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: patient recorded as having no known allergies to drugs attending: chief complaint: end stage liver disease secondary to hbv/hcv major surgical or invasive procedure: liver transplant history of present illness: pt is a 30m with hemophilia a, hiv, hcv, hbv, and cirrhosis with portal hypertension, varices, and recurrent ascites who was admitted on for a liver transplant. for the past 6 months he has required therapeutic paracentesis q1-2 weeks. last tap on for 5 liters. past medical history: 1. hiv: since age 7, secondary to transfusions. cd4 nadir 163 in as noncompliant w/ haart, developed resistance. last cd4 was 222 in on haart. 2. hemophilia: c/b hemarthrosis, bone cysts, joint destruction, narcotic dependence, s/p left knee synovectomy 3. cirrhosis, pursuing liver transplant - hepatitis b - hepatitis c - known to have portal hypertension with esophageal varices and gastropathy noted in . - worsening liver function thought secondary to exacerbation of hiv resistant to lamivudine, with change in meds to atazanavir, ritonavir, and truvada - admission for hepatic encephalopathy at the end of 4. hbv/hcv as above 5. pseudotumor with a bone graft and tendon shortening in l arm 6. chronic pain, narcotic dependence 7. nephrolithiasis 8. status post mva 9. splenic hematoma 10. lle cellulitis- s/p surgery at 11. history of narcotic dependence 12. depression social history: h/o etoh abuse in distant past, no h/o dts or withdrawal, several drinks only in last 7 years. also hx of ivdu (heroin) several yrs ago - has not used in a few years. patient born and raised in . parents divorced when he was a child. infected with hiv at age 7. not working - has worked in the past doing aids education at schools. lives at the embassy health rehab. family history: mother - premenopausal breast cancer, mild hypertension father - hypertension, lymphedema (?) maternal uncle - has hemophilia a several cousins - hemophilia a four half-siblings in good health physical exam: temp - 100.1f, pulse - 98, bp - 118/68, 98% ra, 94.3kg general - nad heent - eomi b/l, perrla b/l, scleral icterus present, no thrush neck - no lad, no bruits lungs - coarse lll cv - rrr, 3/6 systolic murmur abd - ascites present, nt, nd, +bs ext - 3+ b/l edema skin - jaundice neuro - aa&o x 3 pertinent results: on admission: na - 127, k - 4.6, cl - 100, co3 - 21, bun - 18, cr - 0.7, gluc - 119 wbc - 5.1, hct - 26.7, plat - 95 pt - 29, ptt - 88.3 inr - 3.0 ast - 126, alt - 48, ap - 216, tbil - 3.6, alb - 2.3 cxr - l base haziness, possible atelectasis ekg - sr, no ectopy brief hospital course: pt is a 29m admitted on for liver transplant. pt was give 50 units/kg factor viii prior to procedure and 20 units/kg q12hours postoperatively. in addition hbig was given intraop as well as postop. procedure went without incidence and pt was transfered to the sicu, intubated in stable condition. please see op note for details. post-operatively factor viii level was 92. duplex ultrasound of the liver on pod 0 showed normal hepatic artery and portal vein flow. on pod 1 pt began having significantly increased bloody output from the jp and his hematocrit decreased from 30 to 25. however, the decision was made not to reexplore the pt. and to continue the factor viii replacement. over the next two days the jp output decreased with continued factor viii replacement and his hematocrit stablized after transfusion with 2units prbcs. on pod 2 pt was extubated without difficulty and on pod 3 pt was restarted on his home hiv meds of kaletra, tenofovir, and emtricitabine. on pod 4 pt was transfered to the floor and his diet was advanced. while on the floor pt was noted to become bradycardic to a hr in the low 40s, with the lowest being 28. pt. remained asymptomatic through the bradycardic events. he was seen by cardiology who felt that the episodes were physiologic sinus bradycardia and were not concerned given the lack of symptoms. cardiology recommended pt wear of hearts montior as an outpatient and would follow up with him in the clinic. on pod 6, , the pt recieved his second dose of tacrolimus 0.5mg which were being dosed based on levels secondary to interaction with his hiv medications. after recieving the tacrolimus the pt. was noted to have a seizure episode resoliving after minutes. stat ct was negative for a bleed and the patient was transferred to the icu. at that time it was noted that his mg was slightly low (1.6) and this was repleted. at this time his remeron was