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: sulfa (sulfonamide antibiotics) / penicillins attending: chief complaint: melena and hematemesis major surgical or invasive procedure: tips - unsuccessful history of present illness: 64 y/o m w/ h/o hiv, hepatitis b and cirrhosis who presented to hospital with melena and hematemesis. patient was admitted to this osh approximately 2 weeks ago with a variceal bleed that was banded on . at that time patient had frank hematemesis. following that returned to work and was in his usual state of health until day of admission. said his friends thought he looked and the patient described feeling bloated. he started to pass dark black stools so presented to osh ed. . on arrival to , patient reported mild epigastric discomfort. bp was stable at 150/84, hr in the 80's. hgb was 8.8 on arrival (down from 11 previously). patient taken for endoscopy which reportedly showed varices (report not available) that were banded. reportedly there were stigmata of recent bleeding. also showed gastric varices in the antra and cardia w/o stigmata of bleeding. . on the floor, vs t 97.8, hr 70, bp 126/76, rr 21, o2 92% ra. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: - cirrhosis with varices, ascites in past. no encephalopathy. two recent variceal bleeds - hepatitis b -> reportedly cleared, cause for cirrhosis unclear as per patient -> had cmv viral inclusions on biopsy. - hiv (cd4 253, vl ud ) + on haart - htn - hyperlipidemia - anemia - gerd - h/o liver biopsy in showing lobular hepatitis, cmv positive - hemorrhoids social history: lives alone. works in carnival business. has vna 1x per week. - tobacco: denies - alcohol: denies - illicits: denies family history: non-contributary physical exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 06:06pm glucose-78 urea n-16 creat-1.0 sodium-138 potassium-3.9 chloride-104 total co2-24 anion gap-14 06:06pm estgfr-using this 06:06pm alt(sgpt)-16 ast(sgot)-16 ld(ldh)-147 alk phos-125 tot bili-0.7 06:06pm albumin-3.4* calcium-7.7* phosphate-2.6* magnesium-1.8 06:06pm wbc-6.1 rbc-4.08* hgb-11.9* hct-35.3* mcv-87 mch-29.1 mchc-33.7 rdw-16.2* 06:06pm neuts-66.9 lymphs-21.8 monos-5.2 eos-6.0* basos-0.1 06:06pm plt count-144* 06:06pm pt-12.4 ptt-23.6 inr(pt)-1.0 ap chest. history: 64-year-old man with hiv and hep c, with hypoxemia. findings: no prior studies available for direct comparison. cardiac silhouette and mediastinum is normal. the lungs are clear. there is no pneumothoraces or focal consolidation. bony structures are intact. impression: no signs of acute cardiopulmonary process. ruq u/s with doppler right upper quadrant liver ultrasound. comparison: none. history: hepatitis b cirrhosis with variceal bleeds, pre-operative for tips. evaluate for portal vasculature and ascites. findings: the liver demonstrates a slightly nodular and coarsened echotexture consistent with cirrhosis. there are no focal liver lesions identified. the main portal vein is patent. there is normal hepatopetal flow. there is normal color flow and waveforms within the hepatic veins. the gallbladder is mildly distended and contains a gallstone. there is no pericholecystic fluid or gallbladder wall thickening. moderate amount of ascites is noted. the pancreas is unremarkable. the spleen is enlarged and measures 15 cm. there is no intrahepatic or extrahepatic biliary dilatation. the common bile duct measures 3 mm. impression: 1. findings consistent with cirrhosis including splenomegaly and ascites. patent portal vein. 2. cholelithiasis. no evidence of acute cholecystitis. brief hospital course: # variceal bleed: he always remained hemodynamically stable, with a minimal hct drop at and he was never unstable during most recent bleed. hct remained stable in house as well 31-35. he was followed here by hepatology who recommended a tips procedure, unfortunately tips failed in ir. he got a large dye load and had 1 hour of fluoro time, so he was discharge to return in 5 days for ct mapping of his liver on , and repeat tips on . his heart rate was too low for nadolol and given his recent dye load we avoided diuretics to exonerate his kidneys. . patient to return wednesday for repeat tips. . # cirrhosis: there is no clear etiology as per patient, hep b serologies were c/w cleared hbv, hcv was negative, patient denies alcohol. broad cirrhosis work-up in house was unrevealing. . patient to follow-up with hepatology in house. . # hiv: cd4 in house is 173, vl-is undetectable, cd4 nadir of 8 at diagnosis, risk factor is heterosexual sex per patient. continue home medications. patient is on dapsone for pcp already as he is newly <200. - haart - dapsone . # hyperlipidemia: we continued his statin. . medications on admission: medications: (on transfer) octreotide drip at 50 mcg per hour protonix 40 po daily epivir 150 dapsone 100mg daily prezista 400mg po bid norvir 100mg po daily levaquin 500mg iv q24 tylenol prn norvasc 5mg daily dulcolax prn colace prn ferrous sulfate 325mg daily reglan prn zofran prn pravachol 10mg daily ambien 5mg po qhs prn . home medications - omeprazole 20mg daily - famotidine 20 daily - dapsone 50mg daily - prezista 400mg daily - epivir 150mg ? - amlodipine 2.5mg daily - pravastatin 10mg qhs - norvir 100mg discharge medications: 1. