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: history of present illness continued: on the day of admission, the patient was seen by his primary care physician with inability to control his bladder and was noted to have decreased ankle flexion. the patient denied nausea, vomiting, shortness of breath, abdominal pain, or chest pain. the patient described feeling like his muscles were "seizing" around his torso. at the time of presentation, the patient complained of inability to move his left leg and urinary incontinence. review of systems: on review of systems, the patient denies weight loss. positive for fatigue. he denies fevers, chills, or night sweats. positive for anorexia. the patient denies any visual symptoms. the patient denies any dry mouth or tinnitus. the patient denies chest pain, orthopnea, paroxysmal nocturnal dyspnea, shortness of breath, or cough. the patient complains of some abdominal pain and constipation. the patient complaints of some urinary incontinence. denies frequency, urgency, or pain. he denies a rash or weight change. positive numbness, weakness, and paresthesias in extremities. no dizziness, vertigo, confusion, or headache. the patient denies depression. past medical history: (the patient's has a past medical history significant for) 1. human immunodeficiency virus positive times 15 years (on highly active antiretroviral therapy). 2. l5-s1 herniated disk. 3. longstanding prior history of tuberculosis exposure. 4. hepatitis c. medications on admission: the patient's medications included combivir, sustiva, dapsone. allergies: the patient has an allergy to sulfa. social history: the patient smokes one pack per day times 24 years. no ethanol. remote intravenous drug use. the patient has two children. he is in process of a divorce. family history: stroke in maternal grandmother. central nervous system tumors. physical examination on presentation: physical examination revealed the patient's temperature was 97, heart rate was 129, blood pressure was 147/84, respiratory rate was 18, oxygen saturation was 98% on room air. in general, the patient was pleasant and interactive. in no acute distress. somewhat cachectic. head, eyes, ears, nose, and throat examination revealed normocephalic and atraumatic. mucous membranes were moist. no thyromegaly. no cervical lymphadenopathy. the patient was without any carotid bruits. pulmonary examination revealed clear to auscultation bilaterally. no crackles or wheezes. cardiovascular examination revealed the patient was tachycardic, but regular. no murmurs, rubs, or gallops. the abdomen was soft, nontender, and nondistended. bowel sounds were present. extremities revealed the patient moved all four extremities. upper extremity pulses were 2+ and symmetric. skin revealed no rash. mental status examination revealed the patient was fully alert and oriented. the patient was able to name, register, and recall. no apraxia or neglect appreciated. cranial nerve examination revealed pupils were equal, round, and reactive to light at 3 mm. extraocular movements were intact. no nystagmus. the remainder of cranial nerve examination was unremarkable. the patient with normal tone. his strength was full in the upper extremities. the patient was able to raise right leg against gravity, but only movement in one plane on the left. no pronator drift. deep tendon reflexes were symmetric but absent at the ankles bilaterally. the patient's toes were upgoing bilaterally. sensory examination revealed decrease to soft tissue and pinprick up to the t6 level. finger-to-nose and rapid alternating movements were intact. radiology/imaging: the patient was ordered for a stat magnetic resonance imaging. the magnetic resonance imaging showed degenerative joint disease at the l5-s1 level. of note, and epidural mass was found posterior to the thecal sac at the t4 level extending from the area of the t3-t4 disks to the upper portion of t5. the mass had a superior/inferior dimension of 3.5 cm. of particular importance, there was found to be greater than 50% narrowing of the spinal canal and moderate compression of the spinal cord. also of note was an area of increased signal within the spinal cord at the t5 level with likely edema. the mass was found to extend to the right neural foramina at the t4-t5 level. otherwise, the patient's cervical and lumbar spine were unremarkable. hospital course: the patient was taken emergently to the operating room where an extensive epidural tumor in the midthoracic spine (as previously described by magnetic resonance imaging) was noted. erosion to the lamina and to the paraspinous