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: sulfasalazine / tape "x10yd / lactose / optiray 350 attending: chief complaint: esld major surgical or invasive procedure: liver transplant4/29/11 exploratory laparotomy, takedown jejunojejunostomy and liver biopsy history of present illness: 40 yom who was seen this morning for reposition of his nj tube which had 'fallen out.' his laboratory values at that time happened to notice that his bilirubin and creatinine were acutely elevated. he was referred to the ed for further work up. per report from the ed, when he arrived he was hypotensive and minimally repsonsive. he was immediately placed on dopamine and gievne normal saline boluses. he was then consented for and a right sided central venous access was obtained via internal jugular vein. he stabilized and at that point transplant surgery was consulted approximately 2.5 hours after admission to the ed. when i arrived to see this patient, he was awake, alert and in no apparent distress. he complained only of suprapubic pain. he was jaundiced and lethargic. he denies fevers or chills. he denies dysuria or decreased frequency or volume. he denies abnormal bowel movements. he denies changes in mental status (confirmed by his family) and denies vision changes or dizziness. no acute musculoskeletal weakness or instability although he is cachectic and has difficulty ambulating at times. past medical history: 1. ulcerative colitis s/p subtotal cholectomy 2. primary sclerosing cholangitis 3. esophageal varices s/p banding social history: he is single and heterosexual; he is currently not working and is on disability. he lives at home with parents. no alcohol or drugs. family history: his father has disease. there is no known family history of colon cancer. he does not smoke cigarettes or use nsaids. he is not certain whether stress makes his condition worse. both parents are well. he has no siblings. physical exam: afebrile, vss aao x3, nad, depressed affect rrr no mrg appreciated cta soft, protuberant, mild to moderate supraumbilical pain, scar c/w prior surgery. jp drain in place to splenic bed + 1 edema of le's pertinent results: on admission: wbc-17.1*# rbc-3.74*# hgb-13.4*# hct-40.1# mcv-107*# mch-35.8* mchc-33.3 rdw-21.1* plt ct-244# pt-24.2* inr(pt)-2.3* urean-157* creat-6.0*# na-135 k-5.4* cl-100 hco3-9* angap-31* glucose-84 alt-286* ast-285* alkphos-217* totbili-50.0* albumin-3.0* calcium-7.8* phos-10.6*# mg-2.6 hbsag-negative hbsab-positive hbcab-negative at discharge wbc-10.5 rbc-3.19* hgb-9.9* hct-29.9* mcv-94 mch-31.1 mchc-33.2 rdw-18.2* plt ct-868* pt-12.1 ptt-22.2 inr(pt)-1.0 glucose-96 urean-39* creat-0.8 na-139 k-4.6 cl-108 hco3-24 angap-12 alt-29 ast-24 alkphos-107 totbili-0.4 albumin-2.6* calcium-8.4 phos-4.6* mg-1.8 tacrofk-9.1 brief hospital course: 40 yom with liver failure secondary to psc cirrhosis was admitted to the transplant service under dr. . he was started on ivf resuscitation. vanc and zosyn were started for broad coverage after pan-culturing. : admitted to sicu. h bedside r-sided thoracentesis for 1l fluid. repleted calcium. guaiac positive. he was sent to the sicu on for management of acidosis and hyperkalemia. hd line placed was placed and cvvh started. bp was low requiring levo, vasopressin and dobutamine-->weaned to levophed and dobutamine overnight. increased large right and new small left pleural effusions, with new multifocal pneumonia and continued right lower lobe collapse was seen on cxr . on a r chest tube was placed by ip with large outputs (4.5l). vancomycin was started for gpcs in pleural fluid.pleural fluid culture was negative. cvvhd continued. he did have a positive blood culture on isolating vre. antibiotics were adjusted and subsequent blood cultures remained negative. on a donor liver was available. a tte was done showing mildly dilated la and ra. lv wall thickness, cavity size and regional/global systolic function normal (lvef 75%). rv chamber size & free wall motion normal. av leaflets (3) structurally normal w/good leaflet excursion--no stenosis or regurge. mv leaflets mildly thickened & myxomatous & borderline/mild post leaflet mv prolapse. borderline pa systolic htn. no pericardial effusion. liver transplant was cancelled for positive blood cultures. he was treated with daptomycin ()] then was cleared for liver transplant. on , a liver donor offer was available. on he underwent liver transplant with splenectomy given b incompatible status (patient blood type o). he received one pheresis treatment prior to or. intraop, 3 jps were placed (2 around the liver) and 1 in the splenic bed. surgeon was . please refer to operative notes for details. postop hepatic duplex revealed patent hepatic vasculature. however, there was slight reversal of flow in diastole and then absence of flow in end diastole. a small subhepatic collection seen inferior to the left lobe of the liver postop, he was sent to the sicu for management and required many blood products per protocol to keep hemodynamically stable. daily anti b antibodies were check daily for 2 weeks. he did not require additional pheresis treatments. he experinnced increasing depression with psychotic features including hallucinations and delusions of people intending to harm him. pt. transferred to sicu for mangagement and monitoring. he still required multiple transfusions. on , an abdominal ct was done for continued drop in hct despite numerous blood transfusion and blood products. no active extravasation was identified. hyperdense bowel contents, incl. along the hepaticojejunostomy limb suggestive of bleeding was noted. thrombosis of right portal vein was noted. delayed and decreased renal parenchymal enhancement, compatible with arf he then underwent ct angio without bleeding source seen. on , a bleeding scan was performed noting acute gi bleeding from splenic flexure. on , he required take back to the or for revision of the j-j anastomosis for bleeding after significant bloody stools and decrease in hct from 38-->15.7 over 36 hours. on , ruq us showed occlusive thrombus seen within the right anterior and right posterior portal veins. hepatopetal flow was seen within the main