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: acute chf exacerbation major surgical or invasive procedure: capsule endoscopy history of present illness: 67m well known to our service, has pmh of etoh cirrhosis with hcc and is s/p olt on with ongoing issues of chf exacerbation and acute on chronic renal failure. he was recently admitted to our service and was discharged on for chf exacerbation. his discharge summary and hospital course can be found in omr. previously worked up on several admissions for gi bleeding. egd on showing gastritis and varices. for the past week, patient p/w acute onset dyspnea, weight gain, weakness and edema. his symptoms were similar to that of his recent hospitalization. he was admitted at hospital and was treated for chf exacerbation. however, patient developed oliguria and required transfer to their icu. he was started on lasix 200 iv bid and began to diurese abt 30-40ml/hr. his respiratory status improved as he was weaned to nasal cannula from bipap. moreover, from their laboratory results, his hct was found to be 18, requiring 4 units prbc. per family's request, patient is transferred to for further management and care. otherwise, denies any fever, abdominal pain, n/v, hematochezia or hematemesis. appropriate appetite. he did develop diarrhea and required rectal tube placement. past medical history: liver transplant () etoh cirrhosis hcc anemia essential thrombocytosis prior complications of ascites malnutrition portal with grade 2 esophageal varices h/o duodenitis grade 1 rectal varices grade 2 esoph varices and gastritis by egd cad: ( coronary angiography -inferolateral akinesis & substantial lateral hypokinesis. 50% lad lesion. circ occluded distally. rca 40% stenosis) chf: echo , ef 25% failure to thrive s/p peg social history: the patient owns business in : a clothing store and a limousine business. recently he started working from home due to his poor health. he lives with his wife, who is very supportive. he smokes. no drugs. stopped etoh in 6/. family history: non contributory physical exam: weight baseline 44.1, now 49.5 vitals: 97.8 74 134/71 20 97% 2l nc gen: nads, cachetic, good spirited lungs: decreased bs to bases bilaterally, coarse cardio: rrr, 1+ sem abd: soft, firm, incisions c/d/i, g tube in place, act bs, nt, nd, g+ ext: 2+ pedal edema, palpable pulses bilaterally neuo: no foal deficits elicited pertinent results: 10:13pm glucose-129* urea n-89* creat-4.7* sodium-143 potassium-4.6 chloride-106 total co2-23 anion gap-19 10:13pm alt(sgpt)-8 ast(sgot)-16 ck(cpk)-49 alk phos-51 tot bili-0.7 10:13pm ck-mb-notdone ctropnt-0.25* 10:13pm calcium-8.1* phosphate-7.0*# magnesium-2.1 10:13pm wbc-7.3 rbc-3.70*# hgb-10.1*# hct-30.8*# mcv-83 mch-27.2 mchc-32.7 rdw-16.3* 10:13pm plt count-417# 10:13pm pt-13.1 ptt-34.0 inr(pt)-1.1 : cxr showed bilateral pleural effusions. brief hospital course: the patient was admitted to the sicu on with sudden onset oliguria, acute chf exacerbation, diarrhea and g+ stool. nephrology transplant, hepatology, gastroenterology, and cardiology were consulted. cardiac enzymes were followed and trended downward. he was fluid restricted and diuresed. daily serum creatinine levels were 4.5-4.8. initial hematocrit was stable at 30.8 and trended upward with appropriate reticulocyte count. daily rapamycin levels were followed. on he was stable to be transferred to the floor. on he underwent capsule endoscopy to evaluate for midgut gi bleed and results were pending. he also received iv iron on , but towards the end of this infusion (500mg/500cc), he became acutely short of breath after ambulating to the bathroom off o2. o2 dropped to low 80s. he was hypertensive and tachypneic. a non-rebreather was applied with improved o2 to 90-91%. iv lasix and iv lopressor were given with slight improvement. cxr showed severe symmetric bilateral opacification worse in the lower lungs had progressed, particularly on the left, accompanied by stable moderate left and small right pleural effusion. ekg was stable. levaquin was started for pneumonia. he was transferred to the sicu for management. he was briefly placed on bipap and was subsequently weaned to a non-rebreather after more iv lasix and iv hydralzine were given. a lasix drip was started. o2 sats improved and