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: lisinopril / hydralazine attending: chief complaint: respiratory distress major surgical or invasive procedure: intubation/extubation hemodialysis x2 history of present illness: 41 y/o f with hx of esrd on hd for last two months, unclear etiology for renal failure, presents with acute respiratory distress. she has a hx of getting headaches with hd and so they have been taking off less fluid than usual at hd. she is a tues/thurs/sat hd patient and had her last session on saturday. unable to get more of a history of cough, sputum, or precipitating events around her acute respiratory distress. . in the ed, initial vitals were t 97, hr 122, bp 177/125, r 30, 82% on ra. she had rales at bilateral bases. she was aggitated adn very upset. she received 80 mg iv laix and 1 mg ativan. she was "hysterical" and intubated for airway protection with etomidate and vecuronium. renal was consulted in the ed and plan for emergent dialysis once in the icu was initiated. she was started on a propofol gtt, and she was difficult to sedate. . on arrival to the floor, she is intubated and minimally sedated and aggitated. the dialysis nurses are in the room already about to begin dialysis on the patient. past medical history: - esrd (gn) s/p placement hd line on , missed hd sessions - htn social history: immigrated from approx 20 years ago. denies alcohol, tobacco, or illicit drug use. lives at home with her husband and son. is a biologist, formerly worked at biotech firm, not currently employed. family history: sister who died from complications of a renal transplant, a mother who has severe chronic kidney disease, and a maternal grandfather who also had some form of glomerulonephritis. physical exam: vitals - 96.4, 166/119, 87, 97% on fio2 100% with peep 10, 400x26 gen - intubated and sedated, aggitated heent - et tube, perrla, eomi, supple neck cv - rrr, no m,r,g lungs - diffuse crackles, mild expiratory wheezes abd - soft, nt, nd, no hsm or masses ext - warm, well perfused, no edema neuro - intubated and sedated pertinent results: 02:41am blood wbc-8.6 rbc-3.75* hgb-11.4* hct-36.0 mcv-96 mch-30.3 mchc-31.6 rdw-22.5* plt ct-101* 05:34am blood wbc-10.9 rbc-3.01* hgb-9.1* hct-28.5* mcv-95 mch-30.3 mchc-32.0 rdw-22.7* plt ct-72* 05:35am blood wbc-7.7 rbc-2.53* hgb-8.1* hct-23.5* mcv-93 mch-31.9 mchc-34.5 rdw-22.9* plt ct-64* 02:41am blood pt-12.1 ptt-21.8* inr(pt)-1.0 02:41am blood glucose-125* urean-50* creat-7.6* na-143 k-5.8* cl-104 hco3-22 angap-23* 05:34am blood glucose-110* urean-51* creat-7.2* na-140 k-6.6* cl-107 hco3-20* angap-20 11:16am blood glucose-66* urean-15 creat-3.2*# na-140 k-3.4 cl-104 hco3-21* angap-18 05:35am blood glucose-89 urean-31* creat-5.4*# na-139 k-4.7 cl-102 hco3-22 angap-20 05:34am blood alt-61* ast-76* alkphos-137* totbili-0.4 05:35am blood calcium-7.7* phos-6.1*# mg-2.1 03:49am blood type-art temp-37.7 rates-18/ tidal v-442 peep-5 fio2-100 po2-101 pco2-66* ph-7.10* caltco2-22 base xs--10 aado2-564 req o2-91 -assist/con intubat-intubated 08:46am blood lactate-0.8 . echo the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a small to moderate sized pericardial effusion. there are no echocardiographic signs of tamponade. . cxr: findings: tip of a central access catheter is in the region of the right atrium. marked bilateral hilar and lung parenchymal opacities are present. bilateral pleural effusions are also present. the cardiac silhouette is indistinct. there is no pneumothorax. impression: bilateral opacities in a hilar distribution with prominence of pulmonary vasculature compatible with pulmonary edema. superimposed infection cannot be excluded. . follow up cxr: findings: the et tube is 3 cm above the carina. the right-sided dialysis catheter tip is in the right atrium. nasogastric tube courses inferiorly and out of the field of view. the heart size is mildly enlarged. mediastinal contours appear within normal limits. the hila are normal appearing bilaterally. previously described right-sided opacity throughout both lungs has improved significantly, most consistent with resolving pulmonary edema. retrocardiac opacity persists consistent with atelectasis. there is no large pleural effusion