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: briefly, the patient is a 73-year-old female who was transferred from an outside hospital with fulminate acute hepatitis a infection who had worsening liver function. she had been on a recent trip to and developed nausea, vomiting, and weight loss. she was seen by her primary care physician and was noted to have increasing liver function tests and was admitted for this. she slowly worsened over time and was transferred to the intensive care unit here at . past medical history: past medical history is significant for bronchiectasis. past surgical history: no past surgical history. medications on admission: she took no medications at home. medications on transfer: she was on lactulose and neutra-phos upon transfer. allergies: she has no known drug allergies. physical examination on presentation: physical examination revealed the patient was afebrile, her heart rate was 64, her blood pressure was 108/60, her respiratory rate was 20, and her oxygen saturation was 99% on room air. in general, she was in no apparent distress. she was jaundiced and diaphoretic. cardiovascular examination revealed her heart was regular in rate and rhythm. there were no murmurs, rubs, or gallops. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, and nondistended. she had notable ascites. she was alert, awake, and oriented. she had positive asterixis. she had no edema. pertinent laboratory values on presentation: laboratories on admission revealed her white blood cell count was 14.4, her hematocrit was 41.4, and her platelet count was 325. chemistries revealed the patient's sodium was 136, potassium was 5.6, chloride was 100, bicarbonate was 22, blood urea nitrogen was 3, creatinine was 0.7, and her blood glucose was 107. her calcium was 9.6, her magnesium was 1.9, and her phosphorous was 3.7. her alanine-aminotransferase was 1600, her aspartate aminotransferase was 1060, her alkaline phosphatase was 129, her total bilirubin was 33.5, and her albumin was 3.6. her hepatitis panels were negative except for hepatitis a. her human immunodeficiency virus was negative as well. she had an inr of approximately 4.2. concise summary of hospital course: the patient was admitted to the surgical intensive care unit for close monitoring and was continued on the lactulose. she slowly deteriorated throughout her hospital course, and her laboratories continued to elevate. her alanine-aminotransferase and aspartate aminotransferase slowly improved; however, her synthetic function and inr continued to elevate. on the patient underwent an orthotopic liver transplantation for her fulminate hepatitis a. please see the operative report for further details. the patient was transferred to the intensive care unit postoperatively. she was continued on plasmapheresis due to the fact that she had a donor mismatched liver, and the patient continued to be monitored for this. she underwent daily plasmapheresis for 14 days. afterwards, the patient continued to do well. her liver function tests and synthetic function slowly improved after transplantation; however, she continued to have very high fevers. multiple cultures were done. her lines were changed, and her fever slowly defervesced. she was given a full course of zosyn, vancomycin, and flagyl. she also requested unasyn perioperatively as well as a course of meropenem throughout her hospital course. the hematology service was consulted for her phoresis, and a quinton catheter was placed in her right groin. after her multiple fevers the catheter was moved to her left groin. after completion of her phoresis (14 days), the quinton catheter was removed. the patient's fever slowly defervesced slowly after that time. she was slowly weaned from the ventilator and was able to be successfully extubated. on postoperative day six, she was noted to have increasing liver function tests. an ultrasound was done which showed a thrombus in her portal vein. therefore, she was returned to the operating room for a portal vein thrombectomy. again, she was in the midst of her phoresis time, and it was decided that her phoresis would be changed from induction with fresh frozen plasma to induction with 50% albumin and 50% fresh frozen plasma. during her original operation, a splenectomy was performed. after multiple fevers a computed tomography scan revealed fluid in the left upper quadrant. a pigtail catheter was placed, and it was found that she had a amylase from this pigtail of 63,000. therefore, there had a pancreatic leak. the pigtail catheter was kept in place throughout her hospital stay. the patient continued to do well and again was hoped to be weaned from the ventilator. on postoperative days 11 and 5, she was extubated. she had multiple episodes of distention. a computed tomography scan showed just large bowel distention. multiple cultures were clostridium difficile were negative. the patient's distention resolved after a dose of neostigmine and tube decompression. she was continued on total parenteral nutrition for nutritional support during her long intensive care unit stay. the patient was ultimately stabilized from her transplantation, and her phoresis was completed. her fevers resolved. the titers of hepatitis a slowly decreased during post phoresis, and her last titer was 16 prior to discharge. the patient was transferred out to the floor. the physical therapy service was consulted for ambulation. her mental status slowly improved throughout her hospital stay, and she was deemed safe to go home by physical therapy. a repeat computed tomography angiogram was performed after the patient returned to the floor which was negative. a liver biopsy was also performed which showed no rejection. it was decided at this time that the patient was stable. she was kept on her immunosuppressives which included prednisone, cyclosporine, and mycophenolate mofetil with adequate levels. she was monitored closely for levels throughout her hospital stay, and her cyclosporine was adjusted daily. she was stabilized on approximately 125 mg of cyclosporine at the time of discharge. discharge disposition: the patient was to be discharged on to home. a pigtail catheter was in place. medications on discharge: (discharge medications included) 1. cyclosporine 125 mg by mouth twice per day. 2. albuterol nebulizers as needed. 3. percocet one to two tablets by mouth q.4h. as needed. 4. lasix was given intermittently for diuresis; however, it was stopped prior to discharge. 5. mycophenolate mofetil 1000 mg by mouth twice per day. 6. prevacid 30 mg by mouth once per day. 7. prednisone 20 mg by mouth once per day. 8. valcyte 900 mg by mouth once per day. 9. lamivudine 100 mg by mouth once per day. 10. bactrim single strength tablets one tablet by mouth once per day. 11. fluconazole 400 mg by mouth once per day. 12. colace 100 mg by mouth twice per day (as a stool softener). discharge instructions/followup: 1. the patient was instructed to follow up with the transplant center at the arranged times to have serial blood draws and monitoring of her liver function as well as her cyclosporine level. 2. the patient was instructed to follow up with dr. as well as with the liver service at the transplant center. discharge status: the patient was to be discharged to home. condition at discharge: condition on discharge was stable. discharge diagnoses: 1. fulminate hepatitis a. 2. status post orthotopic liver transplantation. 3. pancreatic leak; status post pigtail catheter placement. 4. bronchiectasis. , m.d.,ph.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube closed (percutaneous) [needle] biopsy of liver closed (percutaneous) [needle] biopsy of liver percutaneous abdominal drainage other transplant of liver total splenectomy transfusion of packed cells other diagnostic procedures on brain and cerebral meninges incision of vessel, abdominal veins extracorporeal immunoadsorption diagnoses: cocaine abuse, unspecified paralytic ileus complications of transplanted liver chronic cholecystitis portal vein thrombosis other staphylococcal septicemia viral hepatitis a with hepatic coma 

Answer: The patient is high likely exposed to