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: shortness of breath major surgical or invasive procedure: - cabgx4 (lima-lad, svg->om2, svg->om1 with y graft to diagonal) history of present illness: mr. is a 54-year-old male with worsening anginal symptoms. he also is positive for hiv and hepatitis. he is presenting for revascularization. past medical history: hiv diagnosed in +ppd hyperlipidemia htn diabetes mellitus type ii diet controlled hepatitis a arthritis restless leg syndrome past condylomata surgery social history: married. works as a products manager for a software company. 60 poack year smoking history. quit family history: mother with cabg at age 62. father with cabg at age 68 physical exam: vitals: bp 116/80, hr 70, rr 14, sat 100% on room air general: well developed male in no acute distress heent: oropharynx benign, poor dental health neck: supple, no jvd heart: regular rate, normal s1s2 lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities, dry skin. pulses: 2+ distally 1+ dp neuro: nonfocal pertinent results: 04:45am blood wbc-6.5 rbc-2.63* hgb-9.2* hct-25.4* mcv-97 mch-35.1* mchc-36.3* rdw-13.9 plt ct-115* 04:45am blood plt ct-115* 04:45am blood urean-17 creat-0.9 na-137 k-4.0 cxr there has been removal of various lines and tubes. no pneumothorax is identified. cardiac and mediastinal contours are within normal limits for postoperative status of the patient. there are improving atelectatic changes in the left lower lobe. small pleural effusions are noted bilaterally. echo prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. postbypass preserved biventricular systolic function. study is otherwise unchanged from prebypass brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. aspirin, beta blockade and a statin were resumed. he was then transferred to the cardiac surgical step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. his drains and wires were removed per protocol. mr. remained hemodynamically stable in a normal sinus rhythm throughout his postoperative course. he continued to make steady progress and was discharged to his home on postoperative day 4. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: antivirals lipitor 20mg qd aspirin 81mg qd mirapex 0.5mg toprol xl 50mg qd naproxen 500mg zantac 150mg inh 300mg qd vitamin b6 multivitamin triamcinolone cream bactroban nasal discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. hydromorphone 2 mg tablet sig: one (1) tablet po q2h (every 2 hours) as needed. disp:*50 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*4* 4. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. multivitamin capsule sig: one (1) cap po daily (daily). disp:*30 capsule* refills:*2* 6. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 7. lamivudine 150 mg tablet sig: two (2) tablet po daily (daily). 8. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 9. atazanavir 100 mg capsule sig: three (3) capsule po am (). 10. pramipexole 0.25 mg tablet sig: two (2) tablet po bid (2 times a day). 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po pm (). disp:*30 tablet(s)* refills:*2* 12. pyridoxine 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 13. amoxicillin 500 mg tablet sig: four (4) tablet po one hour prior to dental procedure for 1 doses: take four 500mg pills 1 hour prior to dental procedure. disp:*4 tablet(s)* refills:*0* 14. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): s top taking once off narcotics(pain medication). disp:*60 capsule(s)* refills:*0* discharge disposition: home with service facility: unknown discharge diagnosis: coronary artery disease hypercholesterolemia htn dm type ii hiv + hepatitis a +ppd family history discharge condition: good discharge instructions: ) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) you may wash you incision and pat dry. no swimming or bathing until it has healed. 5) no lotions, creams or powders to wound until it has healed. 6) no lifting greater then 10 pounds for 10 weeks. 7) no driving for 1 month 8) please resume your mirapex as well as your antivirals as per preop. 9) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with cardiologist dr. in weeks. follow-up with primary care physician . in 2 weeks. please call all providers for appointments. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia other and unspecified angina pectoris other extrapyramidal diseases and abnormal movement disorders asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to