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: tetanus toxoid,adsorbed attending: chief complaint: left retroperitoneal bleed major surgical or invasive procedure: embolization of distal branch of left renal artery feeding lower pole history of present illness: 64m w hx of pkd, s/p failed kidney transplant on . he is being evaluated for potential second kidney transplant. he recently underwent cardiac cath which showed 3 vessel disease. now he is s/p cabg x 3 on . patient presented to med center ed w l back/flank pain. ct scan shows blood around native l kidney in the retroperitoneum. he is anticoagulated on coumadin for his hemodialysis port (inr 4 at osh). he was hemodynamically stable on arrival the the osh, hct 27. he received 4u ffp and was transfered to the ed. past medical history: pmh: hypertension, polycystic kidney disease, kidney allograft failure from bk nephropathy, hemodialysis mwf -> right subclavian tunneled catheter and a non-matured left arm av fistula, gout, anemia, incarcerated hernia as an infant (surgically repaired), skin cancer s/p excision on back psh: kidney transplant , cabg x 3, left arm av fistula placement, right chest subclavian port/hemodialysis catheter x3, left knee reconstruction, s/p inguinal hernia repair as child social history: married, works in a sales, denies alcohol, tobacco, or drug use family history: mother and son with pkd. physical exam: on discharge: afebrile, vss no distress, alert and oriented x 3 perla, eomi, anicteric neck supple rrr lungs clear abdomen soft, nontender, nondistended groin soft, no hematoma le: no edema, palpable pulses pertinent results: 11:55am blood wbc-6.4 rbc-2.46* hgb-6.5*# hct-21.5* mcv-88 mch-26.6* mchc-30.4* rdw-16.1* plt ct-214 05:26pm blood hct-23.1* 07:36pm blood wbc-7.5 rbc-2.83* hgb-7.9* hct-25.2* mcv-89 mch-28.0 mchc-31.4 rdw-15.7* plt ct-209 07:00am blood wbc-10.7 rbc-3.00* hgb-8.3* hct-26.2* mcv-87 mch-27.6 mchc-31.6 rdw-16.3* plt ct-229 10:45am blood wbc-10.1 rbc-2.76* hgb-7.8* hct-23.8* mcv-86.3 mch-28.1 mchc-32.6 rdw-16.2* plt ct-209 06:37pm blood wbc-11.7* rbc-3.83*# hgb-10.9*# hct-32.9*# mcv-86 mch-28.4 mchc-33.0 rdw-15.9* plt ct-182 10:05pm blood hct-31.6* 02:43am blood wbc-10.4 rbc-3.98* hgb-11.2* hct-33.6* mcv-84 mch-28.2 mchc-33.5 rdw-17.8* plt ct-199 09:16am blood hct-34.0* 02:33pm blood hct-37.5* 09:15am blood glucose-101* urean-38* creat-6.6*# na-142 k-4.4 cl-98 hco3-30 angap-18 brief hospital course: mr. was transferred to with a left retroperitoneal bleed. a repeat ct scan with iv contrast was performed here and this showed active extravasation from the left kidney. he immediately went to interventional radiology for intervention. they were able to coil a small branch of the left renal artery that was feeding the lower pole of his left kidney. he was transferred to the sicu for close monitoring and serial hematocrits. his serial hematocrits and inr were monitored and he received transfusions as needed. he received a total of 8 units of packed rbcs and 6 units of ffp. he did received dialysis on m/w/f as per his outpatient schedule. on post procedure days his hematocrits remained stable and he was transferred out of the icu. his diet was advanced, which he tolerated without difficulty. he was discharged home after his hematocrits remained stable for another 24 hours on the surgical floor. medications on admission: wafarin 6 mg qd, aspirin 81 mg qd, ranitidine 150 mg qd, colace 100 mg , leflunomide 20 mg , amlodipine 5 mg , cinacalcet 30 mg qd, calcium acetate 667 mg x 4 tabs tid, atorvastatin 10 mg qd, colchicine 0.6 mg po twice a week mon/thurs, metoprolol 100 mg , lasix 80 mg discharge medications: 1. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 4. furosemide 40 mg tablet sig: two (2) tablet po bid (2 times a day). 5. leflunomide 10 mg tablet sig: two (2) tablet po bid (). 6. sevelamer carbonate 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 7. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 8. cinacalcet 30 mg tablet sig: one (1) tablet po daily (daily). 9. calcium acetate 667 mg capsule sig: four (4) capsule po tid w/meals (3 times a day with meals). 10. acetaminophen 650 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain/fever. discharge disposition: home discharge diagnosis: ruptured left renal cyst with active extravasation. acute blood loss anemia. discharge condition: good, alert and oriented x 3, ambulating without difficulty discharge instructions: call your physician or return to the ed if you experience: fever > 101, chills, persistent nausea or vomiting, lightheadedness, palpitations, or pain. you may resume your home medications. you may resume your coumadin but you need to follow up with your physician to have your dose adjusted because it was too high when you came to the hospital. followup instructions: follow up with dr. in weeks. call his office at ( to schedule your appointment. . continue your dialysis as you were prior to your hospitalization. . provider: , md phone: date/time: 1:00 procedure: hemodialysis injection or infusion of other therapeutic or prophylactic substance arteriography of renal arteries diagnoses: end stage renal disease renal dialysis status anemia, unspecified gout, unspecified aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease personal history of other malignant neoplasm of skin long-term (current) use of anticoagulants 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 hemoperitoneum (nontraumatic) polycystic kidney, unspecified type 

Answer: The patient is high likely exposed to