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: no known allergies / adverse drug reactions attending: chief complaint: liver transplant major surgical or invasive procedure: liver transplant history of present illness: history of present illness: . mr. is a 61 year old male with a past medical history significant for hepatitis c cirrhosis and hepatocellular carcinoma, who is being admitted for a liver transplant. the patient reports that he has been in good health over the last month. he admits to a recent excision of a basal cell carcinoma by dr. . he reports that the wound has been healing w/ no signs of infection. . he denies any recent upper respiratory infections or illnesses. he denies any fevers or chills, chest pain, shortness of breath, nausea, vomiting, diarrhea, constipation. he denies any lower extremity swelling. denies any recent blood transfusions. past medical history: 1. hepatocellular carcinoma, dx , 1.1x0.9cm segment v lesion, s/p rfa, and 2x1.5cm segment vii lesion. 2. hepatitis c cirrhosis, dx , s/p interferon in , peg-interferon/ribavirin in , but did not respond. 3. basal cell carcinomas, removed. 4. appendectomy. social history: he is married, lives in , worked at millennium pharmaceuticals, and quit smoking in . he quit drinking alcohol in after being diagnosed with liver disease. family history: his brother has melanoma. his mother had breast cancer. physical exam: admission physical examination: t: 97 bp: 145/84 hr: 80 rr:18 sao2: 99%ra bmi: weight: 74kgs height: general: no acute distress heent: atraumatic, normocephalic, moist mucous membranes, anicteric, no active oropharyngeal lesions. class i mallampati. no jvd or cervical/supraclavicular lad. resp: lungs are clear bilaterally. chest: excision appears to be healing well on chest wall. does not appear infected. erythematous w/o purulent drainage. no cva tenderness. cv: s1, s2, regular, no murmur. abdomen: soft, nontender, nondistended, + bowel sounds. w/o ascites or umbilical hernia. no caput medusa. old appendectomy scar. ext: no extremity edema. skin: warm, moist. no bruise or ecchymosis or spider angiomas. neurologic exam is grossly intact. psychiatric: awake, alert, and oriented. admission physical examination: t: 98.2 bp: 123/65 hr: 72-78 rr: 18 sao2: 93 %ra general: no acute distress heent: mmm resp: lungs are clear b/l cv: s1, s2, regular, no murmur. abdomen: soft, incision appears c/d/i, + bowel sounds. ext: no extremity edema skin: warm, moist. no bruise or ecchymosis or spider angiomas. neurologic exam is grossly intact. pertinent results: labs: 07:40pm hgb-11.1* calchct-33 o2 sat-95 07:29pm type-art po2-366* pco2-41 ph-7.43 total co2-28 base xs-3 07:21pm glucose-193* urea n-13 creat-0.7 sodium-139 potassium-3.8 chloride-104 total co2-26 anion gap-13 07:21pm glucose-193* urea n-13 creat-0.7 sodium-139 potassium-3.8 chloride-104 total co2-26 anion gap-13 07:21pm alt(sgpt)-958* ast(sgot)-2132* alk phos-127 amylase-100 tot bili-2.7* dir bili-1.8* indir bil-0.9 07:21pm albumin-3.0* calcium-9.6 phosphate-4.1 magnesium-1.8 07:21pm wbc-3.6* rbc-3.21* hgb-11.2* hct-31.5* mcv-98 mch-35.0* mchc-35.7* rdw-18.4* 07:21pm plt count-88*# 07:21pm pt-14.8* ptt-43.4* inr(pt)-1.3* 07:21pm fibrinoge-201 06:21pm type-art po2-412* pco2-41 ph-7.42 total co2-28 base xs-2 intubated-intubated vent-controlled 06:21pm glucose-185* lactate-3.5* na+-138 k+-4.0 cl--104 06:21pm hgb-11.8* calchct-35 06:21pm freeca-1.23 06:21pm neuts-71* bands-7* lymphs-17* monos-5 eos-0 basos-0 atyps-0 metas-0 myelos-0 06:21pm hypochrom-occasional anisocyt-1+ poikilocy-occasional macrocyt-1+ microcyt-occasional polychrom-normal 06:21pm plt smr-very low plt count-52* 06:21pm pt-15.3* ptt-50.8* inr(pt)-1.3* 06:21pm fibrinoge-185 05:15pm glucose-175* lactate-4.3* na+-135 k+-4.4 cl--105 05:15pm hgb-11.9* calchct-36 05:15pm freeca-1.13 05:14pm