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: stelazine / thorazine / crixivan / heparin agents attending: chief complaint: abdominal distension major surgical or invasive procedure: none history of present illness: 57yo male with hx of hcv (no documented cirrhosis), hiv (cd4 count of 9; viral load of >100,000), cad (s/p mi ' and cath), chf (ef <30%) who presents with acute new onset increased abdominal distension. pt reports 5 days of progressively increasing abdominal girth. initially, the patient attributed this to constipation, however the abdominal disstension progressed even after multiple large bms. pt reports associated sob, progressive doe over the last couple of days (previous could walk at least 1/8th of a mile but now sob after 0.5 blocks), orthopnea (progressive 2 pillow requirement) and ?pnd. pt also reports he has felt "cloudy" with difficulty concentrating. pt also reports difficulty sleeping, however this has not changed and the pt attributes this to his baseline mania/psych disorder. the patient has not noticed a tremor. pt denies abdominal pain, fever, chills, rigors, n/v/d. pt also denies cp, palpitations, light headedness, dizziness, cough, sputum production. . ros: pt does report a "few drops" of blood followed a bm last week. this was an isolated episode that resolved on own without intervention. pt currently denies, brbpr, black tarry stools, stools with particular strong odors. pt reports bm/day. pt also reports some inc. thirst, without polyuria. . the patient received a therapeutic/diagnostic paracentesis in the ed. 850cc of fluid was removed. the fluid was sent for cell count and diff, as well as protein, glucose, and amylase. (albumin was added on as was cytology later in the am). past medical history: 1). hiv/aids: pt was previously on haart successfully with fully suppressed viral load but is now comletely off haart with cd4 count of 9 and viral load of >100,000. 2). hepatitis c - length of disease unknown, has attempted interferon and ribavirin tx in past but stopped due to malaise. 3). cad s/p mi in : cath with lad to, lcx 60%, ostial rca to and lvef 27% 4). chf: ef 27% 5). htn 6). dm secondary to crixivan 7). pancreatitis secondary to meds 8). bipolar/schizoaffective disorder 9). h/o ivdu 10). ppd + social history: pt is a former merchant marine (has been to south east and ) who has retired due to disability and currently lives with wife . pt admits to former ivdu having used iv heroine from to . pt also reports having used alcohol in the past - one-two 6packs/day for 30+ years but quit 15 years ago. pt also admits to having smoked cigarettes - 0.5-1 ppd x15years but also quit 15 years ago and has recently started smoking a pipe. family history: grandmother who passed away from tuberculosis physical exam: pe: vs: t: 99.1 bp: 136/90 hr: 106 rr: 16 sao2: 98% on ra gen: pt is lying in bed at 30 degrees in no acute distress. pt is speaking in full sentences but is having some difficulty catching his breath after long sentences. tattoo on left arm heent: temporal wasting, perrl, eomi, anicteric sclera, oral pharynx clear, no jaundice under the tongue, mmm. neck: jvd 12cm, no lymphadenopathy, supple, full range of motion cv: rrr, s1, s2, 2-3/6 systolic murmur best heard at lusb to llsb without radiation to neck or axilla. chest: bibasilar crackles with expiratory wheezing. abd: bs+ in all four quadrants, markedly distended, no spider angiomata, no diffuse or focal tenderness to palpation, + fluid wave, liver span >8cm and spleen span >10cm by scratch test. ext: warm to touch, 1+ pitting edema bilaterally, cap refill <2sec. rectal: guaiac negative in ed neuro: cn ii-xii grossly intact, asterixis with <10sec of holding hands out, no pronator drift, gait is not tested pertinent results: cardiac cath : one vessel coronary artery disease. severe systolic ventricular dysfunction and mild diastolic ventricular dysfunction. -lad: 20% narrowing in the mid vessel at the take-off of a d1 -d1: 40% lesion in the proximal vessel -lcx: 60% ostial lesion -rca was totally occluded proximally and mid and distal vessels were diffusely diseased and filled via r->r collaterals from the proximal rca and l->r collaterals from the lad -pda and plv were small and diffusely diseased. -mildly elevated left ventricular filling pressures with an lvedp of 13 mmhg. -severely impaired left ventricular systolic function with a calculated lvef of 27%. . tte : -left atrium is mildly dilated -moderate regional left ventricular systolic dysfunction with thinning/akinesis