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: no known allergies / adverse drug reactions attending: chief complaint: umbilical hernia major surgical or invasive procedure: : umbilical hernia repair , , : paracentesis : ex-lap with hematoma evacuation : picc insertion. : abdominal wound closure : picc removal history of present illness: 53 y/o male with cirrhosis secondary to hepatitis c and alcohol with several months of increasing discomfort over the umbilica hernia. the hernia reduces while supine and he does not note any obstructive symptoms. he is currently listed for liver transplant with a meld of 22. he has been undergoing frequent paracentesis for diuretic resistant ascites. past medical history: pmh: hcv and etoh cirrhosis, htn, depression, esophageal varices psh: r inguinal hernia repair () : umbilical hernia repair , , : paracentesis : ex-lap with hematoma evacuation : abdominal wound closure social history: he was a heavy drinker for 30 years, but quit one year ago. he smoked one pack of cigarettes per day for 30 years, but has quit. he has had no iv drug use; however, he does smoke marijuana daily. he is married and has three children. he is currently unemployed but used to work for . family history: mother and brother have . physical exam: vs: afebrile, tmax 98.3, hr 76, bp 120/67 gen: chronically ill, jaundice heent: + sclarae icterus, ng tube in place draining large amounts of dark brown fluid neck: no jvp cv: no m/g/r lungs: decrease bs in the right base ab: distended, diffusely tender, no bs ext: 2+ pulses, 1+ edema b pertinent results: 06:58pm blood wbc-8.6# rbc-2.44* hgb-8.2* hct-26.4* mcv-108* mch-33.7* mchc-31.1 rdw-14.6 plt ct-87* 10:20pm blood hct-20.8* 02:39pm blood wbc-5.4 rbc-2.96* hgb-9.6* hct-29.0* mcv-98 mch-32.3* mchc-33.1 rdw-18.1* plt ct-68* 04:30am blood wbc-8.3 rbc-2.57* hgb-8.8* hct-26.5* mcv-103* mch-34.1* mchc-33.1 rdw-18.0* plt ct-114* 05:26am blood wbc-7.6 rbc-2.92* hgb-9.7* hct-29.6* mcv-102* mch-33.2* mchc-32.7 rdw-19.0* plt ct-108* 05:26am blood pt-21.3* ptt-39.0* inr(pt)-2.0* 05:26am blood glucose-83 urean-20 creat-1.2 na-137 k-4.5 cl-105 hco3-25 angap-12 04:30am blood alt-21 ast-56* alkphos-89 totbili-3.1* 05:26am blood albumin-2.9* brief hospital course: on , he underwent elective umbilical hernia repair without mesh and ascites drainage (see op note for further details). surgeon was dr. . postop, clear liquid were started. he was noted to become increasingly confused with asterixis. lactulose was increased to every 2 hours. urine output was low which was treated with iv fluid boluses and albumin. overnight, on pod 1, he had 900 cc of non-bilious emesis requiring ng tube placement with over 1 liter output. due to confusion, he self-removed the tube. nausea improved, but abdomen remained distended. on pod 2, he was encephalopathic and lactulose enemas were started. portable kub was obtained which was concerning for ileus. creatinine increased to 2.5 from baseline of 1.4. repeat doses of albumin were administered with adequate urine output. urine lytes demonstrated pre-renal azotemia. hepatology was consulted to assist with management. serial albumins were checked and albumin was given. lactulose enemas and diuretics were held. abdomen remained distended and diffusely tender with concern for re-accumulation of ascites. ultrasound demonstrated multiple small pockets of ascites. the left upper quadrant ascites was tapped and 10 ml of grossly bloody ascites was sent for analysis and culture. post-paracentesis hematocrit dropped to 19.2 with inr of 2.3. 4 units of prbc, 4 units of ffp, and 1 unit of platelets were transfused. ct scan was obtained and demonstrated multiple distended loops of small bowel proximal to an umbilical hernia with decompressed distal small bowel and fluid filled colon concerning for an early or partial small bowel obstruction was noted. due to concern for bowel obstruction and intra-abdominal bleeding, he was taken to the or overnight pod for ex lap and evacuation of 1 litre of hemoperitoneum with no source of bleeding noted. no obstruction was noted, and there was no hernia recurrence. post-op hematocrit was 28.4 and inr was 1.7. repeat labs in the morning demonstrated hematocrit of 24.2, inr 1.9, fibrinogen 113. additional prbc (2), 1 unit ffp, and 1 unit of cryo were given. a right picc line was placed for iv access and he was transferred to the sicu for monitoring. he remained hemodynamically stable and hematocrits improved and he was transferred to the floor the following day. on pod . a wound vac was placed for ascites leak after several staples were removed. on pod he began passing flatus and having bowel movements and was started on clear liquid diet and was advanced to regular diet. wound vac output was as high as 4 liters per day. this fluid was replaced cc/cc. scheduled albumin was administered. creatinine increased to 2.3. diuretics were again held. on , he was taken back to the or for wound