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: patient is a 39-year-old male with a history of hiv, not on haart, no history of opportunistic infection, who presented with weeks of worsening dyspnea. the patient refused to see his primary doctor, but the patient's ex-noted that he was becoming increasingly dyspneic over the month prior to admission. his mother, who had not seen the patient for about a month, noted that he was increasingly short of breath on the phone. on the day of admission, the patient complained of dizziness, dyspnea with minimal exertion. the patient's ex-roommate called ems, who brought the patient to the emergency room. of note, the patient was seen at emergency room several weeks prior to this presentation with shortness of breath and malaise. he was sent home without any therapy. in the emergency department, the patient became increasingly hypoxic on 100% nonrebreather, with peripheral oxygen saturation to be 86%. the patient was intubated, and placed on a sepsis protocol. he was aggressively volume resuscitated and an arterial line was placed after intubation. the patient became hypotensive with systolic blood pressure in the 70s, and was started on a levophed drip. the patient was started on broad spectrum antibiotics and was transferred to the intensive care unit. past medical history: 1. hiv. unknown cd4 and viral load on admission. the patient was diagnosed about one and a half years ago. he has never been on haart therapy secondary to concern about side effects. he denies any history of opportunistic infection. 2. congenially absent pyoid. 3. depression. allergies: soap causes a rash. medications on admission: levoxyl 150 mcg po q.d. family history: unable to be obtained. social history: patient lives alone, used to have a roommate. patient admits to a 25 pack year tobacco history, and quit two weeks prior to admission, secondary to shortness of breath. patient admits to a history of alcohol use and quit two weeks ago as well. the patient is sexually active only with men. physical exam on admission: vital signs: temperature 102.2. blood pressure 80/40. heart rate 132. respiratory rate 30s. oxygen saturation 64% on room air. in general, patient is a thin anxious appearing male in respiratory distress. head and neck exam: bloody mucosa, poor dentition, foul smelling. extraocular movements intact. lungs: decreased breath sounds at right base. no crackles. abdomen soft, nontender, nondistended. good bowel sounds. extremities: nails unkempt. no edema. rectum: multiple superficial abrasions. decreased tone as per emergency room. guaiac negative. laboratory exam on admission: white blood cell count 10.9, hematocrit 33.9, platelet count 396,000. sodium 133, potassium 4.2, chloride 107, bicarbonate 19, bun 22, creatinine 0.6, glucose 149. differential on cbc with 74% neutrophils, 8.5% lymphocytes, 16% monocytes, 1% eosinophils, albumin 1.8, calcium 6.9, phosphorus 3.7, magnesium 1.8, ck 76, troponin less than 0.01, ldh 635, alt 28, ast 66, alkaline phosphatase 69, total bilirubin 0.9, lipase 149. urinalysis: specific gravity of 1.023, negative nitrate, negative leukocyte esterase, negative protein, negative blood, lactate 1.7. >......<tox screen negative. arterial blood gas post intubation 7.34 ph with pco2 of 37, po2 of 255. electrocardiogram: sinus tachycardia at 100 beats per minute, normal axis, normal intervals. there were no acute st changes. chest x-ray: diffuse bilateral hazy opacification, right greater than left. differential diagnosis included atypical infection versus noncardiac pulmonary edema, such as adult respiratory distress syndrome. brief summary of hospital course: our impression was that this was a 39-year-old gentlemen with hiv, presenting with fevers, shortness of breath, for one month, now with diffuse pulmonary infiltrates on chest x-ray, intubated for hypoxic respiratory failure. the patient was also hypotensive requiring pressors. the patient was thought to have a pneumonia with septic physiology. 1. hypoxic respiratory failure: the patient was intubated on admission, and was managed with adult respiratory distress syndrome type strategy with low lung volumes, increasing peep to decrease fio2 as tolerated. while intubated, the patient needed heavy sedation to stop him from pulling large tidal volumes and causing >......<trauma. on , the patient underwent a bronchoscopy with bal, which was positive for pcp by immunofluorescent staining. the patient was started on bactrim and steroids to complete a 21 day course. the patient initially had an improving respiratory distress after being on the ventilator for five days. he was eventually weaned off sedation, and extubated on , after five days of mechanical ventilation. the patient was initially on a 100% nonrebreather after being extubated, which was weaned to 3 liters nasal cannula. however, the patient subsequently developed increasing oxygen requirement, and was found to have marginal oxygen saturations in the high 80s on 100% nonrebreather. a repeat chest x-ray done on revealed persistent diffuse air space disease, possibly worsened from before. on , the patient was re-intubated for hypoxic respiratory failure. on re-intubation, the patient required two recruitment maneuvers with peep of 35 with improvement of his oxygenation. the patient once again appeared to have an adult respiratory distress syndrome type picture, possibly worsened compared to his prior intubation. an esophageal balloon was transfused on , revealing that his optimal peep to obtain a transpulmonary expiratory pressure of 0 was a peep of 12. the patient's fio2 was gradually weaned to 50%. the patient was aggressively suctioned for copious amounts of >.......