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: optiray 350 attending: chief complaint: hep c / cirrhosis here for orthotopic liver transplant major surgical or invasive procedure: : orthotopic liver transplant history of present illness: 51 year old male w/ chronic hep c infection and cirrhosis and solitary lesion in the dome of right liver which biopsy showed small cell dysplasia. he presents today for a liver transplant. he has not had any fevers, chills or night sweats. no diarrhea, nausea or vomiting. no urinary symptoms. no cough. no shortness of breath. past medical history: hepatitis c cirrhosis(liver bx which showed small cell dysplasia), hernia repair 20 years ago, hemorrhoid surgery. social history: he emigrated from viet nam in . he lives with his girlfriend and has smoked cigarettes for 35 years, about 0.5 packs per day. he is still smoking 10- 15 cigs per day. he previously drank alcohol and experimented with iv drugs, but alcohol or drug use for at least the past 5 years. family history: his father died of old age and his mother died from an injury. he has two brothers who died from alcohol and substance abuse. another brother has liver disease and underwent partial hepatic resection, while another brother had his gallbladder removed. two other brothers, a sister, and a daughter are alive and well. mr. any family history of blood diseases. physical exam: vs: t 97.4 hr 73 bp 132/93 rr 20 o2sat 94% ra general: nad, aaox3. heent: nc/at,and anicteric. neck is supple w/o lymphadenopathy. cv: regular rate and rhythm pulm: cta b/l abd:soft/nontender/distended/+bs. no splenomegaly. there is no guarding or rebound tenderness. ext: no peripheral edema pertinent results: on admission: wbc-7.5 rbc-5.77 hgb-18.2* hct-52.4* mcv-91 mch-31.5 mchc-34.7 rdw-13.3 plt ct-104* pt-12.4 ptt-33.6 inr(pt)-1.1 glucose-113* urean-13 creat-1.0 na-143 k-4.5 cl-106 hco3-27 angap-15 alt-20 ast-48* alkphos-128* totbili-0.9 albumin-4.1 calcium-9.6 phos-3.9 mg-2.0 at discharge: wbc-17.7* rbc-3.76* hgb-12.2* hct-33.9* mcv-90 mch-32.5* mchc-36.1* rdw-17.0* plt ct-243# glucose-75 urean-13 creat-0.8 na-137 k-4.1 cl-104 hco3-26 angap-11 alt-237* ast-41* alkphos-177* totbili-1.4 albumin-2.9* calcium-7.9* phos-3.4 mg-1.6 fk506-10.6 brief hospital course: 51 y/o male with hep c/ cirrhosis who presented for olt. the surgery was performed by dr . please see the operative note for surgical detail. patient received standard immunosuppression to include cellcept, solumedrol (with taper) and prograf started on pod 1. patient initially required insulin drip for glycemic control. he was extubated on pod 1 post op ultrasound showed: small fluid collection between right kidney and liver measuring 2 x 1 cm. limited evaluation for left hepatic vein and left portal vein. patent right and middle hepatic veins, main and right portal veins, and main and bilateral hepatic arteries. ct of the abdomen was performed on due to concern for hematoma and bleeding with sanguinous drainage in the drain jp bulb. this showed abnormal appearance at the junction of the hepatic artery and right hepatic artery, either due to thrombosis or arterial discontinuity with possible extravasation adjacent to the distal hepatic artery. there was also hematoma inferior to the right lobe of liver. cta was then performed finding: -disconnected right hepatic artery from the hepatic propria artery and left hepatic artery. the intrahepatic branches of the right hepatic artery are filled through the collaterals from the left lobe. the lateral drain was removed and the medial drain was continued to be monitored. slowly the drainage became less sanguinous. patient was taught to self-administer insulin. the drain was removed and a sutured placed over the incision on . he will be discharged home with follow up arranged. medications on admission: none discharge medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). disp:*60 tablet(s)* refills:*2* 2. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). disp:*20 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for 10 days. disp:*50 tablet(s)* refills:*0* 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 9. furosemide 20 mg tablet sig: 0.5 tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 11. tacrolimus 5 mg capsule sig: 0.5 capsule po q12h (every 12 hours) for 2 doses. disp:*30 capsule(s)* refills:*0* 12. insulin glargine 300 unit/3 ml insulin pen sig: six (6) units subcutaneous at bedtime. disp:*3 units* refills:*2* 13. insulin lispro 100 unit/ml insulin pen sig: per sliding scale per sliding scale subcutaneous four times a day: per sliding scale. disp:*3 units* refills:*2* 14. outpatient lab work you will need lab work done on monday and thursday of every week (cbc, chem 10, ast, alt, alk phos, albumin, t bili, prograf trough) discharge disposition: home with service facility: homecare discharge diagnosis: hep c/cirrhosis now s/p orthotopic liver transplant discharge condition: good discharge instructions: please call the transplant clinic at if you experience fever > 101, chills, nausea, vomiting, diarrhea, inability to take or keep down medications. you will need lab work done on monday and thursday of every week (cbc, chem 10, ast, alt, alk phos, albumin, t bili, prograf trough) monitor incision for redness, drainage or discharge. you may leave the incision open to air no heavy lifting you may shower. pat incision dry do not drive if taking narcotic pain medications please check blood sugars four times daily and follow sliding scale hiss below: breakfast lunch dinner bedtime humalog humalog humalog humalog glucose insulin insulin insulin insulin 71-80 0 units 0 units 0 units 0 units 81-120 2 units 2 units 2 units 0 units 121-160 5 units 5 units 5 units 0 units 161-200 8 units 8 units 8 units 0 units 201-240 11 units 11 units 11 units 2 units 241-280 14 units 14 units 14 units 4 units 281-320 17 units 17 units 17 units 6 units > 320 notify m.d. followup instructions: , transplant social work date/time: 10:00 , md phone: date/time: 10:30 , md phone: date/time: 8:00 please call your primary care physician to schedule an appointment to adjust your insulin sliding scale within the next week or two. if you would like an appointment with the clinic, please call ( md, procedure: venous catheterization, not elsewhere classified other transplant of liver arteriography of other intra-abdominal arteries transfusion of packed cells other operations on lacrimal gland transplant from cadaver diagnoses: tobacco use disorder other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use cirrhosis of liver without mention of alcohol other chronic hepatitis complications of transplanted liver polycythemia vera neoplasm of uncertain behavior of liver and biliary passages 

Answer: The patient is high likely exposed to