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: addendum: he was not discharged home given rising lfts. a ct scan of the abdomen ruled out any portal vein thrombosis. alk phos increased to 537, ast to 72 and alt 173. on a transjugular liver biopsy was done. findings demonstrated no features of acute cellular rejection were seen. focal bile duct proliferation with associated neutrophils and rare eosinophils was noted. on after receiving ffp to reverse the inr an ercp was attempted to rule out biliary obstruction and/or ischemia. a one centimeter stenosis was identified at the biliary anastomosis. unfortunately, he was too agitated despite sedation to complete the procedure. ast increased to 102, alt to 182, alk phos to 1156 and t.bili to 4.1. on a liver duplex revealed patent hepatic vasculature, no intra- or extra-hepatic biliary ductal dilation was visualized and a right pleural effusion was seen. he was maintained on iv heparin until when repeat ercp was done under anesthesia. . cannulation of the bile duct was very difficult. a needle knife was used to perform a small sphincterotomy to help guide the cannulation. a 5fr x 7cm geenen plastic stent was then placed in the pancreatic duct to further facilitate cannulation of the bile duct. subsequent deep cannulation of the bile duct was successful with a rx sphincterotome using a free-hand technique. cholangiogram showed a single smooth stricture that was 20mm long was seen at the anastamotic site in the cbd. there was no post-obstructive dilation. a hurricane ballon was used to dilate the stricture up to 4mm. a sphincterotomy was performed in the 12 o'clock position using a sphincterotome over an existing guidewire. bile and sludge was noted to flow from the site. a 10frx 9cm biliary stent was placed successfully across the anastamotic stricture in the cbd. clear bile was noted to flow from the stent. lfts trended down. ast decreased to 39, alt 109, alk phos 671 and t.bili to 1.2. coumadin was resumed alternating 1mg with 2mg per day for an inr of 1.8 on . prograf levels remained in the 10 to 12 range on 2.5mg . cellcept continued at 1gram and prednisone 12.5mg qd. he continued to be tremulous and mildly anxious. ativan 0.5 mg qhs was started on . vitals signs were stable. pt cleared him for home. glucoses were mildly elevated with po intake. followed him and made recommendations including low dose glyburide (2.5mg)qd. he will have labs every twice a week and will follow up in the transplant clinic. major surgical or invasive procedure: liver transplant portal vein thrombus s/p ir thrombolysis ercp attempt ercp with biliary stent placement & sphincterotomy discharge medications: 1. fluconazole 200 mg tablet : two (2) tablet po q24h (every 24 hours). 2. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed for wheeze. 3. trimethoprim-sulfamethoxazole 80-400 mg tablet : ten (10) ml po daily (daily). 4. valganciclovir 450 mg tablet : two (2) tablet po daily (daily). 5. mycophenolate mofetil 500 mg tablet : two (2) tablet po bid (2 times a day). 6. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed. 7. albuterol sulfate 0.083 % solution : 1-2 puffs inhalation q4h (every 4 hours) as needed for wheezing. 8. ipratropium bromide 0.02 % solution : one (1) puffs inhalation q6h (every 6 hours) as needed for wheezing. 9. albuterol 90 mcg/actuation aerosol : 1-2 puffs inhalation q6h (every 6 hours) as needed for wheeze. 10. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 11. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 12. tacrolimus 1 mg capsule : two (2) capsule po bid (2 times a day). 13. zolpidem 5 mg tablet : one (1) tablet po hs (at bedtime) as needed. 14. coumadin 1 mg tablet : one (1) tablet po once a day: alternate with 2mg qod. start 1mg . disp:*60 tablet(s)* refills:*0* 15. outpatient lab work every monday and thursday: cbc, chem 10, ast, alt, tbili, alk phos, albumin, prograf trough, and pt/inr. fax results to attn: rn ( tansplant ofiice) 16. prednisone 5 mg tablet : 2.5 tablets po daily (daily). 17. tacrolimus 0.5 mg capsule : one (1) capsule po twice a day. 18. lorazepam 0.5 mg tablet : one (1) tablet po hs (at bedtime). disp:*10 tablet(s)* refills:*0* 19. paroxetine hcl 20 mg tablet : one (1) tablet po daily (daily). discharge disposition: home with service facility: vna md procedure: angioplasty of other non-coronary vessel(s) injection or infusion of thrombolytic agent closed (percutaneous) [needle] biopsy of liver endoscopic sphincterotomy and papillotomy endoscopic insertion of stent (tube) into bile duct other transplant of liver insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) other endovascular procedures on other vessels phlebography of other intra-abdominal veins using contrast material total hepatectomy other operations on lacrimal gland transplant from cadaver cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver chronic airway obstruction, not elsewhere classified complications of transplanted liver portal vein thrombosis 

Answer: The patient is high likely exposed to