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: bactrim / trazodone / indinavir / flovent hfa / lma mask attending: chief complaint: hypoxia major surgical or invasive procedure: endotracheal intubation laser vaporization of the vulva history of present illness: the patient is a 41-year-old female with past medical history of hiv/aids (cd4 392 and viral load undetectable in ), on atripla, history of depression/anxiety, hypertension, chronic kidney disease, cervical and vaginal dysplasia and laryngeal papillomatosis as well as abnormal urinary cytology admitted to the icu following laser vaporization of the vulva complicated by immediate post-op desaturation on waking up, intubated in or. per report the procedure went well without complication. she was in her normal state of health prior to the procedure. intra-op she received a total of 2l of fluid intraoperatively. an lma was used. towards the end of the case she was noted to move suddenly. she was given a bolus dose of propofol. following the case she was able to breath on her own for 5-1o mintues she then became aggressive and bit down on the lma disloging the tube. this was followed by an acute desaturation to the 70-80s. she was given more propofol for sedation and mask ventilated with some difficulty. she was intubated with blood noted in the tube. over the course of an hour she was noted to be much easier to ventilate, on exam lungs were noted to clear. she was then transferred to the for further management. on arrival to the micu, patient's vs 92.4 59 97/71 12 100% spo2 cmv vt 500 ml peep of 10. patient was intubated and sedated with blood noted in the et tube. review of systems: unable to obtain past medical history: 1. hiv diagnosed in at the time of bilateral lobar pneumonia complicated by ards. risk factor, heterosexual sex. cd4 nadir reportedly 186. 2. cocaine abuse, clean since ; c/b nasal septal perforation noted 3. alcohol abuse. 4. depression with prior history of suicide attempt and hospitalization with major depression and psychotic features in ; follow at beach counseling ctr as of by behavioral clinician , fax 5. history of genital hsv. 6. cervical dysplasia. 7. history of indinavir related nephrolithiasis. 8. history of interstitial pulmonary infiltrates of unclear etiology 9. recurrent laryngeal papillomatosis 10. moderate mitral regurgitation by cardiac mri 11. gonorrhea 12. left knee cartilage tear 13. hypertension social history: not working. has children, a former cigarette smoker, history of etoh abuse. family history: positive for cancer, diabetes, heart disease, kidney disease and gi problems. physical exam: admission exam general: intubated and sedated heent: sclera anicteric, mmm, pupils pinpoint, et tube with blood present neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, trace wheezes, rales, ronchi abdomen: soft, non-distended, bowel sounds present, no organomegaly, no tenderness to palpation, no rebound or guarding gu: no foley ext: warm, well perfused,1+ pulses, no clubbing, cyanosis or edema neuro: intubated and sedated pertinent results: admission labs 06:31pm blood wbc-4.1 rbc-4.48 hgb-13.8 hct-42.6 mcv-95 mch-30.8 mchc-32.4 rdw-14.5 plt ct-181 06:31pm blood pt-11.8 ptt-30.5 inr(pt)-1.1 06:31pm blood glucose-100 urean-10 creat-1.2* na-136 k-7.7* cl-108 hco3-23 angap-13 03:59am blood glucose-103* urean-12 creat-1.4* na-138 k-3.9 cl-107 hco3-23 angap-12 06:31pm blood alt-17 ast-47* ld(ldh)-1095* ck(cpk)-258* alkphos-70 totbili-0.2 03:59am blood alt-14 ast-20 ld(ldh)-154 ck(cpk)-174 alkphos-85 totbili-0.2 06:31pm blood albumin-3.2* calcium-8.7 phos-3.7 mg-2.0 01:22am blood type-art po2-74* pco2-40 ph-7.37 caltco2-24 base xs--1 . discharge labs 03:59am blood pt-10.9 ptt-30.8 inr(pt)-1.0 03:59am blood glucose-103* urean-12 creat-1.4* na-138 k-3.9 cl-107 hco3-23 angap-12 03:59am blood alt-14 ast-20 ld(ldh)-154 ck(cpk)-174 alkphos-85 totbili-0.2 03:59am blood albumin-3.2* calcium-8.6 phos-3.7 mg-1.7 . urine 02:10am urine color-straw appear-clear sp -1.006 02:10am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-neg . microbiology blood culture blood culture, routine-pending inpatient urine urine culture-pending inpatient . imaging cxr impression: ap chest compared to : et tube in standard placement. nasogastric tube ends in the distal stomach. ground-glass opacification in both lungs, right greater than left is certainly consistent with pulmonary edema. although heart size is normal, the configuration suggests left atrial enlargement and central pulmonary vasculature is engorged suggesting elevated left atrial pressure. pleural effusion is small, on the right. no