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: past medical history: 1. liver transplant six years ago for hepatitis b and hepatitis c. the patient is followed at . 2. heroin abuse, on methadone maintenance. 3. diabetes mellitus. 4. recent community-acquired pneumonia with recent discharge from hospital for this pneumonia. 5. chronic renal insufficiency with a baseline of 2.1. 6. hypertension. allergies: the patient is allergic to aspirin, codeine. medications at home: 1. prednisone 7 mg p.o. q.d. 2. prograf 3 mg p.o. b.i.d. 3. prozac. 4. methadone 95 mg p.o. q.d. 5. nph 20 units at night, 20 in the morning. 6. regular insulin sliding scale. 7. norvasc 5 mg p.o. q.d. social history: the patient is a current smoker of one pack per day times 40 years. he does not currently drink alcohol but has a history of alcohol abuse. he denied current iv drug use, although he was a past heroin user. physical examination on admission: the patient was somnolent on admission. heent examination showed anicteric sclerae. the extraocular movements were intact. the neck was supple. the lungs were clear to auscultation anterolaterally. cardiovascular: no rubs, gallops, or murmurs, s1, s2. the abdomen revealed a well-healed scar from his liver transplant. his belly was soft, nontender, nondistended, with normoactive bowel sounds. the extremities showed no edema. the catheterization site was clean, dry, and intact with no bruit or hematoma. the pulses were 2+ dorsalis pedis bilaterally. neurologically, he was arousable but somnolent. results of the cardiac catheterization: cardiac output 3.42, cardiac index 1.7, right atrial pressure 5, right ventricle 37/2, wedge 18, pa pressure 31/16. mca was open. lad with proximal total occlusion. circumflex with minimally obstructive disease. rca 80% mid, no intervention at that time. a ptca and stent of the lad with timi-iii flow was achieved. laboratory data on admission: the white blood count was 12,000, hematocrit 32, platelets 178,000. pt 12.9, ptt 36.8, inr 1.1. sodium 136, potassium 5.3, chloride 105, bicarbonate 20, bun 41, creatinine 2.2, glucose 90, mb fraction 680 with ck of 2,751, troponin greater than 50, alt 86, ast 366, ldh 871, alkaline phosphatase 77, total bilirubin 0.8. the patient's u/a showed moderate blood, greater than 300 protein, 8 red cells, 3 white cells, 3 epithelials, moderate bacteria, and 500 glucose. the ekg on admission showed sinus tachycardia at 110, normal axis and intervals, q waves in v2 and v3, and st elevations in v2 through v5, 2 mm in v3 and v4. the chest x-ray on admission showed mild chf with left greater than right and normal mediastinum, question of retrocardiac infiltrate. hospital course: this is a 58-year-old male with a history of liver transplant, hepatitis b, hepatitis c, heroin abuse who presents after having an anterior st elevation mi with q waves on presentation, now status post angioplasty and stent of the lad with current rca 80% stenosis without intervention. 1. cardiac: a. cad: this is a diabetic male with two vessel coronary artery disease. his rca was not revascularized during his cardiac catheterization. he had a lad distal coronary dissection. this was without tamponade or perforation. he will likely need a cabg for his revascularization considering he is a diabetic male with two vessel disease. he has been continued on his plavix, dipyridamole for his aspirin allergy, beta blocker, and statin. his hematocrit goal is above 30 with his history of cad and anemia. pump: the patient's ef was 30% status post his anterior mi. he was initially given one dose of lasix on admission with no urine output. the patient later diuresed well to 120 of lasix and was maintained with even ins and outs since then this admission. he currently has no symptoms of heart failure at this time. ep: the patient has no current ep issues. blood pressure: the patient's blood pressure has been stable for this admission and has not required pressors. his blood pressure was at the low normal range of 100 systolic on admission and there was a question whether he had adrenal insufficiency with his history of being on prednisone. a cosyntropin stimulation test was done and he was found to have borderline adrenal insufficiency, however, no stress-dose steroids were prescribed at this time because of his large anterior mi and risk of perforation with steroids. 