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: adhesive tape / tolvaptan attending: chief complaint: paratonsillar mass major surgical or invasive procedure: tonsillar mass biopsy history of present illness: 61 year old male with history of nash cirrhosis who is on the transplant list, with ascites complicated by diuretics limited due to hyponatremia, s/p tips on who was recently admitted to the hospital (for hypotension/anemia) presenting with peritonsillar abscess. patient reported slight jaw pain on . underwent tips revision on and since that time has had worsening swelling and tenderness. went to pcp today who saw pta and sent to ed for iv abx and likely admission. meld score 28. no f/c. no difficutly breathing. slight pain with swallowing. no cp/sob. slight nausea. no v/d. plts of 51 on . . in the ed, triage vitals were 97.4 106 129/79 14 100% ra exam showed this labs showed cbc - 3/11/32/52, n:76%, l:11, m:8, e:2, b:2 chem 7: (icteric) 131/3.6/95/25/7/.5/149 inr 2.7; ptt 58 lactate 4.1 -> received gentle iv fluids ct showed 4.2 x 3.7cm right peritonsillar lesion which is concerning for tumor, less likely infectious process in the correct clinical setting left thyroid nodule . medications given: iv unasyn ent consulted: agree with admission to medicine and they will follow -> nothing to drain likely tumor will require further workup patient was admittted for optimization prior to or friday admission vitals: on the floor, patient was feeling well, states that he has no dyspnea or dysphagia and cannot feel the mass externally, neck without pain. past medical history: -decompensated cirrhosis with ascites secondary to nash, c/b ascites responsive to diuretics but developed hyponatremia -s/p tips on for management of ascites -hyponatremia -bilateral cataract repair. -incisional hernia repair. -history of sigmoid resection over 20 years ago due to diverticulitis. -diabetes, currently on metformin. -hypertension -hypovitmanosis d -aaa which measured 5.2 cm in social history: he lives with his wife and youngest son. has three sons. was working full time at the va in in the maintenance department. he quit smoking about 2 years ago, but smoked for 25 years. previously was a social drinker, not excessive. no illicits. family history: negative for liver disease or liver cancer. no gi cancer in his family physical exam: vs: 97.8/98.3 112-120/71-79 97%ra hr 99-111 general: well appearing in nad. heent: sclera non icteric. periorbital jaundice. mmm. r peritonsilar mass s/p biopsy. no oozing or bleeding. dry blood in mouth. nontender to palpation externally without appreciable neck mass cardiac: rrr with no excess sounds appreciated lungs: cta b/l with no wheezing, rales, or rhonchi. abdomen: distended but soft, non-tender to palpation. no hsm or tenderness appreciated. midline vertical scar s/p sigmoidectomy extremities: 2+ pitting edema b/l to the knees. warm and well perfused, no clubbing or cyanosis. neurology: no asterixis pertinent results: 06:30am blood wbc-3.2* rbc-3.14* hgb-10.1* hct-30.0* mcv-96 mch-32.2* mchc-33.7 rdw-19.3* plt ct-59* 07:20pm blood wbc-2.5* rbc-2.88* hgb-9.5* hct-27.5* mcv-95 mch-32.9* mchc-34.5 rdw-19.4* plt ct-44* 06:40am blood wbc-2.8* rbc-2.69* hgb-8.8* hct-26.0* mcv-97 mch-32.9* mchc-34.0 rdw-19.5* plt ct-64* 03:25pm blood hct-30.5* 12:45pm blood pt-28.8* ptt-58.1* inr(pt)-2.7* 06:30am blood pt-31.8* ptt-65.0* inr(pt)-3.1* 07:20pm blood pt-24.8* ptt-47.2* inr(pt)-2.4* 06:40am blood pt-22.5* ptt-42.4* inr(pt)-2.1* 06:40am blood ret aut-4.8* 12:45pm blood glucose-149* urean-7 creat-0.5 na-131* k-3.6 cl-95* hco3-25 angap-15 06:30am blood glucose-110* urean-6 creat-0.5 na-131* k-3.7 cl-98 hco3-27 angap-10 06:40am blood glucose-91 urean-7 creat-0.4* na-134 k-3.0* cl-99 hco3-27 angap-11 03:25pm blood glucose-131* urean-7 creat-0.5 na-131* k-4.0 cl-98 hco3-28 angap-9 06:30am blood alt-25 ast-56* alkphos-138* totbili-11.7* 06:40am blood calcium-8.0* phos-2.4* mg-1.6 01:20pm blood lactate-4.1* 09:38pm blood lactate-3.3* 07:16am blood lactate-2.6* brief hospital course: 61 m with history of nash cirrhosis, on the liver transplant list with a meld of 28, who now p/w a new right oropharyngeal mass concerning for neoplastic process. . # r oropharyngeal mass: initial concern was for peritonsilar abscess. patient was put on empiric tx with unasyn and then seen by ent. per ent, more likely a neoplastic process. he received ffp and platelets prior to a biopsy on and returned to the floor. he had some oozing in the or, but overnight, he had no bleeding and physical exam in the morning only showed dry blood in the mouth. # lactate 4.1: patient with high lactate in ed. received iv fluid hydration and antibiotics. maintained good perfusion pressures and was afebrile. pt continues with tachycardia hr of 110 on admission, and the concern would be for peri-tonsillar abscess causing systemic signs of inflammation. what is reassuring is that the patient does not have have leukocytosis or bandemia, hypotension or even significant pain at the site of the mass. lactate trended down to 2.6 with minimal fluids and anti-biotics. # nash cirrhosis, c/b recurrent ascites: s/p tips and tips redo . he is on the liver transplant list. last