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 26 year old female with a past medical history significant for systemic lupus erythematosus, end stage renal disease on hemodialysis, idiopathic thrombocytopenic purpura, hypertension who presented to the primary care physician on the day of admission with a one month history of shortness of breath, patient reports shortness of breath after walking one flight of stairs. she also reports paroxysmal nocturnal dyspnea and orthopnea. she denies any chest pain or palpitations. no bright red blood per rectum, melena, or rashes. she was sent to the emergency department, also for further evaluation. the patient was also noted to have cervical lymphadenopathy and hepatomegaly in the primary care physician's office as well. in the emergency department, she was found to have a blood pressure of 210/180. she was placed on a labetalol drip and her blood pressure decreased to 180/140. however, when the labetalol drip was discontinued, her blood pressure went back up to 200/160. the patient does report having headaches, in the last couple of weeks. she, however, denies any visual changes or any focal neurological complaints. she is not complaining of any abdominal pain either, in the setting of this new hepatomegaly. she denies any appreciation of scleral icterus, no fevers at home. the patient had hemodialysis on without complaint. the patient also reports being compliant with all her medications. past medical history: systemic lupus erythematosus. end stage renal disease on hemodialysis. methicillin-sensitive staphylococcus aureus endocarditis in . she has 3+ mitral regurgitation. hypertension. medication adjustment recently with discontinuation of minoxidil three weeks prior to admission. history of osteoporosis secondary to steroids. ventricular septal defect repair at the age of 13. pulmonary hypertension. history of methicillin-resistant staphylococcus aureus urinary tract infection. gastroesophageal reflux disease. sickle trait. idiopathic thrombocytopenic purpura with baseline platelets between 50 and 100,000. history of restrictive lung disease. medications on admission: 1. labetalol 1000 mg p.o. b.i.d. 2. prednisone 5 mg p.o. q. day. 3. nephrocaps. 4. procardia xl 90 mg p.o. q. day. 5. protonix 40 mg p.o. q. day. 6. moexipril 15 mg p.o. b.i.d. 7. clonidine 0.6 mg p.o. b.i.d. allergies: the patient has an allergy to demerol which causes anaphylaxis. she also has a questionable history to cephalosporins which cause a rash and a history of allergy to unasyn which causes a rash. social history: no tobacco, no alcohol and no intravenous drug use. she lives with her mother. she is a jamaican immigrant who came to this country in . physical examination: on physical examination she was afebrile, 96.8, blood pressure was initially 211/179 which responded to intravenous labetalol drip, to 188/148, pulse 69, respiratory rate 99 percent on room air. head, eyes, ears, nose and throat, the fundi are normal bilaterally. her extraocular movements are intact. she has bilateral preauricular and anterior, submandibular and axillary lymphadenopathy. chest is clear bilaterally. cardiac examination is regular, no murmurs. abdomen, she had good bowel sounds. she has a liver edge 4 fingerbreadths below the costal margin. she has mild tenderness in the right upper quadrant. the extremities showed no edema and no rashes. laboratory data: for laboratory data she had a white count of 8.3, hematocrit of 37, she had platelets of 56. she had a chem-7 notable for a creatinine of 7.1. she had normal coags. she had normal liver function tests and an alt of 34 and ast of 27, amylase of 68, and alkaline phosphatase of 118, total bilirubin was 0.7. chest x-ray showed stable cardiomegaly, interstitial and alveolar edema and a small left pleural effusion. electrocardiogram showed a normal sinus rhythm at 65. she has positive ldh. she has no significant ischemic changes compared to an old electrocardiogram. hospital course: the patient was admitted to the medical intensive care unit for further management of her hypertensive urgency. the patient was continued on a labetalol drip in the intensive care unit, however, this was discontinued on , and she was started on her home medications which include her moexipril 15 b.i.d., her labetalol 1000 b.i.d., her clonidine 0.6 b.i.d. the patient was also started on her nifedipine initially at 90 mg q. day which was her home dose. this was increased to 120 q. day. the patient had adequate control of her blood pressure on this home regimen and was transferred out of the intensive care unit. the patient also did initially receive some hydralazine in the intensive care unit for prn control of blood pressure. this was run by the rheumatology consultants and was deemed okay in light of her history. the patient was transferred out to the floor. once her blood pressure was stabilized, she was continued on her home regimen with the noted increase in her calcium channel blocker from 90 to 120 q. day. she did not need any hydralazine over night. she went to hemodialysis on the day of discharge where her blood pressures were adequately maintained in the 120s to 130s. over night, on the night prior to discharge, her blood pressures remained adequately controlled with systolic blood pressures in the 130s to 150s. the patient did not have any further symptoms of headache or shortness of breath on the floor. she was continued on her 5 mg of prednisone for her history of lupus. the patient also received a right upper quadrant ultrasound on the day of discharge for further evaluation of her hepatomegaly in the setting of normal liver function tests. the result of this right upper quadrant ultrasound is still pending. the patient did receive hemodialysis on the day of discharge. her platelets remained stable during the course of her hospital stay. she does have a history of idiopathic thrombocytopenic purpura. the patient was consented for a human immunodeficiency virus test, the result of this is still pending. the patient will be discharged on the following blood pressure regimen, labetalol 1000 mg p.o. b.i.d., moexipril 50 mg p.o. b.i.d., clonidine 0.6 mg p.o. b.i.d. and nifedipine sustained release 120 mg p.o. q. day. the patient has been scheduled for an appointment with dr. at the clinic on for follow up of her blood pressure. at that time if her blood pressure remains elevated, increasing her labetalol should be considered. condition on discharge: fair. discharge status: to home. discharge diagnosis: hypertensive urgency. lupus. congestive heart failure. hepatomegaly of unclear etiology. lymphadenopathy of unclear etiology. medications on discharge: 1. prednisone 5 mg p.o. q. day. 2. vitamin b complex. 3. vitamin c 4. folate capsule, one tablet p.o. q. day. 5. protonix 40 mg p.o. q. day. 6. clonidine 0.6 mg p.o. b.i.d. 7. moexipril 15 mg p.o. b.i.d. 8. sevelamer 800 mg p.o. q.i.d. 9. labetalol 1000 mg p.o. b.i.d. 10. nifedipine sustained release 120 mg p.o. q. day. follow up: the patient, again, will follow up with dr. on for a blood pressure check. the patient also has a follow up appointment with dr. on . at that time the results of her right upper quadrant ultrasound and her human immunodeficiency virus test should be discussed with the patient. , procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: systemic lupus erythematosus mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use other osteoporosis 

Answer: The patient is high likely exposed to