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 53-year-old male with a history of hepatitis c virus cirrhosis, endstage liver disease, first diagnosed approximately 2 years prior to admission. he also has a history of alcohol abuse. recently the patient was admitted to approximately 2 weeks prior to admission with right upper quadrant pain and headache and was found to have a distended gallbladder with stones. he underwent an ercp with sphincterotomy at that time and was discharged home on with a 7-day course of flagyl and levaquin. he has felt well over the past week prior to his admission. review of symptoms: he denied any fevers, chills, rigors, upper respiratory infection symptoms, gi symptoms including diarrhea, melena, hematochezia, uti symptoms or recent changes in headache or hematemesis. past medical history: significant for endstage liver disease, hepatitis c virus cirrhosis, post traumatic stress disorder, depression, history of long qt, hypertension, grade 1 esophageal varices, endocarditis and poly substance abuse. allergies: no known drug allergies. medications: 1. percocet, not seeking now. 2. protonix 40 mg po once daily. 3. citalopram 20 mg po once daily. 4. folic acid 1 mg po once daily. 5. thiamine 100 mg po once daily. 6. lasix 40 mg po once daily. 7. rifaximin 200 mg po t.i.d. 8. nadolol 20 mg po once daily. 9. lisinopril 10 mg po once daily. 10. lactulose 15 ml t.i.d. 11. spironolactone 50 mg po once daily. 12. levofloxacin 500 mg 1 a day with 1 day left to complete 7- day treatment. 13. flagyl 500 mg t.i.d. the patient complaining last day of treatment. 14. multivitamin 1 tab po once daily. 15. methadone 5 mg po once daily. social history: posttraumatic stress disorder, polysubstance abuse, iv drug abuse in the past and was using heroin, cocaine and alcohol; now on methadone. the patient is married with 4 children, worked as a truck driver x25 years on disability currently. family history: noncontributory. physical examination: temperature 98, heart rate 48, bp 102/62, respiratory rate 16, 95% on room air. weight was 107.6 kg. he is in no acute distress. he is comfortable. regular rate and rhythm. lungs are clear bilaterally. abdomen appeared soft and nontender, and appeared distended. positive ascites. normal rectal tone, guaiac negative. no gross heme. extremities: no clubbing, cyanosis. 1+ pedal edema with sitting. neurologic: alert and oriented x3. cranial nerves ii through xii grossly intact. cranial nerve x not tested. 5 out of 5 strength throughout. 2+ lower extremity reflexes at knees. the patient was preop'd. an ekg was done as well as a chest x- ray. chest x-ray demonstrated no acute cardiopulmonary abnormality. urinalysis was sent off. urine was negative. the patient was started on preoperative heparin and unasyn. of note an echo on demonstrated an ef of greater that 55% with a patent foramen ovale. a catheterization on demonstrated mild pulmonary hypertension. pst's on demonstrated decreased diffusion capacity (isolated), ? perfusion limitation. the patient was taken to the or on for orthotopic dcd liver transplant. surgeon was dr. , assisted by dr. , and assisted by resident dr. . please see operative report for further details. no complications occurred. ebl was 2 liters. he received 6 liters of plasmalyte, 2 units of fresh frozen plasma, 5 units of packed red blood cells, 3 units of platelets, and 1500 cc of cell . urine output was 3370 cc. he also received 1 unit of cryoglobulin. assessment of the liver was sent to pathology. two jp drains were placed. he was stable. he was intubated and transferred to the surgical intensive care unit where he remained for a total of 5 days during which time his liver function tests initially increased. ast was 2471 up from 115. alt was 1161, up from 55. alkaline phosphatase 164, up from 135 and total bilirubin 13.9 up from 2.9. his hematocrit was relatively stable at 32.3. on postoperative day 1, he did receive 2 units of packed red blood cells and one bag of platelets. his hematocrit dropped down to 22 as well as platelet count decreased into 40s. he received 4 units of packed red blood cells as well as 3 bags of platelets and repeat hematocrit was 30 and platelet count of 86. he was extubated on postoperative day 1. pressures were off as of day 1. he was maintained on an insulin drop for hyperglycemia with blood sugars ranging to 143. a liver duplex was done. this demonstrated normal arterial, venous, and portal venous wave forms. a tiny amount of ascites was noted on . repeat chest x-ray was done that demonstrated satisfactory positioning of all lines and tubes without any pneumothorax and bibasilar atelectasis was noted with the left side greater than the right side. on he had pathology assessment of the native liver that demonstrated well differentiated hepatocellular carcinoma 1 cm present in the right lobe. no vascular invasion was seen. a nodule of small cell dysplasia measuring 0.6 cm in diameter was present in the left lobe. serosa with grade 2 inflammation was noted. multiple bile duct hamartomas were noted. iron stain demonstrated moderate iron deposition in hepatic sites and bile ducts. it was recommended that the patient be evaluated to rule out iron overload disease. the gallbladder appeared with mild autolytic changes and there was negative vascular and biliary margin. trichome and reticulin stains were evaluated. a biopsy of the liver donor demonstrated predominantly macrovascular steatosis involving 20% of the liver parenchyma. bile duct hamartoma was noted with no significant inflammation. liver function tests trended down daily. by postoperative day 5 his ast was 62, alt 188, alkaline phosphatase 176 with a bilirubin of 3.1. creatinine diminished to 1.0 and ranged between 1.1 to 1.3. his hematocrit remained stable throughout the remainder of the hospital course. his medial jp was removed on postoperative day 5 and the