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: hypotension and acute respiratory failure transferred from hospital major surgical or invasive procedure: s/p olt and crt liver biopsy history of present illness: 52 y/o with history of hep c and esld was admitted to center for increase in abdominal distension. pt was recently discharged from for sbp, lle cellulitis and arf. pt was discharged home with three days of antiobiotics of ceftraixone and flagyl. pt retured to on with with increase in abdominal distension and ha d a therapeutic paracentesis performed on for 1.5 liters. pt soon developed arf which was though to be pre-renal and was subsequently treated with ivfs and albumin. on note; prior to transfer to patient was experiencing worsening encepholapathy while on lactulose, enterococcus in urine. past medical history: pmh: hep c/esld htn anemia grade 2 esophageal varices osteopenia encephalopathy social history: na family history: na physical exam: on discharge: vitals: afebrile, with stable signs heent: ncat; eomi cv: rrr abd: soft, well healing incision + staples ext: no edema back: sacral ulcer pertinent results: ________________________________ 52m s/p olt (), s/p crt (), liver bx () pmh: encephalopathy, grade ii esophageal varicies, cirrhosis/esld, hepc, cellulitis, htn, anemia, osteopenia, portal htn : lasix 40', protonix 40', ultram 50", amiloride 5', tums 500", crystalace 20", nadolol 40', allopurinol 100", cef 2', epo 80kqwk cult: urine: enterococcus sp. (r to vanco); blood neg r ij enterococcus sp. (r to vanco), mrsa; quad tip neg blood neg pa tip vre; quinton neg; trauma line neg sputum neg ascites neg ascites neg rad: renal scan p u/s: small hematoma adjacent to the transplanted kidney, flow demonstrated, slightly elevated resistive indices cxr: persistent lll opacity suggesting pneumonic consolidation, new areas of lucency, increased upper zone redistribution of the pulmonary vessels suggesting worsening mild chf u/s: excellent blood flow to liver, mild mid portal vein stenosis, unchanged u/s: slightly improved flow through ha, new extra-hepatic fluid collection renal scan: faint tracer in l kiney and sm tracer in transplanted kidney excreted to bladder path: liver bx: no acute cellular rejection brief hospital course: this 52 y/o gentleman underwent aggressive icu care after being transferred from center. on his over, the patient dropped his blood pressure and was started on levophed. patient was respiratory stabilized and stated on octretide ad midodrine for hepatorenal syndrome. renal was consulted and advised that the patient be started on cvvh to remove the additional volume to help with his respiratory status. patient initally required multiple transfusions and inr was reversed from 3.6. simulataneousily and was weaned from neophed. patient underwent a bronch to help distinguish his respiratory status and was found to have minimal secretions. pt was started on tpn for nutritional support since his admission. patient's hematocrit soon stabalized. antibiotics were vanc, zosyna nd levlo for coverage of possible pneumonia and fluconazole for candid a prophylaxis. the patient underwent routine renal and liver transplant work-up. on patient was started on trophic tube feeds. patient continued on cvvh since with a goal to get him to a negative fluid status. patient continued to have cyclic improvement in the icu in respect to his respiratory status and management. slowly the patient began to improve on the vent and became more responsive. a dobhoff tube was placed on the 13th (post-puyloric) to iniate his tube feeds. because of continued mucousal bleeding, the patient underwent a egd on that illustrated a varices; portal gastrppathy; gastritis and an otherwise normal egd. the otolaryngology service was consulted to evaluate the continued mucousal bleeding and it was thought to be secondary to the dobhoff placement and anticipated that the bleeding would subside as the coagulopathy was reversed. however the patient continued to have oozing and his right nares was packed extensively with gelform and surgicel. the patient was continued on lactulose during this admission and his encephalopahy began to improve concurrently with his respiratory status -- his propofol was discontinued on . on , the zosyn, vanc and levoquin were discontinued and was coninued on ambsione which was started on the 10th. on the patient underwent a ortothopic liver transplant -- please see operative note for further information and on the patient underwent a cadaveric renal