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: patient recorded as having no known allergies to drugs attending: chief complaint: dizziness, lethargy, transfer from sicu major surgical or invasive procedure: intubation, brain biopsy history of present illness: pt. is a 43 yo f being transferred to the floor from the sicu after resolution of acute cerebral edema. the patient reported that 4 days prior to admission she developed the onset of slurred speech, dysarthria, and dizziness upon standing. the patient presented to her pcp one day prior to her admission but no interventions were done at that time. the symptoms continued, so the patient presented to an outside hospital () on where a ct scan of brain revealed b/l basal ganglial masses with b/l vasogenic edema and mild mass effect with mild subfalcine herniation. the patient was referred to for further neurosurgery evaluation. upon arriving to the ed, the patient actutely decompensated with gcs from 15 to 9. the patient was summarily placed on decadron and dilantin with the endgoal of intubation. a ct scan showed progression of mass effect and she was admitted to the sicu. a subsequent mri showed multifocal ring enhancing lesions strongly suggestive for toxoplasmosis. she also received acyclovir, ampicillin and vancomycin in the ed. tmax in the ed was 100.8. in the sicu the was intubated and sedated on propofol. the patient was subsequently given mannitol in the sicu, and started on empiric pyrimethamine, sulfadiazine, and leucovorin for toxo, and a brain biopsy was done showing bradyzoites (confirming toxo infection). the patient also had a cd4 count sent with 2, and a subsequent positive hiv test with pending western blot. pt. began to recompensate with less edema, was extubated on , and was stable enough to be transferred to the floor 4 days later. past medical history: -s/p fibroid resection social history: lives by herself, sexually active with one person, no smoking hx, social drinker, no ivdu, has a brother who is actively involved in her care. family history: htn physical exam: vitals: afebrile, to come gen: patient in nad cooperative and responsive heent: eomi, perrla, scar from biopsy on l. parietal area of head, no lad, no bruits b/l, no jvd lungs: cta b/l cv: rrr, nl s1/s2, no m/r/g abd: midline surgical scar below navel, s/nt/nd/hypoactive bs extremities: no cyanosis, clubbing, edema, r/dp pulses 2+ b/l neuro: aao x 3, r. nasolabial fold flattened, r. facial droop, r. shrug droop, cn ii-xii otherwise intact, strength and grip in all upper extremities , strength in lower extremities , motor, sensory (vibration, pinprick intact globally), mild dysdiadichokinesis with r. hand, gait mildly ataxic, mild pronator drift of r. hand. mmse > 25. psych: anxious pertinent results: toxo igg by eia 232 iu/ml; igm negative cmv igg, igm negative cryptococcal ag negative ebv igg positive; igm negative cmv viral load negative rpr non reactive 03:16am wbc-3.5* rbc-4.59 hgb-11.1* hct-34.8* mcv-76* mch-24.3* mchc-32.0 rdw-12.7 pathology report - brain biopsy (): moderately hypercellular brain with mixed inflammatory cells and organisms most consistent with toxoplasma bradyzoites. mri head w/wo contrast (): thin walled ring enhancing lesions within the basal ganglia and right parietal lobe with vasogenic edema resulting in mild rightward subfalcine herniation. findings are suggestive of toxoplasmosis with a differential of lymphoma and metastasis. thallium spect scan can be performed for further evaluation if clinically warranted. ct chest (): 1. moderate improvement in lingular consolidation, which can be followed to resolution by chest radiograph. 2. resolution of right upper lobe infectious process and pulmonary nodules. 3. resolution of bibasilar atelectasis and tiny effusions. 