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: nausea and vomiting, resulting in displacement of dophoff tube major surgical or invasive procedure: - open feeding jejunostomy - exploratory laparotomy, removal of j-tube history of present illness: 51 male with hcv s/p orthotopic liver transplant in comlicated by hcv reinfection, was d/c'd from after placement of dophoff tube. he was feeling well the day of discharge and had an uneventful evening; on doa he had an episode of nausea and bilious/grey vomiting (per transfer note) which resulted in his tube being displaced. he has loose formed bm's per day, which is normal for him. he has some ruq pain on palpation. he denies fever/chills, melena, hematemisis, dysphagia, chest pain, or shortness of breath. he also has some indigestion which is new for him. ros: otherwise negative past medical history: anemia hepatitis c -transplant in -reactivation of hepatitis c chf - echo shows 35-40% ef, 2+ mr, inf/post/lat hypokinesis cri dvt portal hypertension depression social history: lives at , smoking 28 year pack hx, etoh remote, former ivdu (used once), bus driver for 18 yrs family history: noncontributary physical exam: temp bp pulse resp o2 sat gen - alert, no acute distress heent - perrl, extraocular motions intact, anicteric, mucous membranes moist, no sublingual jaundice neck - no jvd, no cervical lymphadenopathy chest - clear to auscultation bilaterally with fien insp. crackles at bases cv - normal s1/s2, rrr, no murmurs, rubs, or gallops abd - soft, nondistended, with normoactive bowel sounds, ttp in ruq, neg. , ruq scar from liver transplant; open scar extening from mid-ruq to midline under ribcage with pink tissue, dressed back - no costovertebral angle tendernes extr - no clubbing, cyanosis, or edema. 2+ dp pulses bilaterally neuro - alert and oriented x 3, cranial nerves intact, upper and lower extremity strength 4/5 bilaterally, sensation grossly intact, negative asterixis skin - some jaundice pertinent results: labs: wbc-3.9* hgb-10.0* hct-29.5, plt count-140* glucose-138* urea n-35* creat-1.1 sodium-134 potassium-5.5* chloride-110* total co2-18* calcium-8.4 phosphate-3.2 magnesium-1.3* alt(sgpt)-211* ast(sgot)-166* alk phos-383* tot bili-0.6 albumin-2.6* pt-13.1 ptt-85.0* inr(pt)-1.1 fk506-16.0 brief hospital course: a and p/ 51 m with hcv cirrhosis s/p liver transplant in , chf, dvt in , who presented with n/v x1 related to dophoff tube and for further evaluation of a fluid collection in the gallbladder fossa. the fluid collection was percutaneously drained, with negative culture and showed resolution on following ct scans of the abdomen. since he had very poor po intake and had lost enteral access, a feeding jejunostomy was placed . following that he developed a prolonged ileus, partial obstruction around the j-tube, requiring re-operation. postoperative from the inital jejunostomy, his liver function deteriorated, and he developed klebsiella sepsis. given the overall poor prognosis, he was made cmo on pod22 and expired on pod23. neuro: mr presented with a history of depression, however, his mental status remained quite good until pod10 at which time he was intubated for respiratory distress. he was sedated with propofol initially, however this was discontinued due to hypotension. he was initially alert and following commands, but became increasingly encephalopathic with periods of agitation. cardiovascular: pt was hemodynamically stable inspite of a history of chf with an ef 35-40%. on pod5 from his jejunostomy, he became oliguric and tachycardic, requiring multiple fluid boluses. he was transferred to the icu and a pa catheter placed. his cardiac index and filling pressures responded to volume resuciation. he became hypotensive after his re-exploration and again responded to volume. lopresser was restarted and mainted for hypertension and tachycardia after this. respiratory: on pod5 from his j-tube placement, he required intubation for increasing tachypnea and confusion in the setting of renal failure and abdominal distention. chest radiographs were consistent with chf and sputum cultures sent after a temperature spike grew multiresistant klebsiella. his oxygenation/ventilation remained stable. liver transplant: pt was maintained on prednisone, cellcept, and tacrolimus adjusted by level. he was continued on bactrim and valgancyclovir for prophylaxis. his interferon and ribavirin were also continued until the time of j tube placement, at which time the interform was stopped. just prior to admission his hcv viral load was 21 million copies, however, postoperatively this increased to greater than 70 million copies. given his complicated postoperative course, and debilitated condition, hepatology did not think that he would tolerate additional interferon therapy. his liver function deteriorated precipitously postoperaively, with bilirubin increasing from 1.4 up to 40. he also become coagulopathic and encephalopathic. an introp liver biopsy performed on showed findings consistent with recurrent hepatitis c, and bridging fibrosis. gallbladder fluid collection: pt had a fluid collection on recent u/s. on arrival, he had a repeat u/s that showed a persistent fluid collection. a ct with iv contrast ordered showing a fluid collection which was later drained by pigtail cathater placement. the catheter drained 50 cc of serosanginous fluid which was sterile (no organisms). pt was placed on levofloxacin and flagyl for a total 21 day course. he remained afebrile without an elevated wbc count. the drain was removed a week after placement, after confirmation of resolution of collection via us, without complications. gi: pt did not want dophoff tube replaced. on hd 3, an ngt was placed in presparation for a g tube placmeent, which was later cancelled due to the fluid collection in the gallbladder and anterior stomach. the tube was removed, and pt tried to eat on his own. on calorie counts he ingested less tha 50% of his goals and had persistent