or pneumothorax. the osseous structures appear intact. impression: improving pulmonary edema. brief hospital course: 41 y/o f with hx of htn, esrd of unknown etiology on hd with recent gnr bacteremia presents with acute respiratory distress in the ed, likely from fluid overload secondary to incomplete hd treatments. she had hd x2 here and was easily extubated after the first session. she has difficult to control htn. see below for discussion of each problem. . # respiratory distress: had acute respiratory distress from what appeared to be massive fluid overload on cxr. she was having less fluid removed at hd per her history. she also had recent hx of bacteremia with new mr on her echo concerning for question of endocarditis. most likely is acute flash edema in setting of fluid overload and htn. her echo did not show worsening mr, which we were intially concerned as a possiblity for her fluid overload. we controlled her bp, did hd to have her fluid removed. she was extubated the day of admission after her first hd session. she then had a second hd session the day of discharge. she remained on room air and felt well. . # esrd: likely from gn, although etiology is still somewhat unclear given no biopsy in the past. she has been have less fluid removal. also has hx of non-compliance with hd at times and trying herbal/alternative medicine instead. she was dialyzed twice as above. she was kept on sevelemer and nephrocaps. . # hyperkalemia: in setting of being due for hd on admission. she had no ekg changes. it improved with dialysis. . # gnr bactermia: had gnr bacteremia per prior discharge summary, was enterobacter records. initially it had been worrisome for continued involvement of the heart valves, but echo again did not show endocarditis or valve dysfunction. was on course of ceftaz during hd. her blood cx were preliminarily negative here. we continued her hd dosing. abx course should continue until . . # htn: hypertensive at baseline, had not taken her home meds given her acute respiratory distress. was high in the 170s-200s; baseline is apparently around 170s. we increased her amlodipine from 2.5 to 5 mg . otherwise we kept her on her home labetolol. once she was extubated, her bps stabalized and she felt better. she was discharged with a sbp in the 150s. medications on admission: amlodipine 2.5 mg labetolol 300 mg qam and qpm labetolol 200 mg qnoon senna docusate nephrocaps calcium acetate 667 mg 2 caps tid ceftaz 1 gm until qhd discharge medications: 1. labetalol 200 mg tablet sig: 1.5 tablets po bid (2 times a day). 2. labetalol 200 mg tablet sig: one (1) tablet po daily (daily). 3. ceftazidime 1 g iv qhd start: 4. nephrocaps 1 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* 5. calcium acetate 667 mg capsule sig: two (2) capsule po three times a day: take with meals. 6. amlodipine 5 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: respiratory failure flash pulmonary edema end-stage renal disease on hd htn discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital for respiratory distress and very high blood pressures. this was caused by having extra fluid in your lungs from not enough fluid being taken off at dialysis and high blood pressures. you were intubated and then emergently dialyzed to remove the fluid. after the fluid removal, we were able to take extubate you and you were breathing better on your own. . we did dialysis again today and removed more fluid. . you should take all your medications as you had been taking before this admission except your amlodipine. we increased your amlodipine from 2.5 mg to 5 mg for better blood pressure control. . please follow up as previously scheduled. do not miss s sessions, it is very important you attend them. you should restart your normal dialysis tomorrow as previously planned. followup instructions: please follow up with your primary care doctor, dr. , at 9:15am. her number is . please call if that time does not work for you. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis diagnoses: hyperpotassemia end stage renal disease renal dialysis status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure acute edema of lung, unspecified 

Answer: The patient is high likely exposed to