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: penicillins / iodine; iodine containing attending: chief complaint: fever, hypotension major surgical or invasive procedure: olt temporary hd line placement history of present illness: this is a 51 year-old male with hepatitis c cirrhosis, h/o sbp, with new diagnosis of sbp, gpc + blood culture, hypotension, transferred from medical floor for persistent hypotension, low urine output despite fluid resucitation. called to see patient for sbp in 80's despite 150mg of 25% albumin and 1 liter ns ivf. also with low urine output. 70cc concentrated urine since midnight. mentating well. no complaint of lightheadedness or dizziness, fever, chills, or abdominal pain. . patient initially developed fevers, fatigue, sweats and chills the day prior to admission. he denies n/v, diarrhea,ha, cp, sob, cough or dysuria. he has abdominal pain at baseline, which is unchanged. temp at home today was 100.5. of note, pt was seen in liver clinic on and had a therapeutic paracentesis at that time (2l off). peritoneal fluid demonstrated only 45 wbcs at that time. . in the er , he presented with a temp of 101.6 (102.9 max). bcx were sent, ivfs were started and he received 2l ns and 1 gm of tyelenol. bp intially was 104/82, trended down to 88/31 and then trended back to the low 100s. a paracentesis was done and peritoneal fluid showed 785 wbc with 72% polys. he was treated with levaquin 500 mg iv x 1, flagyl 500 mg iv and vancomycin 1 gm iv. he was admitted to the medicine floor, and recieved an additional 500cc ns bolus for low bp in 80's systolic overnight. . on , blood cultures returned preliminarily with 1 out of 4 positive gpc. in addition, creatinine was up to 2.5, from 1.8 the evening prior. he was started on octreotide/midodrine for hepatorenal syndrome. in addition, given his hypotension, he was given additional 150mg of 25% albumin + 1 liter ns prior to transfer to icu. past medical history: -hep c cirrhosis on liver transpalant list: hcv genotype 3a -dvt s/p ivc filter in these setting of tamoxifen which he was on for breast tenderness secondary to liver disease and aldactone. - hepatic encephalopathy - gastroesophageal varices, grade iii - hypersplenism - 2 episodes of staphylococcal septicemia, the source of which was not identified (he has had none of these since ) - likely right-sided scrotal hydrocele - chronic anemia and thrombocytopenia social history: denies etoh/tobacco lives with his parents family history: mother with mi. denies fh of cancer. physical exam: vitals: t 98.3, bp 84/46, hr 80, rr 20, 100% ra, wt 109kg i/o 2160i/70+ out; bmx 1 general: awake, alert and oriented x 3, jaundiced heent: nc/at, perrl, eomi, scleral icterus. dry mm. neck: supple, no jvd chest: gynecomastia b/l pulm: ctab; no r/r/w cardiac: rrr, nl s1/s2, 2/6 m rusb w/ radiation to carotids abdomen: soft, distended with ascites, protuberant umbilicus; nt; b/l paracentesis sites w/o purulent drainage or cellulitis ext: 1+ b/l le pitting edema, 1+ dp pulses b/l neurologic: alert & oriented x 3. cn 2-12 intact. no asterixis pertinent results: 08:16pm pt-19.5* ptt-39.8* inr(pt)-1.9* 08:16pm plt count-64* 08:16pm neuts-82.7* lymphs-8.0* monos-6.6 eos-2.5 basos-0.4 08:16pm wbc-13.4*# rbc-2.76*# hgb-9.9*# hct-28.4* mcv-103*# mch-35.9* mchc-34.8 rdw-20.1* 08:16pm lipase-50 08:16pm alt(sgpt)-30 ast(sgot)-49* alk phos-145* amylase-32 tot bili-5.0* 08:16pm glucose-108* urea n-30* creat-1.8* sodium-132* potassium-3.8 chloride-98 total co2-28 anion gap-10 08:34pm lactate-1.8 09:00pm ascites wbc-785* rbc-175* polys-72* lymphs-2* monos-1* eos-1* mesotheli-6* macrophag-18* 09:00pm ascites tot prot-0.3 glucose-145 ld(ldh)-28 tot bili-0.2 albumin-<1.0 brief hospital course: micu course: this 51 yo male with hepatitis c cirrhosis presented with fevers and found to have sbp believed secondary to recent paracentesis. he was transferred to micu as he began to become hypotensive and had oliguric acute renal failure raising concern for both sepsis and hepatorenal syndrome. he underwent diagnostic paracentesis revealing elevated wbc consistent with sbp, gram stain negative. he was continued on vancomycin/levofloxacin/flagyl and changed to vancomycin when cultures grew out strep viridans sensitive to vancomycin.in addition, the patient underwent large volume paracentesis (approximately 1.5 l) and received colloid support with albumin. he had a tee that ruled out endocarditis. the patients blood pressure and urine output subsequently improved with creatinine returning to baseline. he remained afebrile in the micu. the patient also underwent workup for liver transplant and was subsequently placed on the candidacy list. he experienced hypotension: likely secondary to bacteremia and hrs. recieved blood transfusions and albumin in the micu, and he was continued on octreotide and midodrine. his diuretics were intiatially held then resumed. cr peaked at 3.3 in the micu, but then began trending down toward his baseline prior to coming back to the floor. floor course: pt came to the floor with picc line for 14-day course of vancomycin and cr coming back to baseline. renal function started worsening again. sodium fell as low as 127 concerning for development of hepatorenal syndrome. cipro was started for sbp prophylaxis. he was transferred back to the sicu on for worsening hepatorenal disease. meld score was 40. he experienced a