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 attending: chief complaint: right arm pain and swelling. major surgical or invasive procedure: incision and drainage of right forearm abscess on . history of present illness: 26 yo male with hiv (cd4 11 ) non compliant with haart, with recent admission with purigo nodularis and treated with sarna and benadryl, now c/o 3-days of increased right arm pain and swelling. no history of trauma to the area. pt. denied scratching area or ivdu. in ed, afebrile, i&d'd, started on vanco and levofloxacin. past medical history: 1)hiv diagnosed in last cd4 count 11 and hiv vl 4320 in 5/. 2)history of secondary syphillis in treated with pcn 3)s/p tonsillectomy 4)h/o staph skin infections 5) depression social history: patient living in with friend (sleeps on the couch). he smokes about 1ppd since years old. he admits to marijuana use, and history of crystal meth use. he denies any ivdu. he states that he is currently not sexually active. he denies any etoh use. family history: nc physical exam: t: f p: 88 r: 16 bp: 118/78 sao2: 99% ra general: awake, alert, nad heent: mmm neck: supple pulmonary: lungs cta cardiac: rrr, s1s2, no murmur abdomen: soft, nt/nd, active bs extremities: 1.5 well-circumscribed lesion over dorsal aspect of right forearm with surrounding erythema, tenderness halfway up arm proximally and wrist distally. full strength of wrist and finger flexors and extensors on right. pertinent results: 09:00pm wbc-4.9 rbc-4.14* hgb-13.1* hct-37.2* mcv-90 mch-31.7 mchc-35.3* rdw-14.7 09:00pm plt count-155 09:00pm neuts-69.9 lymphs-17.1* monos-11.6* eos-1.2 basos-0.2 09:00pm glucose-95 urea n-12 creat-0.8 sodium-139 potassium-4.3 chloride-102 total co2-29 anion gap-12 10:21pm lactate-0.8 cmv viral load (final ): cmv dna not detected. 5:15 pm blood culture aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. . 1:15 pm blood culture aerobic bottle (final ): no growth. anaerobic bottle (final ): no growth. brief hospital course: 1. anaphylaxis to bactrim: patient developed fever/tachycardia/hypotension on hospital day#2; initial suspicion for sepsis syndrome, however blood cultures remained negative and hemodynamic recovery achieved with massive fluid resuscitation in the icu - of note, patient had received dose of bactrim for pcp prophylaxis preceding his hypotension. a diffuse rash was transiently noted in the icu. upon return to the floor, he received an additional dose of bactrim - with recurrence of fever/tachycardia/hypotension, again requiring icu stay for massive fluid resuscitation. although no airway compromise was noted in either case, there is certainty based on stereotyped reaction immediately following bactrim exposure that patient experiences anaphylactic-type reaction to bactrim, which has since been listed as a serious allergy. . 2. cellulitis/abscess - r forearm wound culture grew mssa. pt was initially started on vanco and linezolid in micu to empirically cover mrsa and toxin production, changed to oxacillin and clindamycin per id recs after sensitivy inforamation available. surgery drained the wound and packed with wet to dry dressings changed tid. erythema over r forearm decreased over stay in micu. pain controlled with prn morphine in micu. - on the floor, pt's erythema around the site improved slowly. surgery removed the wick. and started wet to dry dressings. - per id, use oxacillin for mssa coverage and clinda, which is a protein synthesis inhibitor, for prevention of toxin production, initially. after 5 days clinda was stopped and pt was switched over to diclox po and sent home with po antibiotics. -pt will f/u with surgery in 1 wk of discharge. - id will f/u on tsst toxin. . 3. "rash" - in micu pt became pink throughout the body/face. ? drug reaction versus bacterial toxin. we infused vanco slowly (over 2 hours) in case of red man syndrome. also decided to hold bactrim in case allergy. the following day the pt appeared less pink and it the etiology thus remains unclear. - once stable pt was given bactrim 1000mg ss. pt became hypotensive and needed to be admitted the icu again, so this likely anaphylactic reaction. . 4. hiv/aids - cd4 11 as of , viral load 4320 as of . pt not on haart because of non-compliance. per id recs did not start on haart in hospital but will recommend follow up as outpatient to do so. had started pt on bactrim as prophylaxis but stopped after two days after pt's skin became pink all over in case of allergic rx. -would not use bactrim for pcp prophylaxis in this pt. per id may use dapsone 100 mg po daily after g6pd results come back negative -no azithromycin for now for mac prophylaxis as id concerned that he may already have disseminated mac. -f/u mycolytic cultures in clinic and if neg can start on azithromycin - pt. will f/u with dr. in clinic. medications on admission: none. discharge disposition: home discharge diagnosis: mssa cellulitis anaphylaxis to bactrim discharge condition: to home in stable condition on oral antibotics md, procedure: excisional debridement of wound, infection, or burn injection or infusion of oxazolidinone class of antibiotics diagnoses: acidosis unspecified septicemia sepsis human immunodeficiency virus [hiv] disease methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site cellulitis and abscess of upper arm and forearm sulfonamides causing adverse effects in therapeutic use other anaphylactic reaction 

Answer: The patient is high likely exposed to