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: codeine / heparin agents attending: chief complaint: 1. acute renal failure 2. chronic recurrent right pleural effusion major surgical or invasive procedure: right vats decortication history of present illness: mr. is a 61-year-old gentleman with end-stage liver disease who was noted to have recurrent right-sided effusions and subsequently developed empyema after treatment of this. this was managed with a drainage catheter but his lung was not fully expansile despite several days of conservative management and antibiotics. therefore, it was discussed with his primary liver team as well as the patient that a decortication would be recommended as he would not be able to be listed for liver in the current condition with this empyema. past medical history: 1. hepatitis c: diagnosed , received 7 months ifn treatment, but was not responsive. 2. cirrhosis: secondary to hepatitis c, patient also has history of long time alcohol use. history of esophageal varices seen on egd (), though most recent egd () showed normal mucosa but gastric varicies on us. had esophageal varices s/p tips in . 3. coronary artery disease: s/p des to 70% mid-lad 4. hypertension: uncontrolled, not currently on any medications 5. substance use: 20 year heroin use history, maintained on methadone 6. iron deficiency anemia 7. h/o r ankle fracture requiring orif 8. sigmoid diverticulosis on colonscopy social history: he lives by himself in . he works as a gardener. he has a long history of alcohol use, stopped 15 years ago. he has a 30 year smoking history, quit several months ago. he has 20 year history of heroin use, has been maintained on methadone. family history: mother died from jaw cancer at very young age, father died from lung cancer. he has five siblings: one sister died from sudden cardiac death, the other sister and three brothers are well. physical exam: vss:96.9 hr 64 rr 20 bp 94/44 o2 sats 94% room air general nad cardiac rrr s1 s2 lungs left clear bibasilar crackles r>l right coarse upper love. abd: + bs soft nt wound cdi extremities: pitting edema to knee bilaterally pertinent results: labs on admission: 11:30am blood wbc-6.9 rbc-2.87* hgb-8.6* hct-24.0* mcv-84 mch-30.0 mchc-35.8* rdw-16.2* plt ct-124* 11:30am blood pt-18.4* ptt-39.0* inr(pt)-1.7* 08:40am blood glucose-100 urean-33* creat-2.7* na-131* k-4.8 cl-97 hco3-24 angap-15 08:40am blood alt-27 ast-85* ld(ldh)-695* alkphos-106 totbili-2.4* 05:09pm blood lipase-41 05:09pm blood ck-mb-notdone ctropnt-0.01 10:40pm blood ck-mb-notdone ctropnt-0.02* 09:12am blood ck-mb-9 ctropnt-0.02* 08:40am blood albumin-3.1* calcium-8.1* phos-4.9* mg-1.9 05:09pm blood hbsag-negative hbsab-positive hav ab-positive 05:09pm blood hiv ab-negative 08:40am blood vanco-19.4 03:20pm blood type-art po2-318* pco2-54* ph-7.28* caltco2-26 base xs--1 intubat-intubated 03:20pm blood glucose-89 lactate-1.8 na-136 k-2.8* cl-104 03:20pm blood freeca-0.93* labs prior to discharge: 04:33am blood wbc-6.0 rbc-3.61* hgb-10.8* hct-31.1* mcv-86 mch-30.0 mchc-34.7 rdw-18.0* plt ct-120* 06:50am blood pt-19.0* inr(pt)-1.8* 04:33am blood glucose-85 urean-30* creat-1.6* na-131* k-3.6 cl-97 hco3-27 angap-11 05:00am blood alt-14 ast-27 alkphos-105 totbili-4.2* 04:33am blood calcium-7.8* phos-3.8 mg-1.7 imaging: chest (portable ap) study date of 4:45 pm: intubated, localized pneumothorax at entrance site of chest tubes. lung remains ventilated. video oropharyngeal swallow study date of 11:27 am: moderate oropharyngeal dysphagia. episode of silent aspiration with thin liquids. for further details, please refer to speech and swallow pathologist's note of the same day. duplex dop abd/pel limited study date of 8:30 am: 1. no intra- or extra-hepatic biliary dilatation. 2. patent tips demonstrating stable velocities since . 3. main portal vein velocities are within normal range (between 40 and 60 cm/sec). liver or gallbladder us (singl; duplex dop abd/pel limited 1. no intra- or extra-hepatic biliary dilatation. 2. patent tips demonstrating stable velocities since . 3. main portal vein velocities are within normal range (between 40 and 60 cm/sec). unilat up ext veins us right study date of 12:46 am: no dvt. micro: pleural fluid culture : stenotrophomonas (xanthomonas) maltophilia sensitive to levoflox and bactrim brief hospital course: patient is a 61m who presented with recurrent right sided pleural effusion secondary to liver failure complicated by an empyema. he was counseled that this must be aggressively treated in order to be listed for liver transplantation. patient understood and agreed to proceed. on patient underwent a right vats decortication. patient tolerated the procedure well and was transferred to the pacu and then sicu intubated and requiring neo. perioperatively patient required 4 units of ffp and 3 units of prbc. the 3 chest tubes were immediately placed to suction. he was transferred to the floor pod5 in good condition. the rest of the hospital course is summarized