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: hcv cirrhosis major surgical or invasive procedure: - orthotopic liver transplantation history of present illness: 66 yo m with pmh hcv and hcc s/p rf ablation in presents pre-operatively for a possible liver . since the last time we saw him in , the pt has been in his usual state of health. took the motorcycle out for a ride the other day. has been enjoying the winter with his wife, who is present with him today. no recent illnesses, fevers, cough, n/v/d, melena or hematochezia. the remainder of his review of systems is negative. his last meld score was 29 in the end of . past medical history: hcv hcc cirrhosis last meld 28 social history: lives in , has a daughter enjoys gardening, motorcycling, boating quit smoking 30 years ago quit drinking 25 years ago no illicits family history: mother died of mi at 61 physical exam: gen: nad heent: mmm no lesions cv: rrr no mrg resp: ctab no wrr abd: soft, appropriately tender over incision, no guarding or rebound wound: abdominal incision and jp sites clean and dry with no drainage or erythema ext: no le edema pertinent results: 04:50am blood wbc-9.4 rbc-3.28* hgb-10.1* hct-29.1* mcv-89 mch-30.9 mchc-34.8 rdw-17.2* plt ct-130* 03:43am blood hypochr-normal anisocy-1+ poiklo-occasional macrocy-occasional microcy-1+ polychr-occasional schisto-occasional stipple-occasional tear dr 04:50am blood glucose-82 urean-48* creat-1.9* na-138 k-4.2 cl-105 hco3-28 angap-9 04:50am blood alt-195* ast-54* alkphos-75 totbili-1.9* 04:50am blood albumin-3.4* calcium-8.5 phos-2.6* mg-1.7 04:40am blood tacrofk-7.1 liver duplex findings: difficult study due to the patient's recent postoperative state, nonetheless diagnostic images were obtained. no focal or textural abnormality seen in the liver. the portal vein and its major branches are patent with normal flow. the main hepatic artery and its major intrahepatic branches are patent with normal flow demonstrated. the three hepatic veins are patent with normal flow seen. no biliary duct dilatation seen. the spleen is enlarged measuring 17.7 cm. no intra-abdominal free fluid seen. impression: patent hepatic vasculature post-liver . splenomegaly. liver duplex : clinical indication: hep c, status post liver , now with elevated lfts. the liver shows some increase in echogenicity in a patchy distribution suggestive of patchy fatty infiltration. there are no focal liver lesions seen nor is there any evidence of bile duct dilatation. a 4 x 5 cm right subhepatic hematoma is noted. splenomegaly is also again noted with the spleen measuring 16.3 cm in length. color flow and pulse doppler assessment of the was performed. all portions of the portal and hepatic venous system are well visualized and showed normal color flow and pulse doppler characteristics. the inferior vena cava was fully patent with normal pulse doppler. the left, right, and main hepatic arteries show normal waveforms with resistive indices ranging from 0.67-0.71. conclusion: normal liver doppler and no bile duct dilatation. heterogeneous hyperechoic regions consistent with fatty infiltration. small-to-moderate right subhepatic hematoma also noted. brief hospital course: pt was admitted for olt on . the operation went well with no complications. he was transferred to the sicu in stable condition. his pod0 liver duplex was found to be normal. he was extubated on pod 1, and then transferred to the inpatient floor in good condition. initially his serum blood sugars were difficult to control and the patient was placed on an insulin drip. he was stabilized on a sliding scale regimen by pod3, and his diet was advanced to clears. of note, the patient was found to be hypertensive, and this was initially managed with iv lasix and prn iv hydralazine. as the patient's volume status normalized and he was able to take po's, he was given amlodipine which seemed to normalize his hypertension. the patient progressed very well through his post operative course. on pod6, the patient underwent a liver duplex which showed patent vasculature with normal waveforms as well as a patent biliary system without dilatation. on pod7 the patient's pain was well controlled on oral medication, was ambulating and voiding without difficulty, and had received all of his instruction regarding meds and blood sugar recording. due to persistent drain output from his lateral jp, he was to be sent home with drain teaching. he was then deemed ready for discharge. medications on admission: colchicine - 0.6 mg''metoprolol succinate - 50 mg'. ursodiol 500 mg'' calcium carbonate-vitamin d3 - 600 mg-400u'', multivitamin, vitamin e 200 unit'' 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): while taking narcotic pain medication. disp:*60 capsule(s)* refills:*2* 4. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 5. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 6. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 7. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 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. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. tacrolimus 1 mg capsule sig: four (4) capsule po twice a day. discharge disposition: home with service facility: discharge diagnosis: hcv cirrhosis and hcc s/p liver discharge condition: ambulating and aox3 discharge instructions: you were admitted for an elective liver transplantation. your operation went well with no complications. you were ready to go home seven days later. please take all medications as prescribed, and don't drive while on pain medication. you should make sure to keep all of your follow up appointments, and let your team know of any changes in your health. please call the clinic at for fever, chills, nausea, vomiting, diarrhea, inability to take or keep down food, fluids or medications, increased drain output or if the drainage apears bloody or develops a foul odor. you may shower, do not allow the drain to hang freely. place a new drain sponge around the drain site following your shower or daily. no tub baths or swimming until further notice. drain and record your drain outputs twice daily and more often as necessary. bring copy of record with you to your clinic visits. no heavy lifting or straining. labs every monday and thursday followup instructions: provider: , md phone: date/time: 8:00 provider: scan phone: date/time: 1:00 provider: clinic phone: date/time: 3:40 procedure: venous catheterization, not elsewhere classified other transplant of liver other operations on lacrimal gland transplant from cadaver diagnoses: acute kidney failure with lesion of tubular necrosis unspecified essential hypertension long-term (current) use of steroids cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma portal hypertension aortic valve disorders other chronic pulmonary heart diseases personal history of tobacco use osteoporosis, unspecified malignant neoplasm of liver, primary cephalosporin group causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to