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) / aldactone / penicillins / bactrim attending: chief complaint: respiratory distress major surgical or invasive procedure: intubation and mechanical ventilation continuous venovenous hemodialysis history of present illness: 45 y/o f with hx of hiv and hepatitis c cirrhosis s/p tips, ascites, sbp and encephalopathy who is transferred from the to the micu for respiratory distress. the patient was transferred from an osh last night for hepato-renal syndrome and sbp. she did well overnight except for transient hypotension that responded to albumin infusion. she was continued on cipro for sbp treatment and started on vanco for broader coverage. this morning she was on 2l nc and had minimal urine output. she was transferred to radiology for cxr and ultrasound and after transport and lying flat, became tachypneic and desatted requiring a nrb. she had an abg on the floor of 7.20/40/79 and was in obvious distress. she was given one slng for bp in 160s/110s and started on her diuretics. her respiratory status did not improve. . on the floor, she was placed on bipap and tolerated better except for discomfort from the mask. she put out minimal urine to the diuretics. she was unable to lie flat. she continues to complain of shortness of breath. she denies chest pain, nausea, vomiting, diarrhea. she is alert and arousable, but cannot communicate due to the discomfort from the mask. past medical history: - hcv cirrhosis - h/o ascites/hepatohydrothorax s/p tips, encephalopathy, sbp --liver biopsy in at -hepatitis c virus - tx with ribaviron and interferon -hiv on haart ( cd4 409, vl undetectable) -asthma -anemia -copd -aortic stenosis -s/p tubal ligation in -s/p throat biopsy with polyp removal in and again in social history: ms. lives in , with her 26-year-old daughter. she is now on disability; however, she used to work in a cafeteria at public school. no etoh for 5 years, prior was a social drinker. tobacco: currently 3 cigarettes per day, prior 1ppd since yo. she states that she has never used any intravenous drugs but she did smoke marijuana and experimented with intranasal cocaine in her teens and early 20s. family history: mother died at the age of 62 from atherosclerosis and a myocardial infarction. her father passed away at 47 due to morbid obesity and myocardial infarction. physical exam: general appearance: anxious, acute respiratory distress eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic, bipap in place cardiovascular: (s1: normal), (s2: normal) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (breath sounds: crackles : 1/2 up lungs, wheezes : throughout all lung fields, audible without stethoscope), moving air poorly; tachpneic abdominal: soft, no(t) non-tender, distended, tender: diffusely, obese, r bag draining peritoneal fluid extremities: right lower extremity edema: 2+, left lower extremity edema: 2+, edematous in upper extremities as well skin: cool, wrapped l leg neurologic: follows simple commands, responds to: not assessed, oriented (to): , movement: purposeful, tone: not assessed pertinent results: 12:15am blood wbc-4.3# rbc-2.63* hgb-8.3* hct-25.4* mcv-97# mch-31.4 mchc-32.5 rdw-21.7* plt ct-64*# 12:15am blood pt-19.8* ptt-50.8* inr(pt)-1.8* 12:15am blood glucose-98 urean-51* creat-2.9*# na-127* k-5.0 cl-103 hco3-17* angap-12 12:15am blood alt-16 ast-29 ld(ldh)-196 alkphos-65 totbili-1.5 dirbili-0.7* indbili-0.8 12:15am blood albumin-3.0* calcium-8.2* phos-7.2*# mg-1.6 02:43am blood wbc-16.2* rbc-2.59* hgb-8.6* hct-24.8* mcv-96 mch-33.2* mchc-34.7 rdw-29.2* plt ct-30* 02:43am blood pt-85.0* ptt-116.8* inr(pt)-10.3* 03:19pm blood fibrino-73* 03:26am blood glucose-165* urean-100* creat-2.0* na-143 k-4.0 cl-118* hco3-13* angap-16 03:26am blood alt-34 ast-110* ld(ldh)-589* alkphos-258* totbili-19.8* 03:26am blood calcium-8.5 phos-7.9* mg-2.2 . abdominal ultrasound impression: 1. patent tips shunt. full assessment with velocities could not be obtained due to the patient's breathing difficulties. the left portal vein is patent with hepatopetal flow, with a large a patent umbilical vein. 2. no hydronephrosis; however, imaging of the kidneys is very limited. 3. small bilateral pleural effusion. no ascites identified. . echo impression: mildly thickened trileaflet aortic valve with minimal aortic stenosis. mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. moderate tricuspid regurgitation. mild pulmonary artery systolic hypertension. dilated ascending aortal. . echo : the left atrium is elongated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is mildly dilated. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the estimated cardiac index is high (>4.0l/min/m2). right ventricular chamber size and free wall motion are normal. