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: ceftriaxone / vancomycin attending: chief complaint: hypotension major surgical or invasive procedure: : diagnostic paracentesis : -intestinal tube placement : cardiac cath : intestinal tube placement : intestinal tube placement orthotopic liver transplant : intestinal tube reposition history of present illness: 63 yo female with etoh cirrhosis on the transplant list who was just discharged recently from the hepatorenal service with noted acute kidney injury that had resolved. over the last 2 days, she has made minimal amounts urine, and called her hepatologist who had her direct admitted to . upon arrival, the patient was noted to have sbps in the low 80s, lowest bp was 72/42. despite 2 liters of saline, she was still 78/46. the patient's creatinine was noted to be 4.0, and hyperkalemic with k of 5.5 without ecg changes. kayexalate was also given prior to transfer. of note, patient's inr is 2.7. type and cross was ordered prior to transfer. . patient denies chest pain, fevers, chills. she does report some dyspnea, but states it is more from her distended abdomen. she denies any nausea or vomiting at this time. she has no other complaints. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: - alcoholic cirrhosis complicated by varices (grade ii), mild encephalopathy, ascites and coagulopathy. - alcohol abuse for 30 years. quit on . - iron deficiency anemia - gerd - basal cell carcinoma status post excision - intrapyloric duodenal mass status post eus and egd with biopsy - liver transplant social history: lives with her husband. alcohol or tobacco. denies illicit drug use, including ivdu. family history: father died of alcohol-related disease physical exam: vitals: t: bp: p: r: 18 o2: general: alert, oriented, no acute distress heent: sclera icteric, mmm, oropharynx clear neck: supple, jvp approx 8 cm, no lad lungs: bibasilar crackles, no rhonci or wheezes cv: regular rate and rhythm, normal s1 + s2, 2/6 systolic murmur at base abdomen: distended, + fluid wave with dullness to percussion. nontender. hypoactive bowel sounds ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis 1+ edema ble pertinent results: labs on admission: wbc-11.0# rbc-2.97* hgb-9.7* hct-29.6* mcv-100* mch-32.5* plt ct-191 neuts-60.3 lymphs-14.3* monos-6.6 eos-18.5* baso-0.4 pt-27.9* ptt-58.6* inr(pt)-2.7* glucose-120* urean-71* creat-4.0*# na-131* k-5.5* cl-98 hco3-19* angap-20 alt-24 ast-35 ld(ldh)-310* alkphos-105 totbili-18.5* albumin-3.6 calcium-9.2 phos-5.8*# mg-3.2* urine eos-negative urine osmolal-322 urine hours-random creat-204 na-less than ascites wbc-0 rbc-310* polys-10* lymphs-74* monos-16* ascites albumin-<1.0 peritoneal fluid anaerobic bottle gram stain (final ): in pairs and chains in pairs and clusters. at diacharge: wbc-11.4* rbc-3.04* hgb-8.8* hct-26.9* mcv-89 mch-29.0 mchc-32.7 rdw-16.9* plt ct-183 pt-12.4 ptt-25.3 inr(pt)-1.0 glucose-108* urean-59* creat-1.4* na-130* k-5.2* cl-106 hco3-13* angap-16 alt-63* ast-16 alkphos-91 totbili-1.8* albumin-2.5* calcium-7.7* phos-3.8 mg-2.0 tacrofk-8.5 brief hospital course: in summary, this pt had a desquamative rash that preceded decreased urine output. she was admitted with hypotension and arf, treated for a night in the micu and transferred to the floor for management of hepatorenal syndrome with or without ain. after the arf resolved, she developed a lgib related to hemorrhoids that required 8 prbc and ffp as well as a surgical intervention in the micu. there, she developed another desquamative rash. she stabilized, was listed for a transplant, actually being called for a liver only to discover that the explant was not appropriate. . prior to transplant problem list was as follows:. # hypotension- per the patient, her baseline systolic pressure is in the 80s-90s. her hypotension likely likely related to dehdryation vs. hepatorenal syndrome. a dopper u/s of the abdomen showed sluggish flow in the portal system. while in the micu the patient continued to have low urine output. no episodes of hypotension while on the floor. . # arf- likely pre-renal vs. hepatorenal syndrome. the patient was bolused fluids as needed. renal ultrasound was normal and urine eos were negative but had persistent peripheral eosinophilia. all potential offending medications were witheld, and an octreotide drip with midodrine were started. her creatinine returned to baseline in roughly 7 days. . # gi bleed. patient was transferred to the micu on due to gastrointestinal bleeding. egd showed non-bleeding esophageal varices. a colonoscopy showed bleeding hemorroids, but they were unable to intervene upon them. given the degree of bleeding, the patient was intubated for airway protection in setting of large volume resucscitation. a cordis was placed. surgery performed an anoscopy and sutured the hemorroids and then placed rectal packing. in total she received 8 units of prbcs and 9 units of ffp while in the micu. her hct was stable. it took several days for her sedative medications (fentanyl and versed) to clear likely due to impaired hepatic metabolism, but she was ultimately extubated on . pt had no issues w/ bleeding while on the floor after transfer from micu. . # drug rash. patient developed a drug rash and low grade fever in setting of being started on ceftriaxone for sbp prophylaxis while in the micu. she also developed eosinophilia. drug rash, fever, and eosinophilia resolved with removal of ceftriaxone. the icu also used steroids. the rash returned when the pt was on the floor. this was either related to the use of vancomycin or the clearance of the steroids. derm was reconsulted, abx were switched to linezolid and triamcinolone creams used liberally. rash resolved after abx discontinuation and treatment (as per derm). . # coag negative staphyllococcemia - during the time that she re-desquamated on the floor, she was febrile. cultures were ordered and were positive for coag neg staph. her picc was pulled and she was started on linezolid given her potential sensitivity to vanc. pt remained afebrile, w/ no signs of infection while on the floor. she finished a 5 day course of linezolid. . # etoh cirrhosis- pt was taken to liver transplant