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 47 year-old male with hiv disease who is admitted with increasing shortness of breath and increasing oxygen requirement. the patient was admitted until with presumed pcp . he was initially treated with levofloxacin and bactrim. the levofloxacin was discontinued on hospital day four. of note his sputum was negative for pcp on that admission and he had no infiltrate on chest x-ray. he was discharged home on prednisone taper and bactrim as well as zithromax, mycelex and oxygen. at home he felt tired and weak but he only needed to use his oxygen immediately after exertion. his temperature was consistently around 100 f. two days ago his temperature increased to 101 f and he felt increasingly short of breath and needed his oxygen at rest. he also reports night sweats when febrile. he denies urinary symptoms, nausea, vomiting, diarrhea or cough. he states he has been taking all his medications as prescribed. on the date of admission vna came to check and found that his oxygen saturation was in the low 80s. the patient was brought to the er for further evaluation. in the er he was found to have a room air saturation in the high 80s and on chest x-ray a new left sided infiltrate. past medical history: 1. hiv since , no opportunistic infections until . he stopped his antiretroviral medications around because of a move and insurance issues. medications: 1. zithromax 1200 milligrams po q week. 2. dapsone 100 milligrams po q day. 3. mycelex po five times a day. 4. prednisone 20 milligrams po q day. 5. bactrim double strength two tablets po tid day 11 on 14 day course. allergies: rash to bactrim. social history: smoked one packs a day for 19 years. he quite three weeks ago. alcohol one ounce of vodka a day. he denies binges. no other drugs. not currently sexually active. former american airlines pilot. recently moved here from . he lives with his mother. family history: brain cancer in his father. aneurysm in his brother. disease in his mother. physical examination: temperature 98.3 f, heart rate 92, blood pressure 116/70, respiratory rate 18. saturation 87% on room air, 93% on four liters. heent - pupils are equal, round and reactive to light. extraocular muscles are intact. oropharynx is clear, no thrush. respiratory - decreased breath sounds at right lung. crackles at the left base. no wheezes. heart - regular rate and rhythm, no murmurs. abdomen - soft, nondistended, nontender. extremities - well perfused, no clubbing or cyanosis. skin - dry flaking especially in the lower extremities. he has a red macular blanching rash on his face in a malar distribution. neuro - alert and oriented times three. cranial nerves are intact. sensation intact, 5/5 strength throughout. laboratory data: sodium 129, potassium 4.4, chloride 94, bicarb 25, bun 18, creatinine 0.5, glucose 113. white blood cell 8.1, hematocrit 44.8, platelet count 247,000. chest x-ray showed a new diffuse, reticular nodular opacities in the left lung throughout in the right upper lobe. hospital course: the patient was admitted and placed in respiratory isolation for a concern about possible tuberculosis. he was continued to be treated empirically with bactrim which was changed to iv. the levofloxacin was continued. the patient did well overnight on four liters of nasal cannula oxygen. on the second hospital day the patient underwent bronchoalveolar lavage by the pulmonary team. they found no sputum and a pretty normal lavage. the patient initially did well but about one hour post procedure desaturated acutely into the 60s and was transferred to the intensive care unit. due to his wish not to be intubated the patient was treated with noninvasive pressure ventilation to which he responded very well. other possibilities were considered including pe, viral infection, bacterial superinfection and fungal infection. the patient was continued on levofloxacin and iv bactrim. he was changed to iv solu-medrol secondary to concern for poor absorption. the patient was transferred out of the intensive care unit on the third hospital day after he did very well over night and was comfortable with saturation in the 90s on nasal cannula oxygen. the patient continued to do well throughout the day and his bactrim and solu-medrol were continued. of note the bal results include negative cultures for any viral infection, negative acid fast smear but positive for pcp. on the morning of the patient acutely desaturated to the 70s on 100% nonrebreather. micu team was called to evaluate and a trial of bipap was done. however the patient did not tolerate this and iterated again that he did not want to be intubated. the patient was treated with 100% face mask. as he became more uncomfortable and began to rigor and after discussion with him the patient was given morphine to make his breathing more comfortable. the patient continued to be hypoxic. his blood gas showed ph 7.44, po2 of 38, pco2 of 34. the patient expired at 1:05. family agreed to limited autopsy of the thorax and abdomen. , m.d. dictated by: medquist36 procedure: non-invasive mechanical ventilation closed [endoscopic] biopsy of bronchus diagnoses: human immunodeficiency virus [hiv] disease other specified cardiac dysrhythmias pneumocystosis personal history of noncompliance with medical treatment, presenting hazards to health contact dermatitis and other eczema, unspecified cause tachypnea 

Answer: The patient is high likely exposed to