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 36-year-old male with human immunodeficiency virus who developed fever and nausea several days prior to admission. he denied any cough, abdominal pain, or diarrhea. he reports bouts of nausea and vomiting. per the patient's partner, the patient will approximately four day prior to admission. he felt better the following, but then two days two days prior to admission had chills and "seemed off." he did not see mr. until the morning of admission when mr. seemed confused and was "talking gibberish." he was complaining of dizziness as well. of note, two weeks prior to admission the patient was seen in the emergency room for rectal trauma related to anal intercourse and placed on ciprofloxacin. in the emergency department, the patient was given 2 g of ceftriaxone to cover for meningitis and a lumbar puncture was performed. past medical history: 1. human immunodeficiency virus; with most recent cd4 count of 577 and undetectable viral load. 2. hepatitis b with hepatitis b surface antigen positive. 3. history of syphilis; treated with penicillin in the past. 4. irritable bowel syndrome. 5. history of perirectal abscess. medications on admission: (medications on admission included) 1. trizivir 300/150 mg one tablet by mouth twice a day. 2. ciprofloxacin 500 mg one tablet by mouth twice a day. allergies: the patient has no known drug allergies. social history: the patient lives at home with his male roommate. he occasionally smokes cigarettes. he denies any intravenous drugs or other drug use. physical examination on presentation: temperature was 100.9 to 101.7, heart rate was 90 to 100s, blood pressure was 130s to 150s/70s, saturating 95% on room air. in general, the patient was alert, pleasant, confused with word switching. head, eyes, ears, nose, and throat showed sclerae were anicteric. the fundi was without palpal edema, exudate, or hemorrhage. the oropharynx was clear. the neck was supple. kernig sign was negative. the lungs were clear to auscultation bilaterally. the heart had a regular rate and rhythm. normal first heart sound and second heart sound. no murmurs. the abdomen was soft, nontender, and nondistended, with normal active bowel sounds. extremities were without edema. neurologically, the patient was alert. his speech showed multiple word-finding difficulties and switching words. sounds like "gibberish" at times. he had normal muscle bulk. strength was in both the upper and lower extremities. finger-to-nose was slow but normal. the toes were downgoing bilaterally. cranial nerves ii through xii were intact. pertinent laboratory data on presentation: sodium was 139, potassium was 4, chloride was 105, bicarbonate was 23, blood urea nitrogen was 15, creatinine was 1.1, blood glucose was 129. alt was 11, ast was 15, alkaline phosphatase was 77, total bilirubin was 0.7, albumin was 4.4. white blood cell count was 4.5 (with 57% neutrophils, 28% lymphocytes, 7% monocytes, and 8% atypical cells), hematocrit was 42.1, with a mean cell volume of 104, platelets were 159. lumbar puncture results showed the white count in tube #1 to be 81 with 24 red blood cells. in tube #4 the white count was 141 with 6 red blood cells, protein was 153, glucose was 69, and the gram stain was pending. radiology/imaging: a head ct showed no bleed and no midline shift. a kub showed no free air. there was gas and stool throughout the colon. a chest x-ray showed a heart size within normal limits. there was no pneumonia, infiltrates, or effusions. assessment and plan: in summary, the patient is a 36-year-old male with human immunodeficiency virus presenting with fever and altered mental status. at the time of admission, the working differential diagnosis included meningitis, central nervous system inflammatory state, and vasculitis. hospital course: the patient was admitted to the medicine service for further workup. the lumbar puncture results obtained at the time of admission eventually came back showing a gram stain which showed no polys and no organisms. it was felt the findings were most consistent with viral meningitis; although, the patient was initially covered with vancomycin, ceftriaxone, and acyclovir pending culture results. over the first 24 hours the patient had improvement of his mental status until early on , in the morning, when he had a seizure. his seizure was broken with haldol and ativan. per neurology recommendations, the patient was loaded on dilantin and transferred to the medical intensive care unit for close observation. in the intensive care unit, the patient was intubated for airway protection while a magnetic resonance imaging was