muscles was noted. the tumor was found to be extremely vascular. please see the operative report for further details of the thoracic laminectomy for described tumor. the patient did well after the operative procedure. he started to slowly regain strength in the lower extremity. pathology with preliminary diagnosis of non-hodgkin lymphoma. an oncology consultation was obtained. the oncology staff recommended further staging including a gallium scan, computed tomography scan of the torso, bowel movement, and lumbar puncture. the computed tomography of the chest showed small precarinal lymph nodes, small lymph node on the left side measuring 1.3 cm x 1.1 cm, and no evidence of hilar lymphadenopathy. a small granuloma of the right lung base was found. otherwise, the scan was unremarkable. a lumbar puncture was performed showing 1 white blood cells, 3 red blood cells, protein of 29, glucose of 69, ldh of 12. differential showed 30% polys, 62% lymphocytes, 10% monocytes; otherwise unremarkable. as staging for non-hodgkin lymphoma was being performed, and the patient was preparing for discharge and outpatient management of current diagnosis, the patient was found overnight (on ) to have two episodes of liquid maroon-colored stools. the patient had been completely asymptomatic prior. the patient's hematocrit on was 24.5; and on had fallen to 17.9. the episodes of dark maroon stools were associated with some left-sided abdominal pain. the patient denied chest pain, nausea, and vomiting. the patient received 2 units of packed red blood cells. the patient received an additional transfusion to keep his hematocrit greater than 30% and was started on high-dose proton pump inhibitor. the patient received an upper endoscopy. the patient's esophagus was of normal appearance. a single cratered nonbleeding 1-cm ulcer with a clean base was found in the stomach body along the greater curvature. no blood was seen in the stomach. in the duodenum, red blood was seen beyond the ligament of treitz in the third and fourth parts of the duodenum and jejunum. the jejunum was explored to 150 cm at the starting point of the incisors. no localizing source of the patient's bleeding was appreciated. an arteriogram of the superior mesenteric artery, superior mesenteric artery, and three jejunal branches, celiac and internal mammary artery inferior mesenteric artery were without evidence of active bleeding. the patient's hematocrit did not bump appropriately to the packed red blood cell infusion. the patient was taken for intravenous injection of tagged red blood cell scan. the results showed extravasation of red blood cells into the patient's jejunum; consistent with a jejunal gastrointestinal bleed. the patient was taken back to angiography. this time, active extravasation of contrast was found from a bleeding jejunal branch of the superior mesenteric artery in the left lower quadrant. the bleeding jejunal branches were successfully coiled with full resolution of the bleeding. however, the patient's hematocrit continued to tend downward from a post procedure hematocrit of 28 to a hematocrit of 21 with large bloody bowel movements. the patient was taken back for a tagged red blood cell scan which showed an active bleed in the jejunal branch. the patient was taken back to angiography. active extravasation was seen through areas adjacent to initial coiling of the small collateral vessels. additional coiling was placed. no active extravasation was found after the procedure. after the episode of second embolization, the patient had one melanic stool. the patient's hematocrit still continued to trend downward and inappropriately bump. the patient received a computed tomography scan of the abdomen. impression revealed (1) free intraperitoneal fluid and (2) small bilateral pleural effusions. at this point, general surgery took the patient to the operating room for exploratory laparotomy with jejunal resection and primary anastomosis. a 6-cm portion of the jejunum showed no discrete raised lesions, although several small mucosal ulceration specimens were sent to pathology. the patient tolerated the procedure well. please see the general surgery operative report for further details. the patient was transferred to the surgical intensive care unit in stable condition; status post operating room extubation. the patient tolerated the procedure well. secondary to the presence of mucosal erosions, the patient was started on ganciclovir and fluconazole in the setting of this immunocompromised host. preliminary pathology later returned primary process to be vascular and not infectious. both