egd in showed erosive esophagitis/duodenitis with grade 1 esophageal varices and portal gastropathy. it was recommended that he initiate pantoprazole 40mg daily but does not appear pt is taking this at home. meld 28. patient was continued on his bactrim prophylaxis for sbp. he was given lactulose to prevent hepatic encephalopathy. . # hyponatremia: chronic, previously improved with fluid restriction. previous usage of tolvaptan stopped possible cause of dic. spironolactone held after previous discharge. pt on prn lasix at home. he had increasing swelling due to the fluids he received in the ed as well as from the blood products he received. he should follow up his levels as an outpatient and use lasix prn. chronic issues: # diabetes mellitus: controlled on metformin at home and changed to ssi while inpatient. #thrombocytopenia - likely cirrhosis and portal hypertension. patient required one unit of plt prior to or biopsy. #anemia - pt without obvious signs of bleeding but presents with hct 5 point drop at 32.8 from 39.7 on . recent egd/ showed small gr1 varices. hct trended down while inpatient, with small oozing after biopsy. will need quick follow up to ensure that hct not still trending down after discharge. patient reticcing appropriately. medications on admission: 1. clotrimazole 1 troc po asdir 2. furosemide 20 mg po daily prn weight gain > 3 lbs, leg swelling, shortness of breath (not requring) 3. metformin (glucophage) 500 mg po daily 4. phytonadione 5 mg po daily 5. sulfameth/trimethoprim ss 1 tab po daily 6. cyanocobalamin 500 mcg po daily 7. ascorbic acid 500 mg po daily 8. vitamin d 1000 unit po daily 9. lactulose 10 gram/15 ml (15 ml) solution 15 ml by mouth twice a day titrate to bms daily discharge medications: 1. clotrimazole 1 troc po asdir 2. furosemide 20 mg po as needed for weight gain >3lbs rx *furosemide 20 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 3. metformin (glucophage) 500 mg po daily 4. sulfameth/trimethoprim ss 1 tab po daily prophylaxis 5. cyanocobalamin 500 mcg po daily 6. vitamin d 1000 unit po daily 7. ascorbic acid 500 mg po daily 8. lactulose 15-30 ml po tid titrate to bm per day discharge disposition: home discharge diagnosis: primary diagnosis: tonsillar mass secondary diagnosis: nash cirrhosis complicated by recurrent ascites s/p tips on hyponatremia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted because your doctors were concerned about a mass in your throat. initially, there was concern that this was an infection, however on ct imaging we became increasingly concerned that there was a tumor in the area. you were admitted and ent (otolaryngology) took you to the or and biopsied the area. prior to the procedure you were administered 3 units of plasma and one unit of platelets. you tolerated the procedure well and did not appear to have persistent bleeding afterwards however your blood levels came down due to some mild blood loss accompanied by the large volume of fluids and plasma products delivered. for this we transfused you 1 unit of red blood cells and we gave you lasix (medicine to get the extra water out of your system). you responded well and felt well enough to go home. the pathology results of the biopsy take 1 week to return, and so you have been set up to see dr. (from otolaryngology) 1 week from now. she will follow up these results with you and guide further management options. no changes have been made to your home medications, however you gained 8pounds this admission due to the fluid and blood products administered. you should take your lasix 20mg by mouth daily until you return to your previous "dry" weight. then resume weighing yourself daily and take lasix on an as needed basis for weight gain >3pounds. you should have blood drawn on monday and sent to your pcp, set up by your pcp prior to admission. followup instructions: name: , md specialty: otolaryngology when: thursday at 11:15am location: & llc address: , , , phone: name: , md specialty: primary care when: monday at 9:30am address: one pearl st, , , phone: department: transplant when: wednesday at 9:20 am with: transplant clinic building: lm campus: west best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy laryngoscopy and other tracheoscopy injection or infusion of cancer chemotherapeutic substance injection or infusion of cancer chemotherapeutic substance biopsy of tonsils and adenoids central venous catheter placement with guidance diagnoses: thrombocytopenia, unspecified anemia, unspecified unspecified pleural effusion unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acquired coagulation factor deficiency hyposmolality and/or hyponatremia atrial fibrillation personal history of tobacco use other malignant lymphomas, unspecified site, extranodal and solid organ sites hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other ascites awaiting organ transplant status hepatic encephalopathy abdominal aneurysm without mention of rupture other chronic nonalcoholic liver disease unspecified vitamin d deficiency other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms esophageal varices without mention of bleeding other fluid overload 

Answer: The patient is high likely exposed to