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: this is a 44-year-old-female with end-stage liver disease and transjugular intrahepatic portosystemic shunt who presents with two to three days of dyspnea on minimal exertion. she has also noticed increasing abdominal girth, increasing pain, bilateral leg pain (left greater than right), and worsening problems keeping her balance. she fell once in her living room yesterday. she denied head trauma or other significant trauma. no chest pain. no urinary symptoms. she has a chronic cough. she denies recent medication indiscretion of illicit drugs. she has never had similar symptoms before except the dyspnea which she had last when she had a pleural effusion. past medical history: 1. end-stage liver disease secondary to alcohol abuse and herpes c virus. 2. status post transjugular intrahepatic portosystemic shunt. 3. type 2 diabetes mellitus; poor compliance with maintaining good glycemic control and frequent episodes of hyperglycemia. 4. asthma. 5. hypertension. 6. pancytopenia. 7. status post total abdominal hysterectomy. 8. tuberculosis that was treated. 9. history of pancreatitis. 10. history of suicide attempts; her psychiatrist is dr. at comprehensive. allergies: tylenol and aspirin. medications on admission: lithium 300 mg p.o. b.i.d., thiamine 100 mg p.o. q.d., trazodone 100 mg p.o. q.h.s. p.r.n., humalog sliding-scale, albuterol meter-dosed inhaler p.r.n., 40 meq p.o. q.d., atenolol 25 mg p.o. q.d., lactulose 30 cc p.o. t.i.d., celexa 10 mg p.o. q.d., lasix 40 mg p.o. b.i.d., seroquel 25 mg p.o. t.i.d. p.r.n. (but she has not been taking this), iron gluconate 320 mg p.o. q.d., insulin 75/25 65 units subcutaneous q.a.m. and 30 units subcutaneous q.p.m. (at dinner time), flovent 110 mcg inhaler 4 puffs inhaled b.i.d., protonix 40 mg p.o. q.d., spironolactone 100 mg p.o. q.d., tessalon perles 100 mg p.o. q.i.d. p.r.n. social history: she was born in and emigrated to the united states at the age of eight. she has been married twice. her first husband died. second husband she divorced. she has three children ages 26, 23, and 21; all are in legal trouble. she has been sober for six months. she has a history of cocaine and alcohol abuse. she lives with her son and her son's wife who are both helping care for her. she has a history of several suicide attempts; most recently last month. family history: alcoholism, bipolar disorder, and diabetes run in her family. physical examination on presentation: vital signs revealed a temperature of 98.6, blood pressure of 124/82, pulse of 88, respiratory rate of 22, oxygen saturation of 98% on 2 liters. in general, she was alert, in no acute distress, lying in bed. head, eyes, ears, nose, and throat revealed peripheral. extraocular movements were intact. sclerae were anicteric. the oropharynx was clear. mucous membranes were moist. the neck was supple. shotty cervical lymphadenopathy. pulmonary revealed decreased breath sounds on the right hemithorax and decreased fremitus on the right hemithorax. the left hemithorax was essentially clear to auscultation. cardiovascular revealed normal first heart sound and second heart sound. a regular rate and rhythm. a 2/6 systolic murmur heard at the left sternal border. the abdomen was distended, diffusely tender, with positive bowel sounds. no rebound or guarding. the rectal examination was occult-blood negative in the emergency room. the skin was with no rash. extremities revealed left lower extremity and right lower extremity were diffusely tenderness to palpation, left greater than right. neurologically, she was alert and oriented times three. cranial nerves ii through xii were intact. deep tendon reflexes were 2+ at the knees and ankles, biceps, and brachioradialis. there was no asterixis, and she was not confused. pertinent laboratory data on presentation: laboratories on admission revealed chem-7 with a sodium of 136, potassium of 4.2, chloride of 104, bicarbonate of 24, blood urea nitrogen of 6, creatinine of 0.6, blood glucose of 228. the alt was 40, ast was 89, alkaline phosphatase was 142, total bilirubin was 2.6. pt was 15.2, ptt was 33.4, inr was 1.6. amylase of 53 and lipase of 144. complete blood count revealed a white blood cell count of 3.3 (which is her baseline), hematocrit