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: patient recorded as having no known allergies to drugs attending: chief complaint: fulminant liver failure major surgical or invasive procedure: orthotopic liver transplant history of present illness: 46 y.o. w with hx of acute hepatitis in , which was attributed at that time to ditropan vs unclear etiology, and multiple schlerosis, presents from an urgent care visit with her pcp where she presented with lower extremity edema, nausea, decreased po intake for the past 2-3 days, and jaundice. . in , patient had a complete work-up for hepatic failure including: hepatitis a, b, c serologies, leptospira, ceruloplasmin, copper, herpes type i and type ii antibodies, hiv, ascites fluid for culture, blood cultures, and ophtho consult for kayser-fleischer rings, which were all negative. a ct of the liver as part of a liver transplant work-up showed a shrunken cirrhotic liver with regenerating nodules with hyperintense lesions susicious for hepatomas. there was evidence of ascites and portal hypertension as indicated by dilated portal vein and recanalization of the periumbilical vein. a transjugular liver biopsy showed (1) confluent a bridging necrosis, submassive necrosis with collapse in bile ductular proliferation. (2) lobular chronic inflammation with necrosis and hepatocellular cholelithiasis. (3) no fatty changes or viral cytopathic changes seen. (4) focal increase in stainable iron seen. (5) trichrome reticulin in ursine stains performed. the patient was put on the liver transplant list and followed by hepatology, but her hepatic failure slowly resolved over the course of about four months. . the patient says she has been in her usual state of health. she is on disability for her ms but otherwise has no other significant medical problems. she estimates drinking less than 1 alcoholic beverage per month, and denies any changes in her routine. no recent changes in medications, travel, sick contacts except for her six-year-old son who has a cough. . in the ed, hepatology and transplant surgery were both consulted. a ruq us was performed which showed possible cirrhosis, no ascites, and a cta was ordered and is still pending. head ct was negative. hepatitis serologies and many other labs as detailed below in the a & p were sent. serum tox screen was negative. patient was admitted to micu for close monitoring. of note, when patient was admitted to the unit she was discovered to have an old tampon in place which had been there for at least several days. past medical history: 1. multiple sclerosis diagnosed in . the patient complains of numbness and weakness in bilateral lower extremities. 2. episode of fulminant liver failure in with negative work-up as above. 3. status post c-section. social history: tobacco - quit etoh less than 1 glass of wine per month drugs: remote hx of marijuana use no ivdu married, has two children ages 7 and 9. on disability. family history: no contact with father since young age. mother died at 62, exact cause unknown. physical exam: vs: t: p: 120 bp: 134/75 rr: 18 o2 sat: 98% gen: nad, jaundiced heent: at, nc, perrla, eomi, no conjuctival injection, + icterus, op clear, mm dry, neck supple, no carotid bruits cv: rrr, nl s1, s2, no m/r/g pulm: ctab, no w/r/r with good air movement throughout abd: firm, nt, nd, + bs, ext: warm, dry, +2 distal pulses bl, + 3 pitting edema in feet to ankles bl neuro: alert & oriented, cn ii-xii grossly intact, 5/5 strength throughout. no sensory deficits to light touch appreciated. + mild asterixis psych: appropriate affect brief hospital course: she was admitted to the micu with acute liver failure and moderate encephalopathy with meld score of 32 on admission. patient now with but laboratories stable. unclear etiology. patient recently given solumedrol, which has been shown in case reports to be associated with acute liver failure. cta showed cirrhosis, patent vasculature. lactulose was given for encephalopathy and w/u for liver failure was done. she was intubated for respiratory failure from fluid overload and from inability to manage secretions from encephalopathy. on a liver donor was available and she underwent piggyback liver transplant. surgeon was dr. assisted by dr. . induction immunosuppression was given (solumedrol and cellcept). per operative note, the gda was taken. the common hepatic artery was dissected down to an appropriate spot where it could be clamped. a graybulldog was placed on the artery. the donor artery was cut to the appropriate length using a branch patch from the gda and a running 6-0 prolene anastomosis was accomplished. please see operative report for further details. she tolerated the surgery without complications and was transferred immediately afterward to the sicu intubated. on pod 3 she was febrile to 101.5 and pan-cultured. her ngt was removed on pod 3 and she was extubated. she tolerated the extubation well, and was placed on cool neb's only. on pod 5 and insulin drip was started for blood sugars of 390. she was also started on clears and advanced to a regular diet. she was transferred to the floor and her foley was removed on pod 6 and neurology was consulted regarding management of her ms while she was in house. she was a+ox2 and had persistent rue weakness. her mental status improved and she was a+ox 3 on discharge. she continues to have rue weakness, but she states this is her baseline during a "". neurology recommended an mri head +/- spine with contrast (which was done on ), continue with pt/ot, and to continue steroids the immunosuppression should help her new ms . her husband to brought in the osh mri for comparison to the mri on and the ms lesions were stable. she will follow up with her neurologist dr in , ma. on pod 8 her lasix was stopped. another post-operative issue was hoarseness. she was evaluated by speech and swallow and aspiration was ruled out. after a video swallow she was placed on a diet of thin liquids and regular solids, and tube feeds were started to ensure adequate nutrition. she was encouraged to take in po's. ent was also consulted to assess cords. she was scheduled for a video stroboscopy on which demonstrated right paralysis. she will follow up with dr as an outpatients regarding treatment of her cords. on pod 11 her jp drain was removed. physical therapy continued to work with her and she was placed in rehab facility per physical therapy recommensations. she is being discharged afebrile, vital signs stable, tolerating her tube feeds, a+ox3 and at her baseline physical ability. she will follow up with dr , dr from ent, and her neurologist dr . medications on admission: baclofen promethazine naproxen copaxone tizanadine discharge disposition: extended care facility: & rehab center - discharge diagnosis: cirrhosis etiology unknown ms paralysis discharge condition: good discharge instructions: please call the transplant office if you have fever, chills, nausea, vomiting, inability to take any of your medications, increased abdominal pain, incision redness/bleeding/drainage, jaundice or dark urine labs every monday and thursday with results fax'd to procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous abdominal drainage cholecystectomy other transplant of liver other operations on lacrimal gland transplant from cadaver diagnoses: thrombocytopenia, unspecified anemia, unspecified other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use cirrhosis of liver without mention of alcohol acute and subacute necrosis of liver personal history of tobacco use acute respiratory failure other specified cardiac dysrhythmias alkalosis calculus of gallbladder with other cholecystitis, without mention of obstruction epilepsy, unspecified, without mention of intractable epilepsy other ascites other chronic hepatitis hepatic encephalopathy pulmonary congestion and hypostasis multiple sclerosis hyperosmolality and/or hypernatremia other and unspecified coagulation defects calculus of gallbladder with acute cholecystitis, without mention of obstruction unilateral paralysis of vocal cords or larynx, partial nontoxic uninodular goiter 

Answer: The patient is high likely exposed to