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: hypotension, weakness, dizziness major surgical or invasive procedure: none history of present illness: 53w w/hiv (cd4 217), hepc (1,1), esrd on hd, chf (ef 30-35%, e/a 1.2, 3+mr, 3+tr, moderate on tte ) presented to hd this morning weak and dizzy after missing last hd. no hd was performed b/c of hypotension to sbp60 and the patient was transferred to the ed. . in the ed, the patient was afebrile w/vs 95.0 58 75/50 25 99%2l. following 750cc and peripheral dopamine at 10ug/min, sbp rose to 110. she was sob, at her baseline and could not lie flat. ecg demonstrated twi in v2, flat t in v3. k was 6.8 and phos 13. bnp was 31,000. bedside tte was negative for tamponade. she was given vanco, ctx, flagyl, dex 10mg, dextrose, cagluconate, insulin. nephrology was consulted; they reported 8kg weight gain and indicated a desire to initiate gentle hd in the micu. . ros notable for cough x 2 associated w/straining abdominal discomfort and 1 episode emesis. at this time, she denies fevers, chest pain, back pain, urinary symptoms. she says that she forgets her haart about once per week. past medical history: hiv (cd4 ct in was 217) esrd on hd htn avnrt diagnosed at recent vaginal bleed s/p conization hcv esrd on hemodialysis asthma/copd (on 4l o2 at home) cardiomyopathy w/ echo on ef>55%, mild mr pneumonitis followed by dr. at ( #6564 . psurgh: c-section r knee surgery ovarian cysts removed social history: lives with her 17 year old son; has been medically handicapped for many years. she has 4 children; one son is incarcerated. 45 pack years tobacco history, reports having quit for last 1 weeks. denies alcohol, or drug use. history of crack use. family history: her mother had a stroke and has dm, her daughter only has one kidney and has a thyroid problem. physical exam: gen: well appearing, in no acute distress, heent: nc at, mouth dry, perrl, eomi cv: rrr, holosystolic murmur, +s3 lungs: generally clear to auscultation bilaterally with occasional faint rhonchi throughout abd: soft nt nd + bs ext: no cyanosis clubbing or edema neuro: alert and oriented x3, 5/5 strength of all four extremities, nl sensation, cn ii-xii intact brief hospital course: 53w w/hypotension and renal failure after having had more than 5 days since last hd. also she had stopped her low dose prednisone since she did not like its side effects. . #hypotension- likely multifactorial: initially thought to be related to adrenal insufficiency b/c patient had self d/ced steroids which she was on for pneumonitis as well as in the ed she responded to minimal interventions including a small fluid boluses, iv dex and antibiotics. however, pt had a single cortisol result(29.4)within normal levels. no evidence sepsis: lactate 3.4 but trended down to 1.8 w/hd, abx were held; ruled out mi- three sets of cardiac enzymes:(0.12,0.11,0.11); tte : compared with the prior study (images reviewed) of , findings are similar except that the effusion is now smaller. in micu, periperal dopa was successfully weaned during dialysis and pt maintained bp's of 110-140. steroids for two reasons: seemed to improve her condition dramatically in ed, assume partial adrenal insufficiency; asthma/ cpod exacerbation that is helped with steroids. anti-hypertensives were held, and pt's bp stabilized hd2. . esrd- ag metabolic acidosis, high k, high phos, and uremia missed hd- underwent hdx2 in icu (first time w/high bicarb bath w/small amount of dopamine support) last , plan to repeat in am . abg on admission showed bicarb of 8, improved on labs first morning after admission so no repeat abg obtained. lactate improved w/hd from 3.4 on admission to 1.8 . renal followed, hd friday before d/c. continued nephrocaps, calcium acetate throughout admission. . pt w/copd/asthma, history of chronic cough and pneumonitis, chf w/worsening of ef over the past year exacerbated by fluid overload from missed hd. currently lungs are clear, saturating well on ra. completed course of azithromycin because of leukocytosis w/left shift and pt's good clinical response to abx. continued albuterol nebs and started pt on prednisone taper from doses of steroids pt received while in the icu. . hiv- cd4 count just above 200. cont ppx with bactrim ds and haart as above. . hep c- stable. medications on admission: bactrim ds qd imdur 60mg po qd cozaar 50mg po qd lopressor 37.5 po bid cardizem 120mg po qd nephrocaps qd phoslo 4 tabs tid seroquel 25mg qhs didanosine 125mg after each hd nevirapine 400 qd abacavir 600mg benadryl 50 qhs claritin 10mg po qd spiriva 18ug po qd ibuprofren prn discharge medications: 1. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po daily (daily). 2. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 3. calcium acetate 667 mg capsule sig: four (4) capsule po tid w/meals (3 times a day with meals). 4. quetiapine 25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 6. abacavir 300 mg tablet sig: one (1) tablet po bid (2 times a day). 7. nevirapine 200 mg tablet sig: one (1) tablet po daily (daily). 8. didanosine 125 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. losartan 25 mg tablet sig: one (1) tablet po daily (daily). 11. imdur 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day: please hold for sbp<100. disp:*30 tablet sustained release 24hr(s)* refills:*2* 12. azithromycin 250 mg capsule sig: two (2) capsule po q24h (every 24 hours) for 1 days. disp:*2 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: esrd discharge condition: stable discharge instructions: please present to your outpatient hemodialysis as scheduled. it is very important to your health that you do not miss s. please call your primary care physician or present to the hospital if you have chest pain or shortness of breath, fever or chills, headache or dizzyness. please follow up with your appointments and take your medications as directed. followup instructions: you have the following appointments: provider: , md phone: date/time: 8:40 you should follow up with your primary care physician- procedure: hemodialysis diagnoses: end stage renal disease congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease chronic obstructive asthma with (acute) exacerbation 

Answer: The patient is high likely exposed to