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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p tips major surgical or invasive procedure: tips procedure large volume paracentesis history of present illness: 58 yo man with decompensated possible nash cirrohosis, refractory ascites not able to be controlled by repeated paracentesis, electively admitted for tips by dr. . . post op vitals: 97.4 132/67 18 100 on 50% face mask post-op. . in pacu patient feels "groggy", but denies abdominal pain, no shortness of breath, no chest pain. vomitted x1 bilious liquid, no coffee grounds or blood noted. hct 20 (pre-op hct 25), platelets 73, k 3.0, cr 1.6, albumin 2.2, t bili 3.1. received ffp prior to procedure and 1.7 l fluid during procedure. past medical history: --cryptogenic cirrhosis diagnosed in (biopsy proven, thought secondary to non-alcoholic steatohepatitis), complicated by esophageal and periumbilical varices with hemorrhage x2, most recent in /; --recurrent ascites, requiring repeated paracentesis. --insulin-dependent diabetes mellitus --pancytopenia --?partial thrombosis of superior mesenteric vein diagnosed / social history: remarried. two biologic children. three step-children. four step-grandchildren. does not smoke, does not drink. he is a clerk at the local racetrack. family history: family history: no family history of liver disease physical exam: physical exam upon admission to floor (post-op) . 97.4 132/67 18 100 on 50% face mask general: nad, oriented x3, answers questions, but groggy, obese heent: no scleral icterus, + jaundiced, no spider angiomata on chest, tips jugular insertion site no bleeding/exudate neck: supple, no lad lungs: distant breath sounds bilaterally, no crackles, wheezes or rhonchi chest: rrr, normal s1/s2, no murmurs/rubs/gallops abdomen: morbidly obese, soft, non-tender, + umbilical hernia, +striae, +periumbilical varices, no gross gi bleeding, large amount of ascites rectal: no external visible hemorroids, +maroon stool, no masses, prostate non-tender scrotum: edematous, not tender, not warm, not erythematous extremities: 3+ pitting edema extending above knees bilaterally neuro: no asterixis, oriented x3, cn grossly intact, strength ue/le b/l, sensation intact. . physical exam upon discharge: . vs: general: nad, oriented x3 heent: no scleral icterus, + jaundiced, no spider angiomata on chest, tips jugular insertion site no bleeding/exudate neck: supple, no lad lungs: distant breath sounds bilaterally, no crackles, wheezes or rhonchi chest: rrr, normal s1/s2, 3/6 sem at all 4 auscultative positions, no rubs/gallops abdomen: morbidly obese, soft, non-tender, + umbilical hernia, +striae, +periumbilical varices, no gross gi bleeding, +ascites but improved scrotum: edematous, not tender, not warm, not erythematous extremities: 3+ pitting edema extending above knees bilaterally neuro: no asterixis, oriented x3, cn grossly intact, strength ue/le b/l, sensation intact. pertinent results: hematology: 09:05am blood wbc-1.7* rbc-2.66* hgb-9.0* hct-25.7* mcv-97 mch-33.7* mchc-34.9 rdw-16.6* plt ct-85*# 05:30pm blood wbc-1.6* rbc-2.06* hgb-6.9* hct-20.0* mcv-97 mch-33.6* mchc-34.6 rdw-16.5* plt ct-73* 05:55am blood wbc-3.5*# rbc-2.85*# hgb-9.4*# hct-26.7*# mcv-93 mch-33.0* mchc-35.3* rdw-17.4* plt ct-72* 03:20pm blood wbc-4.0 rbc-2.78* hgb-9.5* hct-26.8* mcv-96 mch-34.1* mchc-35.3* rdw-17.8* plt ct-81* 10:00pm blood hct-26.2* 04:04am blood hct-24.4* 05:50am blood wbc-3.2* rbc-2.41* hgb-8.2* hct-23.0* mcv-96 mch-34.2* mchc-35.7* rdw-17.9* plt ct-54* 05:55am blood neuts-81.9* lymphs-6.6* monos-8.4 eos-2.8 baso-0.4 . chemistries: 09:05am blood urean-46* creat-1.8* na-133 k-5.5* cl-97 hco3-28 angap-14 05:30pm blood glucose-116* urean-44* creat-1.6* na-131* k-3.0* cl-97 hco3-29 angap-8 05:55am blood glucose-130* urean-45* creat-1.6* na-136 k-3.8 cl-100 hco3-28 angap-12 03:20pm blood glucose-145* urean-45* creat-1.7* na-137 k-3.6 cl-101 hco3-27 angap-13 05:50am blood glucose-142* urean-48* creat-1.8* na-140 k-3.6 cl-104 hco3-28 angap-12 05:55am blood calcium-7.7* phos-4.7* mg-2.4 03:20pm blood calcium-7.8* phos-4.3 mg-2.4 05:50am blood calcium-7.8* phos-3.7 