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: the patient is a 40-year-old male status post on complicated by bile leak/biliary necrosis, status post ex-lap with findings of complete biliary necrosis. the patient was relisted and presents for potential liver transplant surgery on . the patient states that he feels well. denies fevers, chills, nausea, vomiting, urinary tract infection symptoms. normal bowel movements. no diarrhea. patient tolerating p.o.'s well. good appetite and ambulatory. past medical history: hbv, hepatoma, biliary necrosis/biliary leak, status post , status post ex-lap , status post ex-lap liver biopsy hepatoma segment iv and v. allergies: no known drug allergies. medications on admission: bactrim ss 1 tab once daily, fluconazole 400 once daily, protonix 48 once daily, ursodiol 300 mg b.i.d., valcyte 450 once daily, prednisone 10 mg once daily, tacrolimus, adefovir 10 mg once daily, levofloxacin, colace 100 mg b.i.d. social history: no alcohol. no tobacco. family history: noncontributory. physical exam: temperature 100.2, heart rate 92, bp 120/78, respirations 20. patient appears in no acute distress, awake, alert, oriented x3. pupils equal, round, reactive to light. eomi's are full. mouth: moist buccal mucosa, no exudates. lungs clear to auscultation bilaterally. cv regular rate and rhythm. abdomen: well-healed incision, soft. the patient has jp and ptc sites which are clean, dry and intact. extremities: no c/c/e, 2+ dorsalis pedis and anterior tibialis. no cellulitis. no rash. rectal exam: normal tone, no masses. on admission: wbc 5.4, hematocrit of 33.5, platelets 345, coags 13.2, ptt 22.7, inr 1.1, sodium 139, 4.7, 105, 21, bun and creatinine 14 and 1.2, glucose of 90, alt 318, ast 137, alkaline phosphatase 666, total bilirubin 3.2. ua is negative. ekg: normal sinus rhythm at 97 beats per minute, no s-wave changes. chest x-ray: no acute cardiopulmonary process. patient was typed and crossed for 10 units of packed red blood cells, ffp, platelets and cryogen. h-big 10,000 units were given, solu-medrol 500, cellcept. patient went to the or on for preop diagnosis of biliary ischemia. patient had a redo orthotopic liver transplant performed by dr. , dr. . please see operative note for more details. the patient went to the sicu postoperatively. the patient was intubated. postop day 1, patient afebrile, vital signs stable, intubated, but awake, alert to commands. lungs - coarse breath sounds. abdomen - dressings clean, dry, intact. patient had 2 drains and 1 t-tube. patient was continued tacrolimus, bactrim, mmf, and also was started on ganciclovir. on , the patient had a duplex ultrasound demonstrating normal postoperative liver doppler transplant ultrasound. resistive indices ranged from 0.55- 0.65 with appropriate waveforms. perioperatively, a right ij was placed. on , the lfts were markedly decreasing. alt was 434, ast 112, alkaline phosphatase 220 and total bilirubin 0.7. on , going back, a chest x-ray was obtained to evaluate the right ij which demonstrated a small lateral right pneumothorax. on , repeat chest x-ray was obtained demonstrating a tiny right apical pneumothorax about 5%. on , mr. was transferred to the floor, awake, alert. incision clean, dry and intact. the patient had 2 jp's still in place with scant and serosanguineous fluid, had a t-tube with scant bile. the patient transferred to the floor with a foley catheter in place, with a right ij in place. on , lateral jp drain was removed. patient continued to get routine postop liver transplant medications. received solu-medrol 100 mg iv x1 on . patient's fk level from was 8.3 once he received 1 in 1. physical therapy was consulted and felt that patient would not need rehab. postop day 4, hospital day 6, the patient had positive flatus, no bowel movement, tolerating clears. foley was removed on . diet was advanced. on , cholangiogram was performed through the t-tube, demonstrating opacification of the intra and extrahepatic biliary system with no evidence of biliary leak. was consulted because the patient was on high doses of steroids and recommended continuing the sliding scale, and that they would follow patient while he was in-house. on , right ij was removed. tolerating a regular diet. on , postop day 7, hospital day 9, the patient had a t-max of 101.3. a fever work-up was performed. those cultures are pending from , . chest x- ray was performed demonstrating no radiographic evidence for pneumonia, bibasilar atelectasis and small bilateral pleural effusions right greater than left. also, ct abdomen and pelvis was performed because of the fever and acute elevated lfts, which demonstrated new right pleural effusion with atelectasis, postsurgical changes in the abdomen, patent portal vein with focal relative narrowing and questionable web, and small free fluid in the pelvis. alt was 169. the other jp drain was removed. t-tube was capped. so, the patient is doing very well. the patient is afebrile. vital signs stable, tolerating a good diet, ambulating well, urinating without difficulty. patient's on : wbc 6.0, hematocrit of 25.9, platelets 285, sodium 141, 4.7, 106, 25, bun and creatinine 14/0.9, alt 156 that decreased from 186 on the 14th, ast 39 from 56, alkaline phosphatase 186 on , and total bilirubin 0.6. the patient's level from was 11.9. final recommendations were discussed with . so, the patient is leaving today, which is . still pending, which we have spoken with the pathologist, is the path result from not finalized. dr. was notified, and the pathology is still pending. discharge medications: adefovir dipivoxil 10 mg, colace 100 mg b.i.d., fluconazole 400 once daily, valganciclovir 900 mg once daily, insulin sliding scale with a fixed dose in the evening with humalog pre-supper coverage, mmf 1000 b.i.d., percocet 1-2 tabs q. h p.r.n., protonix 40 mg q. 24, prednisone 20 mg once daily, bactrim ss 1 tab once daily and tacrolimus 2.5 b.i.d. patient will need q. monday and thursday starting , in which cbc, chem-10, ast, alt, alkaline phosphatase, total bilirubin, albumin and a prograf trough level. the patient will also need weekly hepatitis antigen and antibody titer, and please fax all the results to . patient will need to follow-up with transplant surgeon in 1 week at , and at that time the patient needs a duplex ultrasound of the liver. spoke with from transplant who is the transplant coordinator to arrange both appointments. the patient will also need to have a scheduled hepatitis b immune globulin dose on , in which 5 ml im injection to be performed. the patient needs to call if any fevers, chills, nausea, vomiting, inability to take medications, redness/bleeding or pus from incision, any diarrhea, jaundice, leaking. , procedure: other transplant of liver transfusion of packed cells transfusion of other serum diagnoses: other specified disorders of pancreatic internal secretion adrenal cortical steroids causing adverse effects in therapeutic use iatrogenic pneumothorax complications of transplanted liver personal history of other diseases of digestive system 

Answer: The patient is high likely exposed to