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: incision hernia major surgical or invasive procedure: incision hernia repair history of present illness: per dr. preoperative note as follows: 55-year-old male who is 3 years and 2 months after undergoing an orthotopic deceased-donor liver performed on for hepatitis c and alcohol-related cirrhosis. he has developed an incisional hernia near the confluence of the bilateral subcostal incision and midline xiphoid extension that has been enlarging and is tender. he was recently switched from rapamycin to cyclosporin in preparation for elective repair. once the wound has healed, he will be returned to rapamycin therapy. he has provided informed consent and was brought to the operating room for primary repair with possible mesh. past medical history: 1. hepatitis c with cirrhosis s/p otl in * 3 years, and 14 days status post liver transplantation () * genotype 1a in * vl 453,000 in * he has been treated on three different occasions with interferon and apparently was noncompliant with each of those. last time and developped anemia on rivabirin & ifn. * egd: normal. * liver biopsy: on stage i-ii fibrosis and biliary damage. repeat biopsy done and pending. * history of substance abuse with heroin and alcohol and has been abstinent for the past four years. 2. history of cholecystectomy in . 3. history of kidney stone that required urologic intervention in . 4. chronic back pain. 5. smoking of 30 years 6. claudication. prox femoral artery occlusive disease. 7. osteopenia on bmd done on of of the lumbar spine, left hip, femoral neck 8. asthma. mild intermittent. never intubated. 9. incision hernia repair social history: he is independent. he is abstinent from alcohol, but has history of severe use. he is on methadone. lives alone. used to smoke 6 cigarettes daily and currently denies. history of substance abuse with heroin/alcohol and has been abstinent family history: father: dm type 2 mother: deceased, brain tumor four brothers, four sisters: two wtih complications of dm ii pertinent results: 01:44am blood pt-13.3 ptt-29.6 inr(pt)-1.1 04:30am blood wbc-4.4 rbc-3.15* hgb-10.1* hct-30.1* mcv-95 mch-32.0 mchc-33.5 rdw-14.5 plt ct-134* 04:30am blood alt-15 ast-18 alkphos-82 totbili-0.5 04:30am blood alt-15 ast-18 alkphos-82 totbili-0.5 brief hospital course: on , he underwent incision hernia repair. two - drains were placed subcutaneously. surgeon was dr. w. . two subcutaneous drains were placed. please refer to operative note for further details. postop, potassium was 7.8. this was treated with iv insulin and dextrose without decrease. he was transferred to the sicu where he required placement of a temporary dialysis line and was emergently dialyzed. potassium decreased to 4.5. he also experienced rul collapse that responded to chest pt and face tent. repeat cxr demonstrated improvement. he was transferred out of the sicu. diet was slowly advanced. bowel function was slow to resume. he was receiving iv dilaudid as well as half of his home dose of methadone. he was given mom x2 with results. urine output decreased on . this was treated initially with lasix with minimal response. he appeared dry and received several iv boluses of fluid as well as maintenance iv fluid. previously ordered home diuretics were stopped. creatinine increased to as high as 3.7 on postop day 4 (baseline 1.6-2.0). acute on chronic renal failure was felt to be due to cyclosporine. for this reason, cyclosporine was stopped on and rapamune 1mg daily was started on . rapamune level was 2.0 on and dose was increased to 2mg a day. creatinine decreased to 2.2 on postop day 6. urine output increased to 1375ml/day. jp drainage was serosanguinous. the left jp was removed on . the medial jp remained in place. incision was clean, dry and intact. he was ambulating independently at time of discharge. vna was arranged. the plan was for him to have a rapamune level on 7 on . of note,methadone dose was decreased to 2.5mg as he was on prn dilaudid for pain. methadone was increased to 5mg, but patient experienced respiratory rate of 5. dose was decreased to 2.5mg with normalization of respirations. medications on admission: albuterol inh 90 mcg prn, cyclosporine 50'', gabapentin 300 qhs, lactulose 10g/15ml 2 tsp po', methadone 5'', nebivolol 5', pantoprazole ec 40', bactrim ss 400/80', testosterone 5mg patch daily, ca carbonate 600'', colace prn, senna prn. prev on rapamune 1'; held since one month prior to hernia repair. discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath. 2. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 3. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 6. testosterone 5 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 7. calcium 500 500 mg calcium (1,250 mg) tablet sig: one (1) tablet po twice a day. 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. sirolimus 1 mg tablet sig: two (2) tablet po daily (daily): level check sat. . disp:*60 tablet(s)* refills:*2* 11. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 12. methadone 5 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. nebivolol 5 mg tablet sig: one (1) tablet po once a day. 14. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: vna discharge diagnosis: incision hernia repair h/o liver acute on chronic renal failure hyperkalemia rul collapse discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call dr. office if you have any of the following: fever, chills, nausea, vomiting, increased abdominal pain or distension, jaundice, incision redness/bleeding or drainage. empty the jp drain and record all drain outputs. bring record of drain outputs to next appointment with dr. . followup instructions: provider: , md, phd: date/time: 1:00 provider: , md phone: date/time: 11:00 provider: clinic phone: date/time: 9:00 md, procedure: hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis other lysis of peritoneal adhesions incisional hernia repair diagnoses: acidosis hyperpotassemia end stage renal disease cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified other and unspecified alcohol dependence, in remission atherosclerosis of native arteries of the extremities with intermittent claudication pulmonary collapse hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure peritoneal adhesions (postoperative) (postinfection) incisional hernia without mention of obstruction or gangrene long-term (current) use of other medications chronic obstructive asthma, unspecified complications of transplanted liver surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution disorder of bone and cartilage, unspecified other drugs and medicinal substances causing adverse effects in therapeutic use opioid type dependence, in remission 

Answer: The patient is high likely exposed to