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: penicillins / aspirin / percocet attending: chief complaint: hypertensive urgency major surgical or invasive procedure: lumbar puncture history of present illness: 35f with h/o htn presents with htn urgency and ha. ha awoke her from sleep at 0400 this morning, was pounding bilateral and worse with laying down. she took her bp meds and then checked her bp and it was 176/130, her ha continued to worsen and she presented to ed. sbps 166/100 climbed to 200/100 after iv labetalol and hydral then started on labetalol drip bp improved to 162/93. ct head negative, lp negative. pain improved w/ decreased bp. cr noted to be 2.9 up from baseline 1.9-2.0. ob/gyn was consulted and did not believe this postpartum eclampsia. ekg showed lvh, lad but unchanged from previous. . on floor, patient was more comfortable, stating that ha was only past medical history: - renal disease - hypertension - hypertrophic cardiomyopathy/chf - anxiety/depression - g6pd deficiency social history: living with boyfriends mother, recently had falling out with boyfriend. is still in nicu at and her older children are still living in nh. smokes cigs/day, previous multi pack year hx. no etoh or cocaine since . family history: father w/ renal failure, died of leukemia. dmii, cad, htn physical exam: vs - bp 141/95 , hr 94, r 12, o2-sat 100% ra general - well-appearing woman in nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear neck - supple lungs - cta bilat heart - rrr, ii/vi systolic murmur abdomen - nabs, soft, mildly tender in lower abdomen adjacent to well healed c-section scar, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, dtrs 2+ and symmetric, cerebellar exam intact except for slight l hand intention tremor pertinent results: labs on admission: 06:10pm blood wbc-8.2 rbc-3.47*# hgb-10.7* hct-32.1* mcv-93 mch-30.7 mchc-33.2 rdw-13.9 plt ct-495*# 06:42pm blood pt-14.4* ptt-33.1 inr(pt)-1.3* 06:10pm blood glucose-92 urean-29* creat-2.9* na-139 k-3.5 cl-102 hco3-22 angap-19 06:10pm blood alt-11 ast-15 ld(ldh)-202 alkphos-74 totbili-0.3 06:10pm blood calcium-9.7 phos-2.9# mg-1.9 uricacd-8.5* iron-61 06:10pm blood caltibc-326 vitb12-1167* folate-greater th ferritn-55 trf-251 06:10pm blood hcg-10 . microbiology: urine culture - negative csf gram stain and culture - negative . imaging: echo the left atrium and right atrium are normal in cavity size. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. no mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. compared with the prior study (images reviewed) of , criteria for elevated lvedp are not seen on the current study. the other findings are similar. . ct head the ventricles and sulci are unremarkable. there is no evidence of acute hemorrhage or shift of normally midline structures. there is normal -white matter differentiation. there is no evidence of large acute vascular territorial infarct. aerosolized secretions in the left sphenoid sinus are noted. impression: no evidence of acute hemorrhage. sphenoid sinus disease. . renal ultrasound: increased echogenicity of the renal cortex consistent with medical renal disease. no evidence for renal artery stenosis. . labs on discharge: ************** brief hospital course: 35 year old woman who is g7p4, status post c-section on at 28 weeks for preeclampsia who presents with hypertensive urgency and acute renal failure. . # hypertensive urgency: patient initially presented with sbp to 200s requiring labetalol drip and was admitted to initially. she was evaluated by ob/gyn in whose assessment was that this is not consistent with post-partum preeclampsia and was likely unrelated to the pregnancy. she was weaned off labetalol drip and oral medications have been titrated. renal ultrasound was negative for renal artery stenosis. she was followed by nephrology throughout her hospitalization. blood pressure medications were gradually adjusted and added until her blood pressure remained under relatively good control. her final regimen consisted of hctz, labetalol, nifedipine and methyldopa. her medications were chosen based on the fact that she hoped to continue to breastfeed her child and wanted meds that were safe in lactation. at the time of discharge she did not have any complaints of dizziness/lightheadedness, headache, vision changes or nausea. the patient will follow up next week with dr. in nephrology clinic. . # acute on chronic renal failure: creatinine was up to 2.9 on this admission, up from 1.9 during the previous admission when she had c-section for preeclampsia. renal ultrasound showed no hydronephrosis. fena was 4.7 on admission. renal consultants assessed the patient and renal failure was thought secondary to longstanding essential hypertension which was acutely worsened by her preeclampsia. the patient has a strong family history of essential hypertension at young ages. patient's renal function remained relatively stable and was 2.8 on discharge. she has follow up with dr. on . . # headache: htn urgency was contributing. head ct was negative, as above. resolved with improved blood pressure control. tylenol was given prn. . # uti, bacterial: finished course of antibiotics in house. . # anemia: likely due to renal insufficiency, recent c-section. iron studies, b12, folate were within normal limits. . # anxiety/depression: continued lexapro. . # dispo: pt was discharged in stable condition. the patient is originally from but is try to move her medical care into the area and is in the midst of researching local pcps. i gave the patient the phone number for in case she chose to establish care there. medications on admission: -escitalopram 10mg daily -hydrochlorothiazide 12.5 mg capsule 1 capsule(s) by mouth daily - -labetalol 300 mg tablet 1 tablet(s) by mouth twice a day (q) -lorazepam 1mg tid: prn -nifedipine 60 mg tablet sustained release 1 tablet(s) by mouth twice daily discharge medications: 1. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. lorazepam 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. 5. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). disp:*60 tablet sustained release(s)* refills:*2* 7. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). disp:*360 tablet(s)* refills:*2* 8. methyldopa 500 mg tablet sig: one (1) tablet po every eight (8) hours. disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: hypertensive urgency acute on chronic renal failure discharge condition: stable blood pressures, stable renal function. discharge instructions: you were admitted to the hospital with "hypertensive urgency". you were treated with increasing of your blood pressure medications. you also had some dysfunction of your kidneys, and were followed by kidney doctors during your hospital course. . please take all medications as directed. . please follow up with appointments as directed. . please contact physician if develop fevers/chills, headache, numbness/tingling/weakness, lightheadedness/dizziness, shortness of breath, difficulty urinating, any other questions or concerns. followup instructions: please follow up with your primary care physician in the next 1-2 weeks. please call and arrange this appointment. . please follow up with these scheduled appointments: -please call dr. office to arrange follow up for next week. -please call and arrange a follow up appointment with your new pcp within the next few weeks. if you would like to follo wup at our clinic, the phone number is provider: , md phone: date/time: 11:40 provider: , md phone: date/time: 11:00 md procedure: spinal tap incision of lung diagnoses: other primary cardiomyopathies anemia in chronic kidney disease urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified dysthymic disorder anemias due to disorders of glutathione metabolism 

Answer: The patient is high likely exposed to