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: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: 62 year old male with etoh cirrhosis/hcc with diuretic-resistant ascites despite placement of a tips shunt and resultant significant hydrocele and possible inguinal hernia status post orthotopic liver transplant. he presents with one day history of chest pressure. he felt tired and lethargic in the morning even after a good night sleep. he then experienced chest pressure which he has been experiencing intermittently since surgery but it was worse this am. the pain did radiate to both of his shoulders and down his elbows. the pressure was relieved slightly by nitro and felt better after passing gas. he is trembulous but he says that he feels that this is better today. no fever, chills or night sweats. no nausea or vomiting. he did have shortness of breath with the chest pressure. he went to osh where ekg showed afib and he was given digoxin and lopressor. he converted to sinus and was transferred here. past medical history: 1. alcohol-related cirrhosis status post tips placement requiring dilatation 2. upper gi bleeding in . patient was treated at an outside hospital and it is unclear whether his upper gi bleed was secondary to esophageal varices or peptic ulcer disease. 3. coronary artery disease status post angioplasty in the . 4. diabetes mellitus type 2 diagnosed in . hemoglobin a1c was 6.3 5. umbilical hernia status post repair 6. right knee surgery 7. depression 8. hcc, growth 2.5x2.5cm confirmed on at the dome of the liver 9. recurrent recent paracentesis due to refractory ascites social history: married with two adult sons. formerly worked as a vice president of a trucking company. drank from the age of 20 until . he never smoked. denies iv drug use. family history: father and brother died of mi at the age of 52. his mother and sister have diabetes. physical exam: t 97.7 hr 68 bp 122/74 rr 20 99% on 3l nc 104.8kg general: nad, alert and oriented x 3. tremlous anicteric sclerae, upper dentures luns: clear to ausculation bilaterally cor: rrr, no murmur abd: soft, slightly distended, appropriately tender around the incsion. incision is intact with staples pertinent results: 05:43pm blood wbc-7.5 rbc-3.28* hgb-10.0* hct-30.2* mcv-92 mch-30.5 mchc-33.1 rdw-17.1* plt ct-187 05:34am blood wbc-6.0 rbc-2.96* hgb-9.0* hct-26.1* mcv-88 mch-30.4 mchc-34.5 rdw-17.1* plt ct-154 05:24pm blood pt-13.4 ptt-23.7 inr(pt)-1.1 06:07am blood pt-13.5* ptt-25.8 inr(pt)-1.2* 05:24pm blood glucose-193* urean-29* creat-1.7* na-136 k-5.9* cl-111* hco3-19* angap-12 05:34am blood glucose-58* urean-24* creat-1.8* na-131* k-4.2 cl-100 hco3-26 angap-9 05:24pm blood alt-33 ast-18 ck(cpk)-21* alkphos-153* amylase-44 totbili-0.6 05:34am blood alt-21 ast-18 ck(cpk)-27* alkphos-151* totbili-0.6 03:31am blood triglyc-163* hdl-39 chol/hd-4.9 ldlcalc-119 03:31am blood tsh-2.0 06:07am blood fk506-9.8 03:31am blood fk506-8.2 06:05am blood fk506-10.2 05:50am blood fk506-10.5 04:30am blood fk506-16.7 05:24pm blood ctropnt-<0.01 12:30am blood ck-mb-notdone ctropnt-0.01 02:08am blood ck-mb-notdone ctropnt-0.03* 05:43pm blood ck-mb-notdone ctropnt-0.26* 06:07am blood ck-mb-notdone ctropnt-0.24* brief hospital course: 62 year old male with etoh cirrhosis/hcc pod #19 s/p liver transplant initially presented on with chest pain. he was fatigued, lethargic then had chest pain relieved by nitro and passing flatus. at osh, ekg showed afib with rvr and received digoxin and lopressor. he had twi anterolaterally during afib which persisted while in sinus. he converted to sinus and was transferred here to the xplant service. cards was consulted. his enzymes cycled and trop peaked at 0.03 with negative cks. treated with asa and metoprolol. stress on showed mild fixed apical defect and decreased ef so he was planned for cath on . precath hydration performed. cath on showed prox lad calcification with occlusion of d2 and occluded mid rca. during intervention on the d2, the guidewire appeared to cause dissection of the artery and there was extravasation of blood seen on cath. the patient experienced cp so was started on nitro gtt. echo was perfomed which showed no effusion. cp improved from to and he was transferred to ccu for closer monitoring. the following day the chest pain had completely resolved and a repeat echo showed only physiologic effusions. he was transferred back to 10 on the transplant service. he was stared on metoprolol, aspirin, and isosorbide mononitrate. because of a hematocrit of 26.1 and his recent cardiac events he was transfused with 1 unit of blood. he was discharged in good, stable condition. medications on admission: 1. fluconazole 400 mg po daily 2. prednisone 20 mg po daily 3. docusate sodium 100 mg po bid 4. trimethoprim-sulfamethoxazole 80-400 mg po daily 5. valganciclovir 450 mg po daily 6. mycophenolate mofetil 1000 mg po daily 7. citalopram 40 mg po daily 8. senna 8.6 mg po bid: prn 9. pantoprazole 40 mg po daily 10. metoprolol tartrate 25 mg po bid 11. oxycodone 5-10 mg po prn 12. tamsulosin 0.4 mg po qhs 13. insulin glargine 18 units sc qhs 14. tacrolimus 2.5 mg po bid discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 3. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 4. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 5. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 8. prednisone 5 mg tablet sig: 3.5 tablets po daily (daily). 9. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 13. tacrolimus 1 mg capsule sig: two (2) capsule po q12h (every 12 hours) for 2 doses. 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. tablet(s) 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 16. oxycodone 5 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. discharge disposition: home with service facility: home care services discharge diagnosis: chest pain with cath discharge condition: good, stable discharge instructions: you were started on a statin to lower your cholesterol. your pcp should titrate this dose to get your ldl ("bad cholesterol") down to less than 70. your aspirin was increased to 325mg daily. you were also started on isosorbide mononitrate daily. followup instructions: please follow-up with dr. (cardiology). please call ( to confirm an appointment for this week. provider: , md, phd: date/time: 9:00 provider: , transplant social work date/time: 9:30 provider: , md phone: date/time: 8:40 md, procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization transfusion of packed cells excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure personal history of malignant neoplasm of liver liver replaced by transplant dissection of coronary artery 

Answer: The patient is high likely exposed to