performed. the magnetic resonance imaging was negative for any masses, hemorrhage, or meningeal enhancement. there was subtle increased t2 signal in the left semiovale felt to be consistent with his human immunodeficiency virus status. the magnetic resonance angiography was also negative. the patient was continued on acyclovir for a question of herpes simplex virus and doxycycline pending ehrlichiosis titers. an electroencephalogram was performed which was consistent with widespread encephalopathy. the patient stabilized and was quickly extubated. the dilantin was then held in absence of any seizure focus on the electroencephalogram or recurrent seizures. ceftriaxone, doxycycline, acyclovir were continued. highly active antiretroviral therapy was held, per infectious disease recommendation. the patient was recatheterized in order to allow a cerebrospinal fluid to be sent off for all appropriate viral cultures, as the initial amount of cerebrospinal fluid was not sufficient. on , the patient was complaining of left shoulder pain and was found to have a left dislocated shoulder with fracture of the proximal humerus, felt to be secondary to the seizure episode. it was reduced by the orthopaedic service on . the patient was transferred out from the intensive care unit to the general medicine service on . note: the rest of this discharge summary will be continued in system format. 1. infectious disease: the patient was closely followed by the infectious disease service during this hospitalization given his human immunodeficiency virus disease. he was felt to have a viral meningitis; although, cultures never elucidated the exact cause of his meningitis. on , ceftriaxone was stopped as there was a very low likelihood of bacterial meningitis. the patient was continued on acyclovir, despite the fact that his herpes simplex virus pcr eventually came back negative, as it was felt that there was not a sufficient sample to be sure that it was true result. in addition, a repeat fluid sent four days after treatment had begun was also felt not to be able to be trusted given that the patient was already on antiviral therapy. the patient continued to improve from an infectious disease standpoint after being transferred out to the general medical floor and remained afebrile with a normal mental status. a peripherally inserted central catheter line was placed on in order to continue with intravenous antibiotics at home. the patient's antiretrovirals were discontinued on ; per the recommendations of the infectious disease team. the patient was to follow up the day following discharge to discuss with his primary infectious disease doctor (dr. about restarting his antiretroviral therapy. 2. neurology: the patient had no further seizures following the one prior to admission to the medical intensive care unit. antiepileptic drugs were discontinued when he was transferred out the general medical floor, and the patient had no further seizure events. 3. musculoskeletal: as previously stated, the patient suffered a left shoulder fracture/dislocation which was successfully reduced by the orthopaedic team. the patient's arm was placed in a sling, and the patient was to follow up with orthopaedics in 7 to 10 days until further followup. discharge diagnoses: 1. human immunodeficiency virus. 2. viral meningeal encephalitis. 3. left shoulder fracture/dislocation. 4. thrush. medications on discharge: 1. acyclovir 700 mg intravenously q.8h. (times 14 days). 2. doxycycline 100 mg p.o. b.i.d. (times 7 days). 3. tylenol 650 mg p.o. q.6-8h. as needed. 4. dulcolax one tablet p.o. b.i.d. as needed. 5. nystatin swish-and-swallow 5 cc p.o. q.i.d. 6. colace 100 mg p.o. b.i.d. 7. percocet one to two tablets p.o. q.4-6h. as needed. 8. trizivir one tablet p.o. b.i.d. (to begin after the patient follows up with dr. . discharge followup: 1. the patient was to see dr. in one to two weeks. 2. the patient was also to follow up in the clinic in 7 to 10 days. 3. he was to speak with dr. the day following discharge in order to determine when to restart his trizivir. dictated by: procedure: venous catheterization, not elsewhere classified spinal tap incision of lung spinal tap incision of lung insertion of endotracheal tube closed reduction of dislocation of shoulder diagnoses: other convulsions chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta asymptomatic human immunodeficiency virus [hiv] infection status closed dislocation of shoulder, unspecified herpetic meningoencephalitis unspecified viral meningitis rickettsiosis, unspecified closed fracture of unspecified part of upper end of humerus 

Answer: The patient is high likely exposed to