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: penicillins / iodine; iodine containing / carbamazepine attending: chief complaint: abdominal pain major surgical or invasive procedure: none history of present illness: 61m formerly listed on liver-kidney list and recently (yesterday) discharged from after being treated for suspected norovirus that triggered seizure and required assisted ventilation. notes continued abdominal pain x 6d, presents to the ed, and a ct non-contrast of the abdomen demonstrates splenic hematoma subcapsular and intraparenchymal. unable to obtain contrast ct due to adverse affect noted (pruritus). hemodynamically stable, luq fullness appreciated, sequelae of liver disease and kidney disease noted. catheter in place. no fevers, chills, nausea, no more diarrhea noted. past medical history: - multiple pulm infiltrates on ct scan concerning for malignancy. - esrd on hd idiopathic glomerulonephritis - liver failure secondary to hepatitis c - epilepsy - this began in childhood with generalized tonic-clonic seizures. his usual seizure is nonconvulsive and characterized by confusion, disorientation. he was admitted in and for a seizure that presented with confusion. he is followed closely by neurologist dr. , for seizure prevention takes lamictal 250 mg , keppra 375 mg plus an additional 250 mg after each hemodialysis session, dilantin 200 mg . - coagulase negative staph bacteremia secondary to hd line sepsis - history of chf now with transesophogeal in showing normal left ventricular function. - hypertension - vre - septic arthritis of left shoulder - avnrt s/p ablation psh: - s/p two failed renal transplants - s/p arthroscopic debridement of l shoulder - synovectomy and tenotomy l shoulder, social history: lives at facility on mission called at ; the facility, per his son does not help him take medications or provide any other care besides ensuring that the patient has 3 meals per day and that he is accounted for on a daily basis. he is on disability, has two sons. smokes 1ppd x 40 yrs, no etoh, no drugs. family history: mother died of breast cancer. father has coronary artery disease and congestive heart failure, alive at yo. two sons are healthy. physical exam: tm 99.7 108 104/66 18 98ra nad lungs: ctab cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, distended, mild fluid shift, bowel sounds present , luq fullness and tenderness elicited, superficial venous distention ext: warm, well perfused, 2+ pulses, no edema, l subclavian tunnelled line c/d/i , scars and evidence of prior surgery pertinent results: 06:40am blood wbc-5.2 rbc-3.83* hgb-10.1* hct-30.9* mcv-81* mch-26.3* mchc-32.7 rdw-21.3* plt ct-149* 11:50am blood wbc-8.8# rbc-3.02* hgb-8.3* hct-24.5* mcv-81* mch-27.5 mchc-33.9 rdw-22.1* plt ct-246# 08:15pm blood hct-19.1* 11:50am blood plt ct-246# 04:56pm blood pt-12.7 ptt-26.0 inr(pt)-1.1 06:40am blood glucose-96 urean-26* creat-5.2*# na-139 k-3.9 cl-96 hco3-30 angap-17 11:50am blood alt-16 ast-51* alkphos-157* totbili-0.7 01:45am blood albumin-3.1* calcium-7.7* phos-6.5* mg-1.8 11:59am blood glucose-94 lactate-2.2* na-140 k-4.3 cl-92* calhco3-32* imaging: ruq u/s : 1. cirrhosis with diffuse ascites. marker placed over largest fluid pocket in the right lower quadrant. 2. new splenic lesion has a wide differential diagnosis, including infection, hemangioma, abscess, hematoma, and neoplasm. correlate clinically. ct a/p -c : 1. large perisplenic, subcaspular and intraparenchymal hematoma within the spleen. evaluation for active extravasation is limited due to lack of iv contrast. repeat imaging to confirm resolution of hematoma and exclude underlying splenic lesion is recommended. this could be done with ultrasound given the patient's renal failure and allergy to iodinated contrast. 2. cirrhosis with splenomegaly and moderate amount of ascites. 3. extensive calcifications. 4. atrophic, cystic native kidneys. calcified atrophic right lower quadrant renal . 5. diverticulosis without evidence of acute diverticulitis. 6. cholelithiasis. ct abd w/contrast (premedicated): unchanged intraparenchymal, subcapsular and perisplenic hematomas of the spleen without evidence of active extravasation. brief hospital course: patient was admitted with a large perisplenic, subcapsular and intraparenchymal hematoma within the spleen. on admission he was hemodynamically stable, but his hematocrit was clearly dropping from 30.9 the day before admission to 24.5 in the , a decision was made to admit the patient to the icu and premedicate him for a ct with contrast to rule out active extravasation. the ct with contrast did not see any active extravasation, but the hct kept dropping to 19.1 that night and multiple transfusions of prbc were necessary. serial hct were performed and were fairly stable after the initial transfusions on hd1. on hd2 the hct was maintained in the 29s without any further need for transfusions. he was advanced to a clear liquid diet and was transferred to the floor on hd3. he tolerated a regular diet, and hi abdominal pain was well controlled with po pain medications. his hct stayed in the 30s. on hd5 the hct was 35.4, had minimal abdominal pain and was feeling well. he was discharged to home with physical therapy at home to help him return to his baseline activity. he will continue his hd as usual monday, wednesday, and will follow-up as an outpatient with dr. in the clinic. medications on admission: clonidine patch 0.2', lamictal 250'', lansoprazole 30', lisinopril 40', nifedipine 60''', phenytoin xr 200'', rifaximin 200''', asa 81' discharge medications: 1. lisinopril 20 mg tablet : two (2) tablet po daily (daily). 2. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 3. lamotrigine 100 mg tablet : 2.5 tablets po bid (2 times a day). 4. levetiracetam 250 mg tablet : 1.5 tablets po bid (2 times a day). 5. phenytoin sodium extended 100 mg capsule : two (2) capsule po bid (2 times a day). 6. rifaximin 200 mg tablet : one (1) tablet po bid (2 times a day). 7. hydromorphone 2 mg tablet : one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 8. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 9. calcium carbonate 500 mg tablet, chewable : one (1) tablet, chewable po qid (4 times a day). 10. clonidine 0.2 mg/24 hr patch weekly : one (1) patch weekly transdermal qwed (every wednesday). 11. levetiracetam 250 mg tablet : one (1) tablet po prn (as needed) as needed for after . 12. nifedipine 30 mg tablet sustained release : two (2) tablet sustained release po q 8h (every 8 hours). discharge disposition: home with service facility: caregroup discharge diagnosis: splenic hematoma hepatitis c cirrhosis esrd on hemodialysis discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - requires assistance discharge instructions: please call your primary care physician or return to the emergency room if you develop chest pain, shortness of breath, increased abdominal pain, dizziness, weakness, nausea, vomniting, diarrhea, inability to take or keep down food, fluids or medications. continue your outpatient schedule continue all food, fluid restrictions and medications as recommended by your kidney doctor. call the access clinic at for problems with the catheter you should not shower with the catheter in place. followup instructions: , md phone: date/time: 9:30 , md phone: date/time: 9:00 please follow-up with dr. in the clinic. please call the office to schedule an appointment in 1 week. (as hemodialysis mwf, thursday is an appropiate day) procedure: hemodialysis diagnoses: end stage renal disease cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia unspecified viral hepatitis c without hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease calculus of gallbladder without mention of cholecystitis, without mention of obstruction accidents occurring in other specified places surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney diverticulosis of colon (without mention of hemorrhage) hemoperitoneum (nontraumatic) other diseases of spleen generalized nonconvulsive epilepsy, without mention of intractable epilepsy 

Answer: The patient is high likely exposed to