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: codeine / percocet / sulfa (sulfonamide antibiotics) attending: chief complaint: dm, htn, esrd now s/p living unrelated kidney transplant major surgical or invasive procedure: : living unrelated kidney transplant : tunneled hemodialysis catheter : open kidney biopsy : line changed over wire history of present illness: the patient is a 51-year-old man with chronic kidney disease due to failing prior transplant. his original kidney disease was due to type 1 diabetes and he underwent a living donor renal transplant followed by deceased donor pancreas transplant. the pancreas transplant has since failed and he has stage v ckd of his transplanted kidney. he has not yet restarted dialysis, and still makes urine past medical history: # diabetes mellitus type i, now diabetes mellitus type ii post pancreas transplant # status post renal (), pancreas transplants (). #. baseline cr 2.4-2.8 # hypertension. # peptic ulcer disease. # esophagitis # right lower extremity cellulitis # left fifth toe amputation for gangrene # charcot arthropathy- septic left subtalar joint. # urinary tract infections # retinopathy, status post vitrectomy # esophageal achalasia # hypercholesterolemia # post-strep gn social history: lives with wife who is very involved in his care tobacco: none etoh: none illicits: none family history: noncontributory physical exam: post op vs: 97.4, 80, 120/60, 10, 100% general: intubated/sedated card: rrr lungs: cta bilaterally abd: obese, distended, incision dressing c/d/i, jp with sero-sanguinous drainage extr: warm, + pulses, 2+ edema pertinent results: post op: 08:20pm blood wbc-17.9*# rbc-3.57* hgb-9.9* hct-31.2* mcv-87 mch-27.8 mchc-31.8 rdw-16.8* plt ct-352 08:20pm blood glucose-233* urean-105* creat-4.4* na-142 k-4.9 cl-113* hco3-15* angap-19 08:20pm blood calcium-7.7* phos-8.7*# mg-2.0 03:15pm blood hbsag-negative hbsab-negative hbcab-negative 03:15pm blood hcv ab-negative 04:45am blood tsh-0.75 04:45am blood t4-6.6 t3-64* : kidney biopsy 1. there is no evidence of acute humoral rejection in this sample. 2. some foci suggestive of endothelialitis are seen, but no unequivocal changes are noted. banff 97 working classification: acute rejection g1, o2, t3, c0 kdar1b: banff type 1b (i2-3, t3, v0) number of glomeruli: 36 number of globally sclerotic: 0 segmental sclerosis: no other findings: peri-tubular capillaries are negative for c4d brief hospital course: 51 y/o male now s/p living unrelated renal transplant. the patient received routine induction immunosuppression to include solumedrol 500 intra-op with post op taper, cellcept and 4 doses of atg 125 mg, with the first dose given intra-op. prograf was started on pod 2. please see the operative note for surgical detail. in summary, his prior left paramedian incision was reopened, the rectus muscles were significantly stuck to both the anterior and posterior rectus sheath and had to be mobilized extensively. when the peritoneum was entered there were significant adhesions of the omentum to the lateral abdominal wall, the transverse incision and the bowel. identifying the right common and external iliac arterial system in the right pelvis was made more difficult by the patient's deep body habitus and significant retroperitoneal fat. there were extensive calcifications. and the external iliac vein was chosen as a site for a venous anastomosis. once the kidney was placed, the kidney was reperfused and had slow reperfusion and then was found to be positional in its perfusion. intraoperative ultrasound was performed which suggested there may be a flap at the level of the artery and it was determined to redo the arterial anastomosis. cold perfusion solution was infused and topical ice was placed. once the repair was completed, this resulted in the kidney pinking up much more nicely, although it did have somewhat of a decreased tone. the patient received additional intra-op antibiotics for the extended case and was transferred to the pacu hemodynamically normal but intubated due to significant upper body edema. he was noted to have a metabolic acidosis immediately post op treated aggressively with bicarbonate. he was maintained on an insulin drip and labetolol was restarted to manage hypertension to the 170's. he was extubated in the pacu, but remained there until pod 2. transplant ultrasound done on pod 1 showed the new renal transplant seen in limited fashion and shows no hydronephrosis or fluid collections and within technical limitations, reasonably normal flow in the main renal artery and renal vein at the hilum. the area of anastomosis cannot be assessed. urine output was approximately 300-500 cc daily for the first 3 days post op. creatinine trended up daily and on pod 4 he underwent hemodialysis after placement of a temporary line for volume management (total body fluid overload) and waste reduction. he received 4 total doses of atg and prograf dosing was based on daily levels. he was then undergoing hemodialysis since that time generally three times per week. the urine output increased with varying daily outputs from cc daily. however the bun/creatinine always increased and was managed only through dialysis. intermittent lasix was attempted, however there was never a significant response. on pod 7 the patient had new onset of afib on hemodialysis. this converted with lopressor, he was kept on the labetolol at an