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: patient is a 51-year-old male status post pancreas/kidney transplant in , type 1 diabetes, coronary artery disease, peripheral vascular disease, chf with an ef of 20-25% recently admitted for acute renal failure and d/c'd two days prior to this admission on ampicillin for an enterococcal uti now returning for increased shortness of breath. according to patient, he ate a fish fillet prior to admission and gradually felt increased shortness of breath, orthopnea, slight cough, positive chest pain in intensity, no radiation, no nausea, vomiting, or palpitations. chest pain lasted about two hours and then went away. he decided to go to the ed. in the ed, his temperature was 99.9, pulse was 102, blood pressure was 144/74, respirations are 22. he was saturating 98% on room air. he was given 80 mg of iv lasix x1, which he put out several liters of urine. past medical history: 1. hypertension. 2. status post cabg in . allergies: he has no known drug allergies. medications at home: 1. prednisone. 2. pravastatin. 3. serolimus. 4. protonix. 5. sodium citrate. 6. ampicillin. 7. flagyl. 8. loperamide. 9. calcitriol. 10. lasix. physical exam: on physical exam, the patient was not in any apparent distress. pupils were equal, round, and reactive. the neck was supple. cardiac examination showed a regular rhythm with a normal s1, s2. he had some crackles at the bases bilaterally at the lungs. the abdomen was soft and nontender. he had a large purple left lower quadrant ecchymoses. he had 2+ pitting edema. he was alert and oriented times three. laboratory values on admission: white count was 9.8, hematocrit was 38, platelets 151. chem-7 showed a bun of 16, creatinine of 1.6. his inr was 1.0. chest x-ray showed left lower lobe consolidation and fluffy opacities consistent with chf. ekg showed sinus tachycardia at 106 beats per minute, no st changes. hospital course: impression was for a 51-year-old gentleman with multiple medical problems now presenting with 24 hours of increased shortness of breath, atypical chest pain status post a recent admission for diarrhea complicated by dehydration, acidosis, and orthostatic hypotension. in terms of his chest pain and given his history of cad, we ruled the patient out for an acute coronary event by cycling his troponins and checking ekgs and keeping him on telemetry. in terms of his shortness of breath, we diuresed him of lasix and followed his o2 saturations and repeated his chest x-ray. in terms of his hypertension, we continued his outpatient medications including lopressor, hydralazine, and nitrates. on hospital day two, the patient spiked a temperature to 101.2. blood cultures were sent off and urine cultures were also sent off. by hospital day four, the patient remained afebrile with no organisms growing from his cultures. he had been diuresed to euvolemia, and he was stable and ready for discharge. condition on discharge: good. discharge status: to home. discharge diagnoses: 1. congestive heart failure. 2. fevers, not otherwise specified. discharge medications: 1. prednisone 5 mg once a day. 2. pravastatin 20 mg once a day. 3. protonix 40 mg once a day. 4. sodium citrate 30 ml 3x a day. 5. calcitriol 0.25 mcg once a day. 6. serolimus 2 mg once a day. 7. metoprolol 25 mg b.i.d. 8. lasix 40 mg once a day. 9. aspirin 325 once a day. follow-up plans: the patient is to followup with his pcp within one week. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine colonoscopy diagnoses: acidosis urinary tract infection, site not specified acute kidney failure, unspecified chronic systolic heart failure 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 acute pancreatitis complications of transplanted pancreas 

Answer: The patient is high likely exposed to