by systems below: neuro: pain was well controlled with iv narcotics transitioned to home does of po methadone. he did not demonstrate clinical signs of hepatic encephalopathy during his stay. pulmonary: three chest tubes were immediately put to suction post op. daily chest xrays were taken. patient was extubated on pod1 without events. on pod2 the basilar and posterior tubes chest tubes were rotated and pulled back 2 cm while on cont sxn. on pod5 he was transferred to floor. his chest tubes were placed to water seal. patient subsequently inadvertently pulled out chest tube #1 while working with pt. drain incision was closed to exterior. subsequent cxr was stable. on pod13 his r ct#3 was replaced with a new chest tube. he did have a residual right ptx, and patient was replaced on suction. he will require continuous suction for the next two weeks until f/u with dr. to ensure adequate pleurodesis. cv: patient was hd stable during stay. no issues. patient received was continued on home dose of lasix and diuresed post op as appropriate. gi: hepatology followed in house. patient was noted to have a mildly elevated tbili. liver u/s with duplex was performed and was unremarkable. aldactone was decreased to 50mg per day per hepatology. renal: creatinine stable. no issues. id: id was consulted and followed daily. patient had completed 3 week course of empiric abx prior to vats (vanc/zosyn then vanc/cipro). fresh cultures of pleural fluid while off antibiotics grew stenotrophomonas sensitive to levofloxacin and bactrim. patient initially empirically started on vanc, ceftaz and cipro post vats, then switched to levoflox was sensitivities returned. patient will stay on levofloxacin (started /) for 14 days or until chest tubes are removed. hem: perioperatively patient required 4 units of ffp and 3 units of prbc. pod extubated the following post-op day. patient required 2 more units of prbc for hct of 25 on pod3. he had appropriate post-tx bumps. nutrition: patient underwent speech and swallow eval. he had mod dysphagia. recommended nectar thick liquids and ground solids. when taking small meds (pills) whole with thickened liquids, large pills with crushed puree. q 4hour oral care. repeat swallow eval prior to discharge medications on admission: ciprofloxacin 400 mg iv q12h @ 1856 **vancomycin 1000 mg iv q 24h @ 1041 albuterol 0.083% neb soln 1 neb ih q4h:prn @ 1641 heparin 5000 unit sc tid @ 1641 ondansetron 4 mg iv q8h:prn @ 1641 furosemide 40 mg iv daily @ 1641 potassium chloride iv sliding scale @ 1707 calcium gluconate iv sliding scale @ 1707 magnesium sulfate iv sliding scale @ 1707 insulin sc (per insulin flowsheet) fentanyl citrate 25-100 mcg iv q2h:prn @ 1755 spironolactone 100 mg po daily @ 1658 lactulose 30 ml po tid famotidine 20 mg iv q24h @ 1416 albumin 5% (25g / 500ml) 25 g iv 1x duration: 1 doses phenylephrine 0.5-5 mcg/kg/min iv drip titrate to map>60 or sbp docusate sodium 100 mg po bid @ 0821 methadone 20 mg po tid @ 1023 phytonadione 5 mg po discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 5. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 6. methadone 10 mg tablet sig: six (6) tablet po daily (daily). 7. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours): continue while chest tube in place. 8. spironolactone 25 mg tablet sig: two (2) tablet po daily (daily). 9. nystatin 100,000 unit/ml suspension sig: five (5) po q8h (every 8 hours). 10. oxycodone 5 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: three (3) ml inhalation q4h (every 4 hours) as needed. discharge disposition: home with service facility: vna discharge diagnosis: 1. hepatitis c: diagnosed , received 7 months ifn treatment, w/out virologic response. 2. cirrhosis: secondary to hepatitis c, etoh. history of esophageal varices (egd ), s/p tips in . 3. coronary artery disease: s/p des to 70% mid-lad 4. hypertension 5. substance use: heroin use in past, on methadone 6. iron deficiency anemia 7. h/o r ankle fracture requiring orif 8. right sided empyema discharge condition: deconditioned discharge instructions: call dr. office with questions concerning chest tube which remains on suction 20 cm h20 indefinitely followup instructions: follow-up with dr. procedure: other nonoperative replacements other incision of pleura thoracoscopic drainage of pleural cavity thoracoscopic decortication of lung diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis unspecified essential hypertension cirrhosis of liver without mention of alcohol chronic hepatitis c with hepatic coma percutaneous transluminal coronary angioplasty status pleurisy with effusion, with mention of a bacterial cause other than tuberculosis opioid type dependence, continuous other and unspecified coagulation defects empyema without mention of fistula other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms esophageal varices without mention of bleeding alcohol abuse, in remission dysphagia, oropharyngeal phase 

Answer: The patient is high likely exposed to