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: right upper quadrant pain major surgical or invasive procedure: : exploratory laparotomy with hematoma evacuation history of present illness: this is a 44 yo lady well known to the transplant surgery service with esld from psc who is s/p olt on . she had been discharged to rehab the previous day and was doing well until this morning when she started experiencing ruq pain accompained by nausea and vomiting after her hd session. she denies fevers or chills, reports somewhat decreased output from her ostomy. no blood in her stool. denies chest pain but reports mild shortness of breath which she attributes to her severe abdominal pain. reports a feeling of urinary urgency and lower abdominal fullness although she is making minimal urine at his time. at the time of consultation she looks uncomfortable and is reluctant to be examined. she exhibits voluntary guarding and every movement of the bed causes her great pain. past medical history: -uc s/p total colectomy in -psc diagnosed in -cirrhosis diagnosed in (c/b jaundice and ascites) -cml on gleevac (since ) -foot fracture s/p surgery -deaf in r social history: prior to liver transplant, ms. was independent with her adls. currently in rehab s/p liver transplant. she is a stay at home mom that is fully functioning and active with her two teenage children, a 13 year old son and a 15 year old daughter. she and her husband recently relocated to ri from pa for her husband's job. pt denies any substance use or abuse history, including: smoking, alcohol, marijuana, or any other illicit drugs. she has a degree in business from cal state and worked as an account manager for an hmo prior to having children. import social history family history: father (and likely son) - ulcerative colitis; grandmother died of chf; dm ii in all 4 grandparents, mother with htn, mom, brother, daughter with asthma physical exam: vitals: temp: 99.5 hr: 124 bp: 154/100 resp: 22 o(2)sat: 100 ra gen: a&o, visibly uncomfortable heent: scleral icterus and jaundice cv: rrr, no m/g/r pulm: slightly decreased breath sounds at b/l lung bases. no wheezing, ronchi or rales abd: soft, mildly distended, exquisitely tender to palpation diffusely, more in the ruq. surgical incision with staples in place, c/d/i, minimal erythema ext: mild peripheral edema. pertinent results: on admission wbc-27.9*# rbc-3.68* hgb-10.6* hct-32.9* mcv-89 mch-28.8 mchc-32.3 rdw-16.1* plt ct-224 neuts-95.4* lymphs-2.6* monos-1.0* eos-0.6 baso-0.4 pt-12.6* ptt-26.1 inr(pt)-1.2* glucose-164* urean-32* creat-3.0* na-135 k-4.8 cl-93* hco3-27 angap-20 alt-24 ast-32 alkphos-210* totbili-5.5* 07:21pm blood lipase-55 calcium-9.5 phos-2.7 mg-2.1 tacrofk-9.6 brief hospital course: 44 y/o female discharged previous day after prolonged hospitalization following liver transplant who returns with significant abdominal pain. a duplex of the liver obtained on admission shows an expanding hematoma adjacent to the liver, which was measured approximately 17 x 17 x 9 cm in size. she was taken to the or on by dr , who performed an exlap and evacuation of old hematoma with approximately 2.5 liters of old blood evacuated from the abdomen. there was no evidence of active extravasation. a liver biopsy was also obtained at the time of this surgery. the biopsy results were consistent with mild acute cellular rejection. prograf levels were increased and no other treatment was done. on the patient was noted to have increasing shortness of breath and chest xray revealed large right pleural effusion collapsing the lower half of the right lung and shifting the mediastinum to the left> although this finding was relatively stable from previous chest xrays, her symptoms warranted a pleural aspiration. 1.4 liters of fluid were aspirated from the right hemithorax, she tolerated the procedure without complication. symptoms have since improved, however the right pleural effusion has remained consistent in size. she does not have an oxygen requirement. on the patient developed significant nausea with vomiting and complaint of chest tightness. ck/troponins were negative, however despite not having fever, blood cultures were obtained and grew out vanco resistant enterococcus and e coli. she was initially started on zosyn but was switched to ceftriaxone and dapto once the sensitivities were returned. further surveillance cultures after the 6th have all been negative to date. regarding the patients acute kidney injury, her last hemodialysis session was . the creatinine has improved to 1.5 by day of discharge. the dialysis line has been removed, edema is minimal. patient has also been noted to have a very weak voice, since time of transplant. she initially underwent video stroboscopy which showed a complete immobility of the right vocal cord.in office attempt was made to inject the vocal cord, however the patient was unable to tolerate and on she went to the or for microsuspension laryngoscopy with operating microscope; right vocal fold injection with radiesse voice gel. afetr some voice rest, her voice has become stronger. she was evaluated by speech and swallow after the procedure with a video swallow study, and there is still slight aspiration risk and she has been ordered for mechanical soft diet with thin liquids. this can be re-evaluated as appropriate. patient has a waxing/ but persistent complaint of nausea, relieved by zofran. she is ambulatory with a , continue tube feeds and has a picc line in place to complete antibiotic course. medications on admission: prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 2. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours). 3. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 4. insulin regular human 100 unit/ml solution sig: follow sliding scale units injection asdir (as directed). 5. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection (2 times a day). 6. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 7. ursodiol 250 mg tablet sig: one (1) tablet po tid (3 times a day). 8. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 9. valganciclovir 450 mg tablet sig: one (1) tablet po 2x/week (mo,th). 10. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 11. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. tacrolimus 5 mg capsule sig: one (1) capsule po q12h (every 12 hours). discharge medications: 1. insulin regular human 100 unit/ml solution sig: per sliding scale injection every six (6) hours. 2. fluconazole 40 mg/ml suspension for reconstitution sig: one (1) po q24h (every 24 hours). 3. b-complex with vitamin c tablet sig: one (1) tablet po daily (daily). 4. sulfamethoxazole-trimethoprim 200-40 mg/5 ml suspension sig: ten (10) ml po daily (daily). 5. acetaminophen 650 mg/20.3 ml solution sig: six y (650) mg po every eight (8) hours as needed for pain: maximum 2 grams daily. 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 7. prednisone 5 mg tablet sig: two (2) tablet po daily (daily): per transplant clinic taper . 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 9. mycophenolate mofetil 200 mg/ml suspension for reconstitution sig: five hundred (500) mg po tid (3 times a day). 10. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. tacrolimus 1 mg capsule sig: seven (7) capsule po q12h (every 12 hours). 13. ondansetron hcl (pf) 4 mg/2 ml solution sig: four (4) mg injection q8h (every 8 hours) as needed for nausea: may increase prn. 14. ceftriaxone in dextrose,iso-os 2 gram/50 ml piggyback sig: two (2) grams intravenous q24h (every 24 hours) for 10 days: through . 15. daptomycin 500 mg recon soln sig: three hundred (300) mg intravenous q24h (every 24 hours) for 12 days: through . discharge disposition: extended care facility: - discharge diagnosis: abdominal hematoma right vocal fold paralysis and dysphonia. bacteremia acute kidney injury; resolving (off hemodialysis) malnutrition discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid ( or cane). discharge instructions: please call the transplant clinic at if the patient develops fever > 101, chills, increased cough, nausea, vomiting, increased stool output in ostomy bag, lack of stool output, increased abdominal pain, inability to tolerate food, fluids or medications, incisional redness or drainage (staples have been removed) or any other concerning symptoms. patient should continue on twice weekly lab draws, every monday and thursday with results faxed to the transplant clinic at . continue tube feeds as ordered and see dietary restrictions. continue antibiotics via picc line no heavy lifting patient may shower, no tub baths or swimming followup instructions: provider: , md, phd: date/time: 9:40, medical office building, , , , ma provider: , md, phd: date/time: 10:20 procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances hemodialysis closed (percutaneous) [needle] biopsy of liver thoracentesis injection or infusion of other therapeutic or prophylactic substance laryngoscopy and other tracheoscopy laryngoscopy and other tracheoscopy reopening of recent laparotomy site peritoneal lavage injection of larynx central venous catheter placement with guidance diagnoses: end stage renal disease renal dialysis status unspecified pleural effusion long-term (current) use of steroids cirrhosis of liver without mention of alcohol unspecified protein-calorie malnutrition hematoma complicating a procedure sepsis other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure complications of transplanted liver surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation septicemia due to escherichia coli [e. coli] precipitous drop in hematocrit personal history of antineoplastic chemotherapy unilateral paralysis of vocal cords or larynx, partial dysphagia, oropharyngeal phase personal history of other diseases of digestive system attention to ileostomy acute kidney failure with other specified pathological lesion in kidney acquired absence of intestine (large) (small) complications affecting other specified body systems, not elsewhere classified chronic myeloid leukemia, in remission dysphonia 

Answer: The patient is high likely exposed to