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: a 39-year-old male, with hiv diagnosed in , who had stopped his haart regimen in secondary to issues of payment who had a recent cd4 count of 27 and viral load of 34,000 who presented with 6 days of dyspnea on exertion and cough which had gotten worse over the past several days prior to admission. he had seen a nurse practitioner the day prior who had started him on levofloxacin, but he returned to the emergency department the next day and was found to have oxygen saturations in the 80s on room air, and worse with exertion. in the emergency department, he was given 2 tabs of bactrim, prednisone 60 x 1, tylenol with benadryl. on admission, he denied nausea, vomiting, diarrhea, constipation, chest pain, or dysuria. past medical history: 1. hiv/aids, diagnosed , stopped haart treatment secondary to the payment issues, had cd4 count of 27, viral load 34,000. 2. hepatitis b, chronic. 3. history of kaposi's sarcoma with an old lesion on his ankle. 4. a history of a lower gi bleed, . negative colonoscopy but found to be positive for giardia. medications on admission: bactrim. allergies: 1. penicillin. 2. keflex. social history: the patient does not smoke. he has a partner named who, along with his mother, , are decision makers for this patient. physical examination on admission - vital signs: temperature 99.4, heart rate 85, blood pressure 110/60, respiratory rate 22, saturation 92% on 3 liters, weight 158 pounds. general: in no acute distress. heent: op clear, mucous membranes moist, pupils equal, round and reactive to light, extraocular movements intact. neck: supple without jvd. cardiovascular: regular rate and rhythm without murmur. pulmonary: bibasilar rales. abdomen: soft, nontender, nondistended with positive bowel sounds. extremities: moves all 4. neuro: no focal deficits. laboratory on admission: white count 8.8, hematocrit 40.9, platelets 273, inr 1.2, sodium 133, hemolyzed potassium 6.3, chloride 100, bicarb 23, bun 17, creatinine 0.9, glucose 98, alt 19, ast 85, alk phos 63, t-bili 0.8, lipase 134, total protein 7.5. blood cultures were pending. ldh was pending. a chest x-ray showed bilateral diffuse interstitial opacities with reticular nodular pattern, no effusions, no consolidations, consistent with pcp pneumonia versus other opportunistic infection. brief summary of hospital course: this is a 39-year-old male, with hiv, recently off haart therapy with a cd4 count of 27, who presented with pcp . 1) pcp : the patient was treated with bactrim 2 double-strength tablets qid. the patient was treated with 5 days of prednisone, 40 mg , and then changed to prednisone 40 mg qd. we were unable to induce sputum from the patient. he underwent bal on which was positive for pcp. addition, ldh had been elevated. the patient had increasing oxygen requirement up to this point, requiring 13-15 liters nonrebreather to achieve saturations of 95% with extreme dyspnea on exertion and drops in his o2 sats on exertion. at the time of this dictation, the patient was about to be transferred to the intensive care unit, as he had further dropped his saturations on 17 liters nonrebreather to the high-80s/low-90s. on the day prior, he had been converted to bactrim iv at the recommendation of the pulmonary consult team who also followed the patient. it is anticipated that he will be intubated for a course while he continues to fight the infection. it is also worth nothing that the patient had some pleuritic chest pain early in his admission. an ekg was performed which did show sinus rate of 67 with some flipped t's in iii, avf, v1, but no prior was available. this was worse with deep inspiration, and was felt to be due to inflammatory process of his pneumonia. on the last day of this dictation, prior to the transfer to the intensive care unit, an abg was performed. the ph was 7.5, co2 28, oxygen 67, lactate 1.8, sodium 123. 2) hiv: the patient had been off of haart therapy at the direction of dr. . he was restarted on kaletra and combivir at the beginning of this admission. his lfts were monitored. his cbc was monitored. 3) hepatitis b, chronic: the patient's lfts were monitored, and his lamivudine should help to treat his hepatitis b. he was asymptomatic from his hepatitis b. 4) hyponatremia: the patient was hyponatremic during this course of his hospital stay. he did also appear dehydrated, and his hyponatremia responded somewhat to normal saline fluids, but it is also felt likely to be an siadh picture secondary to pulmonary process. 5) hyperkalemia: the patient had k as high as 5.2 during this portion of his hospital course. it went no higher. he had no cardiac symptoms. this was felt possibly due to high doses of bactrim. however, on the last day of this dictation, his k was down at 4.4. disposition: the patient is to be transferred to the for close monitoring of his respiratory status and likely intubation. the hope is that with intubation, the patient will be able to survive this aggressive infection. the patient's partner and mother are aware of his situation. the remainder of the hospital course, the discharge disposition, instructions, medications, diagnoses, and condition, will be addendum in a later discharge summary. , d. m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus transfusion of packed cells diagnoses: hyperpotassemia candidiasis of mouth human immunodeficiency virus [hiv] disease acute respiratory failure defibrination syndrome pneumocystosis chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta 

Answer: The patient is high likely exposed to