<sputum via his endotracheal tube. on , the patient was weaned to pressure support ventilation and on , the patient did well on this spontaneous breathing trial and was once again extubated. from to , the patient had progressively decreasing oxygen requirement, and prior to leaving the intensive care unit, the patient was on a 50% face tent with adequate oxygenation. 2. sepsis: the patient was hypotensive on admission, requiring pressors for support. the patient was aggressively resuscitated with intravenous fluids in the emergency room, receiving about 7-8 liters of intravenous normal saline. the patient's hemodynamics as per the sepsis protocol improved, and was off pressors by . after it was determined that the source for the sepsis was likely pcp pneumonia, as all other culture date remained negative, the patient was taken off broad spectrum antibiotics and placed on bactrim and steroids, to be continued for a 21 day course. when the patient was re-intubated for hypoxic respiratory failure on , his antibiotic coverage was once again broadened by adding vancomycin and ceftriaxone to cover for a possible ventilator >......<pneumonia, however, follow-up culture date and repeat bal was once again only positive for pcp by immunofluorescence and all other culture data was negative. therefore, the patient was taken off vancomycin and ceftriaxone and continued on the bactrim. the patient's hemodynamics markedly improved after extubation on , and the patient started auto diuresing with very brisk urine output, with maintaining his blood pressures. 3. anal rectal herpes infection: the patient was started on acyclovir, as cultures of his anal rectal lesions were positive for herpes simplex type 2. the patient is to continue on a course of acyclovir for several months as dictated by the infectious disease department. 4. endocrine: the patient was placed on an intensive insulin regimen to maintain normal glycemia during his intensive care unit course. towards the end of his intensive care unit course, the patient was not requiring any insulin to maintain normal glycemia and regular insulin sliding scale was discontinued. the patient was continued on synthroid for hypothyroidism. 5. gastrointestinal: the patient had rising liver function tests, amylase and lipase during his hospitalization. possible differential diagnosis for his elevated lfts and pancreatic enzymes included bactrim causing intrahepatic cholestasis and pancreatitis, common bile duct stone, or ami infection. during his intensive care unit stay, the patient also admitted to having hepatitis c infection, but did not want us to tell his parents about this. further imaging was deferred, as the patient was not complaining of abdominal pain and his lfts, amylase and lipase were stably elevated. hepatitis a and b serologies were checked, along with hepatitis c viral load, toxoplasma and cmv antibody. these were all pending at the time of transfer out of the intensive care unit. fungal isolator blood cultures had been ordered several times during the patient's intensive care unit stay and were all pending. 6. fluid, electrolytes and nutrition: the patient was placed on tube feeds while intubated. after extubation, the patient was slowly started on a house diet with boost supplements, and electrolytes were repleted as needed. 7. prophylaxis: the patient was continued on a proton pump inhibitor, which was increased to twice daily secondary to heartburn type symptoms. once the patient was getting out of bed and was more active, subcutaneous heparin was discontinued. 8. intravenous access: the patient had a triple lumen catheter central line while intubated which was discontinued after extubation. he thereafter, had his a line discontinued once his oxygenation stabilized. a midline was placed for intravenous access. 9. communication: the patient's mother would visit almost on a daily basis, and was frequently updated on her sons clinical status. this is the end of the dictation of hospital course on patient from through . , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: chronic hepatitis c without mention of hepatic coma unspecified septicemia severe sepsis candidiasis of mouth human immunodeficiency virus [hiv] disease acute respiratory failure pneumocystosis other disorders of neurohypophysis 

Answer: The patient is high likely exposed to