medications were subsequently stopped. the patient was transfused an additional 2 units of packed red blood cells postoperatively, and his serial hematocrit levels for the remainder of hospital course remained stable. the patient admitted tachycardia is a chronic state. the patient received an echocardiogram. the wall thickness and cavity size were normal. left ventricular ejection fraction was greater than 55%. the aortic valve and mitral valve were structurally normal. normal pulmonary artery pressure; otherwise, unremarkable. pathology of intestinal segment showed multiple fossae mucosal hemorrhage and necrosis with erosions. no acute inflammation of the submucosa. organizing thrombus of smaller veins in submucosa was appreciated. the stains were negative for microsporidia and acid-fast bacilli in addition to cytomegalovirus. the patient received one dose of r-chop chemotherapy; per oncology recommendations. the patient then received a 5-day course of g-csf. on transfer to the medical floor, the patient was seen and examined. his hematocrit levels remained stable. the patient was found to have scrotal and left lower extremity thigh and bilateral lower extremity edema. the patient was on lasix; diuresis successful. lasix was stopped. the patient continued diuresis successfully, and swelling and edema diminished significantly to the time of discharge. the patient's diet was slowly advanced, and the patient was tolerating a full solid diet. the patient worked with physical therapy successfully. the patient continued to be ambulatory with increasing strength and decreasing fatigue prior to discharge. two days prior to discharge, the patient noted 24 hours of bowel and bladder incontinence. the patient was sent for an emergent magnetic resonance imaging which showed no significant change from the interval. the patient's bowel and bladder incontinence resolved spontaneously within 12 hours of report. the magnetic resonance imaging was reviewed by neurosurgery and was without evidence of any recurrent or residual epidural tumor. the thoracic spine appeared well decompressed. abnormal marrow signal was appreciated in two thoracic vertebrae. again, no abnormality was seen in the lumbar spine or cervical spine. condition at discharge: the patient's condition on discharge was stable and approved. discharge diagnoses: 1. human immunodeficiency virus times 15 years (on highly active antiretroviral therapy). 2. l5-s1 herniated disk. 3. longstanding prior history of tuberculosis exposure. 4. epidural mass; status post excision. 5. non-hodgkin lymphoma. 6. hepatitis c. 7. jejunal bleed; status post resection. 8. massive red blood cell infusions. medications on discharge: 1. heparin 5000 units subcutaneously q.12h. 2. percocet one to two weeks p.o. q.4-6h. as needed. 3. ativan 0.5 mg p.o. q.8h. as needed. 4. lopressor 25 mg p.o. b.i.d. 5. pantoprazole 40 mg p.o. q.d. 6. tenofovir 300 mg p.o. q.h.s. 7. lamivudine 300 mg p.o. q.h.s. 8. efavirenz 600 mg p.o. q.h.s. 9. .................... 300 mg p.o. q.h.s. (times one additional day). 10. dapsone 100 mg p.o. q.d. 11. tramadol 100 mg p.o. q.4-6h. as needed. 12. aluminum magnesium hydroxide 15 ml to 30 ml p.o. q.i.d. as needed. discharge instructions/followup: 1. the patient was to follow up with dr. (hematology/oncology) on tuesday, . 2. the patient to follow up with dr. (the patient's primary care physician) and infectious disease in one week following discharge. 3. the patient to follow up with neurosurgery (dr. in 10 days. the patient was instructed to call telephone number for an appointment. 4. the patient to follow up with general surgery (dr. in 10 days. the patient was instructed to call telephone number for an appointment. dr., 12-988 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified spinal tap incision of lung imageless computer assisted surgery excision or destruction of lesion of spinal cord or spinal meninges other partial resection of small intestine other endoscopy of small intestine injection or infusion of other therapeutic or prophylactic substance arterial catheterization small-to-small intestinal anastomosis injection or infusion of cancer chemotherapeutic substance diagnoses: tobacco use disorder congestive heart failure, unspecified human immunodeficiency virus [hiv] disease other malignant lymphomas, unspecified site, extranodal and solid organ sites hemorrhage of gastrointestinal tract, unspecified cytomegaloviral disease acute hepatitis c without mention of hepatic coma displacement of lumbar intervertebral disc without myelopathy 

Answer: The patient is high likely exposed to