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: bactrim / amoxicillin / abacavir attending: chief complaint: symptommatic fibroid uterus, history of abnormal pap smear, left ovarian cyst major surgical or invasive procedure: total abdominal hysterectomy, left salpingoopherectomy history of present illness: per preop assessment : this is a 47-year-old woman with a history of an abnormal pap smear, history of a known fibroid uterus, and left adnexal mass. on an ultrasound done on , a bulky heterogeneous uterus measuring 11.3 x 10.1 x 11.0 was seen. previously it had measured 10 x 6 x 7 cm. there were multiple masses consistent with fibroids, the largest is located on the left measures 8.3 x 8.0 x 6.6 cm. the endometrium was distorted by multiple fibroids; however, the visualized portion measures 5 mm and appears unremarkable. there is a 4 cm thin-walled cyst in the left adnexa. impression 4-mm left adnexal cyst, interval increase in size of uterus. the patient notes that her bleeding remains irregular. embx (-)for malignancy / ecc (-) pap smear ascus - cannot r/o cx sil hg ecc - sil hg (cin ii-iii) past medical history: ob/gyn history: menarche at 16. dysmenorrhea and menorrhagia for approximately six years. she has been sexually active in the past with a male partner. in , she had a first trimester loss. in , she had a cesarean birth without complications. past medical history: significant for obesity, diabetes mellitus, g6pd deficiency, depression, hypercholesterolemia, hypertension, lower back pain, schizoaffective disorder, hiv, and history of pulmonary embolism in associated with bedrest. surgical history: diagnostic/operative hysteroscopy and thermachoice balloon ablation in . social history: denies smoking, alcohol, or substance abuse. family history: mother with mental illness, lives in and has been psychiatrically hospitalized. father died of an mi at age 62. both parents with type ii dm. physical exam: wd wn obese woman in nad heent: n/c a/t eom - full without thyroidmegaly/lymphadenopathy cor: without murmur, gallop, or rub. abdomen: obese, soft, nontender, no hepatosplenomegaly or masses. pelvic: deferred to the or extremities: without clubbing, cyanosis, or edema. brief hospital course: the patient underwent total abdominal hysterectomy. her uterus was 15cm and estimated blood loss for the case was 500cc. there were no complications. please see full operative note for details. the patient had somnolence requiring bipap in pacu after receiving analgesics, and had hypertensive urgency and after treatment had persistent hypertesion. of note, sbp prior to surgery was elevated at 160. she was transferred from the pacu to the icu. she spent three days in the , largely for blood pressure control. her problems were managed as follows: # htn: the patient was on lisinopril 40 mg daily and hctz 25 mg daily as an outpatient. postsurgically the patient had hypertensive urgency which required a labetalol gtt to be started. she continued to have labile bp and muptiple medications were added as the labetalol gtt was weaned off. her medication regimen at transfer included lisinopril 40 mg qd, metoprolol increased to 75/50/75 mg tid , amlodipine was increased to 10 mg daily . also on hydralazine 25 mg q6h. she responded well to hydralizine in the icu. hctz was stopped due to hyponatremia. goal sbp was set as 140-160 during her icu stay. renal was consulted and recommended hemolysis labs given a differential diagnosis which included microangiopathic disease, and labs were not consistent with hemolysis. of note, she had an abominal ct in with no evidence of adrenal mass. upon transfer to the floor, the patient remained bp ranging from 110-152/60-80. renal ultrasound was undertaken and showed no evidence of renal artery stenosis. # hyponatremia/hypochloremia: the patient was hyponatremic since admission and her na continued to decrease postoperatively. she has a known history of hyponatremia in the past. hyponatremia was thought to be secondary to diuretic use, but did not improve after hctz discontinuation. potassium is low, so unlikely to be due to adrenal insufficency. tte showed ef of > 55% in and no history of heart failure. the patient appeared volume overloaded. una 48, ucl 36, uosm 232. una > 40 would support siadh as the kidneys are not holding onto na avidly. patient is auto-diuresising which may be contributing to her hyponatremia. she was placed on a free water restriction of 1.5 l/day. her sodium reached a nadir of 125 and was 130 prior to discharge. # chest pain: in the icu the patient complained of pleuritic central chest pain which was constant. denied sob or dizziness. had been coughing and pain was worse with coughing. also reproducible with palpation. was resolved after a few hours. ekg showed no change. was likely musculoskeletal pain vs pleuritic pain from her lungs given no ekg changes and the description of the pain as well as its reproducibility on exam. # s/p tah: the