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours). 4. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 5. darunavir 400 mg tablet sig: two (2) tablet po daily (daily). 6. lamivudine 150 mg tablet sig: one (1) tablet po daily (daily). 7. pravastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). 8. dapsone 100 mg tablet sig: 0.5 tablet po daily (daily). discharge disposition: home with service facility: , discharge diagnosis: bleeding esophageal varices cirrhosis hiv/aids discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were transferred to on for evaluation for a tips procedure after your second variceal bleed in a few weeks. you were evaluated by our liver specialists who felt you would benefit from the procedure. unfortunately, this procedure was unsuccessful on first attempt. it is very important that you refrain from lifting heavy objects. you remained comfortable and without repeat episodes of bleeding. you will have the repeat-procedure done next week. the following follow-up visits are extremely important: - please arrive at the liver clinic this coming tuesday promptly at 8:00am. you will need bloodwork checked (in particular, your kidney function) prior to your ct scan later that morning, as listed below. the phone number for the clinic is , and the clinic is located in the , (across from the emergency department). the lab is located on the ground floor. - a ct scan of your abdomen to map your liver veins is needed prior to your repeat tips. this test has been scheduled for you on tuesday at 9:15 am on the of the building at the (. , ma). - the tips procedure is scheduled for at 2:00pm in the clinical center on the . - following your tips you must have an abdominal ultrasound; this test has been ordered for you. you must call ( to schedule this for this coming friday. - it is very important to follow-up with dr. in the liver clinic on at 4:20pm. he is located in the medical building, as listed above. - please also contact your primary care physician to schedule an appointment within the next 1-2 weeks. the following changes were made to your medicatons: your omeprazole 20mg qd, was changed to pantoprazole 40mg twice per day you were started on sucralfate 1 gram four times per day. you were started on ciprofolxacin 500mg twice per day for 2 days. your famotidine was stopped. your amlodipine was stopped. other than the above medication changes, you may continue taking your home medications as you were prior to this admission. followup instructions: the following appointments are very important to keep. - please arrive at the liver clinic this coming tuesday at 8:00am. you will need bloodwork checked (in particular, your kidney function) prior to your ct scan later that morning, as listed below. the phone number for the clinic is , and the clinic is located in the , (across from the emergency department). the lab is located on the ground floor. - a ct scan of your abdomen to map your liver veins is needed prior to your repeat tips. this test has been scheduled for you on tuesday at 9:15 am on the of the building at the (. , ma). - the tips procedure is scheduled for at 2:00pm in the clinical center on the . - following your tips you must have an abdominal ultrasound; this test has been ordered for you. you must call ( to schedule this for this coming friday. - it is very important to follow-up with dr. in the liver clinic on at 4:20pm. he is located in the medical building, as listed above. - please also contact your primary care physician to schedule an appointment within the next 1-2 weeks. procedure: percutaneous abdominal drainage phlebography of the portal venous system using contrast material diagnoses: esophageal reflux unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia portal hypertension human immunodeficiency virus [hiv] disease other and unspecified hyperlipidemia calculus of gallbladder without mention of cholecystitis, without mention of obstruction other ascites hypoxemia esophageal varices in diseases classified elsewhere, with bleeding varices of other sites chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta procedure not carried out for other reasons unspecified hemorrhoids without mention of complication 

Answer: The patient is high likely exposed to