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: itraconazole / lisinopril / inspra attending: chief complaint: hcv/hbv/hdv cirrhosis major surgical or invasive procedure: liver transplant history of present illness: 52 y.o. m with hcv/hbv/hdv cirrhosis with h/o encephalopathy, esophageal varices, portal htn here for liver transplant. denies recent chills, fevers, abdominal pain. inr >3 and platelets low. past medical history: - hepatitis b,c,d cirrhosis: pt has portal hypertension, esophageal varices though no bleed, encephalopathy, and h/o recent sbp. he is on the list for liver transplant. last viral loads of hbv and hcv have been nondetectable - multiple admissions for hepatic encephalopathy - suspected hcc according to mri abdomen findings (no biopsy performed yet for difficulty of physical access due to location of nodule), to be closely follow up - h/o portal vein thrombosis - not on anticoagulation - hep a antibody positive - dm, diet controlled - hypertension -olt social history: quit smoking 18 years ago, quit drinking and iv drugs 20 years ago. lives with wife, h/o ivdu and cocaine use, currently sober. had 3 kids, 2 of whom live close by family history: grandfather: pancreatic ca father: liver cirrhoss maternal grandmother physical exam: 98.4 65 124/81 20 98%ra gluc `40 heent: clear op mmm, neck supple, no lad, no jvd lungs: ctab cv rrr, nl s1s2, no murmurs, rubs, gallop abd distended, tympanic, +bowel sounds ext 3+ lower ext edema, 2+ dp bilat skin: no lesions neuro: no asterixis, a&o x3, cn 2-12 grossly intact, preserved sensation throughout, + reflexes, normal coordination, normal gait pertinent results: 11:20pm wbc-3.6* rbc-3.21* hgb-8.4* hct-25.5* mcv-80* mch-26.1* mchc-32.7 rdw-19.2* 11:20pm alt(sgpt)-63* ast(sgot)-130* alk phos-143* tot bili-21.3* 11:20pm pt-37.0* ptt-85.0* inr(pt)-4.0* 05:27am blood wbc-5.2 rbc-3.82* hgb-11.2* hct-31.8* mcv-83 mch-29.2 mchc-35.1* rdw-15.1 plt ct-37* 05:27am blood pt-12.6 ptt-20.6* inr(pt)-1.1 05:27am blood glucose-112* urean-54* creat-1.8* na-133 k-4.1 cl-102 hco3-26 angap-9 05:03am blood glucose-114* urean-58* creat-1.7* na-136 k-4.1 cl-103 hco3-25 angap-12 05:27am blood alt-249* ast-83* alkphos-105 totbili-3.2* 05:03am blood alt-320* ast-108* alkphos-120* totbili-3.5* 05:12am blood hbsag-negative hbsab-positive t labs on discharge wbc-5.1 rbc-3.76* hgb-10.9* hct-30.7* mcv-82 mch-28.9 mchc-35.4* rdw-15.2 plt ct-92* pt-12.5 ptt-20.9* inr(pt)-1.1 glucose-93 urean-50* creat-1.9* na-136 k-4.2 cl-105 hco3-25 angap-10 alt-175* ast-62* alkphos-102 totbili-2.6* calcium-8.4 phos-2.9 mg-2.0 tacrofk-11.9 brief hospital course: on dr. performed liver transplant from a 57 y.o. extended criteria female donor. he was very coagulopathic and received multiple blood products to correct this situation. intra op, he received standard induction immunosuppresion consisting of cellcept, solumedrol. hbig was administered during the anhepatic phase for known hbv. there was a thrombus in his portal vein and this was thrombectomized. two jps were placed. he was transferred intubated to the sicu postop. in the sicu, he was weaned off sedation and extubated on postop day 1. lfts initially increased then trended down. an u/s of the liver revealed patent vasculature and no biliary dilatation. a small hematoma caudal to the right lobe of the liver was noted. jp outputs were serosanguinous. he required an insulin drip for hyperglycemia due to solumedrol. additional prbc were administered for a hct drop to 25. daily hbsab and hbsag titers were monitored and hbig 5000units was administered on pod . hbsab titers remained greater than 450. he received hbig on (pod 7). serum creatinine increased to 2.7 on pod 3. prograf had been started on pod 1. dosage was adjusted on a daily basis based on daily trough levels. trough level increased to 9.6 on pod 6. diet was advanced and tolerated until when he became distended. a kub was done revealing dilated loops of large and small bowel with air-fluid levels consistent with ileus. diet was held. on pod 8, he was passing flatus and stool, but abdomen still appeared distended. pod9 patient continued to pass flatus and have bowel movements. he was converted to insulin sliding scale and taught insulin administration. a self medication program was followed and he did well with this. he was ambulatory and vital signs were stable. the lateral jp was removed on pod 4 when drainage was 125cc/day. hct fluctuated between 31-33. platelets remained on the low side 75-47. this further trended down to 37 on pod 7. he was transfused with 1 bag of platelets. lasix iv was given for edema. patient was discharged in good condition. central line was discontinued prior to discharge. patient was sent home with drains. patient received instruction on measuring drain output. patient to get outpatient labs on monday and follow up with dr. on thursday . medications on admission: rifaximin 600bid, cipro 250qd, lasix40qd, nadolol 20qd, pantoprazole 40qd, reglan 5 tid, lactulose 90ml, spironolactone 50qd, mycelex 1 x5daily, ? buraclide . discharge medications: 1. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*2* 3. prednisone 5 mg tablet sig: four (4) tablet po once a day: follow transplant clinic taper schedule . 4. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 5. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 8. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 9. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 10. entecavir 0.5 mg tablet sig: one (1) tablet po daily (daily). 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12. tacrolimus 1 mg capsule sig: 2 in am; 3 in pm capsules po every twelve (12) hours. 13. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*56 tablet(s)* refills:*0* 14. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation: please take if taking oxycodone. disp:*28 capsule(s)* refills:*0* 15. outpatient lab work on monday and lab results to be faxed to : cbc, chem 10, ast, alt, alk phos, albumin, t. bili, prograf, hepb antibody titer, hepb surface antigen 16. lasix 20 mg tablet sig: one (1) tablet po once a day. 17. insulin lispro 100 unit/ml solution sig: per sliding scale subcutaneous subcutaneous asdir (as directed). discharge disposition: home discharge diagnosis: hbv cirrhosis hcv s/p liver transplant glucose intolerance, steroid induced discharge condition: good discharge instructions: please call dr. if fever, chills, nausea, vomiting, inability to take any of your medications, increased abdominal pain/distension, incision redness/drainage, jaundice or lethargy. lab draw every monday and thursday check your blood sugar prior to meals and at bedtime. use sliding scale shower no heavy lifting no driving while taking pain medication followup instructions: provider: , md phone: date/time: 9:30 provider: , md phone: date/time: 10:30 provider: , transplant social work date/time: 11:00 md, procedure: venous catheterization, not elsewhere classified other transplant of liver transfusion of packed cells transfusion of platelets other operations on lacrimal gland transplant from cadaver diagnoses: chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified portal hypertension esophageal varices in diseases classified elsewhere, without mention of bleeding chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta alcohol abuse, in remission cocaine abuse, in remission hepatitis delta without mention of active hepatitis b disease or hepatic coma 

Answer: The patient is high likely exposed to