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 64-year-old male with cirrhosis, hepatitis b and c, hepatocellular carcinoma status post chemo embolization, now presenting for orthotopic liver transplant. has been admitted twice previously for potential liver transplants on and . both were cancelled due to inappropriate organs. feeling well. no recent infections. no fever, chills, nausea, vomiting, shortness of breath, chest pain, headache, dysuria, other associated symptoms. retired, lives in , mass. past medical history: hypertension, type 2 diabetes, alcoholic cirrhosis, hepatocellular carcinoma status post chemo embolization in . medications at home: nadolol 60 mg p.o. daily, lantus insulin 22 units every p.m., humalog insulin p.r.n. sliding scale, and some vitamins. allergies: no known drug allergies. social history: he is a retired high school teacher. quit tobacco years ago, 20 years of smoking x1-2 packs per day. long time alcohol, stopped a couple of years ago. not married, no children. no iv drug use. physical examination: on physical exam, temperature is 97.9, heart rate 65, bp 130/86, respiratory rate 18, ninety-three percent on room air. no acute distress. normal carotids. pupils equal, round, reactive to light. eoms intact. ocular fundus clear. no cervical lymphadenopathy or masses. lungs: clear to auscultation. no wheezes, rhonchi, rales. positive gynecomastia. heart: regular rate and rhythm. no murmurs. abdomen: nondistended. normal active bowel sounds. abdomen soft and nontender, no scars, no hernias. extremities: no cce, 2+ dorsalis pedis pulses bilaterally. mood: normal affect. hospital course: labs were drawn. preop work up was done. he was taken to the or on , by dr. . he underwent a piggyback liver transplant with roux-en-y biliary anastomosis. please see operative report for details. the patient tolerated the procedure well. there were no complications. he was recovered in the surgical intensive care unit. his lfts increased on postop day #1, baseline was ast of 36, alt of 34, alkaline phosphorus 75, total bilirubin 0.8. these increased to an ast of 1701. alt 1046, alkaline phosphorus 84, total bilirubin 3.3. a liver duplex was done. this demonstrated a 12 cm complex mass consistent with hematoma along the under surface of the liver. normal venous and arterial hepatic waveforms with appropriate direction of flow. no evidence of intra or extrahepatic biliary ductal dilatation, ascites, or hepatic parenchymal mass. his liver function tests improved. he was gradually weaned from the vent and extubated on postop day 1. he was transferred to the medical surgical floor on postop day 1. he had a medial and lateral jp that were draining large amounts of serosanguineous fluid, a roux tube draining bilious drainage. his diet was gradually advanced. his vital signs were stable. his lfts continued to trend down. his creatinine increased on postop day #1 from the baseline of 0.7 up to 3.0. his medications were renally dosed including fluconazole and valcyte. he was started on prograf 2 mg b.i.d. prograf levels were monitored. he continued on a steroid taper as well as cellcept twice a day. his creatinine increased to 5.1. he experienced a drop in his hematocrit to 23.2. there was concern for hemolytic uremic syndrome. a haptoglobin was normal. ldh was high. his fibrinogen was normal. a smear for schistocytes was normal. a reticulocyte count was normal. he was given 10 units of cryoglobulin and ddavp x2. he was placed on telemetry. he underwent an endoscopy to assess for upper gi bleeding when he experienced some lower gi bleeding. he passed 2 large melanotic stools. findings for the upper endoscopy demonstrated a normal duodenum. there was some erythema in the lower third of the esophagus, as well as erosion and erythema in the cardia, stomach body, and antrum compatible with nasogastric tube trauma, otherwise an egd was normal to the second part of the duodenum. on postop day 5, his hematocrit decreased to 20.1 with the gi bleeding. he was given 2 units of packed red blood cells and his hematocrit increased to 26.7. the creatinine improved slightly today. it decreased down to 3.7 on postop day 9. bun was 81. on postop day 7, he did experience sudden nausea and vomiting after taking 2 percocets, but given the history of diabetes, an ekg was done. this demonstrated a t-wave inversion in v4 and t-wave flattening in v5 and v6. cks and troponins were done. these were negative. he was on telemetry. he had no further incidents. he denied chest pain and shortness of breath at that time and his vital signs were stable. of note, the patient did have a roux tube cholangiogram on , which was postop day 5, this demonstrated patent anastomosis without leak. there was filling of the common bile duct, the distal portion of the main left and right intrahepatic ducts, and prompt emptying into the duodenum. there was some mild edema at the anastomotic site, however, there was no evidence of leakage of contrast. he tolerated the procedure well. his roux tube was capped on that same day. physical therapy followed the patient and cleared him for a safe discharge home without pt. a bedside swallow evaluation was done for evaluation of swallowing after the patient complained of a piece of the getting stuck in his esophagus after swallowing. also complains of a hoarse voice that has gotten progressively worse during hospital course. findings included that the patient was coughing during swallowing with thin liquids and with puree. this was felt coughing was secondary to secretions. there was concern for the vocal cord impairment given his report of progressive worsening of his voice over the admission. recommendations included continuing advancement of diet and an evaluation by ent for vocal cord quality. he was seen by otolaryngology on . there were no notable exam findings. no indication for any surgical intervention. recommendations included shovel mask with cool mist for humidification, nasal saline rinses b.i.d., reflux precautions with the head of the bed up 45 degrees, and ppi b.i.d., as well as follow up with dr. about 1-2 weeks after discharge. the patient continued to progress with his diet and did well. consult was obtained for hyperglycemia. he was restarted on his bedtime glargine insulin and sliding scale humalog. his blood sugars improved. his - drains were removed. he had large dark ecchymotic areas over bilateral lower back sites. he required dressing changes for serosanguineous drainage from the roux tube site. of note, on postop day 9, hepatology had planned to do a liver biopsy for a total bilirubin of 6.6. biopsy was deferred for a decrease in total bilirubin to 5.1. plan was to discharge the patient home with visiting nurse of incision and roux tube, as well as glucose control, and medication teaching. condition on discharge: stable, ambulatory, tolerating a regular diet, with stable vital signs. plan: plan is to follow up in the outpatient clinic with twice weekly labs monitoring cbc, chem-10, lfts, and prograf level. will also have follow up in weeks. , md procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine other transplant of liver other cholangiogram partial hepatectomy other operations on lacrimal gland transplant from cadaver diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alcoholic cirrhosis of liver unspecified viral hepatitis c without hepatic coma malignant neoplasm of liver, primary viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta 

Answer: The patient is high likely exposed to