stopped because of its ability to lower seizure threshold. he was started on keppra which was later stopped as the patient had no further seizure episodes, a negative mri, and a negative eeg. at that time it was felt that the seizure was most likely due to tacrolimus toxicity. on pt was noted to complain of significantly increased pain and had elevated liver enzymes. a ct was done which showed only a small hematoma and significantly dilated loops of bowel. at that time it was felt that the pain was secondary to constipation and the elevated liver enzymes were a result of dehydration. with an aggressive bowel regimen the pt. had a bowel movement and reported significant improvement in pain. pt had no further acute episodes and was discharged back to his facility on , pod 17. medications on admission: spironolactone 50mg qday lasix 40mg qday atazanavir 300mg qday mirtazapine 12 qhs tenofovir 300 qday emtricitabine 200 qday ritonavir 100 qday reglan 10 qid clotrimazole 10 qid ranitidine 150 qday hydromorphone 16 q3-4 hours oxycontine 140mg q8 hours lactulose 30ml ferrous sulfat 325 qday quinine discharge medications: 1. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) ml po daily (daily). 2. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 3. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 4. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime). 5. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 6. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). 7. emtricitabine 200 mg capsule sig: one (1) capsule po q24h (every 24 hours). 8. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 9. lopinavir-ritonavir 200-50 mg tablet sig: two (2) tablet po bid (2 times a day). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. prograf 0.5 mg capsule sig: dose to be adjusted by transplant office based on levels capsule po per transplant office: check with rn at transplant office for dose . 12. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 13. lactulose 10 g/15 ml syrup sig: fifteen (15) ml po tid (3 times a day). 14. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 16. dulcolax 10 mg suppository sig: one (1) rectal qday prn as needed for constipation. 17. hydromorphone 4 mg tablet sig: one (1) tablet po q2h (every 2 hours) as needed. 18. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 19. tramadol 50 mg tablet sig: one (1) tablet po qid (4 times a day). 20. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 21. oxycodone 160 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po q8h (every 8 hours). 22. oxycodone 10 mg tablet sustained release 12hr sig: one (1) tablet sustained release 12hr po every eight (8) hours. 23. tacrolimus - pt is to follow up with the transplant clinic for fk levels and dosing per levels. discharge disposition: extended care facility: - discharge diagnosis: s/p liver transplant hcv hbv hiv hemophilia bradycardia,resolved discharge condition: stable discharge instructions: call transplant office for: * fevers/chills * nausea/vomiting * inability to take medication * increased abdominal pain * decreased urine output * any bleeding * redness/swelling/drainage from wound . take all your medications as instructed. do not restart home medications unless instructed. . labs every monday and thursday for cbc, chem 10, calcium, phos, ast, tbili, amylase, lipase, u/a, prograf trough. fax results to . attn: followup instructions: provider: , md phone: date/time: 10:40 call dr. (cardiologist)( to schedule follow up in 1 month otherwise , at 1020 located 7 on the : echo lab testing phone: date/time: 11:00 provider: , md phone: date/time: 10:00 call dr. to schedule a follow-up appt to discuss pain medications ( procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances other transplant of liver transfusion of packed cells transfusion of platelets transfusion of coagulation factors other operations on lacrimal gland transplant from cadaver diagnoses: acute posthemorrhagic anemia acute and subacute necrosis of liver portal hypertension unspecified viral hepatitis c without hepatic coma other convulsions human immunodeficiency virus [hiv] disease opioid type dependence, continuous constipation, unspecified other specified cardiac dysrhythmias antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use dehydration disorders of magnesium metabolism viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta congenital factor viii disorder pain in joint, multiple sites 

Answer: The patient is high likely exposed to