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 42 year old gentleman who underwent cadaveric liver transplant on for hepatitis c related cirrhosis. the patient had previously been admitted for a fever up to 100.7 post surgery, admitted on and discharged on and found that the patient had no flow in his hepatic artery. the patient underwent computerized tomography scan that showed large thymoma and the patient was on antibiotics. the patient had a lengthy hospital course which was dictated in the previous note and the patient was discharged to a rehabilitation facility. subsequently the patient returned on the date of admission for fever and increase in white blood cell count and also abdominal pain in the left lower quadrant. the patient on admission had flatus and no bowel movement since five days prior to admission with some nausea and vomiting the morning of admission, no hematuria, no shortness of breath, mild cough, no dysuria, no skin lesions and no sick contacts with decrease in p.o. past medical history: status post liver transplant on for ethanol and hepatitis c cirrhosis, 2 out of 2 hepatic artery thrombosis and returned for gastroesophageal reflux disease, bipolar disorder, nephrolithiasis, esophageal varices, alcohol abuse, intravenous drug use. past surgical history: liver transplant and . medications at home: cellcept mg p.o. b.i.d., prednisone 10 mg p.o. q. day, prograf 1 mg p.o. t.i.d., bactrim single strength tablet 1 tablet p.o. q. day, labetolol 100 mg p.o. b.i.d., clonidine 0.4 mg p.o. t.i.d., hydralazine 75 mg p.o. q.i.d., epogen 10,000 units subcutaneously q. week, nystatin 5 cc q.i.d., actigall 300 mg p.o. t.i.d., prevacid 30 mg p.o. q. day, colace 100 mg p.o. b.i.d., lithium 300 mg p.o. q. day, fluconazole 400 mg p.o. q. day. social history: the patient denies tobacco use and alcohol. physical examination: on physical examination the patient is afebrile with blood pressure 114/70, pulse 84, weight 62 kg. the patient looked cachectic and fatigued. the patient had dry mouth. lungs were clear to auscultation bilaterally. the patient's heart was regular rate and rhythm without murmurs. abdomen was distended with tender left lower quadrant and drains were in place. extremities showed no edema. laboratory data: laboratory data on admission were white count 16.3, platelets 32, hematocrit 28, inr 1.1, sodium 126, potassium 5.5, chloride 102, bicarbonate 19, bun 71, creatinine 2.0, glucose 104, alt 47, ast 33, alkaline phosphatase 196, calcium 12, phosphorus 2.6, magnesium 1.2. hospital course: the patient was admitted to the transplant surgery service and continued on zosyn and fluconazole for antibiotics. the patient did well initially and the patient continued to remain afebrile with stable vital signs. on hospital day #3, the patient had decrease in abdominal pain and continued on zosyn and flagyl for antibiotics. on hospital day #6, the patient, however, spiked a fever to 101.7. the patient was pancultured. the patient underwent a biliary drain study where the patient became a bit tachycardiac. once the patient returned from the study, the patient became febrile to 103.6 with blood pressures in the 130s. the patient was transferred to the intensive care unit and was put on zosyn and vancomycin. the patient's liver function tests were elevated with ast of 111, alkaline phosphatase 233, total bilirubin 3.2 and ldl of 47. the patient continued to spike a fever in the intensive care unit and was afforded antibiotics. the patient's white count was 20.6. urine culture from , grew out nothing. bile culture showed no organisms. the patient was hemodynamically unstable. the patient therefore was intubated in the intensive care unit and was resuscitated with intravenous fluids. the patient also received red blood cells, platelets and coags were also sent. the patient was diagnosed with biliary sepsis and was supported in the intensive care unit setting. the patient continued to improve in the intensive care unit with the intravenous antibiotics and intravenous fluids. on the patient had a lengthy surgery intensive care unit stay. the patient's hemodynamics were stabilized, although the patient was still confused and tremulous. the patient had been followed by psychiatry who felt that this was due most likely a delirium due to multifactorial cause such as being in the intensive care unit for a length of time. the cultures that grew from the panculturing which showed a