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: the patient is a 37 year old gentleman with a history of end stage aids complicated by multiple opportunistic infections and long history of cardiomyopathy of unclear etiology who had been managed for several weeks as an outpatient with increasing episodes of diarrhea and a weight loss of approximately ten pounds. approximately ten days prior to admission, he had also begun to develop some shortness of breath associated with some chest tightness and coughing. he had been seen in the emergency department where a ct angiogram of his chest had been performed and revealed a pneumonia and he was treated over the next week with augmentin for this. however, he continued to have pleuritic chest pain, shortness of breath and temperature of 102. on follow-up office visit to his primary care physician, was found to have collapse of the right middle lobe on chest x-ray. given his ongoing pulmonary complaints as well as diarrhea and poor nutritional status, he was admitted to the hospital for further workup. past medical history: 1. hiv complicated by end stage aids first diagnosed , presumably secondary to heterosexual sex with wife complicated by multiple opportunistic infections including pcp times five, mac and hsv, also with brain abscess leading to seizure disorder complicated by ddi induced pancreatitis and complicated by peripheral neuropathy. 2. questionable history of hypercoagulability, status post axillary vein thrombosis associated with picc line in , and status post deep vein thrombosis in . 3. history of cardiomyopathy of unclear etiology, status post echocardiogram , showing ejection fraction of 25% with focal wall motion abnormalities. 4. hypertension. medications on admission: 1. acyclovir 400 mg p.o. b.i.d. 2. atenolol 50 mg p.o. q.d. 3. augmentin one tablet p.o. b.i.d. 4. azithromycin 250 mg p.o. b.i.d. 5. ciprofloxacin 500 mg p.o. b.i.d. 6. claritin 10 mg p.o. q.d. 7. dilaudid 2 mg p.o. q3hours p.r.n. 8. erythropoietin 20,000 units subcutaneous q.week. 9. ethambutol 400 mg p.o. t.i.d. 10. flonase two sprays to each nostril b.i.d. 11. glimepiride 150 mg p.o. b.i.d. 12. lomotil p.r.n. 13. mepron 250 mg p.o. q.d. 14. m.s. contin 30 mg p.o. t.i.d. p.r.n. 15. mycelex 10 t.i.d. used p.r.n. for thrush. 16. neupogen 300 mcg subcutaneous biweekly. 17. neurontin 800 mg p.o. t.i.d. 18. tincture of opium 10% strength 1 cc p.o. q.i.d. p.r.n. 19. paxil 20 mg p.o. q.d. 20. aerosolized pentamidine 300 units q.month. 21. keletra three capsules p.o. b.i.d. 22. sporanox 200 mg p.o. q.d. 23. stavudine 400 mg p.o. b.i.d. 24. ultrase two capsules t.i.d. with meals. 25. warfarin 5 mg p.o. q.d. allergies: bactrim which leads to an aseptic meningitis. social history: the patient lives in an apartment with his girlfriend and has visiting nurses once a week. he is a current smoker of one pack per week, occasional alcohol and denies any intravenous drug use. family history: unremarkable. physical examination: on admission, temperature was 98.1, pulse 70, blood pressure 118/80, respiratory rate 18, oxygen saturation 97% in room air. weight is 64.7 kilograms. on examination, he was awake, alert and oriented, thin and comfortable in no acute distress. on head, eyes, ears, nose and throat examination, the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. moist mucous membranes. he had thrush in his oropharynx. the neck was supple with lymphadenopathy and no masses. his lung examination revealed decreased breath sounds at the right base with a few scattered crackles and otherwise clear. his cardiovascular examination revealed a regular rate and rhythm, normal s1 and s2 with no murmurs, rubs or gallops appreciated. the abdomen was soft, nontender, nondistended with positive bowel sounds. spleen tip was palpable. extremity examination revealed a palpable cord over the left medial thigh which was nontender. he had no edema and had 2+ pulses. laboratory data: sodium 142, potassium 4.1, chloride 102, bicarbonate 23, blood urea nitrogen 25, creatinine 1.1, glucose 97. calcium 9.2, magnesium 1.9, phosphorus 3.4. white count 4.2, hematocrit 49.9, platelets 206,000. inr 2.6. partial thromboplastin time 33.7. hospital course: the patient was admitted to the medical service for workup of pneumonia and diarrhea and was treated for a number of complications throughout his hospitalization. 1. pulmonary - the patient had been treated as an outpatient for approximately ten days with augmentin for presumed right middle lobe pneumonia which had not been improving. his medical regimen at the time of admission included augmentin, ciprofloxacin and azithromycin. during his stay, however, he was found to have bilateral deep vein thrombosis and upon reread of his ct concern was raised for potential pulmonary embolism. for this reason, he underwent a ct angiogram on , which revealed a large left pulmonary artery embolism as well as possible right sided pulmonary emboli. given his likely hypercoagulable state and evidence of thrombus despite presumably therapeutic inr levels, both the pulmonary and hematology teams were consulted to help guide his therapy. placement of an inferior vena caval filter was entertained given his tenuous respiratory status, known bilateral