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: n/v/tachycardia major surgical or invasive procedure: none history of present illness: 61m w/ hcv cirrhosis s/p xplant (since failed and now s/p tips x2), dmii, htn, and recent bacteremia (still on home abx) and dvt presenting from home with n/v, tachycardia, and hypotension. he was recently admitted to from with diarrhea in the setting of home ertapenem/daptomycin therapy for recent esbl klebsiella bacteremia. he was treated empirically with a 14 day course of flagyl (finished ) though his stool cultures were cdiff negative and developed mild renal insufficiency prior to d/c home. at home, the patient continued his antibiotic therapy and was doing well until 5 days prior to admission when his wife noticed him having poor energy/appetite and malaise. he began having specific symptoms approx 24 hrs prior to arrival with no bm or flatus (as opposed to frequent flatus/diarrhea), nausea and bilious (non-projectile emesis), and mid-gastric and non-radiating pleuritic bilateral flank pain. he states that the pain is sharp and waxes/wanes. his vna found him to be hypotensive to the high 80's and tachycardic (unclear how tachycardic) with a low-grade fever (unclear what his temperature was). they recommended he be admitted. in addition mr. notes that he has not urinated in nearly 24 hours and he is quite thirsty. on arrival to the medicine floor, the patient was persistently tachycardic. his labs were concerning for sepsis and he was transferred to the icu. . ros is negative for confusion, cough, uri symptoms, sick contacts, rash, , wt gain or loss. he has been compliant with his medications. past medical history: 1. hcv cirrhosis s/p xplant (c/b rejection and cholangitis) now w/ recurrent cirrhosis (tips and ) -- -- rejection -- cholangitis -- tips for recurrent ascites -- tips redo for occlusion -- 2 cords of grade ii varices were seen in the lower third of the esophagus. 2. esbl klebsiella, vre, cdiff (currently on ertapenem/daptomycin) 3. previous sbp (most recent ; while on and dapto thus tx'ed with tigecycline) 4. dmii c/b nephropathy 5. hypertension 6. depression 7. rue dvt social history: retired truck driver. lives with wife , . 20 pack-year history; quit ; denies etoh family history: noncontributory physical exam: t 95.2 bp 134/93 hr 140, rr 16 o2 100% on room air gen: cachectic chronically-ill appearing man in no acute distress heent: mild scleral icterus; poor dentition; sunken face cv: tachycardic, hyperdynamic precordium without murmurs, rubs, or gallops lungs: clear to auscultation and percussion bilaterally abd: distended but not tense, + shifting dullenss and fluid wave. + hepatomegally with mild ttp. + epigastric ttp. no rebound or guarding. ext: warm and well-perfused; guant w/o edema neuro: no asterixis. alert and oriented x 3 skin: no rashes pertinent results: complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 03:12am 6.5 2.53* 7.8* 22.5* 89 30.9 34.7 16.3* 155 08:23pm 8.0 3.58* 10.6 32.9* 92 29.6 32.2 15.1 310 . renal & glucose glucose urean creat na k cl hco3 angap 05:25pm 107* 61* 5.4* 140 4.2 105 18* 21* 08:23pm 71 46* 4.6*# 137 5.3* 110* 8*1 24* . enzymes & bilirubin alt ast ld(ldh) ck(cpk) alkphos totbili 03:12am 159* 1228* 342* 341* 92 1.5 08:23pm 234* 1237* 33 514* 1.7* . abdominal ultrasound 1. occluded tips, apparently new since the previous examination. 2. large amount of ascites . ct chest/abdomen:impression: 1. no evidence of small bowel obstruction. 2. right greater than left pleural effusion and large amount of ascites. 3. right lower lobe collapse with mild superimposed consolidation. unchanged pulmonary nodules. 4. mild suggestion of wall thickening at the proximal cecum, and diverticula at the sigmoid colon, with otherwise unremarkable large bowel. while cecal findings may in part be due to under distention, typhlitis may be considered if clinically appropriate. brief hospital course: 61 yo m s/p failed liver with cirrhosis and recent admission for c diff colitis and vre/esbl klebsiella bacteremia admitted with abdominal pain & tachycardia, found to have tips occlusion and acute renal failure. . 1. bacteremia: patient with history of vre & esbl klebsiella bacteremia on indefinite daptomycin & meropenem iv at home. admitted to the micu shortly after admission for atrial fibrillation with rvr, severe metabolic acidosis, renal failure and concern for sepsis. he was continued on iv antibiotics initially, but after meeting that included icu team, hepatology and his family, the decision was made to make pt dnr/dni and enroll in hospice care which included no vital signs, labs draws, medications or antibiotics except meds to make patient comfortable. . 2. acute renal failure: appeared to be likely from atn, initially appeared to be secondary to hypotension as well as aggressive fluid resusitation. meeting with family as above, comfort measures were adopted. . 3. esld s/p c/b numerous infections, varicees and refractory ascites requiring tips. patient with very poor prognosis due to severe transaminitis as well as occluded tips. family meeting as above, decision for comfort care. . 3. oral thrush: started nystatin with swabs for patient's confort. . 4. goals of care: due to patient's very poor prognosis, a meeting was held which included family, hepatology and the intensive care unit to withdraw aggressive care and provide comfort care only. the patient was transferred to the hepatology floor. he was too sick & unstable to be transferred to outpatient hospice, he continued on the hepatology floor with secretion control,and antiemetic, pain, agitation, and delerium medications to make the patient comfortable. he continued on the hepatology floor until at 10:22 am when he suddenly died of respiratory failure. his family was notified. his wife was able to travel to to say goodbye and consented to an autopsy. medications on admission: 1. ursodiol 300 mg 2. fluoxetine 20 mg daily 3. ferrous sulfate 325 mg daily 4. b complex-vitamin c-folic acid daily 5. rifaximin 200 mg tid 6. mirtazapine 15 mg qhs 7. calcium carbonate 500 mg tid 8. sirolimus 1 mg daily 9. metoprolol tartrate 50 mg tid 10. prilosec 20 mg daily 11. daptomycin 400 mg iv daily 12. insulin ss 13. ertapenem 1 g daily 14. metronidazole 500mg po tid discharge medications: none discharge disposition: expired discharge diagnosis: primary: liver failure c. difficile colitis vancomycin resistant and extended spectrum beta lactamase klebsiella bacteremia tips occlusion acute renal failure sepsis respiratory failure discharge condition: expired discharge instructions: none followup instructions: none md procedure: percutaneous abdominal drainage diagnoses: acidosis acute kidney failure with lesion of tubular necrosis unspecified essential hypertension cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver severe sepsis atrial fibrillation candidiasis of mouth acute respiratory failure intestinal infection due to clostridium difficile other complications due to other vascular device, implant, and graft other septicemia due to gram-negative organisms complications of transplanted liver surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to