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: fatigue, doe, increasing jaundice major surgical or invasive procedure: central venous line placement picc placement intubation mechanical ventilation history of present illness: 54 year old female with hcv cirrhosis, esophageal varices by egd who presents with fatigue, dyspnea mostly with exertion, increasing abdominal girth and jaundice. pt has h/o hepatitis c complicated by cirrhosis, portal hypertension, splenomegaly, ascites. she was recently in for her brother's funeral and had some dietary indiscretions with increased protein. family noticed she was more forgetful and she notes that she had asterixis and stopped eating protein at that point. she was never disoriented per her report and gave the euology at her brother's funeral. before she left she noted that her abdomen was bigger and she occaisionally has ruq pain. she notes decreased bm despite taking lactulose and rifaximin as prescribed. no nausea or emesis. no fevers/chills. denies melena or hematochezia. also reports some mild dyspnea on exertion without chest pain, fever or cough. she has also been having her muscle spasms which respond to flexeril. in the ed, patient's initial vs were: t 97.4 p 70 bp 116/56 r 22, o2 sat 100% ra. she was given a liter of ns. liver was contact. she had a ruq u/s with dopplers that just showed retrograde flow through portal vein but no obstruction and stable cirrhosis. she also was found to be hyperkalemic w/o ekg changes and was given kaexylate and dextrose/insulin. she has a left ej for access, ij attempted per note but unsuccessful. on admission to the floor, she feels well. denies dizziness, cp, sob at rest, abdominal pain, feels thirsty. initial vs on floor were: 97.9 102/68 70 20 99% ra. ros as above, except patient noted dysphagia over the past few years has difficulty swallowing solid foods, no sore throat but sensation that food is getting stuck. had egd with nothing in upper esophagus. past medical history: hcv cirrhosis complicated by ascites and edema, + history of encephalopathy, + hepatopulmonary syndrome - on transplant list esophageal varices by egd on , grade i gastric ulcer diagnosed by egd on , resolved h. pylori muscle spasms liver transplant biliary stent social history: home: lives with son in . son staying with her friend. occupation: on medical leave. remote tobacco history. social alcohol (/wk), none for 3 years. denies drug use. family history: mother - htn noncontributory physical exam: admission physical exam: ======================== vs: 97.9 102/68 70 20 99% ra. heent: ncat, + scleral icterus, perrla, eomi, op clear, mm dry neck: supple, no lad, no bruits cor: 2/6 sem l and rusb no radiation pulm: cta b/l abd: +bs, soft, distended, nontender, liver edge 3-4 cm below rcm extrem: +1 pitting edema b/l skin: jaundice, no rashes neuro: a/o x3, no asterixis, nonfocal pertinent results: admission labs: ================ wbc-12.2*# rbc-3.41* hgb-12.2 hct-35.2* mcv-103* neuts-77.7* lymphs-9.4* monos-10.2 eos-2.4 basos-0.4 plt count-120* ret man-2.8* pt-24.2* ptt-49.1* inr(pt)-2.4* alt(sgpt)-82* ast(sgot)-157* alk phos-147* tot bili-29.5* lipase-153* albumin-2.7* ld(ldh)-308* dir bili-18.6* 06:35am blood wbc-6.5 rbc-3.09* hgb-9.4* hct-28.1* mcv-91 mch-30.5 mchc-33.6 rdw-16.4* plt ct-183 06:00am blood wbc-6.1 rbc-3.03* hgb-9.2* hct-27.0* mcv-89 mch-30.4 mchc-34.1 rdw-16.2* plt ct-158 06:00am blood pt-13.9* ptt-26.4 inr(pt)-1.2* 06:35am blood glucose-85 urean-17 creat-1.0 na-135 k-4.1 cl-98 hco3-29 angap-12 06:00am blood alt-23 ast-12 alkphos-395* totbili-2.3* 06:35am blood alt-19 ast-10 alkphos-338* totbili-2.1* 06:35am blood calcium-8.8 phos-3.4 mg-1.1* 06:00am blood fk506-10.9 brief hospital course: 54 yo f admitted with hcv cirrhosis, on transplant list, here for fatigue and increasing jaundice found to be hyponatremic and hyperkalemic with progressively rising bilirubin and inr, worsening hepatic function, meld of 48. she was admitted to the micu where she was intubated for airway management secondary to continued decompensation. she was placed on a free water restriction, diuretics were held, albumin 25g , octreotide and midodrine were given. baseline hct was in 30s then decreased to the low to mid 20s. stool was guaiac positive. there was concern for slow gi bleed given portal gastropathy, grade i varices and a healed gastric ulcer. she received ffp and prbc. on a liver donor was available from a cdc high risk donor. this donor did have nat testing that was negative for hcv, hiv and hbv. her hiv, hbv, hcv serology were also negative. she underwent orthotopic deceased donor liver transplant (piggyback), portal vein to portal vein anastomosis, common bile duct to common bile duct anastomosis(no t tube), common hepatic artery (donor) to proper hepatic artery (recipient) end-to-end. surgeon was dr. . please see operative report for complete details. two jp drains were placed. ebl was 10,000cc. she received 27 units of prbc, crytalloid, cryo, ffp, and cellsaver. she received standard induction immunosuppression consisting of solumedrol and cellcept. immediately postop, she was transferred intubated to the sicu. she was febrile to 101 postop. blood cultures drawn which were negative. the picc line was removed and the tip cultured. this culture was negative. she continued to receive blood products. jps were draining ~100cc each with serosang fluid. on pod 1 a duplex liver us showed the hepatic veins and portal veins to be