deep vein thrombosis and concern that subsequent deep vein thrombosis could be fatal. the issues were discussed with the patient as well as among his attendings and it was felt that a filter would likely present a nidus for infection as well as further clot and was generally not worth the risks of the procedure. instead, the patient was placed on lovenox therapy given presumed failure to coumadin therapy although it was noted that he may have required higher doses of coumadin, i.e., levels greater than 3.5 in order to truly be anticoagulated with coumadin. he will, however, be discharged on lovenox therapy. the hematology and pulmonary teams were also concerned about the use of epogen and whether a hematocrit of greater than 50.0 may be associated with high risk of thrombosis. it was decided to continue epogen therapy with goal hematocrit to be maintained less than 40.0. throughout his hospital stay, the patient continued to require intermittent oxygen with saturation documented well below 88. for this reason, arrangements were made for him to continue to receive oxygen therapy at home upon his discharge. he was also treated for presumed pneumonia with azithromycin and ciprofloxacin to finish out fourteen day courses. 2. cardiovascular = during his hospital stay, the patient experienced acute episode of shortness of breath associated with left sided chest pain. electrocardiogram was obtained which showed significant st elevations in the inferior leads, and the patient was transported urgently to the catheterization laboratory for presumed acute myocardial infarction. at catheterization, the patient was found to have an occluded right coronary artery and received 99 millimeters of stents with good final result. he subsequently underwent an echocardiogram which showed a preserved ejection fraction of 50% although he continued to have right ventricular hypertrophy, right ventricular dilatation and severe global right ventricular hypokinesis as a result of his inferior myocardial infarction. he was also noted to have a small atrial septal defect of unclear significance. he was placed on aspirin and plavix and slowly introduced to an ace inhibitor as his blood pressure tolerated. 3. infectious disease - the patient has a long history of hiv, now end stage aids and cd4 count of 2. his course has been complicated by multiple opportunistic infections as detailed above. during his course, he was treated for presumed pneumonia which is felt to complicate his pulmonary emboli. he was otherwise continued on his extensive outpatient antiretroviral regimen given his highly resistant viral strain. he was also continued on azithromycin, mepron and ciprofloxacin for prophylaxis. during his hospital stay, he was noted to have question of a line infection in the ccu and was treated with a fourteen day course of intravenous vancomycin to cover for any true infection, although his blood cultures remained negative. 4. gastrointestinal - on admission, the patient had been complaining of several week history of persistent diarrhea complicated by a ten pound weight loss. he had undergone an extensive outpatient workup for infections which had been negative and this was again repeated during his hospitalization. he also underwent a colonoscopy with biopsies which was unremarkable. the biopsies were all negative. he continued to have episodes of diarrhea and was ultimately placed on kaopectate for symptomatic relief given no infectious source. his etiology is presumably related to medications which cannot be altered at this time. 5. hematology - the patient has a history of clots in the past although a partial hypercoagulability workup had been unrevealing. during his hospital stay, he was also found to have bilateral lower extremity deep vein thrombosis as well as a left jugular vein deep vein thrombosis associated with a line. hematology consultation was ordered as above and a hypercoagulability workup was sent off. given presumed failure to coumadin although his doses had been only dosed in the 2.5 to 3.5 range, the patient was switched to lovenox therapy which he will continue as an outpatient. code status: the patient had previously indicated his wishes not to undergo emergency treatment should he decompensate acutely, however, in the setting of his chest pain and presumed myocardial infarction, the patient had decided to pursue aggressive measures and so his code status was reversed to full code for his hospitalization. this can be readdressed as an outpatient. discharge status: at the time of this dictation, it is presumed that the patient will be discharged with extensive vna help and on oxygen. medications will be delineated in a further dictation to follow on the day of discharge. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures closed [endoscopic] biopsy of large intestine diagnoses: pneumonia, organism unspecified other primary cardiomyopathies coronary atherosclerosis of native coronary artery candidiasis of mouth human immunodeficiency virus [hiv] disease acute myocardial infarction of other inferior wall, initial episode of care diarrhea infection and inflammatory reaction due to other vascular device, implant, and graft other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to