on . . patient was taken to or with dr for liver transplant following visual and surgical inspection for gastric mass. at time of surgery, per dr note; "the liver was small, nodular and shrunken. there was about 8 liters of ascites and extensive varices throughout the peritoneal cavity. dissection and inspection of the stomach from the fundus to the pyloric area was done. nothing pathologic was identified. there did not appear to be any lesions identified by palpation of the pylorus and prepyloric area. there were no areas of external puckering or pathologicabnormality on the stomach to suggest ulcerated lesions, mass lesions or abnormality. based upon the patient's extensive portal hypertension and varices, performing a gastrotomy to try to visualize or to palpate a lesion that we could not palpate externally was not warranted and so that portion of the procedure was terminated and the liver transplant procedure moved forward. two drains were placed, one behind the right lobe, one behind the porta hepatis. the biliary anastomosis has a size mismatch. she received 20 units of rbcs, 24 units ffp, 3 bags of platelets and received 3500 cc plasmalyte the patient tolerated the surgery and was transferred to the sicu where she received and additional 2 units rbcs and 1 bag platelets. she was extubated on pod one and was called out to the floor on the evening of pod 1. she was restarted on tube feeds, which was eventually changed over to cycled tube feeds. she was started on po intake on pod 3 and the tube feeds were ramped up to goal. she has some abdominal pain when the tube feeds were cut to 14 hour cycle and the time was lengthened and volume decreased to evaluate her tolerance, however by time of discharge she returned to continuous tube feeds and was changed to a renal formula due to hyperkalemia the drain behind the liver continued with very high ascitic fluid output, 2-3 liters daily. the output was replaced initially, and then nearing time of discharge, fluid boluses were given several days in a row as her creatinine rose to 1.4 from a nadir of 1.0. this eventually settled out at 1.3. the drain was pulled on the day of discharge and a suture placed with good effect. she was seen by and will be discharged to home on insulin. teaching was done with patient and family. she was having reservations about doing her own insulin injections. pt evaluation found her to be safe for home with home pt and assistive devices which are being sent home with her. she was ambulating and was able to navigate the stairs with assist. she remained afebrile throughout the post transplant period. her liver function tests improved daily, and her weight stabilized, although she still had a small amount of peripheral edema and some ascites. medications on admission: ciprofloxacin 250 mg daily folic acid 1 mg tablet daily lactulose 30ml tid omeprazole 40 mg daily rifaximin 400 mg tid ursodiol 300 mg tid ferrous sulfate 325 mg daily thiamine hcl 100 mg daily zinc sulfate 220 mg daily vitamin k 100 mcg daily nadolol 20 daily discharge medications: 1. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po 1x/week (tu). disp:*4 capsule(s)* refills:*2* 2. valcyte 450 mg tablet sig: one (1) tablet po once a day. 3. triamcinolone acetonide 0.1 % cream sig: one (1) application topical four times a day. 4. tacrolimus 1 mg capsule sig: two (2) capsule po twice a day. 5. bactrim 80-400 mg tablet sig: one (1) tablet po once a day. 6. prednisone 5 mg tablet sig: four (4) tablet po once a day: follow transplant clinic taper. 7. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 8. cellcept mg tablet sig: two (2) tablet po twice a day. 9. morphine 15 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. fluconazole 200 mg tablet sig: two (2) tablet po once a day. 11. colace 100 mg capsule sig: one (1) capsule po twice a day. 12. insulin nph human recomb 100 unit/ml suspension sig: six (6) units subcutaneous once a day. 13. insulin lispro 100 unit/ml solution sig: per sliding scale subcutaneous four times a day: per sliding scale. discharge disposition: home with service facility: vna of upper discharge diagnosis: cirrhosis s/p liver transplant dm malnutrition discharge condition: good/stable discharge instructions: please call the transplant office if fever, chills, nausea, vomiting, inability to take any of your medications, jaundice, abdominal distension, malfunction of feeding tube or incision redness/bleeding/drainage labs every monday and thursday shower, but no tub baths/swimming no heavy lifting/straining followup instructions: , md phone: date/time: 2:20 , md phone: date/time: 1:40 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified other endoscopy of small intestine coronary arteriography using a single catheter enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances closed (percutaneous) [needle] biopsy of liver percutaneous abdominal drainage colonoscopy angiocardiography of right heart structures endoscopic insertion of stent (tube) into bile duct other transplant of liver right heart cardiac catheterization anoscopy injection or infusion of oxazolidinone class of antibiotics other operations on lacrimal gland transplant from cadaver other procedures on hemorrhoids diagnoses: hyperpotassemia acute kidney failure with lesion of tubular necrosis acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver acute kidney failure, unspecified hepatorenal syndrome unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia portal hypertension hematoma complicating a procedure other chronic pulmonary heart diseases acute respiratory failure bacteremia dermatitis due to drugs and medicines taken internally other ascites hepatic encephalopathy esophageal varices in diseases classified elsewhere, without mention of bleeding staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus other specified disorders of stomach and duodenum internal hemorrhoids with other complication liver replaced by transplant cholangitis obstruction of bile duct cephalosporin group causing adverse effects in therapeutic use alcohol abuse, in remission eosinophilia other specified erythematous conditions 

Answer: The patient is high likely exposed to