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: transfer from osh for management of c. diff/hiv major surgical or invasive procedure: intubation bronchoscopy history of present illness: mr. is a 81 year old male with past medical history of hiv (cd4 215 , haart stopped ), c. difficile infection, chronic hepatitis b, adrenal insufficiency, mds, and esophogitis who was transferred to from for management of his care. mr. previously had no medical illnesses until of this year. at that time, he presented to with complaint of weakness. at that time, he was diagnosed with mds and placed on steroids. he required transfusions of prbcs and platelets as needed. additionally, he was treated with antibiotics for fever. at the time of transfer, records are not available and history is via patient's son. was discharged home after approx a 1 week stay only to return ~4 days later with complaint of chest pain. . per his son, he did not suffer a heart attack, but instead was diagnosed with esophogitis by egd. he was treated with sucralfate and lidocaine. during this hospitalization, he was diagnosed with hiv and hepatitis b (listed as chronic in transfer paperwork from ). he was not started on haart at this time. additionally, his son states that there was a ct head during this admission that was consistent with a previous stroke. after discharge, mr. was doing well for 1 to 2 days before developing fever, diarrhea and vomitting. . he was again admitted to with hypotension and had a prolonged, 5 hospital course. he required 2 transfers to the icu--one for sirs in setting of rll infiltrate requiring vasopressors. during this admission, his steroids had been decreased, however, he developed adrenal insufficiency and required re-titration of his steroids to appropriate levels with appropriate improvement in his blood pressure. during this admission he was started on haart and bactrim, but developed a rash 3 days later. bactrim was discontinued, dapsone started instead for prophylaxis. mr. was eventually discharged home on with intent to get a second opinion at . after arriving home, he developed worsening diarrhea and decline over a span of days. his son states he was basically non-responsive and he was taken by ambulance to on for evaluation. . on admission to , he was hypotensive and tachycardic. he was admitted to a partial care unit where he was resuscitated with fluids. on , he was started on vancomycin and flagyl for treatment of c. diff (unclear if he was diagnosed at with c. diff). ct a/p at that time showed colitis. for his adrenal insufficiency, he had been taking dexamethasone 1mg qam and 2mg qpm as an outpatient. he was briefly started on florinef, however he developed anasarca and was placed back on dexamethasone 1 mg qid with stable hemodynamics. during the course of the admission, his creatinine was noted to increase from 1.3 to 1.76. additionally, patient became increasingly thrombocytopenic with platelets of 20 on day of transfer. heme/onc felt thrombocytopenia may have been due to haart. due to crystals in urine, renal felt haart may account for arf. on , haart was discontinued in the presence of 2l positive with uop of 4ml noted. he also had worsening anasarca. also noted on admission to was oral thrush for which he was treated with a 2 week course of fluconazole (possibly 3 weeks treatment). lfts were apparently stable and hepatitis b was not considered an acute issue. . ros: positive for edema, diarrhea, fatigue, weakness. denies headache, change in vision or hearing, sore throat, chest pain, abdominal pain, numbness in his extremities. past medical history: - hiv, dx ~, cd4 215 , haart (emtricitabine-tenofivir, atazanavir, ritonavir) discontinued . c/b esophogitis. - mds, diagnosed at , required prbcs - adrenal insufficiency, diagnosed - c. diff colitis, currently undergoing treatment - hepatitis b - dm type 2 - htn social history: immigrated from in with permanent residency, son states his infectious workup at that time was negative. no known hiv risk factors, son not able to answer sexual history questions. no alcohol history. started smoking at age 45, 1 ppd x 40 years. no drug history. family history: unknown physical exam: vitals: t: 98.7 bp: 104/d hr: 80 rr: 18 o2:98 2l general: elderly male in nad, lying in bed, responsive, anasarca. heent: nc/at, perrl, dry mucous membranes, eomi, oropharynx clear - no visible thrush. sclera anicteric. conjunctival injection in left eye. neck: no lad, no thyromegally. chest: inspiratory crackles at bilateral lung bases. o/w cta bilaterally with no wheezing. cv: rrr, no m/g/r. s1 and s2. no s3 or s4. abd: soft, mild tenderness to palpation diffusely. no guarding or rebound tenderness. no suprapubic tenderness. ext: all 4 extremeties with generalized anasarca, in legs l>r. radial pulses difficult to palpate with edema. neuro: alert. cn ii-xii intact. strength 4/5 in all 4 extremities. sensation intact throughout. gait and cerebellar function not assessed. skin: mottled appearance over extremities. no rashes or petechiae noted. pertinent results: please see omr for evaluation of extensive medical workup completed during patient's hospitalization. brief hospital course: 82 yom with adrenal insuficiency, mds, and new hiv diagnosis who presentwed with generalized illness and hypotension. his symptoms were thought to be due to c dif colitis initially however his hypotension was severely out of proportion to his diarrhea and did not respond adequately to fluid boluses. he was started on pressors and also given pulse dose steroids given his history of adrenal insufficiency. his mental status was poor and remained that way, he continued to do more poorly each day failing to wean off of pressors or improve his mental status. his renal function did not improve despite improved renal perfusion and patient was not a candidate for dialysis. decision from his family was to reduce the level of care and patient was made cmo. he passed away peacefully with family at the bedside after a prolonged and unsuccessful medical evaluation to assess for factors that may be contributing to his illness. medications on admission: on transfer from osh - bicitra 30 ml po bid - d50w 50 ml iv prn - decadron 1 mg po qid - diflucan 200mg po qday (12 day course) - flagyl 500 mg po tid - glucagon 1mg im prn - glutose 15g oral prn - lactinex 1 packet tid - prilosec 20 mg po - regular insulin sliding scale - vancomycin solution 125mg po q6h discharge disposition: expired discharge diagnosis: adrenal insufficiency myelodysplastic syndrome sepsis hiv thyrombocytopenia acute renal failure discharge condition: deceased md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis closed [endoscopic] biopsy of bronchus diagnoses: acidosis thrombocytopenia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified septicemia hyposmolality and/or hyponatremia severe sepsis pulmonary collapse myelodysplastic syndrome, unspecified acute respiratory failure intestinal infection due to clostridium difficile glucocorticoid deficiency acute pancreatitis asymptomatic human immunodeficiency virus [hiv] infection status acute venous embolism and thrombosis of unspecified deep vessels of lower extremity hepatic infarction 

Answer: The patient is high likely exposed to