transplant. post-operative the patient return to the icu for close hemodynamically monitoring. his transplant took a few day to initially function -- he creatine remained elevated and he underwent a renal biopsy on the , but failed to have enough of specimen. however, a repeat biopsy was not performed because his creatine plateaued and slowly decreased over the next two weeks in addition to producing more urine. he underwent a nuclear renal scan on that illustrated functioning kidneys. pt was trasnferred from the icu to the floor on and continued to need rehab and physical strength training in light of prolonged hospital stay. this gentleman has done remarkedly well and has almost reached this immunosupression levels of neoral and is starting to have an appetite. he will however be sent with continous tube feeds of nepro 45 cc/hr. he will be sent to rehab with close follow -up and support from the transplant office. medications on admission: lasix 40', protonix 40', ultram 50", amiloride 5', tums 500", crystalace 20", nadolol 40', allopurinol 100", cef 2', epo 80kqwk discharge medications: 1. ursodiol 300 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 3. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po qd (). disp:*30 tablet(s)* refills:*2* 4. allopurinol 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. percocet 5-325 mg tablet sig: one (1) tablet po every hours. disp:*30 tablet(s)* refills:*2* 6. tolterodine tartrate 2 mg tablet sig: one (1) tablet po daily (daily). disp:*qs tablet(s)* refills:*2* 7. cyclosporine modified 100 mg capsule sig: two (2) capsule po twice a day: neoral: (no substition); please take as directed by the transplant suregy office; total of 275 mg po twice a day. disp:*120 capsule(s)* refills:*2* 8. cyclosporine modified 25 mg capsule sig: three (3) capsule po twice a day: neoral: (no substition); please take as directed by the transplant suregy office; total of 275 mg po twice a day. disp:*180 capsule(s)* refills:*2* 9. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*30 tablet(s)* refills:*2* 10. lansoprazole 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*qs capsule, delayed release(e.c.)(s)* refills:*2* 11. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. disp:*qs qs* refills:*0* 12. valganciclovir hcl 450 mg tablet sig: one (1) tablet po every other day (every other day). disp:*qs tablet(s)* refills:*2* 13. lasix 20 mg tablet sig: two (2) tablet po once a day: take as directed by the transplant surgery office. disp:*60 tablet(s)* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: s/p liver transplant and cadaveric renal transplant end stage liver disease/cirrhosis hepatitis c encephalopathy grade 2 esophageal varices anemia hypertension portal htn osteopenia multiple blood transfusions seconardy to hypovolumia and chronic disease s/p olt and crt esld/cirrhosis hep c encephalopathy grade 2 esophageal varices anemia htn portal htn osteopenia discharge condition: fair discharge instructions: keep incision clean and dry. continue taking medication as directed by the transplant surgery office; continue to get labs every monday and thursday the following labs are needed: cbc, chem 7, ca, mag, phos, ast/alt/alk phos/ t bili/albumin. also please draw a cyclosporine drug level two hours after the patient takes his am dose. please fax these lab results to . please call with any questions or issues at followup instructions: follow up on with dr. at medical center md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances other endoscopy of small intestine enteral infusion of concentrated nutritional substances hemodialysis closed (percutaneous) [needle] biopsy of liver venous catheterization for renal dialysis percutaneous abdominal drainage other bronchoscopy closed [percutaneous] [needle] biopsy of kidney other transplant of liver other kidney transplantation transfusion of packed cells transfusion of other serum transfusion of platelets control of epistaxis by anterior nasal packing other operations on lacrimal gland transplant from cadaver diagnoses: unspecified essential hypertension chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver hepatorenal syndrome other pulmonary insufficiency, not elsewhere classified unspecified septicemia hyposmolality and/or hyponatremia severe sepsis pneumonitis due to inhalation of food or vomitus hepatic encephalopathy esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other and unspecified coagulation defects epistaxis 

Answer: The patient is high likely exposed to