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: this is a 39-year-old male aids on haart with cd4 count 320 with multiple medical problems in the past including pulmonary kaposi's sarcoma status post daunorubicin which led to cardiac toxicity now status post heart transplant since and on sandimmune and cellcept, which was admitted with fever, malaise, and hypoxia. on bronchoscopy showed pcp, started on bactrim. he is a transfer from micu to the floor. chest ct also with pulmonary nodules and pneumomediastinal hilar lad concerning for posttransplant lymphoproliferative disorder. he has a cri with baseline of 2.7 to 3.2, given nodules ........... fungal disease was started on caspofungin. he is on many many medications, and creatinine and lfts started to rise. creatinine peaked at 4.4. while in micu, he had a pancreatitis, hepatitis, pcp pneumonia, staph bacteremia, which were all resolving and then was transferred to he floor. when transferred to the floor, he was afebrile and normal blood pressure, and stable vital signs. physical examination: general exam: he was in no acute distress alert and oriented times three. heent: pupils are equal and reactive to light. extraocular movements are intact, but bilateral scleral icterus and dry membrane mucosa. lungs were clear to auscultation bilaterally. cardiac examination: regular, rate, and rhythm, no murmurs, gallops, or rales. abdomen: bowel sounds were present, nondistended, and nontender. extremities: no clubbing, cyanosis, or edema, but he had diffuse jaundice of skin. neurologically intact. no sensory or motor deficits noted. pertinent positive laboratory findings on transfer to medicine floor were as follows: he had a resolving hepatitis, still elevated lfts, but lfts trending down since being transferred out of the micu. trending down amylase and lipase secondary to resolving pancreatitis. a new hyponatremia, unknown etiology which he had workup. sodium had been sitting anywhere from mid 120s to high 120s. resolving bacteremia since transfer from micu. hospital course: on , status post liver biopsy from , and he was awaiting for liver path results. ebv viral load is up to 2,000, so a rapid taper of high-dosed steroids going from salmeterol 250 to prednisone 60 for two days to off to cover pcp. ct consistent with improving pcp pneumonia, but worse , concerning for ptld. mediastinoscopy planned for monday after bm biopsy. transfused for hematocrit less than 25 and platelets less than 10. his pancreatitis was improving per amylase, lipase, but he was still kept npo for the time-being on . the next day, , liver biopsies were inconclusive. cyclosporin trough levels high, so his dose was decreased to 15, and there was planned for the following cyclosporin troughs. there was a rusty colored stool and dropping hematocrit and platelets, so he was transfused and made npo after a day of clears and apple juice. liver team to see him on . access becoming an issue, so request a picc evaluation and getting a picc line placed on . on , good response to packed red blood cells and platelet transfusions overnight. his creatinine has improved, but his liver laboratories still looked worsened, although they were stabilizing. hepatology thought that it was secondary to drug toxicity, versus pltd, versus ebv. id warned of cmv, clostridium difficile, bk virus, primary toxo, which were on the differential. on , he was awaiting id workup laboratories to come back. cyclosporin levels okay on the new level, lower dose of 15, and autodiuresing with great eop at the time. on , he grew gram-positive cocci from two bottles and was put on vancomycin and he had persistent bleed from iv site. he was transfused with platelets secondary to the bleed. bone marrow biopsy was done. chest ct scan and echocardiogram planned for tomorrow. improvement of mediastinal lam on chest ct scan, so biopsy was cancelled. increasing vancomycin to 1.5 grams q24h, cyclosporin 40 mg total given today. follow-up level tomorrow and contact dr. for recommended dose. he had an ultrasound of the abdomen ordered to evaluate for questionable liver hematoma and a biliary tree evaluation. meanwhile he has been npo after midnight for the ultrasound. on , his lfts were improving. cd4 count was down to 70s. repeat echocardiogram unchanged. his creatinine up to 1.7, white blood cell count up to over 4 from less than two, breathing better, now on room air. cks trending down, but troponin jumps up and down with max of 0.6. he is getting platelets for level of 8. will need picc line for blood draws and