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 / dilantin / doxycycline / azithromycin attending: chief complaint: penicillin desensitization major surgical or invasive procedure: none. history of present illness: mr. is a 51 year old man with history of hiv (vl nd, cd4 436 ) on haart, found to have a spirochetes on recent biopsy of l-sided ulcerative mouth lesion. mouth lesion was initially treated with acyclovir for presumed hsv outbreak. when lesion did not respond to empiric acyclovir he was referred to ent for biopsy. biopsy results on showed acute and chronic inflammation with spirochetes. of note, he had a diffuse rash in with nonreactive rpr and recent alopecia, both of which have since resolved. due to patient's significant antibiotic allergies (anaphylaxis) the decision was made to admit patient for penicillin desensitization. . on arrival to the icu patient denies any current complaints or health concerns. his recent cough, mouth ulcer, and rash have completely resolved. he feels in his usual state of health. he denies any problems with medication compliance. past medical history: left midpole kidney stone-s/p lithotripsy bilateral stapedectomies- for otosclerosis during adolescence recurrent hematuria rt hand cellulitis social history: has been married x1 yr and lives in with his husband who he's been with for 14 yrs. etoh: drinks/wk tob/illicits: denies family history: nc physical exam: admission physical exam vitals: t: 99.6 bp: 109/92 p: 88 r: 13 o2: 95% ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, no oral ulcers, good dentition neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 11:14am blood wbc-4.7 rbc-4.61 hgb-14.2 hct-41.8 mcv-91 mch-30.8 mchc-34.0 rdw-13.5 plt ct-276 11:14am blood plt ct-276 11:14am blood glucose-124* urean-18 creat-0.9 na-139 k-4.3 cl-104 hco3-26 angap-13 11:14am blood calcium-9.3 phos-2.8 mg-2.1 brief hospital course: given his history of an anaphylactic reaction to penicillin and recent diagnosis of secondary syphilis, he was admitted to the icu for monitoring during the desensitization protocol. tolerated the protocol well without any symptoms, including 1 treatment dose prior to discharge. discharged with penicillin 250 mg daily until his next weekly im penicillin dose. medications on admission: 1. atazanavir 150 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 2. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 4. ritonavir 100 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 5. diphenhydramine hcl 25 mg capsule sig: two (2) capsule po q6h (every 6 hours) as needed for itching/anaphylaxis. capsule(s) discharge medications: 1. atazanavir 150 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 2. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 4. ritonavir 100 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 5. diphenhydramine hcl 25 mg capsule sig: two (2) capsule po q6h (every 6 hours) as needed for itching/anaphylaxis. capsule(s) 6. penicillin v potassium 250 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 1. atazanavir 150 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 2. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 4. ritonavir 100 mg capsule sig: one (1) capsule po qhs (once a day (at bedtime)). 5. diphenhydramine hcl 25 mg capsule sig: two (2) capsule po q6h (every 6 hours) as needed for itching/anaphylaxis. capsule(s) 6. penicillin v potassium 250 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: penicillin desensitization secondary syphilis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the icu for penicillin desensitization due to your allergy to penicillin. you completed the desensitization protocol and received a single treatment dose of penicillin. it is very important that you continue to take a daily penicillin tablet to ensure that you continue to be desensitized to penicillin. in one week you will follow up with your primary care provider and receive your second penicillin treatment dose. it is very important that you do not stop taking the daily penicillin dose without discussing it with your primary care physician. you do miss a dose of this medication please do not restart without notifying your physician. . the following changes were made to your home medications: 1) start penicillin 250 mg 1 tablet by mouth daily. . no other changes were made to your home medications. please continue to take these medications as previously directed. followup instructions: please call your primary care provider, . , to schedule follow up in one week () to complete your treatment course. procedure: immunization for allergy diagnoses: human immunodeficiency virus [hiv] disease personal history of urinary calculi unspecified secondary syphilis 

Answer: The patient is high likely exposed to