and left portal veins. the hepatic arteries, hepatic veins, and ivc were patent. postop, he was doing well and had been started on a heparin gtt for his portal vein thrombosis. he was transferred to the floor . the thrombosis had resolved on us, but his heparin drip was continued and he was started on coumadin . in the early am on , however, he was noted to have melena. his hct had dropped from 27-20, though he was hds. he was then transferred to the sicu, where he received 3u prbc and 2u ffp. hct stablized and he eventually transferred out of the sicu to the med unit. us showed resolution of pv clot neurologically/psychologically, he had metabolic encephalopathy and severe depression with paranoia and self-deprecating behavior. appetite was absent. psych saw the pt and he was given haldol for hallucinations, but he became flaccid and min responsive after receiving. haldol was discontinued. haldol and trazadone were held also for long qt (calculated on ecg ). a post pyloric feeding tube was placed on . brain mri on was notable hyperintensity within the basal ganglia extending into the superior mid brain. this was too focal for leukencephalopathy, rather it was c/w hepatic encephalopathy. on he was readmitted to the sicu for an episode of melena with a hct drop from 27-20. hds. gave 4u prbc, 2u ffp. placed aline. repeat duplex of liver was without clot. heparin drip and coumadin were stopped on for 2nd bleed and resolution of pv clot. ppi continued. dobhoff replaced on . tube feedings were adjusted. most recently for hyperkalemia. hyperkalemia was treated with kayexalate once then with standing lasix and florinef. psyche recommended starting remeron and ritalin . mental status improved with brighter affect and near resolution of paranoia. pt recommended rehab for significant deconditioning. l arm became swollen. this was evaluated with us noting a non- occlusive thrombus in left subclavian and occlusive thrombus in left basilic. patient was to be discharged to rehab on , immediately prior to discharge the patient had a fall, discharge was cancelled. head ct was performed and negative for fracture or intracranial process. hip, arm and leg x-rays were also obtained and negative for fracture. the patient felt fine overnight and was cleared for discharge to rehab the following day. tube feeds still running, clips have been removed from incision, splenic drain remains in place. medications on admission: ciprofloxacin 500', ergocalciferol 50,000 q week, furosemide (held), loperamide 2"", nadolol 20', nystatin qid, omeprazole 20', mephyton 5', spironolactone (hold), ursodiol 600", calcium carbonate-vitamin d3 600 mg-400 unit tablet", ferrousul 325", magnesium oxide 400', multivitamin', vitamin a 8000 tiw discharge medications: 1. insulin regular human 100 unit/ml solution sig: follow printed sliding scale injection asdir (as directed). 2. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) ml injection tid (3 times a day). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 6. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 7. prednisone 5 mg tablet sig: 3.5 tablets po daily (daily): see printed taper schedule. 8. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours). 9. methylphenidate 5 mg tablet sig: one (1) tablet po bid (2 times a day): give at 7am and 1200 noon . 10. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 11. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily) as needed for hyperkalemia: for hyperkalemia. 12. furosemide 20 mg tablet sig: 0.5 tablet po daily (daily) as needed for hyperkalemia: for hyperkalemia prevention. 13. tacrolimus 0.5 mg capsule sig: three (3) capsule po q12h (every 12 hours): give at 6pm and 6am must have trough level on monday and thursdays do not adjust dose without checking with transplant. 14. dextrose 50% 12.5 gm iv prn hypoglycemia protocol 15. outpatient lab work every monday and thursday cbc,chem 10, ast, alt, alk phos, t.bili, albumin, trough prograf level and ua fax results to transplant office discharge disposition: extended care facility: discharge diagnosis: uc/psc esld s/p liver transplant depression/paranoia j-j anastomosis bleed at splenic flexure left subclavian non-occlusive thrombus, occlusive left basilic thrombus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. withdrawn at times/flat affect activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you will be transferring to rehab in please call the transplant office if you experience the following fever, chills, nausea, vomiting,inability to take any of your medications, jaundice, increased abdominal pain, abdominal distension, incision redness/bleeding/drainage, feeding tube clogs followup instructions: provider: , md phone: date/time: 1:40 provider: , md phone: date/time: 1:20 provider: , md phone: date/time: 1:00 procedure: insertion of intercostal catheter for drainage hemodialysis thoracentesis other transplant of liver arteriography of other intra-abdominal arteries arteriography of other intra-abdominal arteries total splenectomy therapeutic plasmapheresis open biopsy of liver revision of anastomosis of small intestine other operations on lacrimal gland transplant from cadaver central venous catheter placement with guidance diagnoses: acidosis hyperpotassemia acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified acute and subacute necrosis of liver hepatorenal syndrome portal hypertension unspecified fall hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other shock without mention of trauma bacteremia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus other ascites streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] hepatic encephalopathy ulcerative colitis, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding cholangitis delusional disorder nutritional marasmus biliary cirrhosis spontaneous bacterial peritonitis portal vein thrombosis major depressive affective disorder, single episode, severe, without mention of psychotic behavior acute venous embolism and thrombosis of deep veins of upper extremity acute venous embolism and thrombosis of subclavian veins other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to