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: this is a 48-year-old hiv positive right-handed male with a known right mca aneurysm size of 13 mm was status post cerebral angiogram on and complained of right leg numbness at angio site and headache status post angio. he was admitted to the surgical floor for further workup and eventual coiling of his right mca aneurysm. past medical history: 1. hiv diagnosed in and cd4 260 and a viral load of 170. 2. he also has urinary frequency. allergies: penicillin. medications: 1. gabapentin 400 mg one tablet two times a day. 2. terazosin hcl 2 mg one capsule at h.s. 3. divalproex sodium 500 mg delayed release one tablet q.d. 4. didanosine 200 mg delayed release two tablets q.d. 5. lamivudine 150 mg two tablets q.d. 6. folic acid 1 mg tablet p.o. q.d. 7. multivitamin one p.o. q.d. 8. thiamine 100 mg one p.o. q.d. 9. fluconazole 100 mg p.o. q.24h. 10. atazanavir sulfate 200 mg two capsules p.o. q.d. patient has a longstanding history of memory deficits. he has had workup and a mri, the last one was done , where he was found to have a right mca aneurysm approximately 13 mm. he underwent an angiogram on , which showed a right mca aneurysm - left/ca 4.5 mm. patient reports recently having increased anxiety and depression over aneurysm. did complain of transient right leg numbness and weakness. no headache on admission. no meningeal signs. vital signs: 99.3, blood pressure 112/68, pulse 88, respirations 22, and 98%. physical exam: patient is awake, alert, and oriented times three, fluent speech. eomi intact. pupils are equal, round, and reactive to light and accommodation to ambient light. cranial nerves ii through xii were intact. motor exam was throughout. his sensation was intact bilaterally to lower extremities. he has no hoffmann sign. reflexes were 3 throughout. hospital course: the patient was admitted to the surgical unit, and he had routine laboratory work performed, which was within normal limits and ekg and chest x-ray for preop for his coiling. he underwent a coiling on . denied any headache pain, chest pain, or shortness of breath. vital signs were 96.4, pulse 54, blood pressure 131/71. lungs were clear. cardiac: regular rate and rhythm. incision to his groin was intact. neurologically: v1 through v3 sensation was intact. face is symmetric. motor exam was in his upper extremities and his lower extremities, his quad on his right was 4-, left was 3+. ats and gastrocs are . no drift noted. he was monitored in the icu overnight. his blood pressure was kept in the 100-150 range. a follow-up check at midnight showed that his upper extremities remained . his right lower extremity hip flexors were . his ats and gastrocs are . his left lower extremity, hip, and quads were and at and gastrocs were . his ptt at that time was 104.5. heparin was at a 1000 units an hour. he had nipride to maintain blood pressure of 100-150. his neuro checks were within normal limits. on his first postoperative day in the morning, his vital signs are blood pressures 110-145/45-65. his temperature is 98.5. hematocrit was 38.2. sodium 138, potassium 3.7. his ptt was 42.6. he is alert, awake, oriented. face was symmetric, and his strength in both his upper and lower extremities are . he was transferred to the floor that day, and his heparin was stopped. he was ambulating on the floor on the day of discharge tolerating a regular diet. had some slight complaints of a headache, and was started on fioricet with good relief. patient will be discharged back to his shelter with instructions that he should return if he develops a significant headache, but is not relieved with the percocet or fioricet that he is going home on. he should not lift anything greater than 10 pounds for one month. should watch his groin for redness, drainage, or swelling. discharge medications: 1. gabapentin 400 mg one tablet p.o. b.i.d. 2. terazosin 2 mg one tablet p.o. h.s. 3. divalproex 500 mg one p.o. q.d. 4. didanosine 200 mg two tablets p.o. q.d. 5. lamivudine 150 mg two tablets q.d. 6. folic acid 1 mg p.o. q.d. 7. multivitamin one p.o. q.d. 8. thiamine 100 mg p.o. q.d. 9. fluconazole one tablet p.o. q.d. 10. atazanavir sulfate 200 mg two tablets p.o. q.d. 11. percocet 1-2 tablets p.o. q.4-6h. 12. aspirin 325 mg one q.d. 13. fioricet 1-2 tablets p.o. q.4h. prn headache, no more than six tablets per day. condition on discharge: patient was discharged neurologically stable. , m.d. dictated by: medquist36 procedure: endovascular (total) embolization or occlusion of head and neck vessels diagnoses: tobacco use disorder human immunodeficiency virus [hiv] disease cerebral aneurysm, nonruptured other encephalopathy bipolar i disorder, most recent episode (or current) unspecified mononeuritis of unspecified site lack of housing cocaine dependence, continuous other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to