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: 60 y/o male w/end stage liver disease major surgical or invasive procedure: - liver transplant - t-tube cholangiogram - placement of central line history of present illness: 60 y/o male with end stage liver disease with a history of heavy etoh use until and hcv infection. pt. has had multiple recent admissions for encephalopathy but no recent infectious episodes. pt. also with known grade 2 varices without history of upper gi bleeds. pt. s/p tips in of this year. pt. now presenting for liver transplant. past medical history: pmh: 1. cirrhosis 2. hep c, 3. ascites - no sbp, no paracentesis 4. varices, grade 2 - no ugib 5. cri (cr 1.8 -> 2.1) 6. cholelithiasis 7. s/p tips psh: 1. s/p appy 30 yrs ago 2. inguinal hernia repair, 3. adenoids 4. l ankle fracture, social history: per omr records, patient currently lives with his wife at home. he has 2 healthy sons. history of heavy alcohol use, quit in . ex-smoker, quit in . history of ivdu in past. family history: cirrhosis in father, mother, and brother etoh; no cancer physical exam: vitals: pertinent results: duplex dopp abd/pel 10:55 am conclusion: 1. patent portal and hepatic veins and hepatic arteries. no peritransplant collection. 2. moderate sized effusion at the right lung base. unilat lower ext veins 3:17 pm findings: grayscale and color doppler examination of the deep veins of the right thigh and posterior knee demonstrate normal compressibility, color flow, respiratory variation, and augmentation. there is no sign of intraluminal thrombus. there is a small amount of fluid behind the right knee, which may represent edema or a small cyst. impression: no dvt. 05:00am blood wbc-5.0# rbc-4.22* hgb-12.9* hct-38.0* mcv-90 mch-30.7 mchc-34.1 rdw-17.9* plt ct-78* 11:15pm blood hypochr-normal anisocy-1+ poiklo-1+ macrocy-2+ microcy-normal polychr-normal ovalocy-occasional tear dr 05:00am blood plt ct-78* 01:57am blood fibrino-302 12:25pm blood k-4.9 05:00am blood alt-293* ast-130* alkphos-448* totbili-3.0* 04:55am blood alt-258* ast-136* alkphos-402* totbili-3.6* 03:15pm blood alt-239* ast-119* alkphos-387* totbili-4.7* 05:00am blood alt-224* ast-103* ld(ldh)-186 alkphos-376* totbili-4.5* 04:57am blood alt-232* ast-95* alkphos-363* totbili-5.8* 06:15am blood alt-211* ast-78* ld(ldh)-168 alkphos-277* amylase-32 totbili-7.0* 05:55am blood alt-217* ast-91* alkphos-220* totbili-6.6* 06:19am blood alt-253* ast-109* alkphos-237* totbili-9.4* 06:15am blood alt-240* ast-115* alkphos-160* totbili-9.5* 06:00am blood alt-268* ast-168* alkphos-104 totbili-12.4* dirbili-8.5* indbili-3.9 02:38pm blood alt-330* ast-297* alkphos-78 totbili-11.9* 01:57am blood alt-358* ast-372* alkphos-85 totbili-13.6* dirbili-3.1* indbili-10.5 11:15pm blood alt-53* ast-80* alkphos-187* totbili-3.1* 05:00am blood albumin-2.5* calcium-8.3* phos-4.9* mg-2.0 10:22pm blood hbsab-positive 05:00am blood fk506-12.4 05:00am blood fk506-15.6 04:57am blood fk506-17.2 06:15am blood fk506-10.3 04:07pm blood heparin dependent antibodies- brief hospital course: pt. was admitted to the transplant service after undergoing a liver transplant. the pt. tolerated the procedure well - please see the op note for further details on the procedure. after the procedure the patient was transferred, intubated, to the sicu for recovery. overnight the patient was given additional blood products and continued on antibiotics that were started during the operation. the patient did well - remained afebrile with a stable blood pressure in the 150s/60s but required the support of the ventilator until pod #2. pt. was also on an insulin drip to control blood sugars while in the unit. on the evening of pod 2 the patient was doing well extubated, had remained afebrile, and was stable for transfer to the floor. the patient was transferred to the floor and did well overnight. the pt. remained afebrile, vitals were stable, pt. pain was well controlled, and he was tolerating his tube feeds without complaint. the jp drains continued to have significant output and the pt. was scheduled for a t-tube cholangiogram for later in the week. moreover, nutrition, , ot, and pt evaluated the pt. while he was on the floor. the patient continued to thrive while on the floor, increasing his po intake and activity and improving on a daily basis. nutrition recommended that we continue the tube feeds - which we did. help initially manage blood sugars while the patient was on high dose steroids and started the pt. on some antigylcemic medications when his sugars remained elevated after the steriods finished. the patient was also given lasix to aid his diuresis as his lower extremities and genital region had become quite edematous. the patient tolerated the t-tube cholangiogram without incident. on post op day 7 one of the jp drain was taken out nad the pt. had remained afebrile throughout his hospitalization. the patient was continued on tube feeds and tolerating a liquid/supplemented diet, vitals were stable, and pain was well controlled. on post-op day 8 there was a slight rise in the pt.s alk phos level and the pt. continued to loose between 1-2 liters of fluid through the remaining jp drain. albumin replacement was started and the pt. remained in house to further monitor liver function tests. post-op day 10 lfts continued to be slightly elevated with a decrease in total bilirubin to 3.6. the dobhoff tube had been replaced secondary to it getting clogged and the pt.s bun/cr had risen slightly most likely due to prograf levels. post-op day 11 the alk phos remained elevated and a repeat cholangiogram showed less narrowing in the area of the t-tube/anastamosis compared with previous studies, no dilitation of the bile ducts and no evidence of a leak. post-op day 12 overall the pt. was vastly improved. he continued on the tube feeds to supplement po intake that was between cal a day, edema of lower extremities was much improved though rle still slightly swollen - negative for dvt by ultrasound , he was afebrile with stable vitals, tolerating pos, pain well controlled and deemed ready for discharge. he was discharged the following day to a rehabilitation center. medications on admission: ca carbonate 600 protonix 40 qday mycelex 2 qid lactulose 10 tid spironolactone 150 qday lasix 40 qday discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 4. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 5. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 6. prednisone 20 mg tablet sig: one (1) tablet po once a day: decrease to 17.5mg qd on . 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. insulin regular human 100 unit/ml solution sig: follow sliding scale units injection four times a day: fingerstick qachsinsulin sc fixed dose orders bedtime glargine 14 units insulin sc sliding scale q6h regular glucose insulin dose 0-60 mg/dl amp d50 61-120 mg/dl 0 units 121-160 mg/dl 2 units 161-200 mg/dl 4 units 201-240 mg/dl 6 units 241-280 mg/dl 8 units 281-320 mg/dl 10 units > 320 mg/dl notify m.d. ordered by ,, md beeper#: on @ . 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 11. valganciclovir 450 mg tablet sig: one (1) tablet po every other day (every other day). 12. insulin glargine 100 unit/ml solution sig: fourteen (14) units subcutaneous at bedtime. disp:*1 bottle* refills:*0* discharge disposition: extended care facility: & rehab center - discharge diagnosis: s/p liver transplant cholelithiasis hcv etoh cirrhosis - prior to tx discharge condition: good discharge instructions: - you may shower - you should continue your tube feedings - you should continue a regular soft diet w/goal of 60gm of protein a day and low sodium - may be advanced to a full diet as tolerated when pt. has dentures and ability to chew regular food. - you should continue the medication regimen that you started in the hospital as many of your pre-transplant medications have been changed - you should call the clinic or return to er if t>101.5, chills, nausea, vomitting, chest pain, shortness of breath, erythema or drainage from wound site, or any other concern. followup instructions: provider: , md, phd: date/time: 2:40 provider: , md, phd: date/time: 2:20 provider: , md, phd: date/time: 9:00 md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances other transplant of liver transfusion of packed cells transfusion of other serum other cholangiogram transfusion of platelets other operations on lacrimal gland transplant from cadaver diagnoses: chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver other and unspecified alcohol dependence, in remission unspecified disorder of kidney and ureter esophageal varices in diseases classified elsewhere, without mention of bleeding 

Answer: The patient is high likely exposed to