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: history of present illness: the patient is a 55 year-old male, status post kidney transplant in , history of hypertension, dyspnea, diabetes, anemia who has been having some abdominal pain. the patient had recently been discharged from the on with similar complaints on the medicine service. a transverse right upper quadrant pain radiating to the back and shoulder, 8 out of 10. patient is status post renal transplant and has been off dialysis ever since the surgery. the patient was well until three days ago when sharp right upper quadrant pain who has not been able to tolerate anything by mouth. patient has chronic constipation, no diarrhea. last bowel movement was on . the pain has progressive become more persistent and is associated with low grade fevers of 99. patient denies shortness of , chest pain, hematuria, dysuria, no dark urine or colored stools. on last admission the patient had a work up, all of which was negative including ultrasound, hida scan, abdominal ct and ct of chest. past medical history: 1. hypertension. 2. diabetes. 3. status post renal transplant in . 4. sciatica. 5. multinodular goiter. 6. cataract surgery. 7. hyperlipidemia. 8. depression. 9. history of shoulder pain. 10. history of vertigo. 11. history of nephrolithiasis. medications on admission: neural 100 in the morning, 50 in the afternoon. diltiazem 240 mg q day, cellcept b.i.d., lipitor 5 mg q day, prednisone 10 mg 10 mg q.o.d., lisinopril 5 to 10 mg q day, lasix 60 q day, ativan q.a.m., aspirin 81 mg q day, lactulose q.o.d., lantus 30 units q.p.m. sliding scale. allergies: no known drug allergies. social history: no tobacco, no alcohol, no drugs. family history: noncontributory. laboratories on admission: wbc 7.0, hematocrit 29.6, platelets 264, sodium 138, 5.3, 104, 22, bun/creatinine 51/1.5 with glucose 174. ultrasound was obtained demonstrating distended gallbladder without evidence of cholecystitis. no evidence of intrahepatic or extrahepatic biliary duct dilatation. patient also had a ct of the abdomen and pelvis on demonstrating 1) distended gallbladder with no gallstones, divide or evidence of acute cholecystitis. there is no intra or extrahepatic biliary duct dilatation. 2) stable appearance of the shunts of the transplant kidney with unchanged appearance of perinephric stranding around the transplant kidney. 3) there is no evidence of acute pathology to explain the patient's pain. hospital course: patient was admitted to dr. service. gastroenterology was consulted and it was suggested for patient to have an upper endoscopy. nephrology was consulted. urine, blood and sputum were obtained which were all unremarkable. on patient had endoscopy demonstrating normal esophagus, normal stomach, normal duodenum, normal upper endoscopy to second portion of the duodenum. patient felt better and on patient was discharged to home. patient was discharged on the following medications: neural 100 mg 100 mg p.o. q.a.m. and neural 50 mg q. p.m., diltiazem 240 mg 1 p.o. q day, atorvastatin calcium 25 mg q day, lasix 60 mg q day, aspirin 81 mg q day, lactulose p.r.n., mmf 500 mg b.i.d., prednisone 10 mg q.o.d., dilaudid 2 mg 1 to 2 p.o. q 6 hours p.r.n. patient to follow up with nephrology by calling for an appointment. also follow up with dr. . another appointment is with on at 9 a.m. and also with physical therapy which was scheduled on at 2:30 p.m. at 1,in , . patient should call transplant surgery immediately at if any fevers, chills, nausea, vomiting, abdominal pain, hesitancy in urinary, shortness of , sustained right upper quadrant or an increase in lower extremity edema. final diagnosis: probable costochondritis. secondary diagnosis: status post renal transplant. , dictated by: medquist36 d: 10:38:33 t: 11:42:00 job#: procedure: other endoscopy of small intestine diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia syncope and collapse kidney replaced by transplant nontoxic multinodular goiter tietze's disease 

Answer: The patient is high likely exposed to