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: history of present illness: the patient is a 68 year old male with a history of alcoholic cirrhosis and hepatocellular carcinoma. cirrhosis discovered after episode of esophageal varices bleeding approximately five years ago. asymptomatic until two years ago when he had another episode of bleeding. in he was noted to have a 4 cm mass in the liver which was an hepatocellular carcinoma. had radiofrequency ablation . presents today for liver transplant. past medical history: alcoholic cirrhosis, hepatocellular carcinoma, esophageal varices with bleeding, history of tuberculosis approximately 18 years ago. mild hypertension, coronary artery disease, status post coronary artery bypass graft 13 years ago. past surgical history: coronary artery bypass graft one vessel and hernia repair. medications on admission: aspirin 81 mg q day, isosorbide 50 mg q day, propranolol 40 mg b.i.d., spironolactone 25 mg q day, folic acid 400 mg q day, iron 325 mg b.i.d. fish oil 2 grams b.i.d. allergies: penicillin. social history: widowed, high school teacher in . two children. drank greater than 12 beers per day for 30 years but he quit some years ago. review of systems: no cough, sore throat, upper respiratory illness. no change in appetite or weight. no change in bowel or bladder habits. physical examination: the patient has a heart rate of 60, temperature 96.1, blood pressure 140/70, breathing 18, pulse oximetry 98 percent on room air. general: in no acute distress. awake, alert, friendly, conversant. head, eyes, ears, nose and throat: normocephalic, atraumatic. extraocular movements are full. cardiovascular: regular rate and rhythm. negative murmur, rub or gallop. distant sounds. pulmonary: clear to auscultation bilaterally. chest midline, coronary artery bypass graft scar upper chest. abdomen soft, nontender, not distended, no masses, no rebound or guarding. extremities: no edema, warm, well perfused. dorsalis pedis and posterior tibial 1 plus bilaterally right leg with scar from vein harvesting. laboratory data: wbc of 10., hematocrit of 29.4, pt of 16.8, ptt of 150 and platelets of 70. patient has a sodium of 141, 3.2, 107, 26, bun/creatinine of 17/0.9. alt on the 28th was 61, ast 361, total bilirubin 1.8, direct bilirubin 0.6. patient had an electrocardiogram demonstrating sinus bradycardia, 56 with questionable first degree av block. slipped t waves in v6. chest x-ray showed no acute cardiopulmonary disease. hospital course: the patient was admitted to transplant surgery, given mmf, 20 mg times 1, solu-medrol 1,000 mg times one, fluconazole 400 mg times 1, vancomycin 1,000 mg times 1, levaquin 500 mg times 1. patient was typed and crossed. patient went to the operating room on and transplant was performed by dr. and dr. with no complications. patient went to the intensive care unit still intubated, sedated. on patient had a transplant doppler ultrasound postoperatively and report demonstrated liver texture appears normal. no focal hepatic or perihepatic masses seen. portal vein appears normal and patent. inferior vena cava is patent as well as the main hepatic vein and conclusion was normal liver, normal vasculature. patient had a chest x-ray on for placement of right internal jugular and that demonstrated that the right internal jugular was in the superior vena cava and no pneumothorax. density at the right base may represent some pleural fluid. left upper lung opacity consistent with prior tuberculosis. patient was doing well on postoperative day two. doing well. pain well controlled. no nausea or vomiting. tolerating clears. patient was still continuing solu-medrol taper, cyclosporin and mmf. patient was out of bed on and transferred here to the floor. medial on , put out 65, lateral 70 and t tube 393. physical therapy was consulted. patient was out of bed. tacrolimus levels were closely monitored. on t tube cholangiogram was performed demonstrating that there is rapid inflow drainage into the small bowel, some reflux into the hepatic ducts. a second canalicular structure next to the distal bile duct must likely represent the remnant of the cystic duct. on the patient t tube was capped. patient was placed on cyclosporin drip to increase the cyclosporin level. his platelets were decreased slightly to 99. he continued to do well, urinating and ambulating without difficulty. on he was continued on bactrim, fluconazole and ganciclovir. his propranolol was held which is a medication that he takes at home because his heart rate was in the low 50s. electrocardiogram was performed demonstrating no st changes. patient is possibly going home on if patient does well overnight. patient should call transplant service immediately at if any fevers, chills, nausea, vomiting, inability to take medications, jaundice or lethargy. patient should have his dry sterile gauze to capped t tube every day, observe the site for redness, drainage or pus. to follow the patient. glucose monitoring and logs every monday and thursday with results faxed to transplant office at . he has an appointment with dr. on at 11:40 and also an appointment on at 10:30 a.m., at 10:40 and again patient should get laboratory work every monday and thursday which includes the cbc, chem-10, ast, alt, alkaline phosphatase, albumin, total bilirubin and cyclosporin level. patient is being discharged on the following medications: fluconazole 400 q 24 hours, aspirin 81 mg q day, cyclosporin 300 and 300 q 12 and it will be adjusted per transplant coordinators if needed, ferrous sulfate 325 mg q day. patient is going to go home on ganciclovir 400 q 24 hours, heparin 5,000 units subcutaneously t.i.d. patient is going to home on mmf 1,000 b.i.d., percocet 1 to 2 p.o. q 4 hours prn, protonix 40 q 24, guaifenesin 20 mg q day and bactrim ssi 1 tablet p.o. q day. patient should follow up with his cardiologist because medications have been held due to a low heart rate. otherwise patient will be discharged to home with . final diagnosis: alcohol related cirrhosis with hepatocellular carcinoma. , procedure: other transplant of liver other operations on lacrimal gland transplant from cadaver diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension alcoholic cirrhosis of liver aortocoronary bypass status malignant neoplasm of liver, primary 

Answer: The patient is high likely exposed to