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: this is a 60-year-old male with a history of end stage renal disease on hemodialysis, alcoholic cirrhosis who was brought to the emergency room on after hemodialysis for increased confusion and low grade fevers. the patient has had extensive work up including ultrasound with no ascites, negative head ct and chest x-ray which demonstrated left-sided pleural effusion. this was tapped and found to be hemorrhagic and viscus and the foley drained. fluid did show white blood cells, 320,000 red blood cells with a differential of neutrophils 93 percent, lymphocytes 2 percent and monocytes 5 percent. glucose was 100. ldh was 1,935. one day prior to discharge, the patient spiked to 101.1 and was started on levofloxacin and metronidazole. the patient was transferred to the for possible video assisted thorascopic surgery. at the time of discharge, all culture data was negative including blood and pleural cultures. currently, the patient denies chest pain, shortness of breath, nausea and vomiting, headache, fevers, chills, nausea or cough. past medical history: 1. end stage renal disease and hemodialysis. 2. alcoholic cirrhosis with hepatitis a, b and c. 3. exudative effusion. 4. gout. 5. hypertension. 6. history of mrsa line infection. 7. alcohol withdrawal seizures. 8. questionable history of congestive heart failure. physical examination: vital signs: temperature is 99.5, blood pressure is 128/78, pulse 71, respiratory rate is 20, saturation is 95 percent on room air. in general, lying in bed, appears comfortable. heent: normocephalic and atraumatic. right pupil is smaller than left. slight ptosis of the left eye. these are chronic per patient. neck has no jugular venous distention. chest has decreased breath sounds and dullness on the left. clear to auscultation on the right. cor has a regular rate with no murmurs, rubs or gallops. abdomen is soft and mildly diffusely tender. no fluid wave. no rebound. positive bowel sounds. extremities has no cyanosis, clubbing or edema. no pulmonary erythema. neurological has no asterixis. laboratory data: white blood cell count is 7.5 with 69 percent polys, 2 percent bands. bun 28, creatinine 4.5. hospital course: 1. pleural effusion: the patient was taken for vats on . postoperatively, he developed atrial fibrillation and hypotension despite fluid resuscitation. the patient was placed on pressors and transferred to the icu. the patient was continued on empiric antibiotics including ceftriaxone and clindamycin for empyema dictation ended , md dictated by: medquist36 d: 20:40:14 t: 12:11:33 job#: procedure: enteral infusion of concentrated nutritional substances hemodialysis other bronchoscopy decortication of lung transpleural thoracoscopy diagnoses: chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver cardiac complications, not elsewhere classified atrial fibrillation other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta 

Answer: The patient is high likely exposed to