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 / benzocaine attending: chief complaint: fever and chills major surgical or invasive procedure: hepatic abscess drain placement history of present illness: 46 y/o male s/p olt in with complicated post op course and extended hospitalizations for hepatic artery thrombosis, vre bacteremia, sepsis, multiple liver abcesses, sbo. recent admission on for placement of a new hepatic drain in the right lobe that grew out b-lactamase producing klebsiella and enterococcus that was resistant to synercid. past infections also include klebsiella bacteremia, klebsiella from the abscess drain. there is also history of from the hepatic abscesses found 5 months ago. current antibiotic regimen at rehab included synercid, meropenem, posaconazole and levaquin. patient had been afebrile following the last discharge until day of admission when he developed fever and chills. patient denies sob, cough, chest pain. he also has chronic abdominal pain which has not worsened.denies dysuria or constipation/diarrhea past medical history: cryptogenic cirrhosis, s/p liver transplant hepatic artery thrombosis vre bacteremia sepsis multiple liver abcesses sbo with surgical repair chronic renal insufficiency inguinal hernia diverticulitis depression esophageal varices hyperkalemia anemia social history: no tobacco, no etoh, former chef family history: single lives with mother 3 siblings with 1 deceased sibling physical exam: on admission: vs:100.5, 112, 100/57, 24, 97%ra gen: nad, cachectic heent: sclera anicteric, no cervical lad lungs: cta bilaterally heart: rrr abd: soft, non-tender, non-distended, no guarding, no rebound, 3drains in place extr: no le edema, warm, well prefused pertinent results: on admission: glucose-160* urea n-23* creat-0.9 sodium-130* potassium-5.1 chloride-103 total co2-17* anion gap-15 alt(sgpt)-35 ast(sgot)-37 alk phos-343* amylase-11 tot bili-1.3 dir bili-0.8* indir bil-0.5 lipase-8 albumin-2.7* calcium-8.5 phosphate-2.8 magnesium-1.7 wbc-5.4# rbc-3.26* hgb-10.1* hct-27.2* mcv-83 mch-31.0 mchc-37.2* rdw-16.6* plt count-40* pt-15.5* ptt-32.6 inr(pt)-1.4* brief hospital course: patient admitted from rehab with recurrent fever with chills. central line was changed on admission. triple lumen now in place with tip at atriocaval junction. tip was negative for growth. synercid was discontinued with initial addition of daptomycin to antibiotic regimen. ct abdomen/pelvis performed on showed: two new low attenuation regions within the right lobe of the liver that likely represented new bile lakes. diffuse pneumatosis of the colon and unchanged appearance of partially occlusive thrombus at the confluence of the smv and portal vein. it was felt that these bile collections were too small to add an additional drain at that time. patient spiked fevers to 104. id was consulted for revision of the antibiotic regimen to include amikacin, colistin and tigecycline for the klebsiella and posaconazole & caspofungin for the and mucor. all other antibiotics d/c'd. he remained on bactrim for post transplant prophylaxis. lfts increased and this was attributed to the antibiotics as liver duplex was stable and immunosuppression was such that rejection was unlikely. klebsiella was recovered from blood cultures drawn on the 13th and all subsequent blood cultures drawn on , on blood cultures were positive for torulopsis . cxrs were stable with small right pleural effusion. infectious disease followed closely during this hospitalization. on , he underwent successful ct-guided aspiration and catheter placement within a biloma/abscess in segment vi/vii secondary to inadvertent self removal of this drainage catheter. the catheter was left to suction bulb drainage. j tube was also self removed when he was delerious during a febrile/hypotensive episode necessitating sicu management. j tube was replace with a red rubber catheter without difficulty. he continued to spike temps intermittently and his condition worsened with increased lethargy/endurance. tube feeds were continued and he was seen by nutrition during this hospitalization as well as pt. after much deliberation by the patient and the transplant team, the patient was informed that his chance of receiving a liver was very unlikely due to persistent high grade klebsiella antibiotic resistance and fungemia. id recommended colistin as the last option and unfortunately he did not clear the bacteremia. given the low probability of retransplant, the patient decided to be discharged home with hospice. he was discharged on his transplant immunosuppression to prevent rejection which consisted of rapamune 0.5mg qd via the j tube. bactrim was continued for pcp prophylaxis and for prevention of encephalopathy. his abdominal pain was managed well with po dilaudid. three hepatic abscess drains remain in place to gravity drainage which do not require flushing. they continue to drain bile and purulent drainage. most recent labs on were wbc 3.5, hct 29.9, creat 1.3, bun 30, ast 18, alt 14, alk phos 319, and t.bili 2.7. he continued to have persistent hypokalemia requiring daily repletion. last k 3.2 on . hospice will be authorized by his r.i. md. medications on admission: levo 500, 500q6, posaconazole 200"", rifaximin 200q8, bactrim, synercid 500", epo 40mcg qmwf, nifedipine 10", protonix 40, zoloft 50, sirolimus 2, dilaudid 4mg q4prn discharge medications: 1. equipment hospital bed-electric for home 2. tf supplies tubefeeding: nepro 3/4 strength; additives: beneprotein, 25 gm/day rate:60 ml/hr; do not advance rate goal rate:60 ml/hr syringes/pump/formula flush w/ 50 ml water q8h 3. hydromorphone 2 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 4. sertraline 50 mg tablet : one (1) tablet po daily (daily). 5. sirolimus 1 mg/ml solution : 0.5 ml po daily (daily). 6. trimethoprim-sulfamethoxazole 80-400 mg tablet : one (1) tablet po 3x/week (mo,we,fr). 7. syringes insulin 1 box 8. acetaminophen 325 mg tablet : 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 9. rifaximin 200 mg tablet : one (1) tablet po tid (3 times a day). 10. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 11. lancets 1 box refills-none 12. glucometer one touch ultra-test strips 1 bottle refill: 1 13. insulin glargine 100 unit/ml solution : six (6) subcutaneous at bedtime. discharge disposition: home with service facility: home hospice care of ri discharge diagnosis: -two new low attenuation regions within the right lobe of the liver may represent new bile lakes, not drainable. -diffuse pneumatosis of the colon -partially occlusive thrombus at the confluence of the smv and portal vein discharge condition: stable discharge instructions: please call if the patient experiences recurrence of fevers, chills. please call if nausea, vomiting, diarrhea, inability to eat, difficulties with drains, sudden increase in output of drains or change in nature of output. labs to be drawn and faxed q monday and thursday: cbc, chem 10, ast, alt, alk phos, t bili, albumin, trough rapamycin level followup instructions: please call for appointment with dr , to be seen within the next 2 weeks md, procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances percutaneous aspiration of liver diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified cachexia bacteremia abscess of liver complications of transplanted liver cholangitis other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms 

Answer: The patient is high likely exposed to