access at the time. on , improvement in lfts, liver function, renal function, ck, and o2 requirement improvements. his picc line was placed, then he started developing hyponatremia. his urine osmolarity was checked for assessing etiology. since on the floor, patient hemodynamically stable, but hyponatremia for past two days consistent with siadh since his urine sodium was over 50 and his urine osmolality was over 200. last serum sodium was 128 with recheck at midnight. on , hyponatremia was improved with fluid restriction secondary to treatment of siadh. underlying cause of the siadh unknown. sedated secondary to fentanyl and discontinued his fentanyl since. hemodynamically stable and no pin point pupils, but regular rhythm was breathing at 8-10. all of his sedatives were held secondary to oversedation due to fentanyl. on , per id recommendations, his g/csf was stopped because of his improved white blood cell count and his iv sodium chloride because of his hyponatremia is probably due to siadh. he was also transfused bloods secondary to decreasing hematocrit. on , patient has been npo with one day history of pneumatosis on ct and surgery on board. this was secondary to a one day history of severe abdominal pain which later on ct was shown to be consistent with typhlitis and pneumatosis, which were obvious on ct examination. since then, his pneumatosis on ct has resolved. he was npo for the next few days at which point, he was started on tpn and gradually while improving his physical examination and his ct examination findings were improving, he was gradually switched over to po feeds. meanwhile, in the next two days, he developed a rash, which was thought to be either secondary to meropenem or vancomycin. meanwhile meropenem and vancomycin were held. also cipro was held thinking the possible interaction that could lead to the rash. since discontinuing cipro, vancomycin, and meropenem, his rash had disappeared. his po vancomycin was continued for an extra day, thinking that it had low absorption and decreased chance of leading to a rash. the po vancomycin was mainly given due to not being able to tolerate flagyl secondary to empiric treatment of clostridium difficile. meanwhile each day, patient improved. his hyponatremia improved. his lfts still elevated today on discharge, but improving each day. his pancreatitis improving, although today he was slightly elevated, which needs to be rechecked as an outpatient with pcp, . , and no sign of acute infection at this point. his follow-up plans were to followup with his pcp, . , who follows up really closely. discharge condition: good. discharge status: the patient is to be discharged home with service, and with close followup with dr. , pcp. discharge diagnoses: 1. pneumocystis carinii pneumonia. 2. hyponatremia. 3. acute renal failure, not otherwise specified. 4. thrombocytopenia, not otherwise specified. 5. anemia, not otherwise specified. 6. coagulopathy defect, which has resolved since. 7. abnormal liver function studies. 8. congestive heart failure. 9. status post heart transplant in . follow-up plans: with dr. at falbrig building in infectious disease section, phone number , date at 10:30 am. discharge medications: patient's discharge medications were discussed in detail by dr. and by discharging physician. patient's discharge medications were called in by pcp, . , and the patient is to continue his outpatient medications as directed by dr. . discharge medications were as follows: 1. prednisone 10 mg to do a taper as prescribed by dr. . 2. loratadine 10 mg q day. 3. diltiazem 360 q day. 4. ursodiol 300 mg tid. 5. valganciclovir 450 . 6. pantoprazole 40 q12h. 7. mycophenolate 500 mg q day. 8. colchicine 0.6 mg q day. 9. allopurinol 100 mg q day. 10. atovaquone 750 mg/5 ml oral suspension q day, 10 ml q day, which is a total of 1500 mg dose. 11. cyclosporin to be dosed daily by dr. , the pcp. outpatient medications have been called in by dr. for specific instructions for patient to follow. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified spinal tap incision of lung parenteral infusion of concentrated nutritional substances closed (percutaneous) [needle] biopsy of liver biopsy of bone marrow closed [endoscopic] biopsy of bronchus diagnoses: acute kidney failure with lesion of tubular necrosis acute and subacute necrosis of liver acquired coagulation factor deficiency human immunodeficiency virus [hiv] disease pneumocystosis bacteremia acute pancreatitis complications of transplanted heart 

Answer: The patient is high likely exposed to