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 51 year-old male with end stage liver disease secondary to hepatitis c cirrhosis and end stage renal disease secondary to membranous proliferative glomerulonephritis who presented for simultaneous liver and kidney transplant. the patient has had some reported episodes of hepatic encephalopathy although none directly prior to admission. the patient was also on hemodialysis three times a week. the patient denies fevers or chills, nausea, vomiting, chest pain, shortness of breath. past medical history: 1. end stage liver disease secondary to hepatitis c. 2. end stage renal disease secondary to membranous proliferative glomerulonephritis. 3. hepatitis c cirrhosis. 4. hypertension. 5. esophageal varices, although no bleeds. 6. gastroesophageal reflux disease. 7. peripheral neuropathy. 8. history of vre. past surgical history: significant for right arm av graft, cholecystectomy. medications on admission: 1. mycelex. 2. tums. 3. metoprolol 100 b.i.d. 4. prevacid 30 b.i.d. 5. amitriptyline 30 q.h.s. 6. epogen. 7. coumadin 4 q.h.s. 8. celexa 10 q day. 9. norvasc 10 q day. 10. lactulose 30 prn. 11. milk of magnesia 30 prn. social history: significant for alcohol use, intravenous drug use, and 13 pack year history of smoking. physical examination: the patient was in no acute distress. alert and oriented times three. neck was supple. no jvd. regular rate and rhythm. no murmur. clear to auscultation bilaterally. abdomen was soft, nontender, nondistended. positive bowel sounds. extremities no lower extremity edema. hospital course: the patient was taken to the operating room on . attending surgeon dr. , assistant dr. and dr. . for complete account please see operative reported dated for both orthotopic liver transplant and cadaveric kidney transplant. postoperatively, the patient was admitted to the intensive care unit per protocol. intensive care unit course was unremarkable. the patient was transferred to the floor on postoperative day number eight. delay in transfer was only due to bed availability issues. upon transfer to the floor the patient had a creatinine of 2.2, alt 105, ast 32, alkaline phosphatase 104 and total bilirubin 2.3. on postoperative day number ten the patient's immunosuppression regimen went as follows, cyclosporin 100 mg b.i.d., prednisone 20 mg q day, cellcept mg b.i.d. cyclosporin levels were being adjusted daily per level. on postoperative day number 11 the patient's jp output picked up to 180 cc and jp output creatinine was noted to be 15.5. the patient was examined by ct to evaluate for possible leak. ct scan was normal. ultrasound, however, approximately 7 by 2 by 2 cm fluid collection superomedial to the transplanted kidney. treatment at that time was decided to be leave the jp drain in until output was minimal as well as the foley. contributing to this treatment plan was the fact that the patient suffers from benign prostatic hypertrophy. on postoperative day number 13 the patient began to get increasingly agitated and began to have mental status changes. a sitter was written for in order to watch the patient. psychiatric consult was also obtained recommending haldol to treat the patient's agitation. by postoperative day number 15 the patient became increasing agitated, actively hallucinating and frankly delirious and psychotic. the patient requiring 4 point leather restraints at times. haldol seemed to have no effect. later on postoperative day fifteen the patient began to have respiratory difficulties and the patient was transferred to the intensive care unit and was intubated and sedated. the patient remained intubated in the intensive care unit for a day and a half at which time ct scan revealed a right lower lobe consolidation. the patient received bronchoscopy to reopen atelectally collapsed right lower lobe. cultures from that consolidation had been negative to date. the patient was placed on zosyn for a ten day course for empiric treatment of pneumonia. the patient was then taken off cyclosporin for a presumptive cyclosporin induced psychosis and delirium. after extubation the patient quickly returned to baseline mental status. he remembered vividly his episodes of confusion. the patient was started on prograf and got to a therapeutic level of 10. on postoperative day number 20 the patient was found to have on ultrasound duplex of the central veins a nonocclusive thrombus on the right ij. on the patient went back to the operating room for ligation of right arm av fistula prior to which the patient had marked right upper extremity edema. postoperative day number 21 from the liver kidney transplant the patient returned to the floor doing well. the patient's staples were removed and steri-strips were applied. postoperative day number 22 status post kidney liver transplant and on zosyn day eight for right lower lobe pneumonia the patient remained afebrile, vital signs were stable. jp drain was discontinued for minimal output. creatinine was 1.1, ast 20, alt 27, alkaline phosphatase 82, total bilirubin 0.7. the patient's mental status was at baseline. the patient was therapeutic on prograf 2 mg b.i.d. dose being adjusted daily for levels. also postoperative day number 22 hepatitis c viral load continued to be negative. the patient's wound was clean, dry and intact and preliminary read of an ultrasound of the transplanted kidney revealed no detectable fluid collection. the patient's foley still in place. the foley is to remain in place for one to two weeks. the patient at this time was deemed well enough and go be discharged to a rehabilitation center and then to home thereafter with close follow up with the transplant center. condition on discharge: stable. discharge status: to . discharge diagnoses: 1. status post cadaveric renal transplant. 2. status post orthotopic liver transplant. 3. hepatitis c cirrhosis. 4. end stage renal disease secondary to membranous proliferative glomerulonephritis. 5. hypertension. 6. right lower lobe pneumonia. discharge medications: 1. tacrolimus 2 mg po b.i.d. 2. percocet one to two tabs po q 4 to 6 hours prn. 3. protonix 40 mg po q day. 4. diflucan 200 mg po q day. 5. multivitamins once a day. 6. valcyte 450 mg po q day. 7. metoprolol 100 mg po b.i.d. 8. ipratropium bromide mdi q 4 to 6 hours prn. 9. albuterol q 6 hours prn. 10. prednisone 15 mg po q day. 11. doxazosin 2 mg po q.h.s. 12. amlodipine 5 mg po q day. 13. cellcept mg po b.i.d. 14. bactrim single strength one tab po q day. follow up: the patient is to follow up with dr. on at 9:50, with dr. on at 9:40 a.m. both appointments at the transplant center. , m.d. dictated by: medquist36 procedure: parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis other transplant of liver other kidney transplantation repair of arteriovenous fistula diagnoses: pneumonia, organism unspecified chronic hepatitis c without mention of hepatic coma acute and subacute necrosis of liver alcoholic cirrhosis of liver other pulmonary insufficiency, not elsewhere classified pulmonary collapse nephrotic syndrome with lesion of membranoproliferative glomerulonephritis 

Answer: The patient is high likely exposed to