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: no known allergies / adverse drug reactions attending: chief complaint: none major surgical or invasive procedure: none history of present illness: 41 yo m with a past history of hiv and hepatitis b who was admitted from after being found down, with pulmonary hemorrhage, possible seizures and questionable bacteremia. the patient became very agitated last night at 10pm and wanted to check on "household" things. he denies any illicit drug use while he was gone. he has no complaints currently. . in the ed, exam and were insignificant. most recent vs prior to transfer 98.1, 98%ra, 88, 102/67. . review of systems: denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, brbpr, melena, hematochezia, dysuria, hematuria. past medical history: # hiv, last cd4 421 in # hepatitis b, seroconverted and now with undetectable vl since # syphilis/gonrrhea # varicose veins # s/p tonsillectomy at age 7 # s/p knee surgery at age 17 social history: patient is msm. does not practice safe sex. uses iv drugs and crystal methamethetamine. smokes ppd and drinks recreationally family history: the patient is adopted. he is unsure of his biological family history. physical exam: t: 96.9 bp: 124/77 p: 72 r: 20 o2: 100% on ra general: well appearing man in nad, pleasant heent: perrla, sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: crackles improved bl, no wheezes or rhonchi cv: regular rate and rhythm, normal s1 + s2, 2/6 systolic murmur at lusb, no rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: arms covered, warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: : 05:35am blood wbc-8.2 rbc-4.22* hgb-12.3* hct-36.7* mcv-87 mch-29.1 mchc-33.5 rdw-12.9 plt ct-335 09:14am blood wbc-7.8 rbc-4.25* hgb-12.8* hct-38.0* mcv-89 mch-30.0 mchc-33.6 rdw-13.2 plt ct-343 09:14am blood neuts-72.7* lymphs-19.1 monos-5.8 eos-1.8 baso-0.6 05:30am blood glucose-114* urean-13 creat-0.9 na-137 k-4.1 cl-99 hco3-28 angap-14 05:30am blood calcium-9.5 phos-3.8 mg-1.7 . cxr: extensive pulmonary consolidation, most marked in the perihilar left mid and lower lung zones, less pronounced at the right lung base, not appreciably changed since . lung volumes are lower, mediastinal veins are dilated now and there may be mild pulmonary edema, but heart size is normal. right internal jugular line ends in the svc. no pneumothorax . mri/mra 1. the mri of the brain is limited due to motion artifact on numerous sequences. there is no definite evidence of acute intracranial process given this limitation. 2. there is extensive paranasal sinus and right mastoid air cell disease. clinical correlation recommended. 3. normal mra of the brain without contrast. no evidence of aneurysm or occlusion is identified. . eeg: normal brief hospital course: 41 yo m with a past history of hiv and hep b found down, short stay in micu while intubated, left ama and now returned for completion of hospital course. . # bacteremia: the patient was found to have only blood cultures with gpcs in clusters from from the line, ultimately found to be coagulase negative staph. all other cultures negative. tte has no evidence of vegetations. determined not likely true pathogen. discontinued all antibiotics. . # altered mental status: resolved, currently clear. on prior admission thought to be likely to intoxication (tox screen positive for methamphetamines) or withdrawal. ordered repeat tox screen however patient unable to provide urine specimen. neurology recommended keppra for one month, no driving for 6 months. . # hemoptysis/alveolar hemorrhage: multifocal opacities on cxr, bronchoscopy revealed alveolar bleeding on left > right. pcp entertained but bal negative and well controlled hiv status. mssa thought to be contaminent, not true pathogen. ultimately thought to be related to inhaled methamphetamines. . # hiv/hbv: maintained on home haart. medications on admission: heparin 5000 unit sc tid acetaminophen 650 mg po/ng q6h:prn pain, fever atazanavir 300 mg po daily levofloxacin 750mg daily vancomycin 1500mg bisacodyl 10 mg po/pr daily:prn constipation levetiracetam 500 mg po bid docusate sodium (liquid) 100 mg po bid:prn constipation nicotine patch 21 mg td daily diazepam 5-10 mg iv q2h:prn anxiety/withdrawal (discontinued) ritonavir 100 mg po daily emtricitabine-tenofovir (truvada) 1 tab po daily senna 1 tab po bid:prn constipation 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. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 4. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 months. disp:*120 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain: over the counter . discharge disposition: home discharge diagnosis: primary diagnosis: pulmonary hemorrhage possible seizure . secondary diagnoses: hiv hep b discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were readmitted to after leaving against medical advice. you were initially admitted after being found unconscious in your car. you had to be intubated. you were found to have bleeding in your lungs which was thought to be either secondary to an infection or related to inhaled substances. you tested positive for methamphetaimes. you should not use these drugs in the future, they will kill you. you were given antibiotics and completed the course while inpatient. . you were thought to have had a seizure. this may have been secondary to the drugs you took prior to coming to the hospital. you were seen by the neurology team and told to take keppra 1000mg twice a day for one month for prophylaxis. you should not drive for 6 months! . medication changes: keppra 1000mg twice a day for one month resume taking your home hiv medications as prescribed followup instructions: please follow up with epilepsy neurology dr. and dr. on at 1pm. they are located on . . please follow up with your primary care doctor in the next week. please call to schedule. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified closed [endoscopic] biopsy of bronchus diagnoses: other convulsions acute respiratory failure bacteremia hematemesis staphylococcus infection in conditions classified elsewhere and of unspecified site, other staphylococcus asymptomatic human immunodeficiency virus [hiv] infection status viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta amphetamine and other psychostimulant dependence, continuous hemoptysis, unspecified 

Answer: The patient is high likely exposed to