4. stable 2.7-cm left thyroid nodule for which thyroid ultrasound is recommended. rectal swab (): mrsa positive bcx 1 of 2 bottles (): gram + cocci in clusters cmv igg positive () cryptococcal antigen negative () brief hospital course: upon arriving to the ed, the patient actutely decompensated with gcs from 15 to 9. the patient was summarily placed on decadron and dilantin with the endgoal of intubation. a ct scan showed progression of mass effect and she was admitted to the sicu. a subsequent mri showed multifocal ring enhancing lesions strongly suggestive for toxoplasmosis. she also received acyclovir, ampicillin and vancomycin in the ed. tmax in the ed was 100.8. in the sicu the was intubated and sedated on propofol. the patient was subsequently given mannitol in the sicu, and started on empiric pyrimethamine, sulfadiazine, and leucovorin for toxo, and a brain biopsy was done showing bradyzoites (confirming toxo infection). the patient also had a cd4 count sent with 2, and a subsequent positive hiv test with pending western blot. pt. began to recompensate with less edema, was extubated on , and was stable enough to be transferred to the floor 4 days later. 1. toxoplasmosis: patient was continued on pyrimethamine, sulfadiazine, and leucovorin. 2. hiv: patient was informed of hiv status with the help of infectious disease and hiv social worker. she was also started on azithromycin for prophylaxis against . she was receiving fluconazole for oral candidiasis. however she developed a transaminitis, likely secondary to the fluconazole. fluconazole was discontinued, and transaminitis slowly resolved. ruq us was unremarkable. 3. cerebral edema: patient was on dexamethasone, and tapered off of it during her hospital stay. she was also on prophylactic dilantin, and then switched to keppra prior to discharge. patient had no seizures, headaches, or vision changes during hospital stay. she was able to walk around the floor with the help of pt, and gait, strength, and balance were much improved. 4. thyroid nodule: first noticed on chest ct scan to evaluate her lungs. she subsequently received a thyroid us which showed dominant large left thyroid nodule with no internal worrisome features. fna should be considered. patient was asymptomatic, and had never noticed this before. medications on admission: none at home. on transfer to the floor: phenytoin 100 mg po tid famotidine 20 mg po q12h sulfadiazine 1500 mg po q6h dexamethasone 4 mg iv q6h pyrimethamine 75 mg po daily heparin 5000 unit sc tid hydromorphone (dilaudid) 2-4 mg po/ng q4h:prn leucovorin calcium 10 mg po daily discharge medications: 1. leucovorin calcium 5 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. pyrimethamine 25 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*0* 3. sulfadiazine 500 mg tablet sig: three (3) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*0* 4. azithromycin 600 mg tablet sig: two (2) tablet po qweekly () as needed for mac prophylaxis. disp:*12 tablet(s)* refills:*0* 5. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* discharge disposition: extended care facility: hospital discharge diagnosis: toxoplasmosis hiv cerebral edema thyroid nodule discharge condition: stable discharge instructions: you were in the hospital for an infection in your brain called toxoplasmosis. because of the infection, you've had some swelling in your brain. you were placed on steroids to reduce the swelling, and you were intubated as you could not breathe on your own. you had a brain biopsy done, that confirmed that you had an infection called toxoplasmosis. you were started on antibiotics called pyramethamine and sulfadiazine for your infection. because of the swelling of your brain, you were kept on steroids during your stay in the hospital and anti-seizure meds. your brother consented for an hiv test while you were intubated, which turned out to be positive. your cd4 count is 2. you were placed on another antibiotic called azithromycin, to avoid getting another infection. please call your primary doctor or go to the emergency room if you have any seizures, difficulty seeing, bad headaches, weakness in your arms or legs, or fevers. followup instructions: provider: care id phone: date/time: 3:30 provider: , md phone: date/time: 10:00 provider: . & phone: date/time: 4:00 please follow up in clinic on thursday 8am dr. please follow up with your primary care doctor as soon as possible md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube closed [percutaneous] [needle] biopsy of brain diagnoses: candidiasis of mouth human immunodeficiency virus [hiv] disease secondary malignant neoplasm of brain and spinal cord cerebral edema malignant neoplasm of other parts of bronchus or lung hepatitis, unspecified nontoxic uninodular goiter toxoplasmosis of other specified sites 

Answer: The patient is high likely exposed to