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: the patient is a 50-year-old female with a history of advanced human immunodeficiency virus/acquired immunodeficiency syndrome for 10 to 15 years complicated by human immunodeficiency virus nephropathy, human immunodeficiency virus cardiomyopathy (with an ejection fraction of 15% to 20%), acquired immunodeficiency syndrome related dementia and encephalopathy for the past who presents with a history of lactic acidosis while taking proteus inhibitors. the patient was admitted to the hospital with lactic acidosis presumed to be due to proteus inhibitors while on highly active antiretroviral therapy. she was admitted to the medical intensive care unit with hypoglycemia, hypothermia, and hypotension. the patient's blood pressure was stabilized without pressors. her hypoglycemia resolved. the patient revealed evidence of hepatic failure with liver function tests in the 100s, and a total bilirubin of 26, and coagulopathy with an inr of greater than 5. this occurred after all her ace inhibitors and highly active antiretroviral therapy were discontinued. the patient was initially made comfort measures only, and after mentating better the patient was made do not resuscitate/do not intubate, cardiopulmonary resuscitation not indicated, due to her severe illness. however, the patient continued to receive full treatment of all of her issues. the patient was transferred to the floor for further management by the medical team under the care of dr. . the patient's liver function tests did not improve greatly; however, the patient was occasionally mentating and was occasionally able to take oral intake; although, never adequate for her poor nutritional status. on the patient had a subsequent event of hypoglycemia, hypotension, and bradycardia into the 30s. a code was called. the patient was given atropine and her heart rate rebounded. her blood pressure increased and continued to increase with aggressive intravenous fluid hydration. the patient was given multiple ampules of dextrose 50 every hour to maintain her glucose greater than 70. it was presumed that the patient had no glycocin stores and severe hepatic dysfunction prohibiting proper gluconeogenesis. physical examination on presentation: the patient's blood pressure was maintained with a systolic blood pressure in the 110s with intravenous fluid boluses. the patient was felt to be severely dehydrated. the patient was also persistently hypothermic with a temperature of 96 degrees fahrenheit regularly, increasing to 97 degrees fahrenheit rectally with warming blankets. her heart rate was 50 to 74. her respiratory rate was 22 to 27. the patient's oxygen saturation was 97% on room air. in general, the patient was a very thin and frail woman breathing deeply. she had her eyes closed and was not responding well. head, eyes, ears, nose, and throat examination revealed the patient's sclerae were icteric. her pupils were reactive. the oropharynx was clear with no evidence of thrush. on cardiovascular examination, the patient had a regular rate and rhythm. there was a 3/6 systolic murmur and third heart sound. no rubs. radial and dorsalis pedis pulses were 1+ bilaterally. the lungs were clear with crackles halfway up bilaterally. there was good air movement. the patient's abdomen had hypoactive bowel sounds. the abdomen was distended and nontender. there was no organomegaly was appreciated. the patient's extremities were cool and dry with no edema. the patient's sacrum had erythema on the perineum. skin revealed tinting on the forehead. the patient had a right midline peripherally inserted central catheter line placed with no erythema or swelling. she had a left fistula site on her wrist that was bandaged due to subsequent spontaneous bleeding. impression: our impression was that the patient was a frail 50-year-old female with advanced human immunodeficiency virus/acquired immunodeficiency syndrome, multiple complications, with poor cardiac function, renal function dependent on dialysis, and hepatic failure unlikely to improve. brief summary of hospital course: the patient was admitted for further management, and a family meeting was called to discuss the patient's code status. on the evening prior to the family meeting, the patient had 11 beats of nonsustained ventricular tachycardia with electrocardiogram changes. the patient ruled out for a myocardial infarction and was maintained on aspirin, and beta blocker, and oxygen through nasal cannula. due to the spontaneously bleeding arteriovenous fistula site, the patient was given multiple units of fresh frozen plasma as well as packed red blood cells. over that night, the patient's hematocrit dropped to 12%. in the morning, the patient was not responding well. a chest x-ray was done because of agonal breathing. the patient was found to have total white out of the left lung. it was unclear if this due to an isolated effusion or spontaneous pulmonary hemorrhage in the setting of a hematocrit drop. it was also clear that over the past two days the patient had low fibrinogen, an elevated prothrombin time and partial thromboplastin time, an elevated lactate dehydrogenase, and a haptoglobin of less than 20 which would also be consistent with hemolysis and possible disseminated intravascular coagulation; however, a full disseminated intravascular coagulation panel was never checked, and it was thought to be uninterpretable in the setting of liver failure. the patient was maintained on a d-10 drip to keep her glucose level above 70. up until this point, the patient had been receiving hemodialysis every other day with ultrafiltration due to an inability to take much off because of blood pressure demands. the patient was also known to have chronic hypercalcemia due to hyperparathyroidism from her renal failure which was managed with hydration. during the patient's hospitalization, she was off of highly active antiretroviral therapy but was maintained on pneumocystis carinii pneumonia and mycobacterium avium-intracellulare prophylaxis with azithromycin and bactrim. for nutrition, it was very difficult to give the patient proper nutrition as she would not tolerate tube feeds. she pulled out her postpyloric tube and could not mentate long enough to take in oral intake adequate enough to improve her nutritional status. a family meeting was held. the patient's primary nurse, intern hospital attending (dr. , and the patient's primary care provider over the 15 years (dr. ) were all present. as the patient's sister and health care proxy () as well as her sister , and daughter. it was discussed that the patient's health was extremely poor. it was unclear if the patient would ever survive to discharge. the patient's family still wanted all treatment to be pursued but understood that it would extremely difficult to resuscitate or ventilate her should she need cardiopulmonary resuscitation or mechanical ventilation. it was determined that the patient would be do not resuscitate/do not intubate. one hour after signing this order, the patient had agonal breathing. she continued to have bradycardia in the 20s which responded to atropine. however, her respiratory status worsened until full respiratory arrest. the patient died on due to respiratory failure secondary to a pulmonary effusion and possible pulmonary hemorrhage secondary to coagulopathy and liver failure, secondary to human immunodeficiency virus and acquired immunodeficiency syndrome. the patient's family and primary care provider (dr. ) were all made aware. an autopsy was refused. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified spinal tap incision of lung parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances hemodialysis arterial catheterization closed biopsy of skin and subcutaneous tissue diagnoses: other primary cardiomyopathies acidosis thrombocytopenia, unspecified congestive heart failure, unspecified acute and subacute necrosis of liver unspecified septicemia human immunodeficiency virus [hiv] disease primary pulmonary hypertension hepatic encephalopathy 

Answer: The patient is high likely exposed to