of the basal inferior wall, thinning/dyskinesis of the mid-inferior wall, and hypokinesis of the basal half of the inferior septum and inferolateral walls -distal lateral wall is hypokinetic. -mild to moderate (+) mitral regurgitation -estimated pulmonary artery systolic pressure is normal. -impression: focal left ventricular systolic dysfunction c/w cad. mild-moderate mitral regurgitation. . portable cxr : "low lung volumes. no chf or pneumonia" . abd us : "there is a large amount of fluid in the abdomen. the spleen is enlarged, and measures 17 cm. the location of maximal fluid was marked for paracentesis in the left lower quadrant." . kub : "no evidence of obstruction. ascites" . duplex us of abd complete : pending . 10:16pm ascites wbc-1050* rbc-1400* polys-0 lymphs-5* monos-0 other-95* ---other: pathology attending read and flow cytometry pending. 10:16pm ascites tot prot-2.1 glucose-52 ld(ldh)-1311 albumin-less than 11:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-4* ph-6.5 leuk-neg 11:30pm urine color-amber appear-clear sp -1.018 09:55am wbc-1.2* rbc-2.64* hgb-9.4* hct-28.8* mcv-109* mch-35.4* mchc-32.4 rdw-18.2* 09:55am plt smr-rare plt count-34* brief hospital course: a/p: 57yo male with hcv, hiv, cad with chf ef <30% prents with acute new onset ascites. 1. respiratory failure - the patient was transfered from the floor to the intesive care unit s/p intubation for increased work of breathing. chest ct was consistent with chf and possible pneumonia. the patient was started on a broad spectrum antibiotic regimen for his pneumonia. he was placed on optimal medical management for his chf/cad. this regimen included metoprolol, statin, asa, and isordil. on this regimen the patients blood pressures were well controlled. on day 13 s/p intubation the patient's respiratory status had improved enough that an attempt at extubation was made. 2. lymphoma - the patient was diagnosed with primary effusion lymphoma by peritoneal cytology. the options for treatment included haart and chemotherapy but given the patient's immunocompromised state, it was decided that the these treatment options were suboptimal. 3. arf - the patients cr slowly elevated over the course of his hospital stay. the etiology is multifactorial likely secondary to pre-renal, atn, and hepatorenal. 4. pancytopenia: pt has had an extensive prior workup for pancytopenia and this has been attributed to hiv itself. although the patient is not currently neutropenic, appropriate precautions were taken. hct and platelet count were closely monitored for signs of bleeding. 5. hiv/aids: pt was previously on haart with good success but has been off haart due to complications. prophylaxis was continued with fluconazole, azithromycin, and dapsone. . 6. hit antibody: the patient did not recieve any heparin products given his hit antibody. 7. esld - the patient was continued on lactulose. with regard to his ascites he was taped therapeutically x 2 and placed on spironolactone. 8. cmo - on hd 14 the patients family wanted to the patient to be made cmo and to have him extubated. shortly after extubation the patient expired. the patient's family agreed to an autopsy. medications on admission: fluconazole 100mg once daily azithromycin 1200mg q week clonidine 0.3mg nph 40u am and 30u pm riss metoprolol 12.5mg lisinopril 5mg qhs clonazepam 1mg tid roxicet 2 tabs prn promethazine 50mg tid asa 1mg once daily all: stelazine, thorazine, crixivan (caused pancreatitis and dm?), heparin (hit ab positive) discharge medications: n/a discharge disposition: extended care facility: patient expired discharge diagnosis: hiv/aids lymphoma respiratory failure chf discharge condition: n/a discharge instructions: n/a followup instructions: n/a md, procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube percutaneous abdominal drainage closed [endoscopic] biopsy of bronchus transfusion of packed cells injection or infusion of oxazolidinone class of antibiotics diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified other specified disorders of pancreatic internal secretion acute kidney failure, unspecified portal hypertension unspecified viral hepatitis c without hepatic coma sepsis human immunodeficiency virus [hiv] disease acute respiratory failure hypotension, unspecified streptococcal septicemia reticulosarcoma, unspecified site, extranodal and solid organ sites bipolar disorder, unspecified opioid type dependence, in remission unspecified drug-induced mental disorder 

Answer: The patient is high likely exposed to