wbc-3.5* rbc-3.44* hgb-12.2* hct-35.3* mcv-103* mch-35.4* mchc-34.6 rdw-16.5* 05:14pm neuts-71.0* lymphs-25.8 monos-0.9* eos-1.7 basos-0.5 05:14pm plt count-62* 05:14pm pt-14.6* ptt-49.0* inr(pt)-1.3* 05:14pm fibrinoge-158 04:37pm type-art po2-403* pco2-38 ph-7.39 total co2-24 base xs--1 intubated-intubated vent-controlled comments-specimen u 04:37pm glucose-136* lactate-3.6* na+-136 k+-4.2 cl--107 04:37pm hgb-12.3* calchct-37 04:37pm freeca-1.13 04:37pm freeca-1.13 04:36pm neuts-75.9* lymphs-20.5 monos-1.0* eos-1.9 basos-0.7 04:36pm pt-13.9* ptt-34.1 inr(pt)-1.2* 04:36pm fibrinoge-190 04:01pm type-art rates-14/ tidal vol-700 o2-100 po2-410* pco2-43 ph-7.37 total co2-26 base xs-0 aado2-280 req o2-52 intubated-intubated vent-controlled 04:01pm glucose-127* lactate-2.5* na+-137 k+-4.1 cl--108 04:01pm hgb-12.7* calchct-38 04:01pm freeca-1.17 02:52pm glucose-92 lactate-1.3 na+-137 k+-4.0 cl--106 02:52pm glucose-92 lactate-1.3 na+-137 k+-4.0 cl--106 02:52pm hgb-12.2* calchct-37 02:52pm freeca-1.02* 02:30pm wbc-4.7 rbc-3.39* hgb-12.5* hct-35.5* mcv-105* mch-36.9* mchc-35.2* rdw-14.6 02:30pm plt count-71* 02:30pm pt-14.5* ptt-42.0* inr(pt)-1.2* 02:30pm fibrinoge-189 08:50am plt count-61* 08:50am fibrinoge-219 08:27am urine color-yellow appear-clear sp -1.016 08:27am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg imaging: echo date: overall left ventricular systolic function is normal (lvef>55%). . cxr date: impression: flattened diaphragm, otherwise no opacifications noted in the lung fields. no cardiomegaly. . ekg date: impression: sinus rhythm. left axis deviation. right bundle-branch block with left anterior fascicular block. compared to previous tracing from . liver u/s date: conclusion: satisfactory doppler assessment of the recent liver transplant. increased echogenicity consistent with fatty infiltration of the transplanted liver. brief hospital course: mr. was admitted for liver transplant on . he tolerated the procedure without any intraoperative complications. he was started on mmf on arrival to the hospital. he received unasyn, fluconazole, and methylprednisilone on call to the or. . postoperatively, he was transferred to the icu. on , he had a spontaneous breathing trial and was extubated. the swan-ganz catheter was removed and was replaced with a triple lumen. his liver enzymes continued to trend up postoperatively. he had a liver ultrasound that revealed patency of the hepatic veins and normal acceleration times in l, r and main hep. arteries. the ultrasound also revealed increased echogenicity, which was consistent with fatty infiltration of the transplanted liver. he was continued on tacrolimus in pm and am. . on , he was continued on a steroid taper. he received 5,000u of hbig in the evening. his tacrolimus was increased to 4mg in pm and am. he was out of bed to a chair in the afternoon and ambulated with a nurse. jp drain was removed and was covered with steri-strips. he had minimal output from the medial jp drain. he was provided with medication teaching on his immunosuppressive agents. . on , his tacro level was 8.8 and his dose of tacro was increased to 5mg in the pm and am. he received 5,000u of hbig in the evening. . on , his tacrolimus level was 13.2 and the dose was decreased to 4mg. his dose of valcyte was increased to 900mg. he received 5,000u of hbig in the evening. he received pr dulcolax. we increased his dose of amlodipine 5mg to 10mg daily. his blood sugars ranged from 103 to 200s. however, his blood sugars were within normal limits throughout the day, but he had a spike into the 200s at bedtime. he received 2 units of insulin with good effect. his weight was noted to be 79kgs. he was given a one time dose of lasix 20mg iv x1 and produced > 1.5l of uop. he was evaluated by physical therapy in the afternoon and was safe to go home without services. . on , his jp drain was removed and a suture