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: no known allergies / adverse drug reactions attending: chief complaint: sepsis major surgical or invasive procedure: none history of present illness: 62m w/hcv and etoh cirrhosis, s/p liver , now presenting with fever and hypotension with pressor requirement after hd today. mr. has had a complex course since his , including wash-out for intra-abdominal hemorrhage, esrd requiring dialysis, recurrent hcv, pneumonia with right empyema, and c. diff colitis. he was most recently discharged from on for his c.diff infection. he was doing well at rehab, and had hd today, which went without incident. after completion, they noted that he was hypotensive to the 80's and febrile to 103, and he was brought to our ed for evaluation. his wife reports his stools are still loose, but are decreased in amount and the character is improved since completing c. diff treatment. history is obtained from the patient's wife and , as the patient is a very poor historian and is mostly non-verbal currently past medical history: recurrent hepatitis c with the suspicion of fibrosing cholestatic hepatitis s/p ercp on with biliary stent placement hcv; vl on was 32.6 million hcv/etoh cirrhosis w/ hepatorenal syndrome s/p olt intra-abdominal hemorrhage malnutrition vre uti social history: etoh history 5-6 years ago > 14 drinks/week secondary to brothers death at age 50. last drink , tobacco pack x 20 years (quit in ), remote marijuana, no ivdu. family history: mom survived mi age 35, father died age 59 of alcoholic cirrhosis. one brother died age 50 of ?mesothelioma. sister had 12 yrs ago. other four sibs are alive and well. one niece survived ruptured brain aneurism in her 30s. no other family h/o liver disease, heart disease, or cancer. physical exam: pe on admission: vitals: t 99.5, hr 128, bp 89/46, rr 16, o2 100% gen: sleepy but arousable, oriented x3; sclerae anicteric cv: tachycardic, no appreciable murmur resp: right-sided crackles and decreased breath sounds at base, dullness to percussion right base; left lung cta abd: soft, non-tender, moderately distended, +fluid wave; incisions well-healed; - sign extr: warm, 1+ pulses dre: no gross blood, guaiac negative pe on discharge: - no vital signs, no resppirtaion, no pulse, no heart sounds, no pupillary reflexes pertinent results: imaging: dupplex abdomen 1. patent portal and hepatic veins and hepatic arteries with normal systolic upstroke. 2. coarsened liver with echogenic area in the left lobe compatible with a resolving hematoma or complex fluid collection. simple hepatic cyst also seen. 3. moderate-to-large amount of ascites. ct abdomen/pelvis 1. bilateral pleural effusions with compressive atelectasis. 2. dobbhoff tube curled twice, once in the stomach, once in the esophagus. 3. moderate to extensive ascites. 4. diffuse colitis, nonspecific in appearance but certainly could be related to patient's known c. diff infection. cxr large bilateral pleural effusions and right basal atelectasis unchanged acutely. no pneumothorax. a feeding tube and a nasogastric tube ends in the upper stomach. right jugular line tip projects over the low svc. heart is not enlarged. no pneumothorax. laboratory: 07:30pm blood wbc-17.0*# rbc-2.70* hgb-9.1* hct-30.8* mcv-114*# mch-33.8* mchc-29.6* rdw-18.3* plt ct-80* 06:36pm blood wbc-34.6* rbc-2.53* hgb-8.7* hct-26.7* mcv-105* mch-34.5* mchc-32.8 rdw-19.2* plt ct-88* 01:52am blood wbc-13.5*# rbc-2.90* hgb-9.6* hct-28.2* mcv-97 mch-33.2* mchc-34.2 rdw-19.3* plt ct-68* 01:42am blood wbc-9.8 rbc-3.54* hgb-11.4* hct-33.0* mcv-93 mch-32.2* mchc-34.6 rdw-19.4* plt ct-53* 09:27am blood wbc-12.4* rbc-3.21* hgb-10.5* hct-31.7* mcv-99* mch-32.6* mchc-33.0 rdw-19.8* plt ct-33* 07:30pm blood pt-22.9* ptt-48.2* inr(pt)-2.1* 01:37pm blood plt ct-92* 01:52am blood pt-38.1* ptt->150* inr(pt)-3.9* 09:27am blood pt-51.0* ptt-88.0* inr(pt)-5.4* 09:27am blood plt smr-very low plt ct-33* 07:30pm blood glucose-553* urean-18 creat-2.5*# na-123* k-3.2* cl-92* hco3-18* angap-16 02:16am blood glucose-72 urean-22* creat-2.9* na-135 k-3.4 cl-99 hco3-15* angap-24* 01:37pm blood glucose-43* urean-25* creat-3.4* na-133 k-4.0 cl-97 hco3-12* angap-28* 01:42am blood glucose-89 urean-42* creat-4.7* na-129* k-3.1* cl-99 hco3-16* angap-17 04:45pm blood glucose-93 urean-19 creat-2.6*# na-136 k-3.7 cl-102 hco3-26 angap-12 01:33am blood glucose-133* urean-23* creat-2.4* na-137 k-3.7 cl-104 hco3-25 angap-12 09:27am blood glucose-145* urean-25* creat-2.7* na-138 k-4.7 cl-104 hco3-27 angap-12 07:30pm blood alt-79* ast-172* alkphos-214* totbili-5.4* 02:16am blood alt-104* ast-239* alkphos-188* amylase-73 totbili-5.5* 01:42am blood alt-134* ast-197* alkphos-162* totbili-13.0* 01:33am blood alt-63* ast-83* alkphos-181* totbili-21.3* 09:27am blood alt-60* ast-76* alkphos-181* totbili-22.0* 07:30pm blood albumin-1.8* calcium-6.3* phos-1.3* mg-1.6 03:03am blood albumin-2.4* calcium-8.1* phos-2.8 mg-1.9 09:27am blood albumin-2.5* calcium-8.3* phos-3.9# mg-2.3 07:41pm blood ph-7.31* 02:41am blood type-art po2-118* pco2-29* ph-7.35 