2. pulmonary/id: the patient initially had a large oxygen requirement, requiring a nonrebreather mask on his initial night of admission. his oxygen requirement was multifactorial with a component of his pneumonia, likely copd, and as later seen on his ct scan, severe atelectasis at his bilateral bases. his pulmonary status improved well after antibiotics, nebulizers, and aggressive pulmonary toilet, incentive spirometry, and getting out of bed. the patient had a small left pleural effusion that was small enough that it was not tapped. he is currently on room air and saturating at 95%. he will continue his levaquin for four more days to complete a ten day course. 3. renal: the patient has a history of chronic renal insufficiency with a creatinine bump from 2 to 3 status post cardiac catheterization. his creatinine is now stable at 3. he likely had some contrast nephropathy this admission. continue to follow his renal function, although he is making good urine at this time. 4. gastrointestinal: the patient is status post liver transplant. he is being followed by the hepatology service. his fk trough was initially high and his dose decreased from 3 to 2 b.i.d. a fk trough level on this dose is pending at this time. he has no other signs or symptoms referable to his liver disease and his lfts have been normalized at this time. 5. hematology: the patient had anemia on admission. he was initially transfused 1 unit to bring his hematocrit above 30. after this, he had a central line placed and overnight the cap of one of the parts came off and he oozed and lost about 1 to 2 units of blood. he was transfused for this as well with an appropriate hematocrit bump. he has had one stool guaiaced and this has been guaiac negative. his hemolysis laboratories are also negative. we will transfuse him to keep his hematocrit above 30 and continue to guaiac his stools. likely his anemia is of chronic disease and some blood loss. he is also on heparin. this is for his anterior wall motion abnormality and low ef. he will continue this until he goes to ct surgery. 6. endocrine: the patient had a borderline abnormal cosyntropin stim test but will not get stress dose steroids unless hypotensive because of the risk of perforation of his large anterior mi. he is currently on nph 15 at night and 20 in the a.m. and insulin sliding scale for his history of diabetes. he has had volatile blood sugars ranging anywhere from 50-400 during this admission and continued to adjust his insulin regimen p.r.n. 7. fluids, electrolytes, and nutrition: mr. had multiple episodes of hyperkalemia on first presentation with his new increase in his creatinine and decreased urine output. these responded well to kayexalate and he had no ekg changes at this time. the goal is to keep him even; intake equals out-take for the remainder of this admission. he is currently on a renal/diabetic diet. 8. tubes/slides/and drains: mr. has poor iv access and a right ij was placed in order to gain good access. this was done on . 9. prophylaxis: maintaining on a bowel regimen with protonix and the patient is out of bed to chair. a speech and swallow was done to evaluate him for question of aspiration as a contribution to his pneumonia and this was found to be negative for aspiration. medications at the time of dictation: 1. heparin gtt at 1,250 units an hour. 2. albuterol, ipratropium nebulizers. 3. methadone 95 mg p.o. q.d. 4. prednisone 7 mg p.o. q.d. 5. tacrolimus 2 mg p.o. b.i.d. 6. dipyridamole 75 mg p.o. q.i.d. 7. atorvostatin 20 mg p.o. q.d. 8. metoprolol 25 mg p.o. b.i.d. 9. pantoprazole 40 mg p.o. q.d. 10. levofloxacin 250 mg p.o. q.d, day number six of ten. 11. plavix 75 mg p.o. q.d. 12. nph 15 at night, 20 in the morning. 13. insulin sliding scale. 14. isordil 10 mg p.o. t.i.d. the rest of the hospital course will be dictated at a later date. dr., 12-abz dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube other surgical occlusion of vessels, lower limb arteries incision of vessel, lower limb arteries other laparotomy diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) acute myocardial infarction of other anterior wall, initial episode of care hematoma complicating a procedure accidental puncture or laceration during a procedure, not elsewhere classified pulmonary collapse primary pulmonary hypertension 

Answer: The patient is high likely exposed to