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 41 year-old woman with advanced aid cd4 count less then 30 admitted on with fever for the past few weeks and intractable developed fever and cough with a question of right lower lobe pneumonia and was started on levofloxacin. she was also started on oral fluconazole for thrush. her levofloxacin was changed to augmentin as the patient continued to spike fevers through the levofloxacin. the patient developed night sweats as well as inguinal pain. she was admitted on for evaluation of fever, night sweats and evaluation of vomiting on admission the patient's o2 sat was 92%. the chest x-ray was read as diffuse interstitial infiltrates with bibasilar air space opacities and small pleural effusions compatible with pcp. scan on of the abdomen and chest showed chronic lung changes manifested as interstitial thickening with several punctate cystic lesions and increased consolidation in the right upper and lower lobes with a moderate right sided pleural effusion. pericholecystic fluid was seen as well as extensive lymphadenopathy in the inguinal region, thorax and supraclavicular and axillary regions. over the past two days the patient has had increasing fevers, increasing oxygen requirements and dyspnea. the patient was started on bactrim on as well as prednisone for presumed pcp. chest x-ray repeated showed a combined alveolar interstitial pattern, which has progressed since . the patient's antibiotics were broadened to include azithromycin and ceftriaxone. the moonlighter was called to see the patient at 10:00 p.m. with progressive dyspnea and o2 requirements necessitating 100% nonrebreather. the patient agreed to intubation and was taken directly to the for intubation. the patient at that time denied abdominal pain, chest pain and had been compliant with her pcp . past medical history: hiv since , systolic murmur, negative ppd, but anergic pneumonia as described. zoster in a vi nerve distribution with post herpetic neuralgia, high grade cervical dysplasia status post cryotherapy, anxiety, depression, left sided oophorectomy, microbacterium in sputum in , migraines and herpes. medications on admission: bactrim, darvon, fluconazole, coletra, imivudene, stavudene, lotrisone, mycelex and remeron. allergies: no known drug allergies. social history: heterosexual. she obtained hiv through intercourse with an intravenous drug abuser. positive tobacco use. rare ethanol use. g6 p6. family history: mother with emphysema. father with lung cancer. physical examination: the patient had a temperature of 102.8. blood pressure 111/98 with an a line measuring 80/50. heart rate in the 150s, breathing at 15, tachypneic and unable to speak in full sentences. neck bilateral anterior and posterior cervical lymphadenopathy. respiratory bilateral crackles, no wheeze. heart was tachy with regular rhythm. abdomen was benign. no extremity edema. laboratory: white blood cell count 2.7, hematocrit 27.6, platelets 44, sodium 136, potassium 4.3, chloride 98, bicarb 12, bun and creatinine 11 and .4. glucose 81, anion gap 30, alt 26, ast 49, ldh 530, alkaline phosphatase 140, bilirubin .4, calcium 7.8, albumin 2.2, phos 4.1, magnesium 1.8. chest x-ray showed worsening alveolar interstitial infiltrates bilaterally right greater then left. electrocardiogram showed sinus tachycardia, coffee grounds were noted on og tube insertion after intubation. hospital course: the patient is a 41 year-old end stage who with rapidly progressive pulmonary process likely bacterial pneumonia, though pcp possible, but less likely. the patient was intubated and placed on assist control at 12 by 500 with 5 peep. ceftriaxone and azithromycin were continued and bactrim and prednisone for presumptive pcp were continued. the patient was fluid resuscitated with hemodynamics consistent with sepsis. protonix was given for stress ulcer prophylaxis. marked anion gap acidosis likely secondary to lactic acidosis. increased ventilation was used for respiratory compensation. overnight the patient progressively worsened with increasing oxygen requirements. on the morning of the 19th a triple lumen catheter was placed in the right femoral region without difficulty for further access. the patient became progressively more hypotensive requiring considerable pressor support. after extensive discussion with the primary care physician . and the family including the mother and daughter, the decision was made to make the patient dnr and comfort measures were instituted at 1:00 in the afternoon on . the patient was extubated. pressors were discontinued and morphine and ativan were started. the patient expired on . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization excision of inguinal lymph node diagnoses: pneumonia, organism unspecified acidosis mitral valve disorders unspecified pleural effusion candidiasis of mouth human immunodeficiency virus [hiv] disease acute respiratory failure reticulosarcoma, lymph nodes of inguinal region and lower limb 

Answer: The patient is high likely exposed to