caltco2-17* base xs--7 08:58am blood type-art temp-36.4 po2-50* pco2-47* ph-7.35 caltco2-27 base xs-0 intubat-not intuba 12:50pm blood type-art po2-160* pco2-38 ph-7.39 caltco2-24 base xs--1 microbiology: blood culture klebsiella pneumoniae. identification and sensitivities performed on culture # 326-4714b . blood culture lactobacillus species. isolated from only one set in the previous five days. anaerobic bottle gram stain (final ): reported to and read back by @ 1810 on - cc6c. gram positive rod(s). in chains. bclx - pend bclx - pend bclx - pend brief hospital course: patient was admitted to the surgery service with the bacteremia and sepsis. he was admitted to the icu. neuro: since the time of admission patient was arousable and responded to commands. he remained at his baseline until the day he decompensated when his metal status has worsened and upon intubation, required no sedation. he received minimal pain medications for abdominal pain/discomfort. cv: the patient was initially stable from a cardiovascular standpoint. he required vasopressors upon admission, in the next 48 hours he was weaned of the pressors. he developed vasopressor requirement and became hemodynamically unstable approximately 48 hour prior to his demise. following the aspiration event on the floor level of care on , patient was transferred to icu, where he drooped his systolic blood pressure shortly after. he was on one vasopressor for the 24 hours, later on 2 pressors, yet his sbp was in 70s. the family made a decision to withdraw life support including vasopressors on in the early mid-afternoon. patient expired several hours after. pulmonary: the patient remained stable from a pulmonary standpoint initially. on he vomited and aspirated. his oxygen saturation dropped and he was transferred to the icu. his oxygen saturation was low, his mental status worsened, thus he was intubated. he remained intubated until he expired. gi/gu/fen: patient was found to have c. difficile colitis. he was fed via tpn. the electrolytes was initially repleated. the hyperkalemia was treated with kayaxylate. patient also cvvh. the cvvh no longer continued after , when patient was intubated, due to family wishes. patient had diagnostis paracenthesis, which did not show sbp. id: he was treated for c. difficile colitis initially with po vancomycin and iv flagyl as well as tigacycine. the klebsiella bacteremia was treated with meropenem. prior to the cultures becoming available, patient also recieved amikacin and cefepime. he was afebrile for most of the hospital stay. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. hematology: the patient's complete blood count was examined routinely. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay. as patient status declined rapidly on following the aspiration event, family made a well thought out decision to minimize the patient's suffering as his prognosis was not favorable. patient was initially made dnr status for about 24 hours. next, the family made the patient cmo with continued ventilation on . patient expired one to hours after all the vasopressors were stopped. he was started on morphine gtt. he expired comfortable, with no agonal breaths observed. the medical examiner as well as the family refused an autopsy. medications on admission: tylenol 500'''' prn fever, darbepoetin alpha 40 qweek, folic acid, hsq, lispro sliding scale, reglan 5 iv q8, mycophenolate 180", nepro tf 45/hr, nystatin swish/swallow"", zofran prn, promod syrup 10ml q8, protonix 40", bactrim', tacrolimus 0.5/0.5, ursodiol 300", renal vitamin discharge medications: patient was cmo: - morphine gtt discharge disposition: expired discharge diagnosis: multiorgan system failure cardiac arrest discharge condition: death discharge instructions: not applicable followup instructions: not applicable procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis percutaneous abdominal drainage arterial catheterization diagnoses: acidosis anemia of other chronic disease end stage renal disease renal dialysis status acute kidney failure with lesion of tubular necrosis cirrhosis of liver without mention of alcohol alcoholic cirrhosis of liver hepatorenal syndrome other pulmonary insufficiency, not elsewhere classified unspecified protein-calorie malnutrition severe sepsis other and unspecified alcohol dependence, in remission unspecified viral hepatitis c without hepatic coma personal history of tobacco use hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease pneumonitis due to inhalation of food or vomitus septic shock intestinal infection due to clostridium difficile other septicemia due to gram-negative organisms other ascites diarrhea altered mental status encounter for palliative care do not resuscitate status hepatic encephalopathy complications of transplanted liver surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation leukocytosis, unspecified jaundice, unspecified, not of newborn other specified disorders of liver esophageal varices without mention of bleeding other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to