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: patient recorded as having no known allergies to drugs attending: chief complaint: cough, fatigue, failure to thrive major surgical or invasive procedure: egd with peg placement colonoscopy history of present illness: pt is 65 y/o male with h/o oltx for etoh cirrhosis and hcc, who has had persistent issues with diarrhea, malnutrition, hyperkalemia, and elevated creatinine, who presents with complaints of cough and worsening fatigue for past few days. pt presented to osh where he had a cxr that was concerning for left lower lobe pneumonia. in addition, pt had potassium level of 6.6 and was given dose of humalog and dextrose, hydrocortisone, and levaquin before being transferred to for further management. pt's cough is non-productive and is associated with some shortness of breath. pt did have an episode of nausea without emesis this am. he further states that he has had problems with diarrhea ever since before the transplant. he has multiple episodes of diarrhea per day and pt further states that the diarrhea affects his quality of life. he denies fevers or chills, night sweats, lightheadedness, or dizziness. he denies abd pain, constipation, or dysuria. past medical history: liver transplant from 19 y.o. brain dead donor () etoh cirrhosis, diagnosed 06/. hcc anemia essential thrombocytosis prior complications of ascites, malnutrition (now on tubefeeds), portal hypertension with grade 2 esophageal varices. peritonitis , duodenitis , grade i rectal varices social history: the patient owns business in : a clothing store and a limousine business. recently he started working from home due to his poor health. he lives with his wife, who is very supportive. he smokes. no drugs. stopped etoh in 6/. family history: non contributory physical exam: t 98.2 p 88 bp 158/104 r 20 sao2 95% ra gen: no acute distress, cachectic heent: non-icteric, oropharyngeal mucosa clear neck: supple, no lymphadenopathy lungs: decreased breath sounds left lower lobe heart: rrr abd: soft, nontender, nondistended, bowel sounds +, no guarding, nonrigid extrem: warm, well-perfused pertinent results: on admission: wbc-9.5# rbc-4.18* hgb-10.5* hct-32.6* mcv-78*# mch-25.2*# mchc-32.3 rdw-16.1* plt ct-401# pt-16.3* ptt-44.8* inr(pt)-1.5* glucose-94 urean-47* creat-3.2*# na-140 k-6.3* cl-119* hco3-13* angap-14 alt-47* ast-66* ld(ldh)-511* alkphos-48 amylase-103* totbili-0.9 lipase-38 albumin-3.0* calcium-7.8* phos-2.1* mg-1.8 iron-18* cholest-163 caltibc-216* ferritn-1208* trf-166* triglyc-212* hdl-39 chol/hd-4.2 ldlcalc-82 tsh-3.8 pth-189* t4-10.3 t3-62* afp-3.0 psa-0.7 iga-242 rapmycn-15.0* ttg-iga-6 prealbumin 13 (l) zinc- 53 (l) vitamin d dihydroxy 10 vitamin a (retinol) 45 . at discharge: wbc-8.8 rbc-4.45* hgb-11.9* hct-35.5* mcv-80* mch-26.8* mchc-33.6 rdw-17.8* plt ct-750* glucose-118* urean-69* creat-2.7* na-137 k-3.9 cl-102 hco3-27 angap-12 alt-32 ast-47* alkphos-166* totbili-0.6 rapmycn-4.8* brief hospital course: 67 y/o male about 2 years out from liver transplant with multiple issues upon admission. patient profoundly weak and emaciated with history of severe diarrhea, poor po intake, dehydration. it was determined that the patient was a candidate for a peg tube which was placed by dr . due to concerns for malabsorption the patient was initially started on vivonex, an elemental formula. gi service performed egd and colonoscopy and found fatty stool, and concern was raised for pancreatic insufficiency. a stool elastase was sent off which was negative. gi mucosal path was normal. the renal team was consulted for acute on chronic renal failur. he was started on bicarbonate. likely due to rta. anemia of chronic disease treated with continued epogen and started iron supplementation. a cardiology consult was obtained. echo in the past showed an ef of around 50%. an echo was performed and he was found to have : severe regional and global left ventricular systolic dysfunction, c/w cad. regional right ventricular systolic dysfunction, c/w cad. moderate secondary mitral regurgitation. moderate pulmonary hypertension. compared with the prior study (images reviewed) of , biventricular systolic function has significantly deteriorated, with probable interim inferoposterior myocardial infarction. severity of mitral regurgitation and pulmonary hypertension has increased. treatment was limited by concurrent renal failure and an ace/ could not be started at this time. he was