mg-2.4 . liver function tests: 09:05am blood alkphos-55 totbili-3.1* 05:55am blood alt-24 ast-61* alkphos-55 totbili-6.2* 05:50am blood alt-28 ast-65* alkphos-59 totbili-6.3* dirbili-pnd 05:30pm blood albumin-2.2* calcium-7.6* phos-4.2 mg-2.3 09:05am blood pt-16.2* inr(pt)-1.4* 05:30pm blood pt-18.0* inr(pt)-1.6* 05:55am blood pt-17.8* ptt-36.1* inr(pt)-1.6* 05:50am blood pt-18.2* ptt-35.9* inr(pt)-1.6* brief hospital course: is a 58 year old man with a history of cryptogenic cirrhosis most likely secondary to non-alcoholic steatohepatitis who was admitted for an elective tips procedure on for esophageal varices and history of refractory ascites. his course was complicated by hepatorenal syndrome and a micu stay. . #.hypotension: hypotensive to 80's/40's starting at 5:30 . a stat hct was checked and was 22 from 26. his inr had bumped to 3.3 from 1.9. he was given a unit of ffp and a unit of blood. sicu was notified at 7am. blood cultures, u/a, urine culture were all drawn. chest x-ray was done. he remained hypotensive, so we broadened his coverage with vancomycin (he was on zosyn and fluconazole). a repeat hct was drawn and found to be 20. his inr after the ffp was 3.4. he was given 1.5l of ns, 500cc of albumin, and 1 unit of blood and a second unit was being given. he had diagnostic paracentesis that was hemorrhagic bilaterally and negative for sbp. his pressures continued to remain in the 80's/40's despite fluid resuscitation. micu evaluated. concern for sepsis vs. intra-abdominal bleed from prior paracentesis. he was monitored closely and transferred to the sicu. he was afebrile and mentating well prior to transfer, though he was lethargic. . #.s/p tips: pt with nash cirrhosis, c/b esophageal variceal hemorrhage in distant past, refractory ascites, now s/p successful tips. his immediate post-tips hct was down to 20 from baseline 25; he received 2 units and had an appropriate response. the patient had a -10l paracentesis on and a -11l paracentesis on . albumin was repleted post procedures. . #altered mental status: mr. was transferred to the micu on for worsening mental status s/p tips; he had been on lactulose and rifaximin throughout his hospitalization without improvement. of note, this was thought to be encephalopathy s/p tips rather than infection, given that he was afebrile and on ceftriaxone for sbp prophylaxis. a diagnostic paracentesis on transfer to the micu was negative. for his altered mental status, he received several doses of haldol on the night of transfer to micu after a code purple was called for him. lactulose and rifaxamin were continued to goal bm 4x/day. was intubated for concern for worsening respiratory status for 2 days, and rij cnetral line and picc were placed, extubated on . after extubation, mental status improved with large stools lactulose. on return to the medicine floor her was a+ox3 and conversational. . #hepatorenal syndrome: mr. had worsening renal function in setting of his liver disease and was being treated with octreotide, midodrine and albumin. creatinine worsened during stay in the unit but had improved his on the floor and octreotide was stopped and his creatinine continued to improve to 1.2. on his creatinine increased to 1.4 and he was treated with 100g of albumin. of note, he was given fluids and nac prior to his ct-a as well as his heart catheterization. . #. transplant workup: pt initiated with transplant work-up on prior hospitalization, with much of his necessary bloodwork and testing already complete. triple phase liver scan showed cirrhosis and ascites. cardiac cath showed single vessel disease with a 45% occlusion, as well as moderate pulmonary hypertension. code status changed to dnr, but with family discussion for transplant, code status returned to full. . #. atrial fibrillation with rvr: patient had 3 episodes of afib with rvr- after tips and again the icu and finally on the floor transiently. he has no history of afib prior to hospitalization. required dilt drip in the micu, but was transitioned to diltiazem 90mg po qid. no anticoagulation given chads2 score 1. . #post catheterization bleed: on mr. cardiac