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: aspirin attending: chief complaint: chest pain, sob major surgical or invasive procedure: transesophageal echocardiogram endotracheal intubation s/p mv repair(28 cg ring)/cabgx1(svg-pda) history of present illness: 48 yom with pmh hiv, htn, hld presented to hospital with complaints of chest pain and sob and found to have stemi and new mitral regurgitation. according to the patient, he began feeling lower back pain and associated burning chest pain , he identified the symptoms as acid reflux and used tums for symptomatic relief with good effect. throughout the following week, he had daily symptoms with increasing severity and frequency until the day of admission when he developed burning chest pain radiating to the neck and arms. he became acutely short of breath and nauseated after taking baking soda for the burning chest pain he vomited 1x and called 911. throughout the duration of these symptoms, he notes that the pain was neither worsened by activity nor improved with rest. he denies chest pressure, palpatations, presyncope, changes in vision. on arrival to the hospital ed initial ekg showed afib with rvr, and st-e in iii and avf, st-d in i, avl, v2-5, he was anticoagulated with heparin, given anti-aggregation therapy with plavix and integrilin drip. he was given an amiodarone bolus for arrythmia prophylaxis. he was given atorvastatin 80mg for cad, diltiazem for afib with rvr. furosemide 20mg iv for pulmonary edema. he underwent emergent cardiac catheritization with bms to the rca. lv gram showed significant mr. was placed. he was transfered to for management of and evaluation for mitral valve repair. on arrival to ccu, his vs were bp95/71 p115 99% nrb. ekg showed sinus tachycardia at 112, std in i, avl, v3-5, ste iii, when compared to ekg from saints hospital, depressions and elevations appear less pronounced. he reported buring chest pain, sob and cough. cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: + dyslipidemia, + hypertension, 30 pack year hx smoking 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: - hiv: diagnosed , vl suppressed on truvada and viramune with nl cd4 counts - anal hpv with dysplasia s/p resection - anxiety - pericarditis social history: - tobacco history: 1 pack per day x 30 years, quit - etoh: denies - illicit drugs: denies family history: mother copd father htn family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: on admission: general: middle aged male, appearing anxious but in nad heent: mucous membs dry, conjuntiva pink. neck: jvp non elevatedcm. cardiac: ii/vi holosystolic blowing murmur at the apex. no thrills, lifts. no s3 or s4. lungs: right rales to the mid back, left basilar rales. no ronchi, no wheezes abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. aibp ascultated extremities: right aibp sheath in place with no ecchymosis or erythemia, no drainage. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: dp 1+ pt 1+ left: dp 1+ pt 1+ pertinent results: tte: the left ventricular cavity size is normal. there is inferior/inferolateral and basal inferoseptal akinesis/hypokinesis with hyperdynamic motion elsewhere although views are suboptimal for assessment of regional wall. overall left ventricular systolic function is mildly depressed (lvef= 55 %). right ventricular chamber size is normal. right ventricular function is not well seen but may be depressed. the aortic valve is not well seen. there is posterior mitral leaflet flail with ruptured inferolateral papillary muscle. an eccentric medially directed jet of at least moderate mitral regurgitation is present but cannot be quantified to due suboptimal views. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. echocardiographic signs of tamponade may be absent in the presence of elevated right sided pressures. tee: no atrial septal defect is seen by 2d or color doppler. left ventricular systolic function is hyperdynamic (regional wall motino was not fully assessed). there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. there is flail of the posterior leaflet of the mitral valve with attached ruptured papillary muscle. eccentric anteromedially directed severe (4+) mitral regurgitation is seen. 04:55am blood wbc-7.3 rbc-3.17* hgb-9.9* hct-27.9* mcv-88 mch-31.3 mchc-35.5* rdw-14.5 plt ct-183 03:09am blood pt-13.9* ptt-24.9 inr(pt)-1.2* 04:55am blood glucose-110* urean-22* creat-1.1 na-139 k-3.9 cl-101 hco3-29 angap-13 , m 48 radiology report chest (portable ap) study date of 11:23 am , csru 11:23 am chest (portable ap) clip # reason: ? ptx after ct removal medical condition: 48 year old man with mv repair/cabg reason for this examination: ? ptx after ct removal final report chest radiograph indication: status post cabg, pneumothorax after chest tube removal. comparison: . findings: as compared to the previous radiograph, all monitoring and support devices, including the intra-aortic balloon pump, has been removed. given the positioning of the patient, the right hemithorax looks slightly denser than on the left, which might in part reflect pre-existing pulmonary edema that has decreased in severity. no evidence of pneumothorax. no pleural effusions. borderline size of the cardiac silhouette, no pulmonary edema. brief hospital course: 48m transferredfrom osh c/o cp and sob, found to have stemi and new mr. was in rapid a-fib, treated with amiodarone and diltiazem. he was given plavix and started on integrillin (asa allergy). he was diuresed for pulmonary edema. emergent cardiac cath was performed and he received a bms to rca. lv gram showed significant mr. was placed. he is transferred for surgical evaluation. tee revealed severe (4+) mitral regurgitation. on he was taken to the operating room and underwent coronary artery bypass grafting x1 with reverse saphenous vein graft to the posterior left ventricular branch artery and 2. mitral valve repair with a posterior p2 quadrangular resection and annuloplasty with a cg future annuloplasty ring, model #638r, size 28 mm. post operatively he was transferred to the icu intubated and sedated for hemodynamic care and monitoring. he awoke neuologically intact and was weaned from the vemtilator and extubated. on pod#1 his was removed. he was staretd back on plavix and asa was not started due to allergy to asa. his betablocker was titrated and he was diuresed toward his pre-operative weight. his chest tubes and pacing wires were removed per protocol. he was seen by physical therapy for strngth and conditioning. he was cleared for discharge to home on pod#4 by dr. . all appointments and discharge instructions were advised. medications on admission: - azelastine 137 mcg (0.1 %) ih nasally - chlorthalidone 25 mg po daily - citalopram 30 mg po daily - emtricitabine-tenofovir 200 mg-300 mg po daily - fenofibrate micronized 43 mg po daily - fluticasone 50 mcg ih nasally - nevirapine 400 mg po daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. citalopram 20 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*0* 6. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. nevirapine 200 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 5 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 9. lasix 20 mg tablet sig: one (1) tablet po twice a day for 5 days. disp:*10 tablet(s)* refills:*0* 10. lopressor 50 mg tablet sig: seventy five (75) mg po three times a day. disp:*90 tabs* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: hiv (dx ) htn hld anal hpv s/p resection anxiety pericarditis cad mr s/p mv repair/cabg discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema trace. discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. @ 1:15 pcp: . @ 9:30am ***please have dr. refer you to a cardiologist and make an appt in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery injection or infusion of platelet inhibitor (aorto)coronary bypass of one coronary artery open heart valvuloplasty of mitral valve without replacement excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia anxiety state, unspecified unspecified disease of pericardium other postprocedural status acute systolic heart failure asymptomatic human immunodeficiency virus [hiv] infection status rupture of muscle, nontraumatic 

Answer: The patient is high likely exposed to