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: mr. is a 42-year-old male with a history of end-stage liver cirrhosis secondary to hepatitis c and ethanol abuse, who for a long time had been followed by dr. at for possible liver transplant. he presented to the hospital on with worsening confusion, lethargy, and increased fatigue. there was no evidence of bleeding or infection. it was thought that he would do better with being transferred to and that this would expedite his chances for getting a new liver. the patient was transferred to on . by the time of transfer, he was admitted with acute renal failure as well as encephalopathy. past medical history: 1. hepatitis c with cirrhosis. 2. gastroesophageal reflux disease. 3. bipolar-affective disorder. 4. history of pneumonia. allergies: there are no known drug allergies. medications on admission: 1. lamictal 200 mg po bid. 2. protonix 400 mg po q day. 3. ursodiol 300 mg po tid. 4. nadolol 20 mg po q day. 5. aldactone 25 mg po bid. 6. seroquel 100 mg po q hs. 7. lorazepam 0.5 mg po bid. 8. levaquin 500 mg po q day x6 days. 9. lasix 800 mg po q day. 10. mycelex five pills a day. social history: occasional cigarettes a day. he denies any alcohol use, and the patient is single with one son, never married, and he lives with his sister. physical examination: the patient appeared lethargic and jaundice appearing and is arousable in no acute distress. vital signs: blood pressure 100/48, pulse 70, respiratory rate 20. head, eyes, ears, nose, and throat is normocephalic, atraumatic. extraocular movements are intact. sclerae icteric. neck: there is no jugular venous distention, no lymphadenopathy. heart: regular, rate, and rhythm, normal s1, s2. lungs with crackles bilaterally at the base. abdomen: bowel sounds present, soft, slightly distended and nontender. extremities: no edema. neurologically, the patient is drowsy, but arousable, alert and oriented times three, moves all four extremities. pertinent laboratory tests: sodium 127, potassium 4.8, chloride 99, bicarb 22, bun of 42, creatinine of 2.4 from baseline of 1.0. total bilirubin 19.8, direct bilirubin 9.5, indirect 3.1. amylase 78, lipase 57, alkaline phosphatase 115. ast 60, alt 40. chest x-ray: revealed a large right sided density probably representing a large pleural effusion. echocardiogram: on showed a left ventricular ejection fraction of 55%, mild mitral regurgitation, mild dilated left atria, with mild pulmonary hypertension. summary of hospital course: this is a 42-year-old gentleman with end-stage liver disease secondary to hepatitis c as well as ethanol use in the past, who was transferred from hospital on . he had a variety of metabolic abnormalities, and he was encephalopathic. he was transferred for better management and for possible liver transplant. the patient had a thoracentesis the following day of his right pleural effusion. he was also taken to the operating room on for orthotopic liver transplant. the consent was obtained. the operation went well as described in the operative note. the patient was started on the usual prophylaxis of bactrim, fluconazole, and valcyte, and additionally on unasyn as well as vancomycin. patient was weaned off propofol as well as ventilation and extubation was attempted on postoperative day one. an ultrasound of his liver was obtained indicating normal blood flow to the liver and a large pleural effusion on the right side. that pleural effusion was tapped and cultured and there was no growth of organism. additionally, blood cultures as well as sputum cultures were sent. all cultures were negative. a sputum sample was negative as well. a bronchoalveolar lavage indicated no microorganisms seen, however, there was on fungal culture and no other organisms. the patient was continued on ventilation and was noted to have a lot of secretions. the patient was placed on lopressor as well as hydralazine and actively diuresed. patient was started on tpn. the patient was extubated on postoperative day three, and oxygen saturation was in the high 90s. he is having aggressive chest pt. during the hospital stay, the patient was transfused several units of blood as well as platelets. the patient was maintaining excellent urine output. his liver function tests have been trending downward. an angiogram of his liver showed normal flow. the patient had been doing well on the floor, however, he is transferred back to the unit on postoperative day #7 with respiratory failure, decrease in