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: history of present illness: is a 48 year old female with end stage liver disease secondary to alcohol abuse who, after complete transplant evaluation, was found to be a candidate for a liver transplant. her sister, , went under a complete evaluation and was found to be a suitable volunteer donor on . the patient presented to for a living related liver transplant. operative risks and complications were reviewed in full prior to the operation. past medical history: 1. liver cirrhosis secondary to ethanol. she had a history of intermittent hepatic encephalopathy. 2. gastroesophageal reflux disease. 3. hypothyroidism. past surgical history: 1. status post right lumpectomy. allergies: penicillin, codeine, levofloxacin. medications on admission: 1. protonix 40 mg p.o. q. day. 2. aldactone 100 mg p.o. q. day. 3. nadolol 20 mg p.o. q. day. 4. lasix 40 mg p.o. twice a day. 5. colace. 6. regular multivitamin. 7. vitamin b12 and folate. 8. synthroid 0.025 micrograms p.o. q. day. physical examination: on admission, vital signs were stable. in general, she was awake, alert and oriented. she appeared chronically ill. skin was notable for occasional spider angiomata and palmar erythema. head, ears, eyes, nose and throat: normocephalic, atraumatic. extraocular movements intact. sclerae is mildly icteric. neck was without any lymphadenopathy or thyromegaly. lungs were clear to auscultation bilaterally. heart was regular rate and rhythm; no s3, s4, murmurs or rubs were appreciated. abdomen soft, nontender, no hepatosplenomegaly and no ascites. there is a well healed subcostal skin incision from a prior open cholecystectomy. extremities were without any peripheral edema. neurologically, she was grossly intact. laboratory: on admission, white blood cell count 5.9, hematocrit 28.4, platelets 140. sodium 149, potassium 4.9, chloride 106, bicarbonate 25, bun 8, creatinine 0.7, glucose 100. alt 16, ast 33, alkaline phosphatase 142. total bilirubin 1.8. brief summary of hospital course: is a 48 year old female with end stage liver disease secondary to alcohol abuse. she presented to on , for a living related liver transplant from her sister, . the procedure went without any complications. the patient underwent a liver transplant with a three duct anastomosis to a roux-en-y hepatica-jejunostomy (segment 6, anterior duct, superior duct). immediately postoperatively, the patient was transferred to the surgical intensive care unit for close monitoring. she, at that point, received a total of nine units of packed red blood cells, 14 units of fresh frozen plasma, 5 units of platelets and one cryo-precipitant. her postoperative hematocrit was stable at that point at 35. she was weaned and extubated postoperative day one. lasix was given to diurese excess fluid. she had initially been placed on a heparin drip in addition to aspirin as well as plavix given that there were three arterial anastomoses to assist with patency. initial ultrasound visualized all three arteries and there was a question of some flattened wave forms. the ultrasound was later repeated and they were able to visualize normal venous as well as arterial blood flow. the ducts remained patent. on postoperative day number four, the patient was noted to have a decrease in her hematocrit from 34 to 28, and given that the patient was on several blood thinners, an ultrasound was obtained to later reveal the 3 by 3 centimeter hematoma. she continued to require several units of packed red blood cells. it was decided at this point to take the patient back to the operating room for further exploration, wherein they were able to evacuate an intra-abdominal hematoma in the right upper quadrant. from that point on, serial hematocrits as well as coagulation studies were performed and therein, the patient remained hemodynamically stable until the day of discharge. post re-exploration prompted us to obtain another ultrasound which was normal. two - drains were removed and after a t-tube study was performed postoperatively, all three t-tubes were capped. for immunosuppressants, the patient was started on cellcept p.o. twice a day. she was placed initially on a solu-medrol taper and then changed to prednisone 15 p.o. q. day. the cyclosporin dose was adjusted according to level. she received a total of two doses of simulect during her hospitalization. her transaminases had been trending downward to within normal limits by the day of discharge. her total bilirubin reached a peak of 13.7 before it began to trend downward to a level of 10.4 on the day of discharge. the patient's diet was slowly advanced which she tolerated. the patient's pain was well controlled with p.o. medications. it was felt that the patient was stable for discharge on postoperative day 15 and 11. follow-up at the transplant center with dr. . she was discharged home with visiting nurses association services. condition on discharge: stable. discharge diagnoses: 1. end stage liver disease secondary to alcohol abuse; postoperative hematoma. 2. the patient is status post living related liver transplant / excellent graft function. 3. postoperative hematoma status post evacuation. 4. anemia requiring several units of packed red blood cells. discharge medications: 1. camphor menthol, one application topically three times a day p.r.n. 2. plavix 75 mg, one tablet p.o. q.day. 3. aspirin 81 mg, one tablet p.o. q. day. 4. fluconazole 400 mg, one tablet p.o. q. day. 5. cellcept mg, one tablet p.o. twice a day. 6. bactrim-ss, one tablet p.o. q. day. 7. prednisone 15 mg, one tablet p.o. q. day. 8. percocet, one to two tablets p.o. q. four to six hours p.r.n. pain. 9. pantoprazole 40 mg, one tablet p.o. q. day. 10. cellcept mg one tablet twice a day. 11. valcyte 450 mg, one tablet p.o. q. day. 12. lasix 20 mg, one tablet p.o. q. day. discharge instructions: 1. the patient is to have -weekly laboratory studies drawn which should include cbc, chem-10, liver function tests, amylase, lipase, albumin, cyclosporin level in the morning before the a.m. dose is given, as well as coagulation studies. 2. she will be discharged with visiting nurses association services for wound care, nursing, blood checks, medication review, as well as biweekly labs. 3. she is to follow-up with dr. at the transplant center at the building, , on , at 01:00 p.m. 4. she is additionally to follow-up with dr. at the transplant center on , at 02:30 p.m. 5. she is to follow-up with dr. on , at 01:40 p.m. for any additional appointment she is to call the transplant center. , m.d.,ph.d. dictated by: medquist36 procedure: enteral infusion of concentrated nutritional substances other transplant of liver reopening of recent laparotomy site transfusion of packed cells other cholangiogram diagnoses: anemia, unspecified esophageal reflux alcoholic cirrhosis of liver portal hypertension unspecified acquired hypothyroidism hemorrhage complicating a procedure complications of transplanted liver 

Answer: The patient is high likely exposed to