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 / sulfa (sulfonamides) / amiodarone attending: chief complaint: admitted for carotid stent prior to coronary revascularization surgery major surgical or invasive procedure: placement of right carotid stent four vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending with vein grafts to diagonal, obtuse marginal, and posterior descending artery) with mitral valve repair(28mm annuloplasty band). history of present illness: mr. is a 60 year old male who during preoperative evaluation for coronary revascularization surgery was found to have severe bilateral carotid stenosis. he recently underwent successful left carotid artery stenting on by dr. . he was readmitted for right carotid artery stenting on followed by coronary revascularization surgery by dr. . given the history of past renal failure, he was admitted one day prior for hydration, bicarbonate and mucomyst. from a cardiac standpoint, he admits to intermittent chest pain for approximately nine months which has increased in frequency and intensity. a recent stress test showed multiple reversible defects and an abnormal blood pressure response to exercise. subsequent cardiac catheterization in revealed severe three vessel coronary artery disease(right dominant)and normal left ventricular function. past medical history: coronary artery disease cerebrovascular disease/carotid disease - s/p left carotid stent hypertension hyperlipidemia diabetes mellitus type ii hiv positive - on haart history of hepatitis b primary hyperparathyroidism history of renal failure - treated with cvvh in past history of pancreatitis history of basal cell carcinoma - s/p removal left cheek social history: quit tobacco over 30 years ago. admits to occasional etoh. currently lives with his male partner. denies ivda and recreational drugs. family history: father underwent cabg at age 66 physical exam: vitals: t 97.4, bp 136/84, hr 66, rr 18, sat 99 on room air general: well developed male in no acute distress heent: oropharynx benign, sclera anicteric neck: supple, no jvd, bilateral carotid bruits noted heart: regular rate, normal s1s2, no murmur or rub lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: nonfocal pertinent results: 08:00pm blood wbc-4.9 rbc-3.33* hgb-12.0* hct-35.5* mcv-107*# mch-36.1* mchc-33.9 rdw-19.5* plt ct-387 08:00pm blood pt-12.1 ptt-24.9 inr(pt)-1.0 08:00pm blood glucose-84 urean-20 creat-1.4* na-140 k-4.7 cl-106 hco3-25 angap-14 08:00pm blood calcium-10.6* phos-3.9 mg-2.4 06:07pm blood ck-mb-17* mb indx-3.1 ctropnt-0.16* 07:15am blood ck-mb-13* mb indx-3.4 ctropnt-0.29* 07:12am blood ck-mb-5 ctropnt-0.51* 11:18am blood ck-mb-notdone ctropnt-0.82* 06:00am blood ck-mb-notdone ctropnt-0.69* 10:36am blood ck(cpk)-223* 06:07pm blood ck(cpk)-554* 02:55am blood ck(cpk)-502* 07:15am blood ck(cpk)-384* tte: the left atrium is mildly dilated. there is symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with basal inferior hypokinesis. overall left ventricular systolic function is mildly depressed. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated athe sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. brief hospital course: mr. was admitted for hydration, bicarbonate, and mucomyst. the following day, dr. performed successfull stenting of his right carotid artery. later that evening, he experienced chest pain associated with ekg changes. he ruled in for a nstemi and was subsequently started on intravenous heparin and nitro. his chest pain improved with intravenous therapy. cardiology was consulted to assist with medical managment. over several days, medical therapy was optimized, intravenous nitro was weaned and his cardiac enzymes improved. he required one unit of packed red blood cells to maintain hematocrit over 30%. additional cardiac workup included an echocardiogram on which showed an lvef of 55% with mild aortic insufficiency, mild mitral regurgitation and only trivial tricuspid regurgitation. he otherwise remained pain free and was eventually cleared for coronary revascularization surgery. on , dr. performed coronary artery bypass grafting surgery along with a mitral valve repair. for surgical details, please see seperate dicatated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he maintained stable hemodynamics and weaned from inotropic support without difficulty. on postoperative day one, he transferred to the sdu for further care and recovery. he was restarted on plavix for his carotid stent. chest tubes and epicardial wires were removed. he was seen in consultation by the physical therapy service. by post-operative day four he was ready for discharge to home. medications on admission: aspirin 325 qd, plavix 75 qd, pravastatin, atenolol 100 qd, univasc 30 qd, oxandrin, zantac, actos 30 qd, norvir, viread, reyataz, combivir discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. atazanavir 150 mg capsule sig: two (2) capsule po daily (daily). 5. lamivudine-zidovudine 150-300 mg tablet sig: one (1) tablet po once a day. 6. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 7. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 8. ranitidine hcl 150 mg tablet sig: two (2) tablet po daily (daily). 9. pravachol 10 mg tablet sig: one (1) tablet po once a day. 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 11. pioglitazone 15 mg tablet sig: two (2) tablet po daily (daily). 12. atenolol 100 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: , discharge diagnosis: coronary artery disease and mitral regurg - s/p cabg, mv repair cerebrovascular disease/carotid disease - s/p right carotid stent non st elevation mi(after carotid stent but prior to cabg, mv repair) hypertension hyperlipidemia diabetes mellitus type ii anemia hiv positive with history of hepatitis b primary hyperparathyroidism history of renal failure history of pancreatitis discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: dr. in weeks, call for appt dr. as directed, call for appt dr. in weeks, call for appt dr. in weeks, call for appt procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery annuloplasty transfusion of packed cells transfusion of other serum transfusion of platelets transfusion of coagulation factors continuous intra-arterial blood gas monitoring percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin unspecified disorder of kidney and ureter family history of ischemic heart disease asymptomatic human immunodeficiency virus [hiv] infection status primary hyperparathyroidism 

Answer: The patient is high likely exposed to