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: ms. is a 43-year-old black female with multiple medical problems including a history of systemic lupus erythematosus and end-stage renal disease (on hemodialysis). she was admitted to the general surgery service on for a scheduled laparoscopic cholecystectomy. she had been admitted for one week prior to this admission to our service because of nausea, vomiting, and right upper quadrant abdominal pain. an ultrasound at that time showed cholelithiasis with no evidence of cholecystitis or biliary obstruction. the patient was diagnosed with a gallstones pancreatitis which was treated conservatively with intravenous hydration, pain medications, and antibiotics. that hospitalization was complicated by an episode of shaking which was suspect for a seizure disorder. a head magnetic resonance imaging and electroencephalogram were obtained which were nonspecific, and she was put on dilantin; according to neurology consultation suggestion. she did well at home for the four days between the discharge and this current admission. past medical history: 1. systemic lupus erythematosus diagnosed in . 2. lupus nephritis. 3. end-stage renal disease (on hemodialysis for two years). 4. lupus cerebritis. 5. hemolytic anemia. 6. thrombocytopenia. 7. raynaud's disease. 8. hypercholesterolemia. 9. bronchiolitis obliterans-organizing pneumonia diagnosed in ; status post lung biopsy. 10. hypertension. 11. osteoporosis. 12. cardiomyopathy with an ejection fraction of 35% to 40%. 13. chronic pain in thorax and abdomen of unclear etiology. past surgical history: video-assisted thoracic surgery lung biopsy in . allergies: biaxin and sulfa. medications on admission: 1. prednisone 5 mg p.o. q.d. 2. atenolol 100 mg p.o. q.d. 3. zestril 40 mg p.o. q.d. 4. lipitor 40 mg p.o. q.d. 5. prilosec 20 mg p.o. q.d. 6. phos-lo 666 mg three to four tablets with each meal. 7. folate 1 mg p.o. q.d. 8. nephrocaps. 9. lisinopril 40 mg p.o. q.d. physical examination on presentation: physical examination on admission showed a temperature of 98.6, pulse was 84, blood pressure was 138/80, respiratory rate was 16, and oxygen saturation of 100% on room air. the physical examination revealed that she was a black woman in no acute distress. her head was normocephalic and atraumatic. her chest was clear to auscultation bilaterally. her neck was supple without lymphadenopathy. her heart had a regular rate and rhythm with normal first heart sound and second heart sound, and a ejection murmur. her abdomen was soft and nondistended, mild tenderness in the right upper quadrant. no guarding, and no rebound. her rectal examination showed no mass and was guaiac-negative. her extremities were warm and well perfused. there was no peripheral edema. there was an arteriovenous fistula on the left arm with a palpable thrill. pertinent laboratory data on presentation: laboratory studies showed a white blood cell count of 5.1, hematocrit was 35.7, platelets were 135. sodium was 138, potassium was 4.9, chloride was 95, bicarbonate was 33, blood urea nitrogen was 27, creatinine was 8.1, blood glucose was 105. alt was 4, ast was 37, total bilirubin was 0.2, alkaline phosphatase was 69, amylase was 155, lipase was 54. pt was 11.9, ptt was 26.8. dilantin level was 5.8. hospital course: the patient was brought to the operating room on for a scheduled laparoscopic cholecystectomy, intraoperative cholangiogram, and common bile duct exploration. she tolerated the procedure well and was sent to the postanesthesia care unit in stable condition. her postoperative stay in the hospital was a prolonged one, mostly because of her comorbid issues. on postoperative day two, she received 2 units of packed red blood cells for decreasing hematocrit levels. on the same day, and abdominal ultrasound was obtained which showed a hematoma in the surgical bed measuring 4 cm x 8 cm and showed no evidence of residual stones. on postoperative day three, she had an episode of flash pulmonary edema which necessitated a transfer to the intensive care unit where she was closely monitored for fluid management. she returned to the floor one day later. during the hospital stay, she continued to receive hemodialysis on monday, wednesday and friday and continued to complain of abdominal pain, and low energy level, and fevers. these complaints were essentially remaining as the same complaints during this entire hospital stay. her abdominal examinations did not change. two repeat abdominal ultrasounds done on and did not show any change in the size of the hematoma. a ct scan of the abdomen on also confirmed the presence of the same hematoma without any change in appearance. a magnetic resonance cholangiopancreatography obtained during this hospitalization again did not show any stones. incidentally, both the ct and magnetic resonance cholangiopancreatography showed possible pancreatic divisum. we did not think there was active bleeding, and there was no radiologic signs such as free air to suggest any infection of the hematoma. below is a review by systems for her hospital stay. 1. gastrointestinal: she continued to have complaints of abdominal pain which was nonspecific and somewhat difficult to localize; although, she sometimes referred it to the epigastric region. this pain did not change whether she was n.p.o. or was taking a full diet. her amylase level has a baseline of approximately 220. we initially started to advance her diet, but the amylase bumped up 430. however, she remained to have a good appetite, and there was no increase in abdominal pain. we again made her n.p.o. and started her on total parenteral nutrition. later, we restarted the oral intake slowly. her amylase had stabilized at her baseline level upon discharge. 2. infectious disease: since postoperative day 15, she continued to spike fevers for several days. blood, urine, and sputum cultures failed to grow any organisms. because in the past hospitalization she also presented with fevers of unclear etiology, which responded well to steroids, we increased the prednisone to 30 mg every day. she remained more than 70 hours afebrile prior to the day of discharge. 3. renal: she had dialysis every other day while in the hospital. because of her labile blood pressure, the amount of fluid removed varied significantly. she also suffered from fever, fatigue, and malaise after every dialysis. in fact, she has not tolerated hemodialysis well as an outpatient. she is currently on a list for renal transplant. 4. pain: there was a long history of chronic pain. the patient relayed that her chest/abdominal pain since she had video-assisted thoracic surgery biopsy of her lungs several years ago. although she had an outpatient appointment with the pain clinic, she was not compliant. before discharge, she was started on gabapentin 300 mg p.o. q.h.s.; according to the pain service suggestions. she also received thoracic nerve blocks from the pain clinic and received a tens unit. she was to follow up with the pain clinic as an outpatient. 5. neurology: during the workup of her fever, neurology was consulted for the use of dilantin; which can potentially cause fever. an electroencephalogram failed to identify any abnormalities. therefore, according to neurology recommendations, dilantin was discontinued. she was discharged to home without any antiepileptic medications. condition at discharge: condition on discharge was stable. discharge status: to home without services. discharge diagnoses: 1. cholelithiasis. 2. status post cholecystectomy. discharge instructions: the patient was asked to make an appointment with dr. clinic in the next month. the patient was also instructed to follow up with the pain clinic, and also with her nephrologist, and rheumatologist. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances hemodialysis endoscopic removal of stone(s) from biliary tract laparoscopic cholecystectomy diagnoses: chronic glomerulonephritis in diseases classified elsewhere other primary cardiomyopathies systemic lupus erythematosus pure hypercholesterolemia unspecified essential hypertension other convulsions hemorrhage complicating a procedure calculus of gallbladder and bile duct with other cholecystitis, without mention of obstruction 

Answer: The patient is high likely exposed to