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: motrin / lisinopril / rapamune attending: chief complaint: shortness of breath major surgical or invasive procedure: av fistula repair x 2. history of present illness: 49m h/o crt now w/ several day h/o increased shortness of breath, worse lying flat, abdominal distension and peripheral edema. he also complains of 1 week h/o hallucinations. denies f/c/n/v/d or any other signs/symptoms. urine output at baseline, no hematuria or dysuria. past medical history: -end-stage renal disease on hd t/t/s secondary to diabetic nephropathy-started on dialysis -diabetes for at least 20 years with retinopathy and neuropathy with footdrop -coronary artery disease with history of st elevation mi c/b pericardial tamponade requiring pericardiocentesis -three-vessel disease with stents in the rca and left circumflex -hypertension -depression -hyperlipidemia psh: ecd renal transplant with delayed graft function social history: the patient does not smoke and he does not drink alcohol. he lives with his wife, . from originally. has multiple family members in the area including 4 children, one of which works in bmt on the . family history: significant for myocardial infarction in his father at the age of 49. multiple family members with diabetes. physical exam: gen: nad, a&o pulm: ctab resp: rrr abd: soft, ntnd. incision well healed ext: 1+ edema bilat. brief hospital course: the patient was seen and evaluated in the ed for shortness of breath and admitted to the icu for further management. previous biopsy had shown no evidence of rejection. the patient was started on hemodialysis and a renal ultrasound obtained. ultrasound indicated an av-fistula & repeat biopsy showed no evidence of infection. angiography was used to confirm the patients av-fistula, and this was coiled, the patient recovered without complication, but after several days no improvement in his renal function was noted. the patient was observed to have a persistent av-fistula on ultrasound and was taken for repeat angiography and coiling. this successfully resolved the patient's fistula. he did continue to have elevated serum creatinines and was planned to follow up for continued hemodialysis. discharge medications: 1. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 2. gabapentin 100 mg capsule sig: one (1) capsule po daily (daily). disp:*qs capsule(s)* refills:*2* 3. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*qs tablet(s)* refills:*2* 4. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*qs tablet(s)* refills:*2* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*qs capsule, delayed release(e.c.)(s)* refills:*2* 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 7. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 8. epoetin alfa 10,000 unit/ml solution sig: one (1) dose injection asdir (as directed). disp:*qs dose* refills:*2* 9. lantus 100 unit/ml cartridge sig: six (6) units subcutaneous qam. disp:*qs * refills:*2* 10. ativan 2 mg tablet sig: one (1) tablet po at bedtime. disp:*qs tablet(s)* refills:*2* 11. tacrolimus 0.5 mg capsule sig: three (3) capsule po twice a day: total dose = 1.5 milligrams at 6 am and 6 pm daily. disp:*180 capsule(s)* refills:*0* 12. diphenhydramine hcl 25 mg tablet sig: two (2) tablet po at bedtime: total dose 50 mg qhs. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: av fistula discharge condition: good discharge instructions: please call the transplant office if fever, chills, nausea, vomiting, decreased urine output, shortness of breath, or edema. continue to get labs drawn every monday and thursday as previous. no driving if taking pain medication drink enough fluids to keep urine light yellow in color meds: you will no longer need to take your valcyte. please take tacrolimus at 1.5mg twice daily unless instructed to change your dosing per the clinic. followup instructions: please keep all previous appointments as planned. you will still require monday and thursday blood draws as before. , md interventional cardiology phone: date/time: 1:20 , (internal medicine) call to schedule appointment , r. (transplant surgery) call to schedule appointment , (vascular surgery) call to schedule appointment procedure: hemodialysis percutaneous abdominal drainage closed [percutaneous] [needle] biopsy of kidney other endovascular procedures on other vessels other endovascular procedures on other vessels arteriography of renal arteries arteriography of renal arteries transjugular liver biopsy diagnoses: acidosis hyperpotassemia end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere unspecified pleural effusion acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin old myocardial infarction other ascites gross hematuria 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 diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled other acquired deformities of ankle and foot persistent postoperative fistula 

Answer: The patient is high likely exposed to