closure. surgeon was dr. . jp drain was placed. this output averaged 100-60 cc of sanguinous fluid. pain was initially managed with morphine iv. diet was slowly advanced and tolerated. abdomen was distended and paracentesis was performed for 1 liter of ascites on . culture of this fluid was negative. he was started on ceftriaxone for cell count that was elevated. he remained afebrile with stable vital signs. paracentesis was repeated after ffp on for 2 liters. ascites anc was 300. culture was negative. ceftriaxone was continued. paracentesis was repeated after vit k iv, ffp and cryo on for 1.7 liters. cell count was 64 with culture negative to date. incision with staples remained intact. jp output was 65 cc of serosanguinous fluid. diet was well tolerated. morphine was switched to intermittent oxycodone prn. he was ambulating independently. diuretics were resumed at 40mg lasix daily. lactulose was held and rifaximin was continued tid. lactulose was held to avoid over distension. he was alert and felt well enough to go home on . the plan was to continue just lasix 40mg daily. eplerenone was held. patient was instructed to have labs drawn on . vna services were arranged to assist with jp drain care and assessment of incision/ascited. ceftriaxone was switched to po cipro 500 mg for 1 week then decrease to 500 mg daily. r arm picc was removed just prior to discharge to home. medications on admission: eplerenone 50', lasix 40', lactulose 30''', nadolol 40', omeprazole 20', calcium', vitamin d ', clotrimazole 10 lozenge 5x/day, rifaximin 550'' discharge medications: 1. rifaximin 550 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 2. clotrimazole 10 mg troche sig: one (1) troche mucous membrane five times a day. 3. nadolol 20 mg tablet sig: two (2) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. cipro 500 mg tablet sig: one (1) tablet po twice a day: for 1 week then decrease to one tablet (500mg)daily. disp:*35 tablet(s)* refills:*2* 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. oxycodone 5 mg tablet sig: one (1) tablet po every six (6) hours. disp:*20 tablet(s)* refills:*0* 10. outpatient lab work friday at lab, 11. medications on hold lactulose eplereenone meds to be reviewed in follow up with dr. discharge disposition: home with service facility: vna discharge diagnosis: umbilical hernia hepatic encephalopathy hemoperitneum post operative ileus acute kidney injury peritonitis anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call the transplant clinic at for fever > 101, chills, confusion, excessive sleepiness, nausea, vomiting, diarrhea, constipation, inability to tolerate food, fluids or medications, increased abdominal pain, increased yellowing of eyes or skin, drainage or redness at the incision site or other concerning symptoms. -please empty and record jp drain output. -bring the record of drain outputs with you to your next clinic visit. -please monitor the drainage and call if the drainage turns green in color, develops a foul odor, increases significantly or stops completely. - keep a drain sponge around the drain insertion site, which should be changed daily, monitor the insertion site for redness, drainage or bleeding. -please weigh yourself daily and call if your weight increases by 3 pounds in a day or 5 pounds in a week. call if your abdomen feels tense or uncomforatable, if the incision or drain site starts to leak or if you are generally uncomfortable in the abdomen because of fluid. you will be restarting your diuretic. -please do not take the epleronone until notified you may do so -plan is to have evaluation with dr next week, and have abdomen tapped as needed. followup instructions: provider: , md, phd: date/time: 2:40 provider: , md phone: date/time: 9:10 or will call you with a scheduled paracentesis time for md, procedure: parenteral infusion of concentrated nutritional substances percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage percutaneous abdominal drainage other open umbilical herniorrhaphy other laparotomy reclosure of postoperative disruption of abdominal wall other fasciectomy central venous catheter placement with guidance diagnoses: cirrhosis of liver without mention of alcohol alcoholic cirrhosis of liver acute kidney failure, unspecified other and unspecified alcohol dependence, in remission portal hypertension personal history of tobacco use hemorrhage complicating a procedure paralytic ileus other ascites esophageal varices in diseases classified elsewhere, without mention of bleeding accidents occurring in residential institution umbilical hernia without mention of obstruction or gangrene spontaneous bacterial peritonitis other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation unspecified viral hepatitis c with hepatic coma disruption of wound, unspecified other digestive system complications encounter for change or removal of surgical wound dressing 

Answer: The patient is high likely exposed to