: amlodipine 10', lipitor 20', epo, vit d2, pepcid 20', lasix 40', glipizide 5', hydralazine 100''', lopressor 100", renagel 1600", januvia 25'. asa discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 4. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 5. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 6. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). 7. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): 400 mg daily x 1 week 200 mg daily x 1 month clinic will assist with transition off amiodarone. disp:*60 tablet(s)* refills:*2* 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. lantus 100 unit/ml solution sig: fifteen (15) units subcutaneous at bedtime. disp:*2 bottles* refills:*1* 11. insulin syringe ultrafine ml 29 x syringe sig: one (1) miscellaneous once a day. disp:*1 box* refills:*1* 12. januvia 50 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 13. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. outpatient lab work trough prograf level pt/inr results to transplant coordinator (pager ) 15. tacrolimus 1 mg capsule sig: one (1) capsule po q12h (every 12 hours). 16. coumadin 1 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 17. insulin/finger sticks increase lantus by 2 units every 3 days for fasting blood sugars > 150. monitor finger stick blood sugars at least twice daily fasting and 4 pm. more often as necessary. bring record to clinic and transplant clinic appointments discharge disposition: home discharge diagnosis: esrd now s/p living related kidney transplant atrial fibrillation hyperglycemia post transplant discharge condition: stable/good a+ox3 ambulatory discharge instructions: please call the transplant clinic at for fever, chills, nausea, vomiting, diarrhea, constipation, inability to take or keep down food, fluids or medications monitor the incision for redness, drainage or bleeding labwork will be done every monday and thursday at the medical building lab until further notice. labs to be drawn are cbc, chem 7, ca, phos, ast, t bili, ua and trough prograf level, pt/inr. bring prograf with you and take once the blood is drawn. no heavy lifting, nothing heavier than a gallon of milk increase your phosphorous intake with whole grains, skim milk, nuts. drink enough fluids to keep urine light yellow. several liters of fluid daily are recommended. no driving if taking narcotic pain medication not shower due to hemodialysis line being in place. use handheld shower below the waist. do not spray directly on incision. pat incision dry. you may leave the incision open to air or cover for comfort with a dry gauze. staples will be removed in clinic. labs will be additionally drawn on saturday at 8am in the lab () **** please follow the amiodarone taper as prescribed: 400 mg daily x 1 week 200 mg daily x 1 month clinic will assist with transition off amiodarone due to interaction with prograf and coumadin inr per transplant clinic recommendations. clinic will prescribe coumadin dosing follow recommendations for insulin regime/ oral medication for blood sugar control and monitoring and recording blood sugars followup instructions: , md phone: date/time: 10:30 , md phone: date/time: 1:10 , transplant social work date/time: 10:00 appointment: dr 2:00 procedure: other kidney transplantation transplant from live related donor diagnoses: end stage renal disease coronary atherosclerosis of native coronary artery cardiac complications, not elsewhere classified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease disorders of phosphorus metabolism long-term (current) use of insulin other disorders of bone and cartilage surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hematuria, unspecified diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy contact with and (suspected) exposure to other potentially hazardous chemicals 

Answer: The patient is high likely exposed to