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with normal global and regional biventricular systolic function. mild aortic stenosis. mild to moderate mitral regurgitation. moderate tricuspid regurgitation. mild pulmonary hypertension . eeg: impression: this is an abnormal video eeg study due to slowing and suppression of the background with gpeds at approximately 1 hz. these findings are suggestive of severe cortical and subcortical dysfunction and may be seen associated with non-convulsive status epilepticus; however, there was no evidence of non-convulsive status epilepticus in this study. . ct head: there is no evidence of hemorrhage, edema, masses, midline shift or infarction. the ventricles and sulci are normal in size and caliber. the -white matter differentiation is preserved. the previously described inspissated mucus in the right maxillary sinus is not seen on the current study. the paranasal sinuses are clear and well aerated. the mastoid air cells are clear bilaterally. no fractures or soft tissue abnormalities are detected. impression: no acute intracranial process. . abomdinal u/s: 1. patent tips shunt with velocities in a reasonable range. three-month followup is suggested. flow in the left and right portal veins is away from the tips shunt. patent umbilical vein is again noted. 2. scant trace of ascites, insufficient for marking for paracentesis. 3. mild splenomegaly. 4. gallbladder sludge. no biliary dilatation and no focal liver lesion. brief hospital course: this is a 45 year old female with hep c cirrhosis, hiv on haart, admitted to on with respiratory distress due to volume overload requiring intubation and oliguric acute renal failure likely due to hypotension and hepatorenal syndrome. she had a prolonged hospital course complicated by seizures likely secondary to her hepatic failure and uremia, progressive deterioration in her liver and renal function, coagulopathy, respiratory failure requiring intubation, and hypotension requiring multiple vasopressor support. multiple services were involved in her care including renal for her renal failure, liver for her hepatic failure, and neurology for her seizures. her condition deteriorated with multi-organ failure and in agreement with the wishes of her family the goal of her care was transitioned to patient comfort. she expired with her family at her side. a post-mortem was offered and was declined. . medications on admission: home medications: -amiloride 5mg twice daily -sustiva 600mg capsules qhs -ethycrinic acid 25mg daily -lactulose 15ml 3 times a day -combivir 150 mg/300 mg twice daily -nadolol 40 mg daily -potassium chloride 20 meq tablet daily -avelox 400mg daily . medications on transfer: albumin 142.5 g iv x1 at 11:20 on albuterol mdi prn sustiva 600mg qhs lactulose 20g q12 levaquin 750mg q48 hours midodrine 10mg po tid morphine 1-2mg iv q4 hours prn pain octreotide 50mcg sq tid vitamin k 10mg sq daily for three days (given on and ) combivir 300/150 one tab discharge medications: deceased discharge disposition: expired discharge diagnosis: liver failure acute renal failure coagulopathy hepatic enceaphalopathy hcv hiv discharge condition: deceased discharge instructions: deceased followup instructions: deceased procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis venous catheterization for renal dialysis arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified acidosis thrombocytopenia, unspecified anemia in chronic kidney disease tobacco use disorder acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified toxic encephalopathy friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site cirrhosis of liver without mention of alcohol acute kidney failure, unspecified hepatorenal syndrome unspecified septicemia hyposmolality and/or hyponatremia severe sepsis portal hypertension unspecified acquired hypothyroidism aortic valve disorders other convulsions chronic kidney disease, unspecified acute respiratory failure septic shock other ascites awaiting organ transplant status encounter for palliative care chronic obstructive asthma, unspecified glucocorticoid deficiency other and unspecified coagulation defects aphasia delirium due to conditions classified elsewhere asymptomatic human immunodeficiency virus [hiv] infection status paroxysmal supraventricular tachycardia coma jaundice, unspecified, not of newborn spontaneous bacterial peritonitis other and unspecified anticonvulsants causing adverse effects in therapeutic use unspecified viral hepatitis c with hepatic coma cocaine dependence, in remission 

Answer: The patient is high likely exposed to