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: hypotension major surgical or invasive procedure: femoral line placement history of present illness: 56 yo man with hcv cirrhosis and metastatic hepatocellular carcinoma who has been receiving cisplatin for his hepatoma; this was last dosed on . on he developed fevers and weakness; he denied focal symptoms but felt generalized "bony pain." he denied abdominal pain or increased increased girth. he did have poor po intake over the last several days prior to admission. he also had been having loose stools, likely due to ongoing treatment iwth lactulose. he denied chest pain, dyspnea, cough, or dysuria, but had noticed decreased urine output over the last several days prior to admission. . he presented to an osh where he was found to be hypotensive (78/52). he was given a 250 cc bolus, ceftriaxone, levofloxacin, and was sent here for further evaluation. of note. labs at the osh showed wbc 1.3, hct 15.5, plts 16, inr 2.5, tuberculosis 24.7, na 126, k 5, cl 97, hco3 17, bun 68, cr 2.4. . in the ed here, the patient was hypothermic and hypotensive. he received two liters iv fluids, a femoral line was placed (low plts and inr >3), bear hugger was placed, and he was given cefepime. levophed was started. cbc showed pancytopenia. he was found to be guaiac positive (noteworthy given upper gi bleed s/p banding of esophageal varices ). . he was admitted to the icu where vancomycin and metronidazole were added to cefepime. he was transfused four units of prbc and four units of ffp, and platelets. iv fluids were continued. . given his poor prognosis, a family meeting was held , wherein the patient's code status was changed to dnr/dni. the primary focus of care at this point is the patient's comfort. past medical history: 1. hcv cirrhosis 2. hepatocellular carcinoma with bony metastases 3. esophageal varices s/p ugi bleed, banded 4. gastric varices social history: patient has been living with his wife. has a remote history of alcohol, tobacco, and iv drug use. family history: sister with ovarian cancer. physical exam: temp-96.9 bp-119/50 hr-92 rr-18 spo2-94% 4l nc gen: pleasant, confused, obese heent: icteric sclerae, moist mucosae cv: rrr, flow murmur rusb, no r/g, normal s1 and s2 pulm: cta with wheezing anteriorly abd: significantly distended, soft, non-tender, active bowel sounds ext: pneumoboots in place, warm, 1+ pitting edema bilaterally neuro: confused, intermittently answering questions appropriately pertinent results: wbc-0.9 (n-64 l-32 m-2 b-2 nuc rbcs-6) hct-22.1 mcv-86 plt-33 anc-480 na-126 k-4.4 cl-97 bicarb-17 bun-61 cr-1.5 glu-210 alt-48 ast-82 ldh-279 alk phos-133 tbili-26.4 (d-18.0 i-8.4) -40 lip-56 alb-2.1 ca-9.4 mg-2.0 phos-3.5 nh4-18 haptoglob-<20 pt-17.9 ptt-39.6 inr-2.1 lactate-6.3 cortisol: 39.7, 37.5, 39.4, 40.8 urine: small blood, ketone 15, large bilirubin, urobilinogen 1, rbc-0-2,wbc-0-2, moderate bacteria urine na-10 cl-122 blood cx: pending x1 set urine cx: no growth cxr: patchy bibasilar opacities (pneumonia vs. atelectasis vs. aspiration) ruq u/s: cirrhosis, ascites, liver mass brief hospital course: 56 yo man with end-stage hcv cirrhosis and hepatocellular carcinoma now being transferred from the icu to the floor for probable transition to comfort as the primary goal of care. 1. hepatocellular carcinoma: admission labs consistent with progressive hepatic dysfunction that is irreversible. per a conversation between the patient, his family, and his oncologist earlier today, the patient's life expectancy was estimated at likely less than one week. - the patient was given pain medications as needed, but did not require any during his stay on the medical oncology floor. he was given ativan x2 for anxiety, which sedated him for several hours. this was subsequently discontinued and his mental status cleared. - supportive care was continued, including gentle hydration with ivf and lactulose to minimize encephalopathy. - the pt is dnr/dni. this was clarified with the family several times. he was not cmo status. the family requested antibiotics, ivf, tums, ppi, etc. they requested no transfusions, no blood draws. his fingersticks were discontinued and ssi was d/c'd as well. . 2. sepsis: etiology unclear, but given extremely poor prognosis as noted above, no role for further work-up of fever source. undetectable haptoglobin suggests dic, which is consistent with septic picture. - empiric antibiotics were continued. he lost and gained iv access several times. when iv access was available, he was on iv vancomycin and cefepime. when he pulled out his ivs, he was switched to oral levofloxacin and metronidazole. iv access with this pt was difficult. - steroids were continued given lack of response to cosyntropin stimulation test. - he remained afebrile, with his white count, hct, and platelets trending up before blood draws were discontinued. . 3. gi bleeding: likely from esophageal or gastric varices, exacerbated by severe coagulopathy. - he received one more unit prbc while on the floor. - after this the family requested transfusions and blood draws be stopped to maximze pt comfort. . 4. pancytopenia: likely from chemotherapy. anemia also exacerbated by gi bleeding and hemolysis. - one additional unit of prbc was given as above. - empiric antibiotics as above were given for neutropenia and sepsis. - transfusions were stopped per family request as above. . 5. renal failure: likely due to pre-renal azotemia. - the pt was gently hydrated with normal saline to minimize sense of thirst. - we avoided excessive hydration given significant ascites. . 6. hyponatremia: resolved with hydration. - pt received gentle hydration with 50cc/hour ns as above. . 7. access: had peripheral iv x1 (second iv if possible, no central line). pulled at iv in the evening before discharge, so all meds were switched to po since he was tolerating po. . 8. f/e/n: regular diet. - all lab checks were stopped. - all fingersticks and riss were stopped to maximize comfort. . 9. communication: family at bedside. - wife : or - son : . 10. code: dnr/dni . 11. dispo: family agreed on hospice care at braemor in , ma. pt to be discharged on in stable condition. discharge medications: 1. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). disp:*2700 ml(s)* refills:*2* 2. morphine 10 mg/5 ml solution sig: po q1-2h () as needed for pain, respiratory distress. disp:*1 bottle* refills:*2* 3. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. levaquin 500 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 6. flagyl 500 mg tablet sig: one (1) tablet po three times a day for 7 days. disp:*21 tablet(s)* refills:*0* 7. fludrocortisone acetate 0.1 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*2* 8. anzemet 50 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for nausea. disp:*120 tablet(s)* refills:*2* discharge disposition: extended care facility: rehabilitation and nursing center - discharge diagnosis: 1. sepsis 2. pancytopenia secondary to metastases from hepatocellular carcinoma 3. metastatic hepatocellular carcinoma 4. hepatitis c 5. cirrhosis of the liver 6. grade ii/iii esophageal varices s/p variceal banding discharge condition: stable condition to hospice discharge instructions: 1. please follow-up with your oncologist, dr. as directed below 2. please take all prescribed medications as directed. followup instructions: follow up with your oncologist, dr. at ( as directed below: 1> , md where: hematology/oncology phone: date/time: 11:30 2> , hematology/oncology-cc9 where: hematology/oncology phone: date/time: 11:30 procedure: venous catheterization, not elsewhere classified transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: cirrhosis of liver without mention of alcohol acute kidney failure, unspecified unspecified septicemia hyposmolality and/or hyponatremia severe sepsis unspecified viral hepatitis c without hepatic coma defibrination syndrome septic shock malignant neoplasm of liver, primary hemorrhage of gastrointestinal tract, unspecified secondary malignant neoplasm of bone and bone marrow 

Answer: The patient is high likely exposed to