maintain on beta blocker and asa. further evaluation at this time was not undertaken (stress) but will be followed up as an outpatient. when he was initially admitted from hospital, it was thought he had a rll pneumonia. he was started on levaquin. ct done on hd 8 showed heterogeneous perfusion in the liver with large bilateral pleural effusions, cardiomegaly, and small amount of ascites are compatible with right heart failure/hepatic congestion. the levaquin was d/c following a 10 day course. pulmonary consult did not recommend thoracentesis at that time. pneumonia prophylaxis complete. c diffs had been sent and were negative. immodium was started with some relief of the diarrhea. creon was started on the advice of the hepatology teasm due to findings of fatty stool. this in combination with the immodium reduced the stool output grewatly and in fact the immodium was held for several days awaiting return of stool. he will remain on the creon as an outpatient and use the immodium prn as stooling dictates. on hd 11, the patient had increased complain of sob and became quite anxious. his sao2 dropped into the 70's and an xray confirmed worsening pulmonary edema. he was transferred to the sicu. he was diuresed with excellent results. cardiology did not feel this was an acute ischemic event. using esmolol briefly and good diuresis with lasix he continued to improve his respiratory status, returned to his best weight of around 44 kg and was able to be transferred back to regular surgical floor. serial chest xrays showed resolution of the pulmonary edema. he is started on lasix 40 po daily and will continue this at home. tuibe feedings were changed to nutren pulmonary and he did not have return of diarrhea. he will be discharged to home on this formula via the peg tube. alk phos took a slight increase to 270. liver ultrasound showed concern for some biliary dilitation. however the alk phos was trending down and although an ercp was considered, it was not pursued at this time. one final note on ct of abdomen. a newly apparent 5-mm arterially enhancing focus in segment iv was seen. for now this will be followed as an outpatient with no current intervention planned. patient is discharged to home with tube feeds via peg, lasix daily with instructions to weigh daily. monitor also for return of diarrhea. he will follow up with cardiology as an otpatient and may do this with a cardiologist on as desired with the month. some adjustments were made to immunosuppression while in house. these are reflected in omr. medications on admission: dronabinol 2.5'', epoetin units sc qweekly, tricor 48, metoprolol 50'', cellcept , prednisone 5, sirolimus 4, testosterone 2.5 mg/24 hour patch daily, asa 81, feso4 325, prilosec 20, bactrim 400/80 mwf discharge disposition: home with service facility: vna assoc. of discharge diagnosis: malnutrition systolic dysfunction, chronic, ef 19% acute on chronic renal failure anemia gastritis malnutrition diarrhea discharge condition: stable discharge instructions: please call the transplant office if fever, chills, nausea, vomiting, inability to take any of your medications, malfunction of the peg tube, abdominal distension, worsening diarrhea or continued weight loss. weigh yourself daily, your weight should be approximately 96 pounds. weigh yourself when you get home today and make note of your weight with your home scale. if you find you are more than 2 pounds above or below this number please call the transplant office for guidance on your lasix dosing. continue outpatient labs per transplant clinic guidelines followup instructions: , md, phd: date/time: 2:00 follow up with cardiologist within the month. see md on or come to per your preference md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] esophagogastroduodenoscopy [egd] with closed biopsy closed [endoscopic] biopsy of large intestine diagnoses: pneumonia, organism unspecified other primary cardiomyopathies hyperpotassemia anemia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified unspecified protein-calorie malnutrition portal hypertension chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified cachexia diarrhea dehydration esophageal varices in diseases classified elsewhere, without mention of bleeding personal history of malignant neoplasm of liver liver replaced by transplant acute on chronic systolic heart failure personal history of alcoholism 

Answer: The patient is high likely exposed to