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: penicillins / clarithromycin attending: chief complaint: r sided weakness major surgical or invasive procedure: intubation sinus surgery history of present illness: 39f with a history of aids (cd4 113 , vl 109), hep b, pancreatitis, candidiasis, hsv, pyelonephritis, gonorrhea, syphilis and cocaine abuse who presents with acute right sided weakness for one day. per report (compiled from the patient, her group home, and mother), the patient yesterday complained of r leg numbness/weakness and a mild headache. she lay down and felt better but awoke at ~4am with an inability to ambulate r leg weakness and slurred speech. her group home became concerned and called ems at this time. of note, the patient reports intermittant r leg numbness over the past several months but the mother has noticed her daughter complain of bilateral le symptoms for >1yr. over the past week, the patient denies any fevers/chills/night sweats, n/v, abdominal pain, rash, cough, weight loss, sob, medication non-compliance, diarrhea, or obvious sick contacts. she does endorse some mild pressure type non-radiating chest pain in the ed today along with palpatations that had since resolved. . in the ed, the patient was noted to have a variable mental status and exam. they observed discordant neurologic exam findings on the r compared to the l and a code stroke was called. ct scan showed marked destruction of her sinuses c/w old surgical procedures but infectious cause could not be excluded. no recent infarcts were seen on this scan. neurology evaluated the patient and felt her picture was more consistent with an infectious etiology but suggested an acute mri to exclude cva. ent was consulted who felt the ct was suggestive of an acute vs chronic sinusitis but noted that this was unlikely to cause her neurologic symptoms. her telemetry showed a nsr with intermittant runs of a rate related lbbb that had been seen previously in . she was admitted to the medicine service for further work-up. . on the floor, her exam was significant for a ? of r sided neglect and marked r sided ue/le weakness. her history was occassionally inconsistent but was mostly c/w the history noted above. she received her mri soon after reaching the floor which showed multiple acute infarctions present within the left frontal lobe and another within the right amygdala that were thought to be c/w either embolic or watershed strokes. . past medical history: aids (cd4 113 , vl 109) hep b pancreatitis candidiasis hsv pyelonephritis gonorrhea syphilis and cocaine abuse social history: significant drug use (most recently crack cocaine) but clean for >4mo per her program. remote ivdu but denies etoh abuse. 1 ppd smoker for 20 years, says she recently stopped. currently living at a substance abuse program (ummis). has two children aged 19 and 13 who are in care. family history: noncontributory brief hospital course: the patient was admitted to the medicine service and transferred to neurology upon discovery of stroke. tee showed no vegetations, no asd/vsd and a bubble study was negative. id was consulted regarding sinusitis and recommended broadening her coverage for sinusitis from antibiotics to include antifungals and they recommended tissue biopsy/debridement. neurosurgery was also consulted, who recommended repeat mri/mra, as the first study was degraded by motion. this showed "similar to the previous examination, there is a soft tissue mass that destroys the sphenoid sinus. following the administration of intravenous gadolinium, there is diffuse enhancement of this invasive mass. enhancement appears to extend along the wall of the left maxillary sinus. the soft tissues of the nasal sinuses also diffusely enhance. enhancement extends into the cavernous sinus bilaterally. multiple areas of abnormal signal intensity within the cerebral hemispheres are consistent with subacute infarction. the largest of these areas is located in the left parietal lobe and measures approximately 3.2 x 3.5 cm. an area of hyperintensity within the left frontal lobe is much more pronounced on today's examination compared to the exam from . the areas of infarction within the left frontoparietal lobe superiorly also appear more extensive compared to the previous examination. the abnormal hyperintense signal within the right temporal lobe is unchanged. mra: time-of-flight imaging demonstrates no flow within the carotid arteries intracranially, again similar to the findings from ." the risk of ent surgery was discussed with the family, who decided to proceed. this was performed, with precautions to keep hob flat, maintain good hydration with ivf, and keep sbp>160 and avoiding sharp drops in blood pressure in the postoperative period. on , the patient underwent ct-guided bilateral sphenoid sinus surgical endoscopy with biopsy. postoperatively, she was admitted to the sicu for further care. on , head ct was performed for decreased responsivenss. it showed "very large right mca and aca infarct continues to evolve with enlarging mass effect and shift of the median midline structures, subfalcine herniation now 10 mm across the midline, previously 5 with associated effacement of the lateral ventricle. the suprasellar cistern is also effaced with deviate asymmetry of the quadrigemminal plate cistern secondary to transtentorial herniation that has also worsened in the interval. there is also effacement of the -white matter differentiation along the left mca and aca territory secondary to infarct though to a much lesser involvement. new hypodensity in the right cerebral peduncle is also suspicious for ischemia" and the patient was started on mannitol. on , she was started on neosynephrine to keep her map>90. she spiked overnight to and was started on a cooling blanket. during the day of , the patient's pupils ceased to be reactive and an emergent head ct was obtained. it showed worsening herniation and neurosurgery was again consulted. upon discussion with the family, surgical intervention was deemed futile. later that day, after extensive discussion, the patient was made dnr and the decision was made to initiate comfort measures only and the patient expired. medications on admission: azithromycin 1200mg qwk bactrim ds daily benadryl prn nph 6u novolog sliding scale reyataz 300mg daily ritonavir 100mg daily truvada 200mg-300mg daily valtrex 1g x10d prn discharge medications: expired discharge disposition: expired discharge diagnosis: bilateral strokes aids sinusitis discharge condition: expired discharge instructions: expired followup instructions: expired md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances closed [endoscopic] [needle] biopsy of nasal sinus diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction asthma, unspecified type, unspecified human immunodeficiency virus [hiv] disease long-term (current) use of insulin chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta aphasia cocaine abuse, continuous hemiplegia, unspecified, affecting unspecified side occlusion and stenosis of carotid artery with cerebral infarction chronic sphenoidal sinusitis 

Answer: The patient is high likely exposed to