traumatic foley catheter insertion requiring urology consultation for bleeding. pt/ptt/inr were 36.2/81/4.0 respectively. he was given 3 units ffp and prbc. the renal consult service followed noting oliguria and possible need for cvvhd. a temporary hd line was placed. on he was taken to the or for orthotopic liver transplant by dr. assisted by drs. and . the donor liver was hep b core positive. he was given hbig during the anhepatic phase and then qd for 2 days. lamivudine was started postoperatively. he received solumedrol and cellcept induction immunosuppression. please see operative report for details. ebl was 6 liters. he was transfused with 13 units of prbc, 15 units ffp, cryo and platelets. two retroperitoneal drains were placed. he was sent to the sicu postop where he did well. postop liver duplex revealed doppler flow with normal direction of flow seen within the main portal vein, hepatic veins, and main and left hepatic arteries. the right hepatic artery was not identified. a repeat duplex was done demonstrating a patent hepatic artery. lfts trended down daily. he required cvvhd for creat of 3.6. cvvhd was stopped on pod 2. he required prbc and plt for a few days post op for hctof 24 and plt of 37. he was extubated on . diet was advanced. solumedrol was tapered. prograf 1mg was initiated on pod 1. lasix was given for anasarca. creatinine increased to 4.1 on pod 5. lasix was also stopped per renal consult recommendations. the previous days prograf level was 12.4. prograf was decreased to 2mg from 3mg . the lateral drain was removed on pod 5. the medial drain continued to drain large volumes as high as 2 liters. he was given iv hydration. the drain was removed on pod 10. a purse string suture was placed for leaking of large amounts of serosang drainage. consult was obtained for hyperglycemia. lantus insulin was started in addition to a humalog sliding scale. the temporary hd line was removed. his diet was advanced. caloric intake was ~1390 kcals. physical therapy consult cleared him for home with a rolling walker. the plan was for him to recover at his sister's home in n.h. with vna services. on he had a liver duplex for elevation in alk phos. hepatic veins were patent. the hepatic artery was poorly visualized again, but the wave forms demonstrated appropriate flow. lfts trended down to ast of 20, alt of 94, alk phos or 179 and t.bili of 2.3. creatinine decreased to 3.5. prograf was decreased to 1.5mg for a level of 12.5. he was discharged in stable condition, ambulatory, tolerating a regular diet and with stable vital signs. medications on admission: propranolol 20 mg t.i.d. rifaximin 400 mg qd lactulose 30 cc twice to 3 times per day omeprazole 20 mg b.i.d. furosemide 80 mg am, 40 mg pm sucralfate 1 gram t.i.d. aldactone 100 mg (per notes appeared increased to 300 mg qd at clinic) cipro 750 mg once a week reglan 5 mg tid discharge medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 2. prednisone 10 mg tablet sig: two (2) tablet po daily (daily). 3. valganciclovir 450 mg tablet sig: one (1) tablet po qod (). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*60 tablet(s)* refills:*0* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. trimethoprim-sulfamethoxazole 80-400 mg tablet sig: ten (10) ml po daily (daily). 7. lamivudine 100 mg tablet sig: 0.5 tablet po daily (daily). 8. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): continue use as long as you are taking narcotics. disp:*60 capsule(s)* refills:*2* 10. insulin glargine 100 unit/ml solution sig: sixteen (16) units subcutaneous once a day. disp:*480 units* refills:*2* 11. teds please provide one pair teds support stockings, size large 12. tacrolimus 1 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 13. tacrolimus 0.5 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: s/p orthotopic liver transplant acute renal failure steroid induced glucose intolerance discharge condition: stable discharge instructions: call if you experience any of the following symptoms: fever,chills, nausea, vomiting, diarrhea, pain over the incision site or liver, jaundice, an increase in abdominal girth or fluid in your legs or any other symptoms concerning to you. monitor weight and report a gain of 3 pounds or more in 2 days have labs drawn every monday and thursday and have them faxed to the transplant office at . cbc, chem 10, ast, alt, alk phos, albumin, t bili and trough prograf level followup instructions: provider: , md phone: date/time: 12:50 provider: , transplant social work date/time: 11:30 provider: , md phone: date/time: 2:50 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnostic ultrasound of heart venous catheterization for renal dialysis percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage cholecystectomy other transplant of liver transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of coagulation factors perioperative autologous transfusion of whole blood or blood components other operations on lacrimal gland transplant from cadaver diagnoses: other postoperative infection 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 hepatorenal syndrome acquired coagulation factor deficiency sepsis streptococcal septicemia other suppurative peritonitis unspecified viral hepatitis c with hepatic coma hypersplenism acute kidney failure with lesion of renal medullary [papillary] necrosis 

Answer: The patient is high likely exposed to