patient had minimal pain which was well controlled with infreqent doses of dilaudid postoperatively. upon tolerating po, pain was controlled control with percocet prn. she was encouraged to get out of bed and ambulated. # diabetes: patient??????s nph was increased from 20qam/pm to 25 units as her sugars were elevated in the 200's to 300's. sugars still in 200's the morning after increased. she was continued on ssi. her home metforin was held until the day of discharge. asa was held and restarted the day of discharge. # hyperlipidemia: the patient was continued on pravastatin. # hiv: the patient was continued on her home atazanavir, truvada, and ritonavir as well as acyclovir ppx. she was discharged pod#5 in good condition, and will follow up with her pcp . . medications on admission: medications - prescription acyclovir - 400 mg tablet - 1 tablet(s) by mouth . increase to tid for 10 days during an outbreak atazanavir - 150 mg capsule - two capsule(s) by mouth once a day clotrimazole - 1 % cream - apply to affected areas, cover with vaseline if area is open emtricitabine-tenofovir - 200 mg-300 mg tablet - one tablet(s) by mouth once daily. folic acid - 1 mg tablet - 1 (one) tablet(s) by mouth twice a day glycopyrrolate - 1 mg tablet - 1 tablet(s) by mouth three times a day hydrochlorothiazide - 25 mg tablet - 1 tablet(s) by mouth qam insulin lispro - 100 unit/ml solution - use pre-meals and prn 6 times a day lisinopril - 40 mg tablet - 1 tablet(s) by mouth once a day metformin - 850 mg tablet - 1 tablet(s) by mouth twice a day pravastatin - 10 mg tablet - 1 tablet(s) by mouth once a day in the evening ritonavir - 100 mg capsule - one capsule(s) by mouth once a day along with two capsules of atazanavir medications - otc aspirin - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day blood sugar diagnostic - strip - as directed up to 6 times a day for glucose monitoring blood-glucose meter - kit - use 6 times a day ergocalciferol (vitamin d2) - (otc) - dosage uncertain ferrous gluconate - 325 mg tablet - 1 tablet(s) by mouth once a day insulin nph human recomb - 100 unit/ml suspension - use twice a day as directed insulin syringes - 1 syringe - use four times a day and as needed lancets - misc - use four times a day and as needed multivitamins - tablet, chewable - 1 (one) tablet(s) by mouth once a day discharge medications: 1. atazanavir 150 mg capsule sig: two (2) capsule po daily (daily). 2. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po daily (daily). 3. acyclovir 200 mg capsule sig: two (2) capsule po q12h (every 12 hours). 4. glycopyrrolate 1 mg tablet sig: one (1) tablet po tid (3 times a day). 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 6. pravastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 8. phenobarb-belladonna alkaloids 16.2 mg/5 ml elixir sig: one (1) tablet po tid (3 times a day). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h () as needed: not to exceed 10 pills in any 24 hour period. disp:*60 tablet(s)* refills:*0* 11. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 12. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 13. folic acid 1 mg tablet sig: one (1) tablet po bid (2 times a day). 14. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po daily (daily). 15. insulin lispro subcutaneous 16. insulin nph human recomb subcutaneous 17. metformin 850 mg tablet sig: one (1) tablet po twice a day. 18. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: symptommatic fibroid uterus left ovarian cyst history of abnormal pap smear status post total abdominal hysterectomy, left salpingoopherectomy hypertension discharge condition: good discharge instructions: - please call your doctor if you experience fever > 100.4, chills, nausea and vomiting, worsening or severe abdominal pain, heavy vaginal bleeding, chest pain, trouble breathing, or if you have any other questions or concerns. - please call if you have redness and warmth around the incision, if your incision is draining pus-like or foul smelling discharge, or if your incision reopens. - no driving while taking narcotic pain medication as it can make you drowsy. - no heavy lifting or strenuous exercise for 6 weeks to allow your incision to heal adequately. - nothing per vagina (no tampons, intercourse, douching for 6 weeks. - please keep your follow-up appointments as outlined below. followup instructions: provider: , .d. phone: date/time: 11:10 provider: , md phone: date/time: 11:30 provider: , md phone: date/time: 2:00 md procedure: other unilateral salpingo-oophorectomy other and unspecified total abdominal hysterectomy diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia other and unspecified hyperlipidemia asymptomatic human immunodeficiency virus [hiv] infection status leiomyoma of uterus, unspecified dysmenorrhea excessive or frequent menstruation corpus luteum cyst or hematoma anemias due to disorders of glutathione metabolism 

Answer: The patient is high likely exposed to