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: mr. is a 45-year-old man with a history of hiv and hepatitis c who was a pedestrian hit by debris from a nearby car accident on the street. he did not come to the hospital immediately but presented late at night on the day of the accident. on arrival he complained of abdominal pain, nausea, and left rib and flank pain. he received an abdominal ct scan which showed a shattered spleen and a massive amount of hemorrhage throughout the abdomen. there was also a fracture of the left tenth rib. past medical history: chronic obstructive pulmonary disease, aids, peptic ulcer disease, schizophrenia with auditory hallucinations, hepatitis c, intravenous drug abuse, ethanol abuse. allergies: the patient has no known drug allergies.. medications: prilosec 10 once daily, ? celexa 10 once daily, ? zyprexa 20 q.h.s. physical examination: on arrival the patient was an alert and oriented man with a temperature of 95, pulse 105, blood pressure 105/60, respiratory rate 18, o2 saturation 92% on two liters. heart was regular with tachycardia. lungs were clear to auscultation bilaterally. abdomen was distended without tympany, and diffusely tender especially in the left upper quadrant. rectal examination showed normal tone, guaiac positive, but there was blood at the rectal site from line placement. extremities were warm. laboratory studies: on arrival the patient had a white count of 10.8, hematocrit of 21.6, platelet count 264. on discharge the white count was 12.4, hematocrit 33.2, platelet count 495. electrolytes: sodium 137, potassium 4.0, chloride 101, bicarbonate 28, bun 5, creatinine 0.4, glucose of 72. abdominal ct scan shows grade 5 rupture of spleen with blood around the liver and blood in the pelvis. there is no active extravasation. hospital course: mr. was watched very closely on his arrival to the emergency room, once he received an abdominal ct scan which showed a ruptured spleen. he received intravenous access and was resuscitated with blood products. he was transferred to the intensive care unit where his resuscitation was continued. during this, however, his status went from being comfortable, alert and oriented, to being in acute respiratory distress. he was therefore being intubated and emergently taken to the operating room for a splenectomy. in the operating room on , he received an uneventful splenectomy and he was transferred back to the intensive care unit. one hour post his transfer back he began acutely dropping his blood pressure and he received additional blood products to maintain his hemodynamic normalcy. he was rushed back to the operating room and he was found to have a large amount of blood in his abdomen which, on exploration, was due to arterial bleed in the splenic bed. this was repaired. the abdomen was closed again, and mr. was brought back to the intensive care unit intubated. the patient's recover after this was fairly unremarkable except for waking up slowly. he was extubated on hospital day three. he remained sleepy for another day or two and then after withdrawal of all of his sedating medications including ativan, he woke up appropriately. on discharge he is alert, oriented, and recalls most of his events. he is tolerating a regular diet and is ambulating. his incision is clean, dry, and intact with staples. we contact the primary care physician, . , who on discussion clarified that mr. is unreliable on his follow up and does not take any hiv medications because of his noncompliance. he will follow up with dr. after his discharge to rehabilitation. he is also to follow up with the trauma clinic in two weeks. discharge medications: 1. lopressor 25 mg p.o. b.i.d. 2. colace 100 mg p.o. b.i.d. 3. tylenol #3 one to two p.o. q. 4-6 hours p.r.n. condition on discharge: good. discharge disposition: to rehabilitation. follow up: the patient will follow up in the trauma clinic in two weeks. he will follow up with his primary care physician within two weeks. discharge diagnoses: 1. splenic rupture. 2. splenectomy. addendum: the patient received his immunizations prior to discharge. he received a pneumovax vaccine, meningococcal vaccine, and h-influenza vaccine prior to his discharge. , m.d. dictated by: medquist36 procedure: total splenectomy suture of artery diagnoses: chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia other pulmonary insufficiency, not elsewhere classified other, mixed, or unspecified drug abuse, unspecified chronic airway obstruction, not elsewhere classified human immunodeficiency virus [hiv] disease hemorrhage complicating a procedure injury to spleen without mention of open wound into cavity, massive parenchymal disruption other noncollision motor vehicle traffic accident injuring pedestrian 

Answer: The patient is high likely exposed to