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: tetracycline attending: chief complaint: esld due to hcv cirrhosis esrd due to hcv cryoglobulemia, mpgn major surgical or invasive procedure: s/p simultaneous olt and crt history of present illness: pt is 54m with esld due to hcv cirrhosis and esrd due to hcv cryglobulemia/mpgn who presented for simultaneous olt and crt on . past medical history: esld due to hcv cirrhosis ascites esrd due to hcv cryglobulemia/mpgn congenital l anephrosis s/p l avf x 3 nephrolithiasis s/p kidney stone retrieval & stent anemia chf endocarditis htn social history: hx of ivdu in etoh use, quit 3 yrs ago smoking 80 pk-yr, quit 3 yrs ago family history: mom - aaa rupture dad - lung ca, mi physical exam: avss icteric jaundiced rr s1 s2 no murmur cta b/l mildly dist nt abdomen no edema pertinent results: 01:40pm wbc-6.0 rbc-4.64 hgb-15.0 hct-43.1 mcv-93 mch-32.4* mchc-34.8 rdw-16.4* 01:40pm plt count-213 01:40pm pt-13.1 ptt-30.8 inr(pt)-1.1 01:40pm glucose-86 urea n-50* creat-9.3* sodium-138 potassium-5.4* chloride-95* total co2-28 anion gap-20 01:40pm calcium-10.0 phosphate-5.9*# magnesium-1.8 01:40pm alt(sgpt)-49* ast(sgot)-31 alk phos-207* tot bili-0.5 01:40pm blood glucose-86 urean-50* creat-9.3* na-138 k-5.4* cl-95* hco3-28 angap-20 02:20am blood glucose-148* urean-46* creat-6.4*# na-141 k-6.1* cl-94* hco3-21* angap-32* 04:17am blood glucose-106* urean-44* creat-3.0* na-138 k-3.9 cl-101 hco3-24 angap-17 08:40am blood glucose-140* urean-40* creat-1.7*# na-139 k-4.1 cl-106 hco3-26 angap-11 07:41am blood glucose-140* urean-36* creat-1.4* na-140 k-3.8 cl-107 hco3-25 angap-12 09:00am blood glucose-125* urean-36* creat-1.3* na-141 k-3.9 cl-108 hco3-24 angap-13 08:20am blood glucose-77 urean-31* creat-1.3* na-141 k-3.9 cl-109* hco3-24 angap-12 08:20am blood glucose-87 urean-25* creat-1.2 na-134 k-4.0 cl-103 hco3-25 angap-10 09:00am blood glucose-153* urean-21* creat-1.1 na-136 k-3.2* cl-103 hco3-25 angap-11 09:30am blood glucose-235* urean-20 creat-1.2 na-135 k-3.6 cl-103 hco3-22 angap-14 10:15am blood glucose-204* urean-24* creat-1.2 na-136 k-4.0 cl-101 hco3-25 angap-14 02:20am blood alt-1258* ast-3015* alkphos-187* amylase-106* totbili-5.9* dirbili-3.7* indbili-2.2 04:17am blood alt-481* ast-515* alkphos-124* totbili-0.9 08:40am blood alt-332* ast-225* alkphos-147* amylase-60 totbili-1.7* 07:41am blood alt-288* ast-179* alkphos-152* totbili-4.6* 09:00am blood alt-309* ast-184* alkphos-145* totbili-4.8* dirbili-3.3* indbili-1.5 08:20am blood alt-241* ast-103* alkphos-133* totbili-2.4* 09:00am blood alt-307* ast-125* alkphos-171* totbili-3.0* 09:30am blood alt-213* ast-62* alkphos-158* totbili-2.0* 10:15am blood alt-187* ast-60* alkphos-174* totbili-2.1* 04:17am blood cyclspr-113 08:40am blood cyclspr-485* 07:41am blood cyclspr-1043* 09:00am blood cyclspr-567* 08:20am blood cyclspr-573* 08:20am blood cyclspr-805* 09:00am blood cyclspr-1209* 09:30am blood cyclspr-1345* 10:15am blood cyclspr-708* abd us / renal us - 1. unremarkable transplanted liver with patent hepatic and portal vessels. 2. unremarkable transplanted kidney with no hydronephrosis, perirenal fluid, or evidence of rejection. abd us - impression: appropriate direction and appearance of waveforms of vascular flow within the hepatic veins, hepatic arteries, and portal veins. no biliary ductal dilatation. tube cholangiogram - impression: 1. there is no evidence of leak or biliary obstructions. 2. mild stenosis of the distal common bile duct near the papilla. abd us - impression: portal veins and hepatic arteries are patent and demonstrate appropriate waveforms. dampening of hepatic venous waveforms, unchanged from the previous exam, of uncertain clinical significance. no biliary ductal dilatation. brief hospital course: pt presented for simultaneous olt & crt on . please see op note for details. briefly, pt tolerated the procedure well. he was extubated on pod#1. routine abd us and renal tx us was wnl. pt was transferred to floor on pod#2. on pod#3, pt was found to have elevated tbili to 4.6 - however, rest of the lft's were normalizing. coags were wnl. repeat us of the liver did not show significant change in vascular flow into and from the liver. pt underwent tube cholangiogram which only showed mild distal cbd stenosis. bilirubin declined w/o further intervention. renal function dramatically improved after crt, with normalization of cr. pt's immunosuppression induction was per protocol. he received solumedrol 1gm iv on induction and was tapered per protocol to prednisone 20mg po daily. he received mmf 1gm q12h. he received simulect 20mg iv on induction and on pod#4. he was started on cyclosporine and was discharged on therapeutic level. medications on admission: norvasc 10mg po daily epoetin 6000units qweekly allopurinol 100mg po bid isordil 90mg po bid cyclobenzapine 10mg po daily toprol xl 50mg daily neurontin 300mg daily mvi iron nephrocaps vitb12 mg oxide discharge medications: 1. cyclosporine modified 25 mg capsule sig: six (6) capsule po q12h (every 12 hours) for 2 doses: take as instructed by transplant center. 2. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 3. prednisone 20 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 6. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 7. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 8. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). 9. valganciclovir hcl 450 mg tablet sig: one (1) tablet po bid (2 times a day). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsules* refills:*0* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 12. lasix 20 mg tablet sig: 0.5 tablet po once a day for 30 days: take as instructed by transplant center. disp:*30 tablet(s)* refills:*0* 13. outpatient lab work cbc, chem7, ca, mg, phos, ast, alt, alkphos, tbili, albumin, cyclosporine level (2hrs after am dose) qmon and qthur - fax results to transplant center discharge disposition: home discharge diagnosis: hcv cirrhosis esrd - hrs vs hcv cryoglobulinemia s/p simultaneous olt and crt hx of chf anemia hx of endocarditis mild pulmonary htxn discharge condition: good discharge instructions: do not lift heavy objects > 10 lbs. do not bathe. you can shower. if you have fever, chills, nausea, vomiting, please call the transplant office asap. please do dry dressing change on the wound as needed. followup instructions: provider: , md where: lm center phone: date/time: 8:45 provider: , md where: lm center phone: date/time: 8:45 provider: , md where: lm center phone: date/time: 9:00 procedure: venous catheterization for renal dialysis other transplant of liver other kidney transplantation other cholangiogram total hepatectomy diagnoses: anemia, unspecified cirrhosis of liver without mention of alcohol unspecified viral hepatitis c without hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease jaundice, unspecified, not of newborn 

Answer: The patient is high likely exposed to