was placed. in the late morning, he was out of bed and continued to ambulate with no difficulty. his weight was down to 76kgs in the morning. he received an additional 20mg lasix iv because his weight was still elevated from his admission weight. in the afternoon, he reviewed his medications with in the hospital. his lab results returned and his ast and alt were 181 and 505, respectively. his hepatitis serologies revealed he was hep b surface antibody positive with titers greater than 500. he received a dose of hbig 5,000u. his tacro level was 11.6 and his dose of tacrolimus remained 4mg . he received his immunosuppressive medications prior to discharge. he was sent home with a prescription for amlodipine, oxycodone, and a glucometer machine to measure his glucose tid. medications on admission: calcium 500 500 mg (1,250 mg) tablet vitamin d-3 1,000 unit tablet acetaminophen 325 mg tablet q6-8hrs potassium & sodium phosphates 280-160-250 mg discharge medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 2. prednisone 5 mg tablet sig: four (4) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 5. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 6. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 7. lamivudine 100 mg tablet sig: one (1) tablet po daily (daily). 8. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily) for 3 weeks. disp:*42 tablet(s)* refills:*1* 9. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). 11. hepatitis b immune globulin intramuscular 12. tacrolimus 1 mg capsule sig: four (4) capsule po q12h (every 12 hours). 13. freestyle lite meter kit sig: one (1) miscellaneous kit: check blood sugar prior to breakfast, supper and bedtime. record blood sugars. disp:*1 kit* refills:*1* 14. freestyle lite strips strip sig: one (1) miscellaneous three times a day. disp:*1 bottle* refills:*2* 15. freestyle lite lancets sig: one (1) three times a day. disp:*1 bottle* refills:*2* discharge disposition: home discharge diagnosis: hcv hcc discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you during your hospital visit. you were admitted for a liver transplant. you tolerated the procedure and are now ready for discharge. please call the transplant office if you experience any of the following: fever, chills, nausea, vomiting, inability to take any of your medications, jaundice, increased abdominal pain/distension, incision redness/bleeding/drainage, constipation or diarrhea you will require hepatitis b immunoglobulin (hbig) on thursday, . please report to the building on the . , your transplant coordinator, will be in contact to arrange a time for you to come into the clinic. you will need to have blood drawn every monday and thursday for labs at lab on the . we have provided a prescription for a glucometer because your blood sugars can become elevated when you are on steroids. please check your blood sugar prior to breakfast, supper and bedtime. record readings and bring record of readings to your next appointment you may shower with soap & water, rinse then pat the incision dry. do not apply powder/lotion/ointment to incision. no heavy lifting (nothing greater than 10 pounds/straining) no driving while taking pain medication followup instructions: please see below for appointment details: . 1)provider: , md phone: date/time: 9:00 . 2) provider: , md phone: date/time: 3:00 . 3)provider: scan phone: date/time: 10:45 procedure: prophylactic administration of vaccine against other diseases other transplant of liver other operations on lacrimal gland transplant from cadaver diagnoses: cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma personal history of other malignant neoplasm of skin malignant neoplasm of liver, primary personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health other abnormal glucose hepatitis b carrier 

Answer: The patient is high likely exposed to