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: allopurinol / ethambutol / colchicine / efavirenz attending: chief complaint: aphasia, right-sided weakness major surgical or invasive procedure: none history of present illness: 73 year old woman with multiple medical problems including esrd (on hd qmwf), cad, chf, hiv (cd4 198), dm2, hyperlipidemia, and hep c who presents to the ed this morning with speech difficulty and right facial weakness. the patient herself is unable to provide a history at this time. according to family, the patient woke up this morning around 5:30am. she was last seen well yesterday evening. upon awakening this morning, she apparently tried to call another relative to report that something was wrong. during that phone call, however, her speech was unintelligible. the family went to the house to check on her and found her ambulating with non fluent, nonsensical speech. she followed occasional commands, but appeared "confused". her daughter noted a right facial droop. ems was called and she was brought to the ed. neurology consult was called at 8:30 am and i was present at the bedside within at 8:35am. according to the family, she has had occasional diarrhea over the last week. otherwise, she has been healthy. she had her regularly scheduled dialysis yesterday. she was recently admitted to the medicine service for fever. she was felt to have a viral infection, all cultures were negative. past medical history: pmh: 1. esrd on hd mwf 2. cad -s/p mi s/p stent . 3. chf-last echo ef 40%, depressed lvsf, global hypo, moderate ar 4. hx of pulmonary edema requiring intubation 5. hiv on , most recent cd4 198, started on bactrim 6. dm2, diet controlled 7. htn 8. hyperlipidemia 9. spinal tuberculosis 10. gout 11. anemia 12. hep c 13. ? hx of stroke in past. fell yrs ago and was told that she suffered a "minor stroke". symptoms unknown. no residual. social history: pt lives alone and gets around with a walker. she cooks for herself. her daughter comes over daily to help her take her meds. she denies tobacco, etoh, ivda, herbals/vitamins. she has 6 kids. family history: she has a son with dm and cad physical exam: right homonymous hemianopia fluent aphasia right-sided weakness pertinent results: 08:30am blood triglyc-157* hdl-68 chol/hd-5.4 ldlcalc-266* ldlmeas-241* 09:35am blood %hba1c-5.7 -done -done brief hospital course: the patient was admitted to the neurology icu given her hypotension and position-dependent exam, with fluctuating right-sided weakness. she stabilized her pressures on pressor support for the first few days and was then transferred to the floor on hd #3 off pressors. at this point, her global aphasia had resolved to a fluent aphasia and her right side had recovered its strength. her vascular risk factors include hyperlipidemia, for which she will continue on lipitor and zetia. hba1c was 5.7. tte was unremarkable for cardioembolic source. mra neck showed no stenoses. the patient was started on aggrenox, as she had a drug-eluding stent in and no history of angina. cardiology agreed with this plan and discontinuation of plavix. she was followed by renal for hemodialysis and suffered no complications. she will be seen in stroke clinic for follow-up. her ng tube should be continued until she is fully able to eat enough to meet her nutritional needs. on video swallow, she had no esophageal difficulty but was slow to swallow. for this reason, the ng tube was continued, even as her diet was advanced to nectar/puree, until she is able to eat enough on her own. medications on admission: asa 325 plavix 75 sevelamer 800 tid lipitor 80 zetia 10 lamivudine 100 qd zidovudine 100 tid metoprolol sr 100 qd nevirapine 200mg captopril 50 vit b cmplx bactrim ds tiw discharge medications: 1. atorvastatin 80 mg tablet : one (1) tablet po daily (daily). 2. ezetimibe 10 mg tablet : one (1) tablet po daily (daily). 3. lamivudine 100 mg tablet : one (1) tablet po daily (daily). 4. zidovudine 100 mg capsule : one (1) capsule po tid (3 times a day). 5. sevelamer 800 mg tablet : one (1) tablet po tid (3 times a day): hold while patient not taking po. 6. b complex-vitamin c-folic acid 1 mg capsule : one (1) cap po daily (daily). 7. trimethoprim-sulfamethoxazole 160-800 mg tablet : one (1) tablet po tiw () as needed. 8. heparin (porcine) 5,000 unit/ml solution : one (1) injection tid (3 times a day). 9. insulin regular human 100 unit/ml solution : one (1) injection asdir (as directed): sliding scale. 10. nevirapine 200 mg tablet : one (1) tablet po bid (2 times a day). 11. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 12. dipyridamole-aspirin 200-25 mg cap, multiphasic release 12 hr : one (1) cap po bid (2 times a day). 13. heparin lock flush (porcine) 100 unit/ml syringe : as below ml intravenous daily (daily) as needed: 10ml ns followed by 1ml of 100 units/ml heparin (100 units heparin) each lumen qd and prn. inspect site every shift . 14. aluminum hydroxide gel 320 mg/5 ml suspension : ten (10) cc po three times a day as needed for for serum phosphate >6. discharge disposition: extended care facility: - discharge diagnosis: left middle cerebral artery infarct discharge condition: fluent aphasia. mild right-sided weakness. right facial droop. right homonymous hemianopia. discharge instructions: you were admitted to the neurology service after suffering a left middle cerebral artery stroke, which has affected your language and made your right side weak. your speech should improve over the course of the next 6 months and your strength has already begun to improve. your plavix was discontinued and you were started on aggrenox; should you experience headache with this medication, it should be taken with tylenol for a couple of weeks as your body adjusts to it. you should also continue to take lipitor and zetia for your high cholesterol. please keep all appointments and take your medications as prescribed. followup instructions: provider: , md phone: date/time: 12:15 provider: , md, phd: date/time: 1:00 md, procedure: venous catheterization, not elsewhere classified hemodialysis diagnoses: end stage renal disease congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified viral hepatitis c without hepatic coma gout, unspecified aortic valve disorders human immunodeficiency virus [hiv] disease occlusion and stenosis of carotid artery without mention of cerebral infarction hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cerebral embolism with cerebral infarction occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney 

Answer: The patient is high likely exposed to