lateral jp was removed on postoperative day 8. his incision appeared clean, dry and intact. he received pamidronate 30 mg iv x1 on postoperative 5. for immunosuppression he remained on cellcept 1 gram po b.i.d.. solu-medrol was tapered per protocol over the course of the hospital stay down to 20 mg po once daily and he was discharged home on 20 mg of prednisone po once daily. prograf was initiated on postoperative day 1 at 1 mg po b.i.d. this was up titrated to 5 mg over the course of 4 days. prograf level was achieved of 15.4. the prograf dosing was decreased to 3 mg b.i.d. and repeat prograf level demonstrated a level of 15.4. he was decreased to 3 mg po b.i.d of prograf. hepatology followed throughout his hospital course concurring with the plan. given the low platelet count, the hit antibody was checked; this was subsequently found to be negative. platelets increased to 112 by the day of discharge. in the surgical intensive care unit he received iv diuresis using diamox. a chest x-ray demonstrated no overt evidence of chf. a repeat chest x-ray on demonstrated bilateral pleural effusions and associated bibasilar atelectasis as well as discoid atelectasis in the right apical region. of note on the patient received intraop cardiac echo for evaluation of asd/patent foramen ovale. ejection fraction was 50 to 60%. conclusion demonstrated tiny atrial septal defect seen by color doppler with minimal left to right flow. they were unable to obtain adequate transgastric views. the left ventricle was not well seen from the transgastric. it was noted that the left ventricle was grossly normal in function without significant wall motion abnormalities. the right ventricle appeared normal. aortic leaflet appeared structurally normal with leaflet excursion and no aortic regurgitation. the mitral valve leaflets appeared structurally normal. there was mild 1+ mitral regurgitation seen as well as 2+ moderate tricuspid regurgitation. was consulted for management of hyperglycemia. he was placed on 70/30 insulin q a.m. and pre supper as well as the humalog sliding scale. blood sugars were decreased. nutrition consult was obtained. diet was progressed. by the time of discharge he was tolerating a regular diet without problems. he was started on 10 mg of methadone and was maintained on this. towards the end of hospital stay it was discovered that the patient had actually been weaned off his methadone maintenance program on , and had been restarted on methadone on admission to the hospital. after consultation with the methadone clinic it was decided to taper and wean the patient from methadone. he dose was decreased and he was sent him with 2.5 mg of methadone one a day for 2 days and then off; the methadone was to be stopped. he tolerated this taper well without incident. he also took oral pain medication in the form of percocet for discomfort. psychiatry was called to discuss management of his history of depression and ptsd. recommendations included resuming risperdal and celexa. this was restarted on hospital day 5. he appeared clear. he did comment that his mood was somewhat depressed but he was given reassurance that the prednisone taper would help to alleviate some of this depressed mood. physical therapy followed the patient and discharged him home without home pt. he continued to receive iv lasix 20 mg b.i.d. for generalized edema. his preoperative weight was 107.6; this had increased to 122.9 kg on postoperative day 2. this continued diuresis. his weight decreased to 115.4 on postoperative day 8. he was sent home on lasix 20 mg po once daily. he was discharged home on postoperative day 9 in stable condition. he was alert and oriented. his lungs were clear. heart rate was regular. his abdomen appeared rounded. he had positive bowel sounds and was passing flatus. he was tolerating a regular diet, voiding independently without any problems. his incision was open to air with staples. laboratory data on discharge: white blood cell count 10.2, hematocrit 31.5, platelet count 111. his creatinine was 1.3, and his bun 29. ast was 41, alt 99, alkaline phosphatase 208 and total bilirubin was 2.4. he and his wife received instructions on administration of insulin. the visiting nurse services were set up. vna was set up. discharge medications: 1. prednisone 20 mg po once daily. 2. protonix 40 mg po once daily. 3. percocet 1 to 2 tablets po p.r.n. q 4 to 6 hours. 4. fluconazole 400 mg po once daily. 5. cellcept 1 gram po b.i.d. 6. lisinopril 10 mg po once daily. 7. celexa 20 mg po once daily. 8. multivitamin 1 tablet po once daily. 9. bactrim single strength 1 tab po once daily. 10. methadone 2.5 mg po once daily x2 days and then stop. 11. risperdal 1 mg po qhs. 12. prograf 3 mg po b.i.d. 13. valcyte 900 mg po once daily. 14. lasix 20 m po once daily. 15. insulin 70/30. insulin 10 units s.c. q a.m. and 3 units of s.c pre supper. 16. insulin humalog sliding scale. the patient was scheduled to follow up with dr. on at 10:30 a.m. condition on discharge: stable. , md,phd procedure: venous catheterization, not elsewhere classified other transplant of liver other lysis of peritoneal adhesions transfusion of packed cells transfusion of platelets other operations on lacrimal gland transplant from cadaver diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol alcoholic cirrhosis of liver portal hypertension unspecified viral hepatitis c without hepatic coma depressive disorder, not elsewhere classified alcohol abuse, unspecified peritoneal adhesions (postoperative) (postinfection) ostium secundum type atrial septal defect malignant neoplasm of liver, not specified as primary or secondary other abnormal glucose combinations of opioid type drug with any other drug dependence, continuous esophageal varices without mention of bleeding posttraumatic stress disorder other hamartoses, not elsewhere classified 

Answer: The patient is high likely exposed to