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: toprol xl attending: chief complaint: shortness of breath major surgical or invasive procedure: hemodialysis intubation history of present illness: 54f with hx of esrd on hd, hiv, asthma, htn, brca presenting with 28lb wt gain, increased le swelling x 1 week, sob. pt was due for hd today, but presented to ed instead. . in ed. hyperkalemic with peaked t waves, treated with bicarb, kayexelate and calcium for k 6.3. initially clinically stabilized then developed acute sob, unable to obtain 02 sat was emergently intubated. became hypertensive to sbp 260s, on nitro gtt. repeat k 7, received more ca, insulin, d50 prior to icu admit. past medical history: hiv--dx . no opportunistic infections. last cd4 (): 110. last viral load (): 33,600. has not been taking all her medications, and her id doctor and she are discussing a "clean start" esrd--on hd since . she has a permacath in the left side, but this week has started using her r upper arm fistula. h/o aseptic meningitis h/o bell's palsy htn asthma carpel tunnel panic d/o - reportedly takes 3-5mg klonapin daily nephrotic syndrome social history: social history: no smoking, history of cocaine use (positive tox screen when requesting escalating narcotics) family history: mother, throat ca, colon cancer father, cad, dm physical exam: general appearance: nad, speaking in full sentences tmax-101 175/74, 98, rr 17-30, sat 98% on 3l/m tc 98.9 heent: , facies neck: no jvd, supple cor: tachycardic, with unchanged flow murmur. lung: decreased bs r > l abd: bsx4, snt/nd, no ascites extremities: 1+ edema neuro: axox3 pertinent results: 11:50pm comments-green top 11:50pm lactate-1.2 11:33pm glucose-134* urea n-93* creat-12.4* sodium-139 potassium-7.1* chloride-96 total co2-19* anion gap-31* 11:33pm ck(cpk)-451* 11:33pm ctropnt-0.11* 11:33pm ck-mb-10 mb indx-2.2 11:33pm wbc-10.2 rbc-3.39* hgb-11.2* hct-34.0* mcv-101* mch-33.0* mchc-32.8 rdw-16.8* 11:33pm neuts-58.5 lymphs-31.1 monos-4.9 eos-4.8* basos-0.6 11:33pm plt count-232 11:33pm pt-12.7 ptt-26.7 inr(pt)-1.1 11:26pm urine hours-random 11:26pm urine gr hold-hold 11:15pm urine color-straw appear-clear sp -1.006 11:15pm urine blood-lg nitrite-neg protein-30 glucose-100 ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-mod 11:15pm urine rbc-* wbc-0-2 bacteria-occ yeast-none epi- 08:42pm urine hours-random 08:42pm urine gr hold-hold 08:42pm urine color-straw appear-clear sp -1.006 08:42pm urine blood-mod nitrite-neg protein-30 glucose-100 ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-mod 08:42pm urine rbc-<1 wbc-0-2 bacteria-few yeast-none epi- 06:50pm glucose-103 urea n-92* creat-12.5*# sodium-140 potassium-6.3* chloride-98 total co2-23 anion gap-25* 06:50pm estgfr-using this 06:50pm ck(cpk)-414* 06:50pm ck-mb-10 mb indx-2.4 ctropnt-0.12* 06:50pm wbc-7.6# rbc-2.92* hgb-9.9* hct-29.4* mcv-101* mch-34.0* mchc-33.8 rdw-17.6* 06:50pm neuts-65.2 lymphs-22.8 monos-5.2 eos-6.3* basos-0.6 06:50pm plt count-194 brief hospital course: #respiratory failure. potentially multifactorial, predominantly in setting of fluid overload from under-dialyzing. in the emergency room, patient became acutely short of breath. he was intubated and transfered to the icu. pt had dialysis on first and second day of admission. after first session, pt tolerated spontaneous breathing trial and was extubated. had hd on day 1 with 4.6 kg removed. pt had hd with 5 kg removed on day 2. repeat cxr demonstrated marked improvement in overload and she was transfered to the medical floor. on the medical floor, she seemed back to baseline respiratory status. she was able to ambulate without dropping her sats. . #hyperkalemia. peak k 7.1, peaked t waves on ecg. k decreased with medical management. pt's k stabilized with hd and was 4.0 at the time of discharge. . #htn. has history of htn. hypertensive urgency/emergency in ed with sbp to 260s. possibly multifactorial given history of panic attacks/anxiety, ? med compliance, possible volume overload. bp decreased with hd but rebounded to systolics of 200 with hr around 100 in the unit. nitro gtt d/c'd after initiation of hd but then restarted initially before being dc'd again. pt with