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: cefaclor attending: chief complaint: jaundice major surgical or invasive procedure: plasmapheresis catheter placement. history of present illness: patient is a 21 yo man with pmhx sig. for adhd, liver failure, and prior ivdu who was originally admitted to on with 3 days of fever (up to 101), chills, nightsweats, nausea/vomiting, black diarrhea, and jaundice. he had 1 episode of vomiting on sunday, nonbloody. he also had diarrhea on sunday, which resolved on wednesday. he had l-sided abdominal pain starting on wednesday, described as a "gas pains," worse with eating and leaning towards the left, rating . his partner has symptoms--nausea/vomiting, diarrhea--which have since resolved. he then developed jaundice and dark urine, prompting his presentation to . he also had poor po intake. he had noted some gingival bleeding with toothbrushing. otherwise, he had no bruising, epistaxis. at , his labs were notable for: hct 31, plts 13, cr 2.0, bilirubin 6.4, 0.3. alk phos 45, ast 91, alt normal. his smear had a few schistocytes. he was seen by hematology. he was transferred for concern for ttp/hus, requiring plasmapheresis. review of systems: (+) per hpi plus: headache, nasal congestion, rhinorrhea, (-) denies sinus tenderness. denies chest pain or tightness, palpitations. denies cough, shortness of breath. no dysuria, urinary frequency. denies arthralgias or myalgias. denies rashes. all other review of systems negative. past medical history: adhd cirrhosis acetaminophen toxicity sleep disorder migraines social history: patient lives with his partner. : quit 2 months ago, 1ppd x 6 years etoh: glasses of wine daily family history: his mother was diagnosed with colon cancer at age 46. physical exam: vitals: 98.7, 133/84, 82, 18, 100ra gen: nad, aox3 heent: perrl, eomi, mmm, sclera icteric, not injected neck: no lad, no jvd cardiovascular: rrr normal s1, s2, no murmurs appreciated respiratory: clear to auscultation bilaterally, no wheezes, rales or rhonchi abd: normoactive bowel sounds, soft, non-tender, non distended extremities: no edema, 2+ dp pulses neuro: perrl, eomi, face symmetric, no tongue deviation integument: warm, moist, no rash or ulceration psychiatric: appropriate, pleasant, not anxious pertinent results: labs: 6.3>-----<13 31.2 rare schistocytes about 10-15% abnds noted/100 cell scan 138 104 61 -------------------< 3.7 29 2.0 ca 9.3 tuberculosis 6.4, db 0.3, alk phos 45, ast 91, alt 23 inr 0.98 monospot neg. parvovirus ab pending 4.6>-----<9, 13, 9 25.4, 24.4, 24.3 5% bands, 42% neutrophils, 31% lymphocytes, 1% reactive lymphocytes, 2%metamyelocytes few schistocytes, large platelets retic 2.8 cxr: no active disease. 07:35am blood wbc-11.3* rbc-3.24* hgb-10.0* hct-28.3* mcv-87 mch-30.7 mchc-35.2* rdw-16.9* plt ct-346 07:35am blood ld(ldh)-191 brief hospital course: 21 yo man with pmhx sig. for adhd, liver failure, and prior ivdu who was originally admitted to on with 3 days of fever (up to 101), chills, nightsweats, nausea/vomiting, black diarrhea, and jaundice, found to have profound thrombocytopenia, falling hct, and acute renal failure, concerning for ttp. thrombocytopenia, hemolytic anemia: ttp, treated with steroids and several sessions of plasmapheresis and his plts improved to normal and his ldh returned to . he was discharged on prednisone 70mg po daily, calcium / vitamin d and bactrim for pcp . he had taken omeprazole 1 week prior to the onset of his symptoms so was rightfully hesitant to use a ppi for peptic ulcer disease prophylaxis so warning signs were adressed and he was told to avoid etoh and nsaids. he will have his cbc rechecked on monday and be closely followed by hematology as an outpatient. last session of plasmapheresis was wednesday . acute renal failure: hypovolemia likely main contributor as has improved significantly with ivfs however concern for secondary to ttp as well. resolved. adhd: vyvanse continued. sleep disorder: clonidine continued qhs, also this was increased to 0.3mg po bid for benign hypertension which improved with this therapy, this may need to be weaned down when his steroids are weaned as the steroids may be contributing to his hypertension. medications on admission: vyvanse 100 mg daily clonidine 0.3 mg qhs melantonin fastin for 3 days (friday-sunday) immodium peptobismo tylenol chantix (on and off) prevacid discharge medications: 1. vyvanse oral 2. bactrim 400-80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. calcium 600 600 mg (1,500 mg) tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 4. vitamin d 1,000 unit tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 5. folic acid 1 mg tablet sig: four (4) tablet po daily (daily). disp:*120 tablet(s)* refills:*2* 6. prednisone 10 mg tablet sig: seven (7) tablet po once a day: this medication will be tapered down by dr. from hematology. disp:*210 tablet(s)* refills:*2* 7. clonidine 0.3 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: ttp discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with low platelets and found to have "ttp" which is an illness which causes your platelets to drop. please make your follow up appointments and take your medications as prescribed. avoid alcohol and ibuprofen / aspirin / advil / motrin / naproxen / aleve. followup instructions: department: hematology/oncology when: thursday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: thursday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage also, please return to the hospital ( of , building ) on monday to have your labs drawn, the hematology fellow on call will call you with the results. procedure: venous catheterization, not elsewhere classified therapeutic plasmapheresis diagnoses: acute kidney failure, unspecified thrombotic microangiopathy hypovolemia attention deficit disorder with hyperactivity chest pain, unspecified leukocytosis, unspecified benign essential hypertension shortness of breath sleep disturbance, unspecified 

Answer: The patient is high likely exposed to