lesser sac fluid which was positive for vancomycin-resistant enterococcus. blood cultures were cytomegalovirus positive. the patient was put on ganciclovir, linezolid and levofloxacin in the intensive care unit. the patient's hepatitis c virus viral load was less than 500,000 and urology was also consulted about the patient's mental status. they also recommended limiting haldol and using self-restraints and there is no need for electroencephalogram or imaging the head. one thing was to get the infectious disease input. by surgery intensive care unit day #27, the patient had slow improvement in his encephalopathy and the patient was continued on antibiotics. the patient ultimately had cytomegalovirus encephalitis, vancomycin-resistant enterococcus positive culture from the bile and thrombocytopenia. by surgery intensive care unit day #29, the patient was doing better and was on lithium and haldol for agitation with his history of bipolar disease. throughout this the patient was on tube feeds to continue the nutritional needs. on surgery intensive care unit day #33, the patient was moved to the floor in stable condition. the patient was seen by swallow study who felt that the patient needed to be continued on the nasogastric tube feeds and to advance the p.o. diet slowly. if the mental status improves, occupational therapy recommended extending rehabilitation. the patient also has been followed by psychiatry, continuing not adding any antidepressants and continuing lithium. the patient continued to improve throughout his stay. the patient remained afebrile with stable vital signs. the patient had an endoscopic retrograde cholangiopancreatography to evaluate the possibility of pancreatic duct disruption, causing a leak which caused abdominal peripancreatic flow collection. the endoscopic retrograde cholangiopancreatography showed normal pancreatic duct without any evidence of extravasation. the biliary antrum was patent and nasogastric tubes were in place. otherwise the patient continued to do well. the patient was continued on strength impact at a goal of 120 cc/hr for tube feeds. on hospital day #53 the patient had no complaints remained febrile with stable vital signs. the patient's mental status had returned to a functional level. there was no cardiac history, there were no pulmonary issues. the abdomen was soft, nontender, nondistended. the patient had a pigtail #2 that was still in place. drain #3 was discontinued. the patient's liver function tests were stabilized and the patient was discharged to the rehabilitation facility. condition on discharge: stable. discharge status: to rehabilitation. discharge diagnosis: 1. status post liver transplant on and . 2. ethanol abuse in the past. 3. hepatitic c cirrhosis. 4. gastroesophageal reflux disease. 5. bipolar disorder. 6. nephrolithiasis. 7. intravenous drug use. 8. history of esophageal varices. 9. sepsis. 10. cytomegalovirus encephalitis. discharge medications: 1. ursodiol 300 mg p.o. t.i.d. 2. bactrim single strength 1 tablet p.o. q. day 3. .................. 500,000 units p.o. q.i.d. 4. epo 40,000 units q. monday 5. olanzapine 10 mg p.o. q. day 6. delayed release lansoprazole 30 mg p.o. q. day 7. polyethylene glycol one packet p.o. q. day 8. hydralazine 75 mg p.o. q. 6 hours 9. prednisone 5 mg p.o. q. day 10. fludrocortisone acetate 0.1 mg p.o. q. day 11. labetolol 100 mg p.o. b.i.d. 12. clonidine 0.3 mg p.o. t.i.d. 13. interferon 3 million units subcutaneous three times a week, monday, wednesday, and friday. 14. zosyn 4.5 gm intravenously q. 8 hours for four more days 15. tacrolimus 0.5 mg p.o. q. 8 am, hold the dose for 8 pm 16. valcyte 900 mg p.o. q. day 17. lithium 75 mg p.o. q.h.s. 18. insulin sliding scale follow up plans: he is to follow up with dr. at the transplant center on . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube closed (percutaneous) [needle] biopsy of liver percutaneous abdominal drainage arterial catheterization transfusion of packed cells endoscopic retrograde cholangiopancreatography [ercp] injection or infusion of oxazolidinone class of antibiotics electroencephalogram diagnoses: acidosis thrombocytopenia, unspecified unspecified pleural effusion acute respiratory failure other specified septicemias complications of transplanted liver cholangitis other and unspecified alcohol dependence, unspecified acute hepatitis c without mention of hepatic coma 

Answer: The patient is high likely exposed to