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: the patient is a 54 year-old male who has hepatitis c virus infection with resultant cirrhosis and hepatocellular carcinoma. no recent illnesses, no fevers, no chills, no vomiting, no viral illnesses, no recent hospitalizations, no abdominal pain. past medical history: diet controlled diabetes, hepatitis c, osteoarthritis, colonic polyps, diverticulitis, grade i esophageal varices. past surgical history: l4-l5 laminectomy; status post right inguinal hernia; status post cholecystectomy 2 years ago. medications on admission: darvocet 50 mg q. day. spironolactone 100 mg q. day. allergies: aspirin, codeine causes nausea. social history: no tobacco, no alcohol, no drugs. physical examination: the patient has a temperature of 98.4; heart rate 68; 140/72; respirations 20. general: no acute distress. cv: regular rate and rhythm. lungs clear to auscultation bilaterally. abdomen: soft, nontender, nondistended. rectal: no masses, guaiac negative. extremities: minimal edema, no erythema. laboratory data: wbc of 3.7; hematocrit of 36.9; platelets 51; sodium of 135; potassium of 4.4; 103; 27; 15; 0.9. glucose 95. lipase 135. calcium, magnesium phosphate 8.8, 1.7, 4.2. alt 117; ast 121; ldh 288; alkaline phosphatase 209; amylase 136 and total bilirubin of 2.4. pt of 13.4; ptt of 32.6; inr of 1.2. preoperative ekg was performed, compared to , no acute st wave changes. chest x-ray: no infiltrates. the patient had pre-liver transplant orders written for him and had blood on hold for 10 cryo, 10 packed red blood cells, 10 platelets and 10 ffp. valcyte and unasyn were given in the holding area prior to the operating room. hospital course: the patient was operated by drs. , , and . procedure was orthotopic liver transplant for a deceased donor, pv-pv, cbd to cbd, proper ha, common ha. the patient required 7,500 cc of intravenous fluids, 7 units of ffp, 4 units of packed red blood cells and 3 units of platelets. the patient had 2 t tubes and 2 drains in place. please see operating room note for more details. postoperatively, the patient went to the sicu. the patient was kept intubated overnight. the patient was given solu-medrol 500 mg iv times 1. the patient received unasyn and also cellsept was given too. on postoperative day number 1, the patient was extubated. ultrasound was performed on postoperative day number 1, demonstrating hepatic vessels, status post transplant. there is no intrahepatic biliary dilatation. echo texture and echogenicity of the liver are normal. while in the icu. the patient was extubated. the patient received 2 units of packed red blood cells for low hematocrit and low urine output. the patient was bolused with intravenous fluids periodically. morning labs on postoperative day number 1 revealed wbc of 11.1, hematocrit of 36.3, pt of 14.6, 34.7, inr of 1.4. in the afternoon on , labs were the following: 137, 5.8, 106, 23, bun and creatinine 23 and 0.9, glucose of 309. the patient had liver function tests in the afternoon which revealed an alt of 248, alt of 577, alkaline phosphatase of 106; total bilirubin of 2.1. later that day, liver function tests were decreasing and at 10:12 p.m. that evening, values were 196, 302 for ast, alkaline phosphatase of 93, total bilirubin of 0.9. nasogastric tube was placed on . nasogastric tube lies in the distal stomach. swan- ganz catheter tip appears to be lying in the right main pulmonary artery. again, there were 2 drains placed that were visualized and 2 t tubes still in place. on , the patient was transferred from the unit to far- 10. the patient was slightly hyperkalemic with a k of 5.1. he continued to get solu-medrol and mmf. the patient was continued on unasyn. tacrolimus was started. prior to being transferred to a regular floor on far-10, swan- ganz catheter was removed and replaced by a right internal jugular central venous catheter. by x-ray, this was in good position. on hospital day number 7, postoperative day number 5, the patient received 2 units of packed red blood cells for a hematocrit of 26. after his transfusion, his hematocrit increased to 32.6. the patient was tolerating a regular diet, ambulating without difficulty, afebrile, vital signs stable. oxygen saturations were good. was following the patient for his blood sugars. physical therapy signed off