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: penicillins attending: chief complaint: headache major surgical or invasive procedure: evacuation of sdh craniectomy history of present illness: asked to eval this 58 year old african american male who is taking asa 81 mg daily with c/o of ha x 3 days. ct demonstrates acute on subacute sdh on the right side with mls 1.2cm. no obvious mass lesion is noted. pt lethargic at present and most of history taken from brother who is at bedside. pt was out with family on friday and ha was severe enough that they drove him home. brother states that pt did not remember the ride home. there are no reprots of sz or loc nor of any trauma. past medical history: hiv htn high cholesterol hypercholesterolemia hypertriglyceridemia overweight hypertension low hdl sedentary lifestyle hiv positive new diagnosis of type 2 diabetes. social history: seperated from wife/ lives with sister - has a 23 year old son whom he said can make decisions for him. his name is family history: no dm, cad, or cancer in family. physical exam: physical exam upon admission: t: 98 t bp: 192/ 96 hr:88 r 18 o2sats99 gen: wd/wn, comfortable, nad. heent: pupils: 3-2mm bilaterally eomis neck: supple. extrem: warm and well-perfused. neuro: mental status: lethargic, cooperative with exam, normal affect. orientation: oriented to person, place, and date (thinks it is the 15th but it is the 16th. language: speech fluent with good comprehension/ + accent / brother at bedside does not recognize a problem. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3 to 2 mm bilaterally. visual fields grossly intact. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: ? slight right facial / sensation intact. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. slight right pronation / no drift. sensation: intact to light touch toes downgoing bilaterally no clonus pertinent results: head ct : impression: no interval change in right subdural and subarachnoid hemorrhage post-craniotomy. improved leftward subfalcine herniation, with less mass effect on the right lateral and third ventricles today. head ct : impression: 1. interval increase in shift of the midline leftward from 6 mm to 9 mm. 2. stable sized, naturally evolving right temporoparietal subdural hematoma. 3. no evidence of new intracranial hemorrhage. mri : findings: again a t1 and t2 hyperintense subdural collection identified from frontal to occipital region with air within this collection. there are post- operative changes seen in the right frontotemporal region. a small area of t2 hyperintensity in the right temporal lobe may be the site for biopsy. no parenchymal enhancement is identified in this region. following gadolinium mild meningeal enhancement is identified. there is mass effect on the right lateral ventricle with mild midline shift. no evidence of acute infarct identified. impression: status post craniotomy on the right side. subdural collection is identified on the right which is characteristic of a subdural hematoma. residual blood products are seen in this region since the previous mri of . post-biopsy changes are seen in the right temporal lobe. there is mass effect on the right lateral ventricle with midline shift and mild uncal herniation with deformity of the brainstem. no acute infarct is identified. echo: conclusions: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. the estimated right atrial pressure is 0-5mmhg. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). transmitral doppler and tissue velocity imaging are consistent with grade i (mild) lv diastolic dysfunction. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no masses or vegetations are seen on the aortic valve. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. no mass or vegetation is seen on the mitral valve. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. brief hospital course: the patient was admitted with a sdh and went to the or for craniotomy for evacuation on . he went to the icu post-operatively and was slow to wake up. his post-op head ct showed decreased midline shift. his mental status improved slowly for the next 2 days and he was transferred to the floor on . then on the patient became unresponsive and repeat ct scan showed increase in blood. he had a bedside tap via burr hole and 50 cc of blood was drained. repeat ct showed decreased sdh, unchanged brain edema. on he went back to the or for a craniectomy. following the procedure, his ct scan showed decreased sdh and his neurologic exam improved significantly. he was moving all extremities and was conversant by the time of discharge. his mannitol was stopped on . pt and ot felt the patient was safe to be discharged to rehab. discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. fosamprenavir 700 mg tablet sig: one (1) tablet po q12h (every 12 hours). 6. ritonavir 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. hydrochlorothiazide 25 mg tablet sig: two (2) tablet po daily (daily). 8. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 9. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). 10. enfuvirtide 90 mg kit sig: one (1) kit subcutaneous (). 11. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po qod (). 12. diltiazem hcl 90 mg tablet sig: one (1) tablet po q4h (every 4 hours). 13. nystatin 100,000 unit/ml suspension sig: five (5) ml po tid (3 times a day). 14. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po q48h (every 48 hours). 15. azithromycin 600 mg tablet sig: two (2) tablet po 1x/week (we). 16. nph insulin sig: four (4) subcutaneous every twelve (12) hours. 17. insulin regular human 100 unit/ml solution sig: one (1) injection four times a day: dose per insulin sliding scale. 18. levetiracetam 1500 mg iv bid discharge disposition: extended care facility: - discharge diagnosis: right sdh discharge condition: neurologically improved/stable discharge instructions: discharge instructions for craniotomy/head injury ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: you need to have your sutures/staples removed in 10 days. you may have this done at rehab or call the office to set up an appointment. follow up with dr. in 4 weeks with a head ct. call to make appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung incision of cerebral meninges insertion of endotracheal tube enteral infusion of concentrated nutritional substances other incision of brain diagnoses: anemia, unspecified pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled human immunodeficiency virus [hiv] disease cerebral edema encephalopathy, unspecified subdural hemorrhage benign intracranial hypertension 

Answer: The patient is high likely exposed to