pneumothorax. the study and the report were reviewed by the staff radiologist. brief hospital course: primary reason for admission 41 yo female with hiv/aids, history of depression/anxiety, hypertension, chronic kidney disease, admitted to the icu intubated following post-operative hypoxia. #hypoxia - hypoxia was felt to most likely be reflective of flash edema in the setting of breathing against a closed glottis (hydrostatic pulmonary edema). this is supported by a chest xray demonstrating pulmonary edema. there was signs or symptoms of infection on imaging. the patient required intubation in the or and subsequently transferred to the micu. she was diuresed with bolus doses of 10 mg iv lasix. respiratory status improved and she successfully extubated on hd1. oxygen saturations were stable on room air and she was discharged home. # pt with intial temp of 92 on admission to the micu. this was felt to most likely represent an anesthesia effect. as above no clear evidence of infection on exam. bp stable in the high 90s systolic. hypothermia resolved and she remained normothermic throughout the remainder of the hospitalization. # vin iii- patient now s/p laser vaporization. procedure went well without complication. she was prescribed premarin cream for 7 days and will follow-up with obgyn. stable issues #hiv disease- patients home atripla was exchanged for truvada and efavirenz while in house. # ckd- creatinine was at baseline throughout this admission. . # htn- hold home meds were held in the setting of hypotension. these were restarted at the time of discharge. transitional issues patient was full code throughout this admission medications on admission: medications - prescription albuterol sulfate - 90 mcg hfa aerosol inhaler - 1-2 puffs(s) po q6hr as needed for wheezing aluminum chloride - 20 % solution - apply qhs for 3 nights then decrease to applications per week atenolol - 100 mg tablet - 1 (one) tablet(s) by mouth once a day bupropion hcl - 150 mg tablet extended release - 1 tablet(s) by mouth once a day x 3d, then increase to desonide - 0.05 % ointment - apply to affected area once a day efavirenz-emtricitabin-tenofov - 600 mg-200 mg-300 mg tablet - 1 tablet(s) by mouth once a day enalapril maleate - 20 mg tablet - 2 tablet(s) by mouth once a day risperidone - 0.5 mg tablet - 1 tablet(s) by mouth twice a day as needed for anxiety may also take 2 at night for sleep medications - otc cholecalciferol (vitamin d3) - 1,000 unit capsule - 1 capsule(s) by mouth once a day mineral oil-hydrophil petrolat - ointment - apply to affected area nightly after cleansing area discharge medications: 1. premarin 0.625 mg/gram cream sig: one (1) vaginal at bedtime for 7 days: use applicator in vagina each night x 1 week. disp:*1 tube* refills:*0* 2. risperidone 0.25 mg tablet sig: one (1) tablet po daily (daily) as needed for anxiety. 3. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po daily (daily). 4. efavirenz 600 mg tablet sig: one (1) tablet po daily (daily). 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. 6. enalapril maleate 10 mg tablet sig: four (4) tablet po daily (daily). 7. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: home discharge diagnosis: vain pulmonary edema discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: ms. , you were admitted after you required urgent intubation for pulmonary edema (fluid in the lungs) following uncomplicated vulvar laser treatment. you spent one night in the icu and were easily extubated. the gynecologsits indicate that no special post operative care is needed following the procedure you had. your gynecologist's office will call you with a follow up appointment. to reach medical records to get the records from this hospitalization sent to your doctor at home, call . followup instructions: provider: , md phone: date/time: 9:20 provider: , md phone: date/time: 3:00 department: west clinic when: wednesday at 3:00 pm with: , md building: de building ( complex) campus: west best parking: garage md procedure: reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue excision or destruction of lesion of vagina diagnoses: tobacco use disorder hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified asthma, unspecified type, unspecified chronic kidney disease, unspecified dysthymic disorder other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hypoxemia asymptomatic human immunodeficiency virus [hiv] infection status acute edema of lung, unspecified hypothermia not associated with low environmental temperature condyloma acuminatum carcinoma in situ, vagina 

Answer: The patient is high likely exposed to