patent with normal waveforms. the main hepatic artery and intrahepatic arterial branches were patent, although mild reduction of diastolic flow was noted. there were no peri-transplant fluid collections and there was no intra- or extra-hepatic biliary ductal dilation. prograf was started. lfts slowly trended down. on pod 2, she was extubated without incident. a cxr showed volume overload. a lasix drip was given. repeat cxr showed improvement. she was slow to wake up and had mild confusion. pain medication was adjusted. diet was advanced slowly and tolerated although appetite was poor. the lateral jp was removed on pod 6. pt evaluated and recommended rehab. she tended to desat to the mid 80s off o2 when ambulating. nasal cannula o2 was continued. aggressive diuresis with lasix continued for postop weight that was up 10-15kg from preop. breath sounds were decreased in the right base. on pod 5, a repeat liver duplex showed similar findings as on pod 1 with mild reduction of diastolic flow noted. alk phos trended up daily to 433 on from pod 1 of 106. t.bili continued to trend down to 3.0 from 16 immediately postop. a liver biopsy was performed by dr. after us marking. biopsy demonstrated no rejection and features were consistent with mild resolving ischemic/reperfusion injury. post biopsy, vital signs remained stable and a post biopsy hct was stable. the medial jp was removed. alk phos continued to increase and an ercp was performed on . this demonstrated sharp angulation at the level of duct to duct anastomosis without definitive stricture or filling defects identified. mild duct dilation was noted proximal and distal to the anastamosis. a stent was placed. she tolerated this procedure well without complications. on , the alk phos was 584 and t.bili was 2.7. alk phos continued to slowly trend down. ursodiol was not ordered given potential gi side effects with her present complaints of indigestion. cellcept was changed to for complaints of indigestion. solumedrol was tapered to prednisone. prednisone was further tapered to 17.5mg and prograf was titrated to 2mg for trough levels of . iv lasix was changed 20mg po qd. edema had decreased considerably. she was discharged to rehab on in stable condition with avss, tolerating a regular diet and ambulatory. medications on admission: 1. cyclobenzaprine 2.5 mg 2. quinine sulfate 324 mg po hs 3. citalopram 20 mg po daily 4. lactulose 30 ml po tid 5. clotrimazole 10 mg five times per day 6. calcium carbonate 600 mg po bid (doesnt always take) 7. magnesium oxide 400 mg po qd (doesnt always take) 8. prilosec 20 mg qd 9. furosemide 40 mg po daily (recently decreased) 10. spironolactone 100 mg po daily 11. rifaximin 600 mg 12. nadolol 20 mg qd medications on transfer to micu: 1. octreotide acetate 100 mcg sc q8h 2. midodrine 10 mg po tid 3. lactulose 30 ml po tid 4. rifaximin 600 mg po bid 5. albumin 25% (12.5g / 50ml) 25 gm iv bid 6. ceftriaxone 1 gm iv q24h 7. citalopram hydrobromide 20 mg po daily 8. acetaminophen 500 mg po q6h:prn 9. pantoprazole 40 mg po q12h 10. calcium carbonate 500 mg po bid 11. sarna lotion 1 appl tp qid:prn 12. clotrimazole 1 troc po 5x/day discharge medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 2. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection (2 times a day). 3. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 4. insulin regular human 100 unit/ml solution sig: follow sliding scale injection four times a day. 5. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: one (1) tablet po daily (daily). 6. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. 7. valganciclovir 450 mg tablet sig: one (1) tablet po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 9. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 11. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). 12. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 13. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 14. tacrolimus 1 mg capsule sig: two (2) capsule po q12h (every 12 hours). 15. prednisone 5 mg tablet sig: 3.5 tablets po daily (daily). discharge disposition: extended care facility: & rehab center - discharge diagnosis: hcv cirrhosis liver transplant biliary anastomosis angulation with ductal dilatation s/p ercp stent placement discharge condition: good discharge instructions: please call the transplant office if fever, chills, nausea, vomiting, inability to take any of your medications, jaundice, edema, shortness of breath or incision redness, bleeding or drainage labs every monday and thursday followup instructions: provider , md, phd: date/time: 9:40 provider: . on at 9:30 md, procedure: 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 closed (percutaneous) [needle] biopsy of liver endoscopic sphincterotomy and papillotomy arterial catheterization endoscopic insertion of stent (tube) into bile duct other transplant of liver other operations on lacrimal gland transplant from cadaver diagnoses: hyperpotassemia thrombocytopenia, unspecified urinary tract infection, site not specified cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified unspecified protein-calorie malnutrition hyposmolality and/or hyponatremia portal hypertension acute respiratory failure calculus of gallbladder with other cholecystitis, without mention of obstruction primary pulmonary hypertension hepatic encephalopathy complications of transplanted liver other and unspecified coagulation defects 

Answer: The patient is high likely exposed to