oxygen saturation. sedation was avoided. imaging of his lungs were consistent with ards. collapse of the left upper lobe as well as the left lower lobe. the patient required increase in fio2 as well as peep requirement, ...................and bronchoscopy was done as well as a bronchoalveolar lavage, which revealed no organism. tpn was discontinued and tube feedings started in its place. the patient was eventually weaned off the vent and extubated, and remained hemodynamically stable. clinic was consulted regarding blood sugar management. physical therapy and occupational therapy was working with patient for rehabilitation. again on postoperative day #18, the patient was transferred from the unit to the floor. it was noted at that time that there was a large amount of ascites leaking from the upper aspect of his wound which required several stitches to be placed. the patient had an ultrasound guided paracentesis, which was within normal limits. the patient was cleared by speech and swallow for po intake. tube feeds were eventually discontinued, and patient's oral intake was supplemented with boost shakes. the patient was started on fludrocortisone for some adrenal insufficiency. urology was consulted for a history of renal calculus as well as dysuria and positive urine culture. he was taken to the operating room on for uroscopy and laser lithotripsy, where a temporary stent was placed. he was additionally placed on levaquin for one week. as per patient's request, psychiatry was consulted for his history of bipolar disorder, and appropriate recommendations were made. the patient remained in the hospital for several extra days secondary to the patient not having medical insurance and could not go to a rehabilitation center. the patient was to be discharged with his sister with whom he lives with at home. review of the patient's medications as well as medications schedule was reviewed with his sister by the transplant coordinator. the patient was scheduled to review services. the patient was to have laboratory work done twice a day on monday and thursdays at . the patient was cleared by physical therapy as well as our service to return home on postoperative day #35 under the guidance of her sister at home as well as services. at that time, is on a combination of an immunosuppressive regimen of neoral, prednisone, and cellcept. discharge status: stable. discharge diagnoses: 1. end-stage liver disease with encephalopathy. 2. hepatitis c alcoholic cirrhosis. 3. gastroesophageal reflux disease. 4. acute respiratory distress requiring reintubation. 5. vancomycin resistent enterococcus. 6. bipolar-affective disorder. 7. renal calculus/urinary tract infection. invasive/surgical procedures: 1. status post orthotopic liver transplant. 2. status post ureteroscopy with laser lithotripsy. 3. status post thoracentesis. discharge medications: 1. valcyte 450 mg one tablet po q day. 2. risperidone 1 mg/ml solution one tablet oral po bid. 3. bactrim ss one tablet po q day. 4. metoprolol 50 mg one tablet po bid. 5. fluconazole 200 mg tablet two tablets po q day. 6. fludrocortisone 0.1 mg tablet one tablet po q day. 7. percocet 1-2 tablets po q4-6h prn pain. 8. famotidine 20 mg tablet one tablet po bid. 9. cellcept mg tablet two tablets po bid. 10. prednisone 12.5 mg po q day. 11. insulin nph 4 units at breakfast and 4 units q hs. 12. furosemide 10 mg tablet po q day. 13. neoral 100 mg capsule one capsule . recommended follow-up appointments: 1. the patient is to followup with dr. at the clinic in . he is to schedule an appointment in one month at telephone number . 2. he is to followup with dr. at the transplant center in the at area code on at 11:20 am. 3. he is to followup with dr. at the in the transplant center, same telephone number on at 9:10 in the morning. 4. to follow-up again with dr. on at 10:10 am. 5. he is to schedule an appointment with dr. at the same telephone number at the clinic. , m.d. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube thoracentesis percutaneous abdominal drainage arterial catheterization cholecystectomy closed [endoscopic] biopsy of bronchus other transplant of liver arteriography of other intra-abdominal arteries ureteral catheterization transurethral removal of obstruction from ureter and renal pelvis diagnoses: thrombocytopenia, unspecified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia alcoholic cirrhosis of liver hepatic encephalopathy 

Answer: The patient is high likely exposed to