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: patient is a 59-year-old female with hepatitis b and c, child class c cirrhosis, diabetes, history of iv drug abuse who initially presented to an outside hospital ed on after being found unresponsive at home by a friend. ems arrived and found the patient to have a fasting fingerstick glucose of 21. the patient is given glucose and brought to . in the ed, the patient had a witnessed fever for which he was given ativan, glucose for persistent hypoglycemia with improvement in patient's mental status in approximately two hours. unclear events for unresponsiveness other than hypoglycemia. urine tox at was negative. ct scan of the head was negative for massive bleeding. sodium was found to be 122 and ammonia also 122. the patient was admitted to the micu at the outside hospital with hypotension with svp in the 80s and 90s. treated with iv fluid bolus without improvement in blood pressure or urine output. hyponatremia was treated with iv normal saline and lasix without improvement in urine output. abdominal paracentesis was done and removed 5 liters of fluid which gram stain was negative for organisms, 35 white blood cells, six polys and 514 red blood cells. she was given 20 grams of albumin iv times one paracentesis. she was also given levaquin 500 mg iv times one for uti. the patient was then transferred to for further care. upon transfer, the patient was noted to have worsening in her liver function with an ast rise from 59 to 88 and alt from 34 to 38. t bilirubin from 3.5 to 4.7 and inr from 1.6 to 2.1. the patient was also noted to be coagulopathic and treated with vitamin k 10 mg p.o. times. abdominal ultrasound to evaluate for pelvic portal vein thrombosis which was consistent with liver cirrhosis, no focal masses, no thrombosis, large ascites. it was determined there was no further need for paracentesis. the patient was continued on lactulose. neomycin had been started at an outside hospital and that was discontinued. the patient was determined to be in oliguric renal failure likely prerenal with a pheno of 0.2 and urine sodium of 18 in the setting of liver disease, but not severe enough to be felt to be hepatorenal syndrome. lasix and spironolactone were held on admission. patient given an iv of normal saline as well as albuterol 50 grams times one with improvement in urine output. the patient is also noted to have a hematocrit of 22 on admission, guaiac negative. past medical history: 1. hepatitis c and hepatitis b, child class c cirrhosis, history of ascites, encephalopathy, cordal gastropathy, esophageal varices grade ii. patient has recently been removed from the transplant list due to lack of social support. 2. diabetes. 3. depression. 4. history of urinary tract infection. 5. history of coag negative staphylococcus bacteremia secondary to picc line infection. 6. history of svp with e.coli in . 7. known history of polysubstance abuse including heroin. 8. status post ccy in . 9. hiatal hernia. 10. echo on showed an ejection fraction of greater than 60%, 1+ mr, 2+ tr, mild pulmonary hypertension. an ett mibi in was normal. medications on transfer: 1. regular insulin sliding scale. 2. protonix 40. 3. lasix 30 cc t.i.d. 4. tylenol p.r.n. allergies: no known drug allergies. social history: patient lives alone, widowed with five children. is disabled. use to work as a substance abuse counselor. no alcohol. positive tobacco one pack per week. family history: pancreatic carcinoma, hypertension and myocardial infarction. physical examination: on admission temperature 98.5 f, blood pressure 107/47, heart rate 93, respiratory rate 18, o2 saturation 100% on room air. in general patient is lying supine in bed in no apparent distress. ins and outs are 1240 in and 945 out. pupils are equal, round and reactive to light and accommodation with scleral icterus. oropharynx clear. mucous membranes dry, no lymphadenopathy, no jugular venous distention. cardiac: s1, s2, regular rate and rhythm there is a ii/vi systolic ejection murmur. lungs clear to auscultation bilaterally. abdomen: soft, mildly distended, bowel sounds positive. no hepatosplenomegaly. extremities: 3+ pitting edema to above the knee bilaterally. laboratory data on admission: white blood cell count of 5.5, hematocrit 24.8, platelets 94. sodium 125, potassium of 4.1, chloride 98, co2 21, bun 29, creatinine 1.7 down from 2.2 on admission. glucose of 114, alt 34, ast 36, phos 123, t bilirubin 6.3, ld 196. blood cultures grew out one of four bottles gram positive cocci in pairs and clusters. echo was showed left atrium to be mildly dilated, left ventricular cavity size within normal limits, ejection fraction of greater than 55%. right ventricle systolic function normal, 1+ mr, 3+ tr, mild pulmonary hypertension, no effusion. hospital course: 1. gastrointestinal: liver, she is felt to be in worsening liver failure in the setting of progressive of cirrhosis. encephalopathy was well controlled with lactulose. further bowel decontamination with neomycin and flagyl was discontinued after the patient was transferred from the outside hospital. patient's mental status remained relatively slow, however she had no signs of acute encephalopathy such as asterixis. it is unclear whether this is the patient's baseline, a mild encephalopathy not correctable with lactulose or perhaps some sort of permanent neurologic damage which occurred in the setting of hypoglycemia and seizure. 2. hematology: the source of the patient's decrease in hematocrit was never found. patient's hemolysis labs were negative. she was consistently guaiac negative. she required six units of blood throughout the hospitalization bringing her hematocrit up to 30 prior to discharge. the patient was continued on vitamin k 5 mg p.o. q.d. without significant change in her inr which remained between 1.9 and 2.0 throughout hospitalization. despite this, she was not found to have a bleeding tendency on repeat paracentesis or on central line removal. repeat paracentesis was done and removed approximately 600 ml of cloudy white fluid. it was found to be negative for indices for svp and no evidence of significant hemorrhage. gram stain was negative. cytology is pending at this time. 3. infectious disease: patient was running low grade fevers in the range of 99 to 100. over this time, she developed central line erythema, warmth and tenderness. cultures drawn from the line grew one out of four bottles of gram positive cocci in clusters and pairs. it is unclear whether this is contamination at this time, however central line has been removed and patient is currently afebrile and asymptomatic. she was not given any antibiotics during hospitalization. 4. renal: patient had what was thought to be prerenal failure. she was given iv fluids and renal function continued to improve throughout hospitalization. creatinine prior to discharge was done to 1.1, close the patient's baseline of approximately 0.8. would avoid nsaids and ace inhibitors in the future. 5. endocrine: this patient was maintained on regular insulin sliding scale. her glucoses were well controlled. 6. fluids, nutrition and electrolytes: her sodium improved to 131 without further intervention. this maintained its level even after starting diuretics of aldactone 100 mg p.o. q.d. and lasix 80 mg p.o. q.d. late in the hospitalization. disposition: to rehab as pt evaluated patient and found her unsteady. they feel she is not safe to be discharged to home at this time. discharge diagnoses: 1. hepatitis b and hepatitis c. 2. liver cirrhosis, child's class c. 3. hyponatremia. 4. hypoglycemia. 5. anemia requiring multiple blood transfusions. 6. diabetes. discharge medications: 1. protonix 40 mg p.o. q.d. 2. lactulose 30 cc p.o. q.i.d. to t.i.d. p.r.n. for three plus bowel movements per day. 3. regular insulin sliding scale. 4. aldactone 100 mg p.o. q.d. 5. lasix 80 mg p.o. q.d. condition on discharge: patient is discharged to rehab insulin stable condition. , md dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: mitral valve disorders urinary tract infection, site not specified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified hyposmolality and/or hyponatremia hepatic encephalopathy chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta 

Answer: The patient is high likely exposed to