the non-rebreather was switched to nasal cannula. the lasix drip was changed to po lasix. he was transferred out of the sicu. nephrology discussed potential need for hemodialysis in the future. vein mapping was recommended. this was done on . he was discharged to home with home o2 as he desaturated to 87% while ambulating. vital signs were stable. of note, rapamune dose was adjusted for trough level of 10 on . dose was decreased to 2.5mg qd. a script for liquid rapamune was provided. levaquin course was completed as of . medications on admission: meds from : epo, coreg 12.5'', iron, pancrease, rapamune 3 tabs daily, lasix 200 iv'', nitropaste, testosterone patch, pepcid 20, prednisone 5, remeron 15, sodium bicarb 1300''', tums 1000''', zocor 10 discharge medications: 1. coreg 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 2. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) sig: two (2) cap po tid w/meals (3 times a day with meals). 3. epoetin alfa 40,000 unit/ml solution sig: one (1) ml injection once a week. 4. rapamune 1 mg tablet sig: 2.5 tablets po once a day. disp:*90 tablet(s)* refills:*2* 5. lasix 40 mg tablet sig: three (3) tablet po twice a day. disp:*180 tablet(s)* refills:*2* 6. nitro- 2 % ointment sig: take as directed. transdermal as directed. 7. testosterone 2.5 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 8. pepcid 20 mg tablet sig: one (1) tablet po once a day. 9. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 10. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 11. calcium carbonate 500 mg tablet, chewable sig: two (2) tablet, chewable po tid (3 times a day). disp:*180 tablet, chewable(s)* refills:*2* 12. zocor 10 mg tablet sig: one (1) tablet po once a day. 13. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day. 14. colace 50 mg/5 ml liquid sig: five (5) ml po twice a day. 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po once a day. 16. home oxygen please provide home oxygen 2 liters nasal canula continuous patient desats to 87% on room air 17. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 18. rapamune 1 mg/ml solution sig: 2.5 ml po once a day. disp:*60 bottle* refills:*2* discharge disposition: home discharge diagnosis: oliguria acute chf exacerbation anemia with occult gi bleed acute on chronic renal failure pneumonia discharge condition: hemodynamically stable, tolerating regular diet, and pain under adequate control. discharge instructions: you were transferred to the transplant surgery service for continued management of low urine output, acute chf exacerbation, anemia with detected blood in stool. you received blood transfusions at hospital, but since transfer to , your hematocrit was stable at 30 and continued to improve to 34-36. you were kept on a fluid-restricted diet and administered diuretic medications to control your chf. weigh yourself every morning, md if weight change > 3 lbs. adhere to 2 gm sodium diet. fluid restriction: 1.5 l daily. please call your doctor or go to the emergency room if you develop fever, chills, nausea, vomiting, bloody vomit or stools, chest pain, difficulty breathing, or any other concerning symptom. followup instructions: provider: study phone: date/time: 8:30 please call ( to schedule a follow-up appointment with dr. in weeks. please follow up with your nephrologist in weeks. please call ( in 1 week to obtain the results of your capsule endoscopy from dr. and follow up accordingly. procedure: computerized axial tomography of abdomen diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery tobacco use disorder congestive heart failure, unspecified long-term (current) use of steroids acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) portal hypertension chronic kidney disease, stage iv (severe) cachexia blood in stool hypoxemia varices of other sites esophageal varices in diseases classified elsewhere, without mention of bleeding personal history of malignant neoplasm of liver liver replaced by transplant acute on chronic systolic heart failure other specified diseases of pancreas personal history of alcoholism nutritional marasmus other acute and subacute forms of ischemic heart disease, other essential thrombocythemia body mass index less than 19, adult 

Answer: The patient is high likely exposed to