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 58 year-old male with alcoholic cirrhosis, ascites refractory to therapy status post multiple failed (tips) requiring paracentesis. score of 20. last admission was to with shortness of breath, fatigue, status post tap at an outside hospital during admission was found to be clotted. chest tube was revised x2 during that hospital course. hypocoagulable work up performed which was unremarkable. he was treated for encephalopathy and hepatorenal syndrome. renal function improved. rectal bleeding occurred. a colonoscopy demonstrated polyp 1 cm and a polypectomy was done. internal hemorrhoid was treated with amatol. since admission he has done well. patient stable. paracentesis was last done on without complication. patient was without dyspnea on exertion. denies fevers, chills, rash, headache, dizziness, nausea, vomiting, abdominal pain or constipation. past medical history: alcoholic cirrhosis, refractory ascites, history of multiple paracentesis, umbilical hernia . rectal bleeding: colon polypectomy. transesophageal echocardiography was done with ejection fraction of 75%, hyperdynamic bubbles that likely represents arteriovenous malformation. tmibi which is normal. past surgical history: tips and tips revision and . allergies: percocet causes pruritus. medications on admission: aldactone 50 mg q day, lasix 20 mg q day, __________ 200 mg b.i.d., lactulose 15 cc p.o. p.r.n. for bowel movements, clotrimazole troches 5x a day, levaquin 500 mg q day, __________ 75 mg q day. physical examination: patient is afebrile, vital signs stable. weight 78.4. awake, alert, mild anxiety. wife is present. patient is in no acute distress. pupils equal, round, reactive to light. extraocular movements are full. scleral icterus. mouth: no thrush. teeth: upper and lower teeth poor dentition. neck: no jugular venous distension, no bruits. carotids 1+ bilaterally. lungs are clear. cardiovascular: regular rate and rhythm. normal s1, s2. abdomen: positive bowel sounds, nontender, severe ascites. reducible umbilical hernia. extremities: no clubbing, cyanosis, edema. neurologic: awake and alert, cranial nerves 2 through 12 intact. no asterixis. strength upper and lower extremities bilaterally. vascular: 1+ bilaterally, 2+ dorsalis pedis. reflexes are symmetric. rectal examination: hemorrhoid present, guaiac positive. hospital course: so patient was preopped for liver transplant. chest x-ray is clear. no infiltrates. electrocardiogram: sinus rhythm, no acute changes, poor r wave progression. patient was placed on antibiotics and seen for the operating room. solu-medrol and mmf were ordered. laboratories were obtained. wbc 9.4, hematocrit 38.2, inr 1.4. ast 60, alt 28, alkaline phosphatase 305, total bilirubin 0.2, sodium 123, 4.8, 101, 14, bun/creatinine 56/1.2. the patient went to the operating room on in which an orthotopic liver transplant, piggyback technique, common duct to common duct. no t tube portal vein to portal anastomosis and aortic conduit for arterial inflow performed by drs. and . please see detailed informed regarding operative note. postoperatively he went to the intensive care unit. patient received 2 units of packed blood red blood cells, 2 units of fresh frozen plasma. patient was placed on unasyn, incentive air, heparin, insulin, solu-medrol, mmf was given. postoperatively patient was in intensive care unit for 4 days. on laboratories were as follows: wbc of 13, hematocrit of 29.4, platelets 87, sodium 136, 4.1, 106, 24, 34, creatinine 0.8, glucose 117. ast is 468, alt 353, alkaline phosphatase 73, total bilirubin 1.1. ultrasound was done which demonstrated an unremarkable appearance of the transplanted liver with patency of the major hepatic portal veins and hepatic arteries. last day in intensive care unit was on . on patient had a ct of the chest because patient required increased oxygen demonstrating a widespread ground glass opacities with intralobular thickening "crazy-paving" pattern. considering its acute onset the major differential considerations are pulmonary edema, hemorrhage, atypical infection. radiologist: bilateral small to moderate amount of pleural effusions. post surgical changes in the upper abdomen, distended stomach with no nasogastric tube insertion. patient was placed on zosyn and vancomycin. patient received unasyn for 4 days, zosyn for 2 days and vancomycin for 2 days. patient was on ganciclovir for a total of 9 days, continued on fluconazole, heparin subcutaneously, morphine, protonix, bactrim, dilaudid and patient was on levaquin for 3 days. pulmonary medicine was consulted because of the finding on the ct of the chest. it was thought that patient was volume overloaded and recommended keeping the patient when .5 to 1.0 liters negative. infectious disease was also consulted for pulmonary infiltrate. after diuresing chest x-ray was obtained on demonstrating that this previous pulmonary edema has been markedly improved. there is probably a small right pleural effusion. pulmonary had felt that the findings on the chest x-ray was most likely related to congestive heart failure rather than atypical infection and that at that point they would not recommend a bronchoscopy. on another chest x-ray was obtained demonstrating resolving pulmonary edema, small bilateral effusions. patient was saturating well making good ins and outs. on , postoperative day 6, hospital day 7 prescription was written for prednisone 20, mmf 1 gram b.i.d. afebrile, vital signs stable. making good ins and outs. urine output was 1425. with recent lateral drained . levaquin was stopped per infectious disease. patient was out of bed, ambulating well, eating well. on laboratories were the following: wbc 9.7, hematocrit 27.9, 61, 137, 4.6, 106, 25. bun/creatinine 41/1.2, glucose 94, ast 31, alt 77, alkaline phosphatase 100, total bilirubin 0.4, inr is 0.9. patient's level on was 12.2. patient was receiving 4 and 4. on patient continued to do well, was saturating well, afebrile, vital signs stable. so on patient was discharged home on the following medications: fluconazole 400 mg q day, prednisone 20 mg q day, bactrim ss 1 tablet q day, protonix 40 mg q day, mmf 1,000 mg b.i.d., tacrolimus 400 mg b.i.d., dilaudid 1 to 2 tablets q 3 to 4 hours p.r.n., potassium 900 mg q day. patient did not need any services. patient has appointments with dr. for the following dates: at 10:40 a.m., at 11:40 a.m., at 11:20 a.m. the patient was instructed to call transplant surgery immediately at for any fevers, chills, nausea, vomiting, abdominal pain and to call immediately if he is unable to drink or having difficulty with urination or if there is any increased redness of the incision or any discharge or edema. patient was to have laboratories every monday and thursday in which a cbc, chem- 10, ast, alt, alkaline phosphatase, albumin, total bilirubin and prograf level are to be drain. results should be faxed immediately to the transplant service. final diagnosis: alcoholic cirrhosis, status post liver transplant . secondary diagnosis: congestive heart failure. , procedure: other transplant of liver other operations on lacrimal gland transplant from cadaver diagnoses: congestive heart failure, unspecified alcoholic cirrhosis of liver 

Answer: The patient is high likely exposed to