known hx of cocaine use, however tox sceens here were negative. pt was initially started on labetalol at 50 po bid with inadequate htn control and then bp was controlled effectively with labetalol 100 po bid. she was restarted on her home meds on the medical floor and her pressure was well controlled at the time of discharge. . #esrd on hd. per omr notes likely due to hypertensive nephropathy. typically gets hd in mwf. per dialysis clinic pt frequently misses sessions or shows up late for sessions. she recieved dialysis in house with success. her calcium acetate was increased because of increased phosphate. she will resume her regular dialysis schedule as an outpatient. . #asthma. continued home meds: fluticasone, ipratropium, albuterol . #hiv -under control per last id note, continued arvs . #anxiety/depression continued clonazepam, fluoxetine . #brca: continued arimidex. timing of surgery should be discussed with her pcp and surgeon . #anemia. recent baseline hct low to mid 30s, 29 and stable at time of discharge. her hct should be followed by her pcp discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed for sob/ wheeze. 2. anastrozole 1 mg tablet sig: one (1) tablet po daily (). 3. atazanavir 150 mg capsule sig: two (2) capsule po daily (daily): take with norvir. 4. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 5. betamethasone dipropionate 0.05 % ointment sig: one (1) application topical twice a day as needed for itching. 6. calcium acetate 667 mg tablet sig: two (2) capsule po tid w/meals (3 times a day with meals). disp:*180 capsule(s)* refills:*2* 7. clonazepam 0.5 mg tablet sig: one (1) tablet po three times daily, also 2 tabs at bedtime. 8. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). 9. fluticasone 220 mcg/actuation aerosol sig: two (2) puffs inhalation twice a day. 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 11. gabapentin 100 mg capsule sig: one (1) capsule po twice a day. 12. hydrocortisone 1 % cream sig: one (1) application topical twice a day as needed for rash: to face. 13. labetalol 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. lamivudine 150 mg tablet sig: 0.5 tablet po once a day. 15. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 16. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 17. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 18. serevent 21mcg aerosol 2 puffs twice daily 19. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po once weekly on saturday (). 20. valacyclovir 500 mg tablet sig: one (1) tablet po daily (). 21. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 22. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: home discharge diagnosis: end stage renal disease acute pulmonary edema asthma hypertension discharge condition: stable, comfortable on room air, ambulating without desaturation discharge instructions: you were seen in the hospital for treatment of volume overload and acute shortness of breath. your shortness of breath required a brief period of mechanical ventilation. you were dialyized in the hospital and fluid was removed. . your labetalol was increased to 100mg we also increased your phoslo to 2 tabs three times dailys with meals. . please resume your regular dialysis schedule as an outpatient. . we noted two small masses under your skin while in the hospital. the ultrasound is consistent with benign reactions to the heparin. please ask your primary care physician to follow these by examination. . either return to the emergency room of call your primary care physician if you have any chest pain, shortness of breath, notice increased swelling in your legs, gain more than 3lbs or any other symptoms of concern to you. followup instructions: provider: , md phone: date/time: 3:30 . provider: phone: date/time: 7:30 provider: phone: date/time: 8:30 provider: , md phone: date/time: 11:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis diagnoses: hyperpotassemia anemia in chronic kidney disease end stage renal disease asthma, unspecified type, unspecified human immunodeficiency virus [hiv] disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure carcinoma in situ of breast 

Answer: The patient is high likely exposed to