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: zanaflex attending: chief complaint: chief complaint: hypotension post-tips revision, after transfer from osh () with shortness of breath, refractory ascites major surgical or invasive procedure: tips revision, paracentesis x 2 history of present illness: history of present illness ms. is a 58 yo woman with a history of hcv cirrhosis s/p tips who presents with increased abdominal distension. . she previously had refractory ascites in early , and underwent placement of tips for this reason. she was then doing well and was without significant ascites on aldactone. lasix was added for some edema. subsequently her ascites continued to worsen. she was getting therapeutic paracentesis with removal of l each time every two weeks. us showed increased velocity in the tips. . she was recently admitted to with increasing sob, received 60 mg lasix underwent removal of 10 l of ascitic fluid, with resolution of sob. creatinine at that time on admission was 1.8. she had an ultrasound with doppler showing increased flow in the tips. . she was doing well until when she presented for routine labs and was found to have renal failure beyond her baseline (creatinine 2.0 elevated from recent b/l 1.5) and hyperkalemia to 5.4 with peaked t waves. she received kayexalate, insulin, bicarb, d50 and was admitted. diuretics were held. because of concern for tips occlusion, she was transferred to for possible revision. . on acceptance to the medicine team, she complains of epigastric pain, worse with lying and accompanied by a sour taste. she denies fevers, chills, change in bowel movements or blood in bm (baseline 4 bm/day on lactulose). also no chest pain or shortness of breath. no urinary symptoms. . upon admission to , plan was to proceed with tips revision. the day of admission to the micu, she underwent tips revision and had a 6l paracentesis. intraoperatively you way hypotensive to sbp 70s, treated with 1l 5% albumin and neo gtt without complication. , pt again became hypotensive to the 70s, asymmptomatic and resolve with 50g 25% albumin and 500cc ns. in total in , pt received 1400cc ns, 800cc bicarb/d5w and 200cc of 25% albumin. ebl 147ml. . upon transfer to micu, patient confirms story as above. states she's had some mild abdominal pain. . past medical history: past medical history: # esld secondary to hcv cirrhosis - hep c dxed , unknown exposure: no hx transfusion, ivdu, tatoo placed after hep c diagnosis - genotype ia, treated with multiple courses of interferon unsuccessfully - bx stage 3-4 fibrosis - hx encephalopathy, - grade 3 varices banded . no history of variceal bleeding. + history of hemorrhoidal bleeding. - hx refractory ascites, s/p tips , revised after presenting with recurrent ascites - on transplant list # renal insufficiency, baseline creatinine 1.5 per osh records but previously has bumped to >2 # diastolic chf # asthma # depression # anxiety # gerd # iddm # seizure disorder # hypertension # osa # refractory nausea - controlled with reglan - ? gastroparesis # s/p ccy # h/o asthma - stable # pancytopenia - related to esld . social history: from and visited recently. ? past h/o ivdu. denies tobacco, etoh, or current recreational drug use. family history: family history: no family history of liver disease physical exam: admission pe: t 96.1 89, 100/58, 23, 99/ra gen: no apparent distress, appears well heent/neck: could not visualize jvp, supple, oropharynx clear, sclera anicteric cor: regular, 2/6 systolic murmur heard best at the left upper sternal border pulm: lungs clear bilaterally except fine bibasilar crackles posteriorly abd: distended, soft, nontender. + shifting dullness. no rebound, no guarding. ext: trace pitting edema bilaterally, warm neuro: a&o x 3, appropriate, coherent historian, no asterixis. pertinent results: ekg : normal sinus rhythm at 87 bpm. normal axis, normal intervals. no evidence of ischemia. . admission labs: 03:40am blood wbc-4.3 rbc-2.91* hgb-10.3* hct-28.5* mcv-98 mch-35.6* mchc-36.2* rdw-14.1 plt ct-88* 03:40am blood neuts-72.3* lymphs-15.6* monos-8.4 eos-3.2 baso-0.6 03:40am blood pt-14.6* ptt-32.8 inr(pt)-1.3* 03:40am blood plt ct-88* 03:40am blood glucose-173* urean-35* creat-1.7* na-126* k-4.2 cl-95* hco3-25 angap-10 03:40am blood alt-24 ast-39 ld(ldh)-246 alkphos-393* totbili-4.9* 03:40am blood albumin-2.2* calcium-7.5* phos-3.8 mg-2.1 . labs prior to discharge: 06:15am blood wbc-2.7* rbc-2.43* hgb-9.1* hct-23.8* mcv-98 mch-37.3* mchc-38.0* rdw-14.5 plt ct-66* 06:15am blood glucose-125* urean-35* creat-1.5* na-129* k-4.1 cl-97 hco3-25 angap-11 06:15am blood alt-17 ast-33 alkphos-229* totbili-5.4* . micro: urine culture (final ): mixed bacterial flora ( >= 3 colony types), consistent with skin and/or genital contamination. . radographic studies: . liver or gallbladder us (to evaluate tips) impression: 1. patent tips with velocities of 100 to 180 cm/s. 2. there is a lack of wall-to-wall flow in the mid to distal tips, suggestive of neo-intimal hyperplasia. 