of 37.8, platelets of 41 (which is her baseline). the differential revealed 49% neutrophils, 40% lymphocytes, 6% monocytes, 3% eosinophils). radiology/imaging: a chest x-ray showed increased size of the right-sided effusion. there were loculated components of the effusion in the upper lung. there was complete right lung collapse. abdominal ultrasound revealed flow in the left portal vein was reversed from what it should be, status post transjugular intrahepatic portosystemic shunt. there was increased stent stenosis compared to prior doppler performed in . electrocardiogram showed nonspecific inferior st-t changes. there was no change from ; otherwise, she was in normal sinus rhythm. impression: this is a 44-year-old-female with end-stage liver disease and transjugular intrahepatic portosystemic shunt who presented with increasing dyspnea on exertion, abdominal pain, and increased abdominal girth. the patient had transjugular intrahepatic portosystemic shunt stenosis seen on ultrasound. this caused ascites and tracking of the ascites fluid into the pleural space, and her enlarging effusion was responsible for her pulmonary symptoms. hospital course: the pleural service was initially consulted to address the issue of her pleural effusion. the pleural service felt that a thoracentesis would not be indicated initially until the shunt stenosis was fixed because the effusion would otherwise accumulate very rapidly after a tap. therefore, the liver service was consulted who agreed that she needed a transjugular intrahepatic portosystemic shunt revision. the interventional radiology service was consulted, and after receiving a transfusion of one bag of platelets, the patient was taken to interventional radiology where she underwent transjugular intrahepatic portosystemic shunt extension. unfortunately, after the transjugular intrahepatic portosystemic shunt revision, the patient could not be extubated due to her pleural effusion so she was briefly admitted the medical intensive care unit. there, she underwent thoracentesis with greater than 2 liters of fluid taken off. following this procedure, she was extubated without complications, and she was transferred back to the general medicine service. a post procedure ultrasound showed functioning transjugular intrahepatic portosystemic shunt, and the patient had complete resolution of her dyspnea and abdominal pain. her abdominal girth was decreasing for the last two days of admission. she had some right upper quadrant pain status post procedure that was almost certainly due to the stent, and this pain responded well to ultram. we continued her outpatient cardiac regimen as well as her outpatient diabetes regimen. we also continued lithium, trazodone q.h.s. p.r.n., and celexa. she did not request seroquel, so this was not given. her inhalers were also continued. discharge status: discharge status was to home with . condition at discharge: condition on discharge was good. medications on discharge: 1. albuterol meter-dosed inhaler 2 puffs q.i.d. p.r.n. for wheezes. 2. atenolol 25 mg p.o. q.d. 3. iron gluconate 320 mg p.o. q.d. 4. flovent 110-mcg inhaler 4 puffs inhaled b.i.d. 5. lithium 300 mg p.o. b.i.d. 6. 40 meq p.o. q.d. 7. lactulose 30 cc p.o. t.i.d. 8. protonix 40 mg p.o. q.d. 9. spironolactone 100 mg p.o. b.i.d. 10. tessalon perles 100 mg p.o. q.i.d. p.r.n. for cough. 11. thiamine 100 mg p.o. q.d. 12. trazodone 100 mg p.o. q.h.s. p.r.n. for insomnia. 13. celexa 10 mg p.o. q.d. 14. seroquel 25 mg p.o. t.i.d. p.r.n. for anxiety. 15. furosemide 40 mg p.o. b.i.d. 16. nph insulin/humalog 75/25 65 units subcutaneous q.a.m. and 30 units subcutaneous q.p.m. discharge followup: follow-up appointments were scheduled with her primary care physician (dr. at the for and with her hepatologist (dr. on . discharge diagnoses: 1. transjugular intrahepatic portosystemic shunt stenosis. 2. pleural effusion. 3. ascites. 4. type 2 diabetes mellitus. 5. asthma. 6. hypertension. 7. depression. , m.d. dictated by: medquist36 procedure: 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) diagnoses: chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver portal hypertension mechanical complication of other vascular device, implant, and graft 

Answer: The patient is high likely exposed to