catheterization. the morning of cath, his platelets were 37. he was transfused 3 units of platelets prior to, during, and after catheterization. on post cath check, he had a small amount of ecchymoses, no bruit, and good distal pulses. overnight he had an 8 point hematocrit drop (29.9 to 21.9). the area of ecchymoses had increased, though there was still no bruit and he maintained good peripheral pulses. ultrasound showed a large hematoma, but no fistulas or aneurysms. also, a ct scan was negative for a retroperitoneal bleed. he required 4 units of blood, 4 units of platelets, one unit of cryoprecipitate and 2 units of ffp. his hematocrit stabilized, and no further intervention was needed. . #. nutrition: patient placed on ng tube feeds during micu stay; this was transitioned to thin liquids and soft solids per speech and swallow team recommendations. icu course: the patient was transferred to the transplant surgery service and sicu on am after becoming hypotensive and having a change in mental status. the patient received 1u prbcs and 1u ffp on the floor en route to the sicu. on arrival to the sicu, the patient was intubated and started on levophed for a sbp in 50s. vanc/zosyn/fluc was started. the patient went into svt with a bp of 80/50. he was given 6mg iv adenosine and was cardioverted x1. the patient briefly went into sinus rhythm and after 10s returned to atrial flutter. he was given 150mg amiodarone and was cardioverted to sinus rhythm. he received a bolus of diltiazem was started on a diltiazem gtt. on , the patient received a total of 8u prbcs, 4u ffp, and 4u cryoprecipitate. on , the patient was started on neosynephrine and eventually vasporessin was started. a bedside echo was consistent with left ventricular contractile function being grossly normal, possibly hyperdynamic. the patient has hepatorenal syndrome and was started on cvvhd. on , the patient's hematocrit and coagulation studies normalized. he received another 1u prbcs, 2u ffp, and 1u platelets on . by 4pm on , the patient was on maximum pressor support and respiratory support. after discussion between the family and dr. , transplant attending, it was decided to make the patient cmo. all pressors and ventilator support was discontinued and the patient died shortly thereafter. he was pronounced dead at 22:12 pm. medications on admission: 1. propranolol 120 mg capsule,sustained action 24 hr po daily 2. rifaximin 550 mg tablet sig: one (1) tablet po bid 3. insulin lispro 20 u subcutaneous 4. insulin glargine 100 unit/ml solution sig: thirty (30) subcutaneous at bedtime. discharge medications: patient expired discharge disposition: expired discharge diagnosis: primary diagnosis: non-alcoholic steatohepatitis induced cryptogenic cirrhosis . secondary diagnoses: atrial fibrillation with rapid ventricular response. anemia thrombocytopenia diabetes mellitus type 2 hypokalemia ascites decompensated liver disease discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis other electric countershock of heart venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage arterial catheterization arterial catheterization arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring flexible sigmoidoscopy injection of anesthetic into spinal canal for analgesia intra-abdominal venous shunt diagnoses: pneumonia, organism unspecified congestive heart failure, unspecified cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hepatorenal syndrome unspecified septicemia severe sepsis portal hypertension candidiasis of other urogenital sites atrial fibrillation hematoma complicating a procedure other chronic pulmonary heart diseases atrial flutter hypopotassemia chronic kidney disease, unspecified acute respiratory failure morbid obesity cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure disseminated candidiasis other ascites awaiting organ transplant status hepatic encephalopathy hyperosmolality and/or hypernatremia internal hemorrhoids with other complication chronic diastolic heart failure other chronic nonalcoholic liver disease spontaneous bacterial peritonitis 

Answer: The patient is high likely exposed to