3. interval increase in the amount of ascites since the prior exam. 4. splenomegaly. brief hospital course: a 57 yo woman with hcv cirrhosis s/p tips is transferred from osh with refractory ascites for consideration of tips revision. . # ascites: the patient had large ascites on exam but was not uncomfortable. last therapeutic tap had been . ultrasound showed lack of wall-to-wall flow in the mid to distal tips, suggestive of neo-intimal hyperplasia. given the history of apparent improvement in ascites after placement and subsequently after revision of tips, she underwent tips revision with 10 mm balloon and improved flow. follow-up us two days later showed patent tips. paracentesis of 6 l was done at the time of revision, and an additional 11.25 liters were taken off two days later, with albumin replacement each time. diuretics were held for elevated creatinine. ppi was continued for reflux symptoms likely secondary to ascites. . # hypotension: intraoperatively while under general anesthesia, patient was hypotensive with sbp 70s. this continued in the post-operatively. initial hypotension likely related to anesthesia and fluid shift from large volume paracentesis. she was transferred briefly to the micu, where blood pressure returned to baseline sbp 90s with ivf and albumin. . # acute renal failure: creatinine at osh was increased from baseline 1.5 to 2.0. on admission, creatinine was 1.7. diuretics were held. urinary sodium was <10, consistent with prerenal vs hrs. she was given albumin at the time of paracentesis, and creatinine trended down to 1.5 prior to discharge. she was discharged off all diuretics with plans for lab tests in 3 days to monitor kidney function given that she had large volume paracentesis on the day of discharge. . # uti: she had had a recent e coli treated with bactrim at an outside hospital. ua and cultures here were negative. . # hyponatremia: sodium was near baseline. she was asymptomatic. . # dm: lantus was continued at home dose; she was given regular insulin as needed. . # pancytopenia: hematocrit and platelets were at baseline. . # depression/anxiety. mirtazapine and trazadone were continued. . # seizure disorder: carbamazepine was continued. . medications on admission: - potassium 20meq po daily - spironolactone 200mg po daily - lactulose 30ml po qid, titrated to bm daily - rifaximin 400 mg po tid - metoclopramide 10mg qachs - lasix 40mg daily - clotrimazole - levaquin 250mg daily (for e. coli uti, subseq r to levoflox) - protonix 40mg daily - mirtazapine 15mg po hs - lantus 26 units subq - carbamazepine 200 mg qam, 400 mg qpm - ibuprofen prn pain - folic acid 1mg daily - dulcolax 1 tablet po q12h discharge medications: 1. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po qid (4 times a day). 2. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day). 3. metoclopramide 10 mg tablet sig: one (1) tablet po qid (4 times a day) as needed for nausea. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 6. lantus 26 units qhs 7. carbamazepine 200 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 8. carbamazepine 200 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 10. clotrimazole 10 mg troche sig: one (1) troche mucous membrane qid (4 times a day) as needed. 11. outpatient lab work please do chemistry panel including creatinine, cbc, and lfts. please fax results to: attn: dr. . discharge disposition: home discharge diagnosis: primary: cirrhosis secondary: renal insufficiency, diastolic congestive heart failure, type 2 diabetes discharge condition: stable discharge instructions: you were admitted to the hospital because you needed to have your tips revised. you had the tips revised and fluid taken out of your abdomen. the following medications were changed in the hospital: spironolactone, lasix, levaquin, and potassium were stopped . please have your labs checked next monday, with the attached prescription. . please call your doctor or return to the hospital if you have chest pain or shortnes of breath, increasing abdominal girth, fevers and chills, or other symptoms that are concerning to you. followup instructions: please have your labs checked on monday, with the attached prescription. . you will need to have follow-up tips surveillance in weeks. dr. can arrange this. . you have an appointment for an ultrasound and then at the clinic: ultrasound phone: date/time: 1:45 transplant clinic phone: date/time: 3:20 procedure: angioplasty of other non-coronary vessel(s) percutaneous abdominal drainage procedure on single vessel diagnoses: hyperpotassemia other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified asthma, unspecified type, unspecified chronic kidney disease, unspecified dysthymic disorder long-term (current) use of insulin other complications due to other vascular device, implant, and graft epilepsy, unspecified, without mention of intractable epilepsy other ascites surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to