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: end stage liver disease major surgical or invasive procedure: piggyback orthotopic liver transplant liver biopsy history of present illness: mr. is a 70-year-old gentleman with end stage liver disease secondary to alcoholic cirrhosis. of note, he underwent radiofrequency ablation of two small liver nodules, one in segment vi and the other in the caudate lobe. both are less than 2 cm. cytology on these nodules was suspicious for hepatocellular carcinoma. the ablation was done on . he had decompensation of his cirrhosis in with ascites and sbp. he also had encephalopathy during that period. the liver was from a 62 year-old gentleman who had died from cva with normal liver function. he has no history of a gi bleed or varices by endoscopy. his last drink was in . prior to this, he drank a bottle of wine a day past medical history: his past medical history is also remarkable for non-insulin dependent diabetes and hypertension. he has coronary artery disease and underwent a cabg in . he has a history of gastroesophageal reflux disease and anemia. he also has had a prior inguinal hernia repair. social history: the patient obtained a degree in law. he worked for the attorney general's office early in his career but eventually started his own business in foreign currency exchange from which he retired in . he does not smoke, and there is no history of iv drug abuse. physical exam: on pre-operative exam, he was awake, alert, and oriented x3. he was not in any apparent distress. he was afebrile with normal vitals. he is 6 feet 1 inches tall and has a pre-op weight of 181 pounds. he had no pallor or obvious jaundice. he had no asterixis. he had palmar erythema. there was no clubbing. he had no lymphadenopathy. his chest was clear to ascultation. his heart sounds were regular rate rhythm. his abdomen is soft and nontender. no masses or viscera was felt. he had good femoral pulses bilaterally. he had no pedal edema or lower extremity lesions. his neurological exam was intact. pertinent results: 10:34am blood alt-699* ast-1434* alkphos-65 amylase-46 totbili-5.9* 11:46am blood alt-1423* ast-1066* alkphos-72 totbili-6.2* 04:47am blood alt-355* ast-90* alkphos-352* totbili-3.2* brief hospital course: mr. the procedure well. post-operatively, he was slow to recover but did progressed nicely. within the fist few days after the surgery, his liver function tests were elevated to as high as 1484 for alt, 915 for ast, and 7.6 for total bilirubin. his alk phos were inititially low a few days after the operation, but it rised up to 422 two weeks after, but down-trended, as with the rest of his liver function test by the time he left the hospital. several tests, including duplex ultrasound, ct of the abdomen, and abdominal a-gram all showed patent right and left hepatic arteries arising from the celiac trunk. an ercp was also done, showing a filling defect from a narrowed donor duct, but no strictures. a sphincterotomy wss done to drain the sludge from the central common duct. there was a small bleed resulting from the sphincterotomy, but it was controlled by epinepherine injections. initial biopsy of the allograft three days after the operation was consistent with preservation/ischemic injury. result of a second biopsy, which was done three weeks after the operation, is still pending. during his hospital stay, his blood glucose were elevated and labile ranging from below normal values to the 200-300's. he was completely assymptomatic while below normal values. at one point, he had to be on an insulin drip. however with the help of , his blood glucose began to normalize. he has also been working with physical therapy to regain his strength. he has been ambulating on his own several times a day. also, he has been afebrile with stable vitals, tolerating a regular diet, producing good urine and adequate stool. furthermore, he has had no complaints, including pain, while his lab values are normalizing. he will be discharged to home, in good condition, with very specific intructions to follow up with for his diabetic care and the clinic for his transplant care. discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. 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* 3. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 4. prednisone 5 mg tablet sig: three (3) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. ursodiol 300 mg capsule sig: one (1) capsule po tid (3 times a day). 7. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 9. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). disp:*60 tablet(s)* refills:*2* 10. insulin ss and fixed dose fingerstick qachs, 3aminsulin sc fixed dose orders breakfast nph 17 units insulin sc sliding scale breakfast lunch dinner bedtime regular regular regular regular glucose insulin dose insulin dose insulin dose insulin dose 0-60 mg/dl 4 oz. juice 4 oz. juice 4 oz. juice 4 oz. juice 61-120 mg/dl 1 units 0 units 0 units 0 units 121-160 mg/dl 2 units 0 units 1 units 0 units 161-200 mg/dl 3 units 4 units 2 units 0 units 201-240 mg/dl 5 units 6 units 4 units 0 units 241-280 mg/dl 6 units 7 units 5 units 1 units 281-320 mg/dl 7 units 8 units 6 units 2 units 321-360 mg/dl 9 units 10 units 8 units 3 units 361-400 mg/dl 11 units 11 units 10 units 4 units 11. tacrolimus 0.5 mg capsule sig: three (3) capsule po twice a day. disp:*180 capsule(s)* refills:*0* 12. insulin nph human recomb 100 unit/ml cartridge sig: one (1) subcutaneous at breakfast: please take as prescribed by /transplant team. disp:*10 * refills:*2* 13. insulin regular human 300 unit/3 ml insulin pen sig: one (1) subcutaneous four times a day: please take as prescribed by /transplant team. disp:*10 * refills:*2* 14. insulin syringe needless(disp) 1 ml syringe sig: one (1) miscell. as directed by /trasplant. disp:*150 * refills:*2* discharge disposition: home with service facility: vna southeastern mass discharge diagnosis: end stage liver disease discharge condition: good discharge instructions: please take medications as prescribed and read warning labels carefully. if symptoms such as fever/chills, nausea/vomiting, increasing pain/redness/purulent discharge from incision, increasing jaundice, please call or go to the emergency room immediately. remember to call for a follow up appointment (bellow). light activities until seen in clinic. eat regular food. shower but no baths. pat incision wounds dry, do not scrub wound when showering. absolutely no smoking. followup instructions: provider: , md phone: date/time: 10:40 provider: , md phone: date/time: 10:40 provider: , md phone: date/time: 9:20 please follow up with , as direct by them, a few days after discharge from the hospital (. procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart closed (percutaneous) [needle] biopsy of liver closed (percutaneous) [needle] biopsy of liver endoscopic sphincterotomy and papillotomy other transplant of liver arteriography of other intra-abdominal arteries transfusion of packed cells other cholangiogram transfusion of platelets debridement of nail, nail bed, or nail fold other operations on lacrimal gland transplant from cadaver diagnoses: hyperpotassemia urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver alcoholic cirrhosis of liver aortocoronary bypass status malignant neoplasm of liver, not specified as primary or secondary acute alcoholic intoxication in alcoholism, in remission other specified diseases of nail 

Answer: The patient is high likely exposed to