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: elevated lfts post liver major surgical or invasive procedure: ercp drain and staple removal history of present illness: 63-y.o. male s/p olt on for hcc in segment vi in the setting of etoh cirrhosis and portal hypertension was discharged home post-op on and returns with elevated lfts as measured as an outpatient on , tbili 2.0 (0.9 on ) and ap 310 (131 on ). he feels well and has no complaints. past medical history: type 2 diabetes, htn, etoh, segment vi hepatoma s/p rfa orthotopic liver social history: stopped etoh 6 years ago. no smoking. no illicit drug use. lives with his friend . family history: non-contributory physical exam: vs: 97.7 p: 83 bp: 134/72 rr: 16 o2sat: 100% on ra general: awake, alert, nad heent: ncat, eomi, perrla, anicteric heart: rrr, nmrg lungs: ctab, normal excursion, no respiratory distress abdomen: soft, nt, nd, no mass, no hernia, well-healed subcostal incision c/d/i with staples in place, r abdominal drain with serosanguinous fluid (draining ~400 ml daily) pelvis: deferred neuro: strength intact/symmetric, sensation intact/symmetric extremities: wwp, no cce, no tenderness, 2+ b radial skin: no rashes/lesions/ulcers pyschiatric: normal judgment/insight, normal memory, normal mood/affect pertinent results: on admission: wbc-10.4 rbc-4.25* hgb-13.7* hct-39.1* mcv-92 mch-32.1* mchc-34.9 rdw-15.5 plt ct-224# pt-12.9 ptt-20.5* inr(pt)-1.1 glucose-172* urean-17 creat-1.0 na-137 k-4.6 cl-102 hco3-30 angap-10 alt-321* ast-102* alkphos-345* totbili-1.1 albumin-3.5 calcium-8.7 phos-3.9 mg-1.6 tacrofk-11.6 at discharge: wbc-8.6 rbc-3.95* hgb-12.5* hct-35.8* mcv-91 mch-31.5 mchc-34.8 rdw-15.4 plt ct-192 glucose-72 urean-16 creat-0.9 na-137 k-4.1 cl-103 hco3-27 angap-11 alt-188* ast-57* alkphos-255* totbili-0.8 calcium-8.2* phos-4.8* mg-1.4* tacrofk-18.2 brief hospital course: 63 y/o male 10 days post op from liver who has been discharged home and is found to have elevated lfts on outpatient labs. on admission a liver ultrasound was performed showing a normal-appearing liver without evidence of intra- or extra-hepatic biliary dilatation or perihepatic fluid collections. there is patent and directionally appropriate portal and hepatic venous systems with normal-appearing hepatic arterial waveforms. he is noted to have an enlarged spleen and no ascites. it appears on admission labs that he is dehydrated with elevated hct and he rceivd volume resuscitation. the lfts started to trend down, however, an ercp was arranged and on he underwent the procedure. findings included a normal appearing biliary anastomosis. the recipient bile duct appeared mildly dilated at approximately 9mm, the donor bile duct appeared normal with an approximately 7mm diameter but the intrahepatic biliary tree appeared unremarkable. there were no filling defects noted and it was concluded there were no findings to explain patient's recent lft elevations. he was kept hospitalized overnight after the ercp, lab values were continuing to trend down and he was discharged to home. was reconsulted to aid in blood sugar management and the patient was discharged to home with a new sliding scale. immunosuppression was monitored by prograf levels and cellcept and prednisone were kept at home dose. elevated prograf level on day of discharge was felt to be due to late dosing following ercp. levels to be checked per protocol upon discharge. the aptient is ambulating and tolerating diet. medications on admission: fluconazole 400 mg q24h, prednisone 20 mg daily with taper, docusate sodium 100 mg , sulfamethoxazole-trimethoprim 400-80 mg daily, metoprolol tartrate 12.5 mg , valganciclovir 900 mg daily, omeprazole 20 mg daily, mycophenolate mofetil 1000 mg , oxycodone 5-10 mg q4h prn pain, tacrolimus 2.5 mg insulin glargine 25 units sc qhs, humalog sc per sliding scale discharge medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 2. prednisone 20 mg tablet sig: one (1) tablet po daily (daily): continue taper per clinic schedule. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 5. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 8. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 9. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 10. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itch/red skin. 11. insulin glargine 100 unit/ml solution sig: twenty two (22) units subcutaneous once a day. 12. insulin lispro 100 unit/ml solution sig: per sliding scale subcutaneous four times a day: please follow new scale from . 13. tacrolimus 1 mg capsule, twice daily sig: three (3) capsule, twice daily po q12h (every 12 hours). discharge disposition: home with service facility: discharge diagnosis: elevated lfts s/p liver ; discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: partners has been arranged to assist you at home. please call the clinic at for fever, chills, nausea, vomiting, diarrhea, constipation, increased abdominal pain, incisional redness, drainage or bleeding, inability to take or keep down food, fluids or medications or any other concerning symptoms. you will continue to have labwork every monday and thursday per clinic schedule no heavy lifting no driving if taking narcotic pain medication you may shower, pat incision dry and leave open to air monitor blood pressures, daily weight and write down all results including blood sugars and bring with you to clinic followup instructions: , md phone: date/time: 1:10 , center (nhb) phone: date/time: 1:25 , md phone: date/time: 1:40 diabetes appointment: (. please call to verify appointment time for follow up visit procedure: other transplant of liver endoscopic retrograde cholangiopancreatography [ercp] other operations on lacrimal gland transplant from cadaver diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver portal hypertension malignant neoplasm of liver, primary other abnormal blood chemistry 

Answer: The patient is high likely exposed to