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: sulfa (sulfonamides) attending: chief complaint: admitted for orthotopic liver transplant secondary to hep c cirrhosis with hcc treated in past with rf ablation. major surgical or invasive procedure: olt takeback for biliary leak requiring biliary reconstruction with roux-en-y hepaticojejunostomy history of present illness: admitted for olt in the setting of hep c, hcc with rfa in . feeling well recently. meld score 25 for hcc exception past medical history: hep c positive (bx proven 4 years ago) hcc with rfa in for lesions in segment v and viii dvt cryoglobulinemia kidney stones depression lumbar spine laminectomy left partial orchiectomy social history: lives with wife and 1 son in single family home smokes cigarettes no etoh since remote hx iv heroin use family history: non-contributory physical exam: on admission: vs: 97.4, 74, 127/81, 20, 100% ra gen: in nad lungs: cta bilaterally card: rrr, s1, s2, no m/r/g abd: soft, nt, minimally distended, hepatomegaly with palpable liver extr: warm, 2 + pulses bilaterally pertinent results: on admission: 02:10am glucose-92 urea n-12 creat-0.8 sodium-138 potassium-4.1 chloride-103 total co2-26 anion gap-13 02:10am alt(sgpt)-28 ast(sgot)-42* alk phos-150* tot bili-0.6 02:10am calcium-8.5 phosphate-3.2 magnesium-1.9 02:10am wbc-4.9 rbc-3.82* hgb-11.8* hct-34.0* mcv-89 mch-30.9 mchc-34.8 rdw-18.8* 02:10am plt count-91* 02:10am pt-13.0 ptt-30.5 inr(pt)-1.1 02:10am fibrinoge-187 01:35am urine color-yellow appear-clear sp -1.015 01:35am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-1 ph-6.5 leuk-neg brief hospital course: patient admitted for olt from brain dead donor. surgical procedure: deceased donor liver transplant with piggyback portal vein-to-portal vein anastomosis, celiac axis to gastroduodenal artery, common hepatic artery branch patch,and common bile duct-to-common bile duct anastomosis. patient was stable and transferred, extubated to sicu. on the morning of postoperative day 1, his drain began putting out approximately 50 cc per hour of bile. patient returned to the or on pod 1 for surgical correction of a biliary leak with biliary reconstruction with roux-en-y hepaticojejunostomy. patient was stable post surgery and returned to the sicu. liver u/s done on pod 1 showing liver transplant with patent vessels, no biliary dilatation or intrahepatic collections, a very small subhepatic fluid collection, and a small right pleural effusion. patient was started on a solumedrol taper. pod2: patient extubated. prograf started and diuresis performed. on pod3 patient transferred out of sicu to transplant surgery floor. cellcept was started. on pod4 (), physical exam suggested patient had a swollen right arm. duplex doppler showed no evidence of dvt within the right upper extremity. : lfts rose and liver us was performed, demonstrating increased velocity at distal main portal vein of uncertain significance. based on patient's lack of abdominal pain and no new symptoms, conservative management was chosen. solumedrol taper completed; patient started on prednisone taper. on , lfts continued to rise. roux study was performed and demonstrated a widely patent anastomosis. hida scan was performed, showing 1) good uptake, but very slow clearance of tracer by the liver; concerning for impaired hepatic function. 2) some activity in a tubular structure consistent with jejunum. 3) two foci of tracer collection inferior to the left lobe of the liver in the region of an indwelling drain, which could represent a leak. delayed images recommended to further assess the possibility of leak. us was done to mark liver for biopsy location. patient was given pre-procedure zosyn. on , cholangiogram through existing ptc showed no biliary leak and no portal vein stenosis, and no portal vein pressure gradient was observed. liver biopsy was performed and was indeterminate for acute rejection but showed no evidence of acute biliary tract obstruction. patient was given mucomyst and bicarb prior to procedures. on lfts began down-trending and continued to do so until discharge. on day of discharge, patient was ambulating, eating a regular diet, having regular bowel movements. his pain was well-controlled, and all jp drains had been d/c'd. blood sugars will continue to be monitored at home, teaching done, this will be followed in clinic. medications on admission: nexium 40', lactulose 30 cc's b.i.d., aldactone 150', lasix 40', quinine 325 hs cipro 750 mg once a week, nadolol 20' feso4 325', folic acid 1 mg' discharge medications: 1. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). disp:*60 tablet(s)* refills:*2* 3. pantoprazole 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* 4. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: ten (10) ml po daily (daily). disp:*qs ml(s)* refills:*2* 5. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 6. tacrolimus 1 mg capsule sig: one (1) capsule po once (once). disp:*60 capsule(s)* refills:*2* 7. colace 100 mg capsule sig: one (1) capsule po twice a day: take as long as you are taking narcotics. continue as needed. disp:*60 capsule(s)* refills:*2* 8. prednisone 5 mg tablet sig: four (4) tablet po once a day: taper prednisone per transplant recommendations. 9. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours: taper dose as pain level improves. disp:*30 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: two (2) tablet po twice a day: md will review continued use at transplant office visit. disp:*30 tablet(s)* refills:*0* 11. one touch test strips dispense 2 bottles refills 5 12. lancets dispense 2 bottles refills 5 discharge disposition: home with service facility: vna of r.i. discharge diagnosis: s/p liver transplant for hcc takeback for biliary leak requiring biliary reconstruction with roux-en-y hepaticojejunostomy discharge condition: stable discharge instructions: call if you experience any of the following symptoms: fever,chills, nausea, vomiting, diarrhea or inability to eat. also report pain over the incision site or liver, jaundice, an increase in abdominal girth or any other symptoms concerning to you. monitor incision site for redness or drainage and report to transplant office. have labs drawn every monday and thursday and have them faxed to transplant office at . cbc, chem 10, ast,alt, alk phos, albumin, t bili and trough prograf level do not drive if you are taking narcotics. check blood sugar 4 times daily for the first week and record. bring record to transplant office visit followup instructions: provider: , md phone: date/time: 3:20 provider: , md phone: date/time: 1:20 provider: , transplant social work date/time: 1:20 procedure: venous catheterization, not elsewhere classified closed (percutaneous) [needle] biopsy of liver injection or infusion of other therapeutic or prophylactic substance other transplant of liver other cholangiogram other cholangiogram transfusion of platelets anastomosis of hepatic duct to gastrointestinal tract phlebography of the portal venous system using contrast material other operations on lacrimal gland transplant from cadaver diagnoses: tobacco use disorder unspecified essential hypertension acute and subacute necrosis of liver unspecified viral hepatitis c without hepatic coma other specified disorders of biliary tract personal history of venous thrombosis and embolism personal history of urinary calculi malignant neoplasm of liver, not specified as primary or secondary other paraproteinemias 

Answer: The patient is high likely exposed to