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: prevacid *access: l 22g piv and r 20g piv, scheduled for picc in ir tomorrow but md's may place line tonight as iv says no more access and blood cannot be drawn @ this time. md's had to do an arterial stick this am for labs and that was very difficult. ** please see admit note/fhp for hx and admit info neuro: pt lethargic/sleeping, easily arousable, follows commands, oriented x3. no c/o pain, perrl 3mm/, . was receiving fent 100mcg ivp this am for comfort during procedure and prior d/t agitation, none since this am. ?encephalopathy, being treated w/ po lactulose, no lg amts of stool at this time, but ms has improved. cardiac: nsr/st w/o ectopy, hr 91-102, sbp 105-131, hct stable @ 32.1, inr 1.7, k was 3.4 this am, repleated w/ 60meq po (packets). no labs able to be drawn @ this time. md's may place line tonight, if not, he is on schedule in ir for picc placement. resp: started shift on psupp , 40%, after procedure in am pt awoke further after sedation for comfort and decided to do sbt and extubate, this has been successful to this point. remains on 2l nc. this shift, rr 12-17, o2sat 98-100, ls worsening over shift from clear to now coarse upper and diminished lower. cxr's have show consistant r pleural effusions. cta chest and liver done this am, awaiting results. gi/gu: npo, ngt in place for meds, no residual. +bs, stool in mushroom cath from early this am when placed, attempted to flush but no new stool, has standing and prn lactulose but md's may order pr lactulose. urine out foley yellow/clear, 30-710cc/hr w/ larger amts following 10mg iv lasix x1, responded well. later gave spironolactone x1 as well, waiting to see if pt responds, goal 500cc neg for 24h. fsbg 133, no coverage per riss, cont q4h checks d/t hx of dm type i. abd us to check tips that was done , cta liver to check for ascites and check liver status. yesterdays kub was neg. hepatology and transplant team following pt. id: temp 97.1-98.3, wbc 2.4, no signs of infection @ this time, cipro started prophylactically. psychosocial: son and daughter in to visit today, daughter is 25 and health care proxy. management is following. pt being worked up for liver transplant which may be done @ upenn as pt has been followed by them and on their list, has moved up since events in the last month. dispo: cont to monitor mental status (cont lactulose, may do pr lactulose), monitor resp status, continues to be followed by hepatology and transplant (here specifically for dr. ), picc to be placed in ir tomorrow or md's to place line overnight for blood draws, cont med regimen and abx, cont icu treatment at this time. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified angioplasty of other non-coronary vessel(s) thoracentesis insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: thrombocytopenia, unspecified anemia, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver hepatic encephalopathy 

Answer: The patient is high likely exposed to