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: mr. is a 50-year-old male, with a past medical history significant for hepatitis c, portal hypertension, gastric varices, and hepatic encephalopathy, who underwent a living-related liver transplant on . his postoperative course was notable for hepatorenal syndrome requiring hemodialysis with extubation on postoperative day #5, and echocardiogram which demonstrated a decreased ejection fraction at 35%, with 2+ mitral regurgitation on approximately postoperative day #5. the remainder of his postoperative course was unremarkable, and he was discharged to the on postoperative day #13. the patient states that approximately 3-4 days prior to admission, he was found to have an elevated creatinine level consistent with cyclosporin toxicity at rehab. on the evening prior to admission, the patient was found to have an elevated oxygen requirement with increased work of breathing, and was subsequently transferred to the for treatment. past medical history: 1. hepatitis c. 2. portal hypertension. 3. gastric varices. 4. hepatic encephalopathy. 5. status post living-related liver transplantation . 6. renal insufficiency. 7. colitis. past surgical history: as above. medications at rehab: 1. lopressor 25 mg po bid. 2. lasix 40 mg po bid. 3. cyclosporin 225 mg po bid. 4. cellcept mg po bid. 5. hydralazine 20 mg po q 6 h. 6. valcyte 450 mg po qod. 7. colace 100 mg po bid. 8. prevacid 30 mg po qd. 9. prednisone 20 mg po qd. 10.imdur 30 mg po qd. 11.bactrim ss qd. 12.percocet prn pain. allergies: the patient denies any known drug allergies. family history: the patient has a family history significant for coronary artery disease and diabetes mellitus. social history: the patient denies alcohol use, and states that he quit smoking in . physical exam - vital signs: temperature 96.6, heart rate 99, blood pressure 165/96, respiratory rate 24, oxygen saturation 89% on 100% nonrebreather. general: the patient appears to be in severe respiratory distress with increased work of breathing. heart: tachy with a regular rhythm. lungs: rales bilaterally at the bases. abdomen: well-healing surgical incision with no apparent drainage. there is no tenderness, and the steri-strips are clean, dry and intact. extremities: 4+ pitting edema to the thighs. pertinent laboratory studies: wbc 8.8, hematocrit 34.6, platelet count 250, sodium 131, potassium 5.3, creatinine 3.2, ast 43, alt 47, inr 1.1, alkaline phosphatase 332, total bilirubin 5.5, amylase 57, lipase 13, albumin 3.2. imaging: a chest x-ray done at the time of admission demonstrated bilateral infiltrates with markings consistent with chf. hospital course: the patient was seen in the emergency department where he was subsequently intubated and transferred to the surgical intensive care unit. the patient was immediately placed on a lasix drip for aggressive diuresis. given his elevated creatinine level, his cyclosporin was held. the patient was also treated for hyperkalemia with kayexalate, insulin, and dextrose. an echocardiogram was done which demonstrated, again, an ejection fraction of 35% without changes from prior study. on hospital day #3, the patient was weaned from his lasix drip and was started on intravenous lasix . his skin staples were removed at this time, as well. a central venous line was placed for poor access into the left subclavian vein on hospital day #3. on hospital day #5, the patient was extubated. at this time, he was approximately 25 liters negative. he was subsequently transferred to the floor on hospital day #6. he was seen by the physical therapy service to assist with ambulation and activity. his foley catheter was removed at this time, and his transplant medications were resumed. the patient's total bilirubin had been elevated throughout his stay, and a liver ultrasound with biopsy was performed on hospital day #7. this study demonstrated questionable stenosis of the right hepatic artery and was negative for ejection. the patient continued to be diuresed, was advanced to a regular diet, and was receiving physical therapy treatment until the time of discharge on hospital day #10. he will be discharged to the for physical therapy and intravenous lasix diuresis. he will be discharged with the left subclavian central venous line until better access is obtained. discharge condition: good. discharge disposition: the patient will be discharged to the . discharge diagnoses: 1. hepatitis c cirrhosis. 2. portal hypertension. 3. gastric varices. 4. hepatic encephalopathy. 5. colitis. 6. renal insufficiency. 7. status post living-related liver transplantation. 8. status post acute congestive heart failure episode. 9. status post central venous line placement. 10.status post ultrasound-guided liver biopsy. discharge medications: 1. cyclosporin 75 mg po q 12 h. 2. fluconazole 400 mg po qd. 3. furosemide 60 mg iv bid. 4. hydralazine 20 mg po q 6 h. 5. insulin as directed per sliding scale. 6. imdur 30 mg po qd. 7. pantoprazole 25 mg po bid. 8. cellcept 1,000 mg po bid. 9. protonix 40 mg po qd. 10.prednisone 20 mg po qd. 11.bactrim ss 1 tablet po qd. 12.valganciclovir 450 mg po qod. follow-up plans: 1. the patient was instructed to follow-up with dr. in approximately 1 week. 2. he was also instructed to have his labs drawn twice weekly for cbc, chem-10, lfts, and cyclosporin levels. 3. he was instructed to follow-up sooner if he developed fevers greater than 101.5??????f, shortness of breath, or increased work of breathing. 4. he will be discharged with a left subclavian central venous line for intravenous access. once he is able to have a peripheral iv established, this line may be removed. , m.d.,ph.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube closed (percutaneous) [needle] biopsy of liver endoscopic sphincterotomy and papillotomy arterial catheterization endoscopic insertion of stent (tube) into bile duct transfusion of packed cells other oxygen enrichment diagnoses: hyperpotassemia congestive heart failure, unspecified acute kidney failure, unspecified acute respiratory failure antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use long-term (current) use of anticoagulants complications of transplanted liver obstruction of bile duct 

Answer: The patient is high likely exposed to