anorexia and nausea. the decision was made to place an open j tube and he was taken to the operating room on . the procedure was uncomplicated and he was stable initially. tubefeedings were started on pod1 at 20cc/hour, however, he was noted the following day to have increasing hiccups, abdominal distention with small episodes of emesis. tubefeeds were stopped and the j-tube was placed to gravity. he had no flatus or bowel movements during this time. a kub showed disteded loops of small bowel and a ct of the abdomen was performed with contrast given via the j-tube. this showed findings consistent with a parial small bowel obstruction, and postoperative changes. he was observed for several days, however he decompensated on pod4 and required transfer to the icu. his abdominal pain was improving, and his abdomen remained soft. after fluid resucitation, he stabilized and a ct of the abdomen was performed the following day with oral contrast. this showed contrast in the colon and collapsed small bowel loops in the distal ileum. after continued observation, his urine output improved. ngt output was initially high, then tapered off however there was no flatus or bowel movements. a ct of the abdomen was repeated that did not show significant change, however he had required intubation at this point and became tachycardic. decision was made to return to the operating room for exploration. please see the operative note for full details. there was a torsion around the j-tube insertion site causing obstruction. the j-tube was removed and a liver biopsy performed. he was returned to the icu and subsequently required another round of fluid recusitation. he continued to have an ileus with minimal bowel movements. on pod4 from his re-exploration, his hematocrit decreased to 26 inspite of receiving blood transfusions and a ct of the abdomen showed a rlq collection consistent with a hematoma. his platelets were aggresively replaced, and his coagulopathy corrected with blood products and his hematocrit stabilized. renal: pt had bicarb wasting and potassium retention by the middle of his hospital stay. urine studies were sent which was consistent with a type 4 rta. renal involved which suggested d51/2ns with 1 amp bicar and startign him on bicitra 60 mg to help with repletion. he stabilized, however, postop from his j-tube placement had his creatinine rise to 2.5 with oliguria. this improved with fluid and he then required lasix for diuresis. id: he was initially placed on levaquin and flagyl emperic coverage for the gallbladder fossa collection. these cultures were negative, but antibiotic coverage was continued postoperatively. his coverage was changed to vancomycin and zosyn emperically after his transfer to the icu. on pod 3 from his re-exploration, he spiked a fever. multiple blood and sputum cultures grew klebsiella, sensitive only to meropenem to which he was changed. subsequent blood cultures remained negative. his picc was removed and triple lumen catheter changed over wire with a negative tip. heme: initally there was concern for an underlying coagulation disorder given an elevated ptt on admission. heme/onc was consulted by the medical service and thought it to be due to his underlying liver disease. in the setting of decompensating liver function, his inr became elevated and he became thrombocytopenic, requiring daily transfusions of ffp and platelets. after his coags were relatively corrected, his intra-abdominal bleeding stabilized and his prbc transfusion requirement decreased significantly so the decision was made to hold on a second re-exploration. during the above described course, multiple discussions were carried out with the family who understood the grave prognosis given the decompensted liver failure as a background for renal failure, gram negative sepsis and bleeding. the decision was made to make him cmo and he expired the following day. postmortem examination was declined by the family medications on admission: cellcept mg po bid, megesterol acetate 40 mg/ml po qid, lansoprazole 30 mg qd, methylpenidate 7.5 mg qd, hydralizine 25 mg po q6 hrs, levothyrozxine 150 mcg qd, mirtazipine 15 mg po qhs, ribavirin 200 mg two tabs , metoprolol 75 po bid, valganciclovir 450 mg po bid, bactrim 80-400 po qd, interferon alpha 30 mcg/ml sc, tacrolimus 1 mg , predinsone 2.5 mg qd, lispro sliding scale discharge medications: n/a discharge disposition: extended care facility: & rehab center - discharge diagnosis: endstage liver failure recurrent hepatitis c with portal fibrosis chronic renal insufficiency acute renal failure hepatic encephalopathy congestive heart failure ventilator associated pneumonia respiratory failure small bowel obstruction intra-abdominal hemmorhage blood loss anemia klebsiella sepsis hypertension hypothyroidism discharge condition: deceased discharge instructions: none followup instructions: none procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other enterostomy closure of stoma of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous abdominal drainage pulmonary artery wedge monitoring transfusion of packed cells transfusion of other serum transfusion of platelets open biopsy of liver intra-abdominal manipulation of small intestine diagnoses: congestive heart failure, unspecified other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use acute posthemorrhagic anemia acute and subacute necrosis of liver chronic hepatitis c with hepatic coma acute kidney failure, unspecified acquired coagulation factor deficiency unspecified protein-calorie malnutrition severe sepsis hematoma complicating a procedure acute respiratory failure mechanical complication due to other implant and internal device, not elsewhere classified other septicemia due to gram-negative organisms complications of transplanted liver volvulus pneumonia due to klebsiella pneumoniae other colostomy and enterostomy complication cholecystitis, unspecified 

Answer: The patient is high likely exposed to