because he was doing so well. on , wbc was 5.6, hematocrit of 26.0. he received 2 units of packed red blood cells. again, hematocrit after transfusion was 32.6. pt of 13.4. ptt of 26.1. inr of 1.2. sodium of 132; 3.4, 98, 25, bun and creatinine of 46 and 1.2 with glucose of 92. the patient had an alt of 96, alt of 41, alkaline phosphatase 107 and total bilirubin of 0.9. on , the transplant coordinator rn met with the patient to thoroughly discuss and review all of his transplant medications, side effects and schedule. the patient's family gave verbal understanding and medications were called into the local pharmacy and weekly follow up appointments were scheduled by rn. on , no events overnight, the patient was n.p.o. on for a cholangiogram on . labs on were as follows: wbc of 4.6, hematocrit of 31.0, sodium of 134, 3.7, 96, 31, 27, 1.0, glucose 116. platelets were 73 on . alt 76, ast 31, alkaline phosphatase of 127, total bilirubin of 0.7. since the patient was started on tacrolimus, the patient's levels were as follows: on , sk level was 2.7. on .2. , 5.5. currently, the patient is at tonight's dose is 6 mg of tacrolimus tonight and 6 mg of tacrolimus tomorrow. the level will be pending for tomorrow morning which will be . cholangiogram was performed today which was , demonstrating that there was opacification of only native common duct without evidence of leakage, stricture, no opacification of intrahepatic duct. after the procedure, the patient's diet was advanced. t tube was capped. if the patient does well overnight and there are no active issues, the patient will be discharged home with vna services and the following medications: discharge medications: 1. colace 100 mg twice a day. 2. valcyte 900 mg q. day. 3. insulin sliding scale. 4. mmf 1000 twice a day. 5. percocet 22 tabs q. 4 to 6 hours prn. 6. protonix 40 mg q. 24 hours. 7. prednisone 20 mg q. day. 8. bactrim ss 1 tab q. day. 9. fluconazole 400 mg q. day. 10. tacrolimus depending on the level. currently, the patient is going to be on 6 mg twice a day but could change once the level is reviewed tomorrow. 11. there is a question whether or not the patient will be discharged home on lasix but will discuss this medication with the team. the patient should follow up with dr. next week for follow up. the patient should have labs every monday and thursday in which cbc, chem-10, ast, alt, alkaline phosphatase, albumin, total bilirubin and prograf level should be obtained. labs should be obtained in the lmob basement and labs should be faxed immediately to . the patient needs to call transplant team immediately if there are any fevers, chills, nausea, vomiting, abdominal pain, any increased swelling to his lower extremities, any increased sustained blood sugars, also if there is any change in his wound, any discharge from his incision, any increased redness to his incision, also if patient is having difficulty with urinating or with bowel movements. patient should also notify the transplant team immediately if there is any shortness of breath, chest pain, inability to eat or drink or any mental status changes. pathology from liver biopsy demonstrated the following: 1.) 6 nodules of an early, evolving, well differentiated hepatocellular carcinoma, rising in a background of small cell dysplasia, ranging in size from 0.7 cm to 1.8 cm, 5 nodules on right and 1 nodule on left. 2.) no vascular invasion is seen. 3.) adjacent liver shows background cirrhosis with grade ii inflammation. 4.) negative vascular and biliary margins. 5.) 1 negative hilar lymph node. this is from the native liver hepatectomy. the liver biopsy donor post profusion demonstrated liver parenchyma with mild portal mononuclear inflammation, non specific. no fatty change is seen. focal hepatocellular degenerative changes probably related to autolytic artifact. no significant fibrosis and no iron scan special stain. final diagnoses: hcv, hcc cirrhosis, status post orthotopic liver transplant on . , md,phd procedure: closed (percutaneous) [needle] biopsy of liver other transplant of liver transfusion of packed cells other cholangiogram other operations on lacrimal gland transplant from cadaver diagnoses: hyperpotassemia cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled malignant neoplasm of liver, primary 

Answer: The patient is high likely exposed to