increased dose. ck and troponins were sent and were not consistent with mi. he was transferred to the sicu for two days, and remained in sinus rhythm so was able to be transferred back to the surgical floor. the jp drain was removed on pod 11. the incision has remained intact with a small amount of sanguinous drainage, no erythema. a tunneled dialysis line was placed and the temporary hd line d/c'd on . the right internal jugular line tip was inserted with its tip at the level of superior svc under fluoro. there was concern on xray taken at the time for worsening pleural edema and attempts intensified with hd to remove more fluid and try lasix again. antihypertensive med amlodipine is now held pre dialysis to assist in fluid removal. has been following patient throughout hospitalization. once off the iv steroids the patient was able to come off the insulin drip, however he will be remaining of a small dose of prednisone. a derm consult was obtained due to a lesion on the back of the patients head. he is to continue topical antifungals and antibacterial and wash his hair with tar based soap. the lesion has improved significantly on these therapies. the patient was seen by pt on a regular basis. the patient was debilitated from fluid overload, minimal movement out of the bed and generalized weakness post op. the patient suffered a fall during one of his pt sessions. patient complained of pain in the left shoulder. x-rays showed no evidence of fracture or dislocation, physical exam did not reveal any limitations of movement. because there was no true return of kidney function, an attempt was made to do a kidney biopsy under ultrasound guidance. however, after two different tries, it was determined there was bowel in place and he was instead taken to the or on with dr for laparoscopic converted to open kidney biopsy. he tolerated the procedure without complication. the results of the biopsy showed banff 1b acute cellular rejection, at which time he was started on solumedrol 500 mg iv x 3 days and atg 150 x 5 days. the creatinine has only dropped to the mid 4's and he is still undergoing hemodialysis three times weekly. a cd3 count has been sent, and flow crossmatch had been repeated on a post transplant specimen from around the time of the biopsy which are pending at time of discharge. the blood sugars were again difficult to manage with this round of steroids, has again made adjustments, and fsbs and insulin management is to be maintained at the rehab facility where he will be discharged for further physical therapy/ rehabilitation and continuation of outpatient dialysis. of note, hepatitis panel was obtained in anticipation of outpatient hd as well as a negative ppd. medications on admission: calcitriol 0.25', sensipar 30', diltiazem 240', lasix 80", glipizide 10', lantus 16-18u', humalog, ativan 0.5'prn, metoprolol, omeprazole, prednisone, renagel, sirolimus, cialis, aspirin, and sodium bicarbonate discharge disposition: extended care facility: discharge diagnosis: esrd now s/p living unrelated renal transplant delayed graft function discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: please send a trough prograf level saturday . if this is not feasible, please send trough prograf sunday . recent medication adjustemnts need to be followed before the usual monday lab draw. please call the transplant clinic at if the patient develops fever, chills, nausea, vomiting, diarrhea, constipation, increased pain over the kidney graft, redness, drainage or bleeding from the incision, decreased urine output, inability to take or keep down food, fluids or medications. the patient has delayed graft function and will require short term hemodialysis until the return of kidney function as determined by the transplant clinic. labs every monday and thursday, cbc, chem 7, ca, phos, ast, t bili, trough prograf level, ua with results faxed to the transplant clinic at no medications to be changed without discussion with the transplant clinic. patient may shower, no tub baths or swimming no heavy lifting followup instructions: bone density testing phone: date/time: 12:20 , md phone: date/time: 1:40 , transplant social work date/time: 3:30 procedure: hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis other kidney transplantation open biopsy of kidney transplant from live non-related donor diagnoses: chronic kidney disease, stage v anemia, unspecified pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis adrenal cortical steroids causing adverse effects in therapeutic use atrial fibrillation unspecified fall polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease constipation, unspecified disorders of phosphorus metabolism personal history of malignant neoplasm of large intestine surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney other toe(s) amputation status background diabetic retinopathy pain in joint, shoulder region complications of transplanted pancreas diabetes with neurological manifestations, type ii or unspecified type, uncontrolled mixed acid-base balance disorder laparoscopic surgical procedure converted to open procedure personal history of peptic ulcer disease diabetes with renal manifestations, type ii or unspecified type, uncontrolled debility, unspecified other fluid overload diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled other and unspecified pityriasis 

Answer: The patient is high likely exposed to