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: sulfa (sulfonamides) / dapsone attending: chief complaint: hyperkalemia major surgical or invasive procedure: none history of present illness: mr. is a 39 y.o. man with hiv (diagnosed ) with a history of esrd (on hemodialysis) htn, diabetes mellitus, hepatitis c, dvt, neuropathy, pancreatitis secondary to ddi, polysubstance abuse and non-compliance to medications. he presented to the ed with a change in mental status. on presentation, his potassium 6.8, glucose 5, calcium 6.2, bp 226/134, hr 71. he was given insulin and glucose in the ed, and was reported to have a seizure. glucose measured post-seizure was 5. he was transferred from the micu to the floor today. in the week preceeding this admission, the patient did not show up to 3 scheduled hemodialysis appointments because he felt lethargic and "couldn't move" his legs. he also states that he has not been compliant with his medication. he reports that although he remembers to take his medication, he chooses not to because he "gets a feeling that says not to take it"; other times, he finds it inconvenient to bring his medications when he stays with friends, and will miss doses in this setting. mr. past medical history is significant for a previous admission to the on , a week after discharging himself ama from . he presented intoxicated (etoh 40), hct 18 and with right thigh pain and swelling and reported that he had not received dialysis 4 days prior to admission. during this hospital stay, he admitted to cocaine use 2 months prior. a right lower extremity ultrasound showed a partially reclusive thrombus in the right femoral vein secondary to placement of an indwelling cathater. he was treated with iv heparin and discharged on coumadin 3mg po. he states that he was compliant with his medications for a week following discharge. past medical history: hiv (diagnosed ; current cd4 is 6) h/o dvt (right femoral vein) esrd (secondary to hiv nephropathy on hd) diabetes mellitus hepatitis c (never been on treatment) htn neuropathy pancreatitis (secondary to ddi) polysubstance abuse (alcohol, cocaine) social history: currently lives in with his mother. she is in the process of moving house, and has stated that mr. will be able to stay with her indefinately post-discharge from the . he did not complete high school, and went on to the job corps where he trained to be a mechanic and a chef. he reports that "it's been a while since had a job". he states that he spends his time lying on the couch and spending time with friends. diet/exercise: sedentary lifestyle; eats foods high in fats and salt. smoking: "a couple of cigarettes a day" since he was 21. alcohol: reports that he drinks socially; a "couple of bottles" a day. does not admit to previous alcoholic intoxication. drugs: states that he has never used recreational iv drugs. ? track marks on antecubital fossa on right side. sexual history: has not been sexually active for many years. reports that the only std he has is hiv. family history: hypertension, cad, diabetes mellitus physical exam: vitals: tmax 98.7, bp 130/70. hr 84, rr 20, o2sat 100% ra gen- mr. is lying in bed receiving dialysis and does not appear to be in any distress. he is itching himself on his arms and face. he appears his stated age. skin- skin on feet feels warm to touch; no sores, bruises present on feet. pigmentation on calves. head- normocephalic, atraumatic. eyes- scleral icterus. conjunctivae clear, no lid-lag. no nystagmus. eom full. ears- canal clear. hears rub bilaterally. nose- septum midline, intact. membranes normal, no discharge. mouth- lips and membranes slightly moist. no ulcers. 4 front teeth missing on upper row. neck- supple. rom deferred secondary to dialysis.. could not palpate thyroid. trachea midline. no buffalo hump. no carotid bruit. nodes- no palpable cervical, supraclavicular, axillary nodes. cor- rrr. no thrills, rocks, lifts. s2 > s1 in intensity. a2>p2 physiologically split. no murmurs, s3, click, rub. resp- no cough. diaphragmatic excursions ~4cm bilaterally. no dullness to percussion, no decreased fremitus in any lung fields. on auscultation, normal breath sounds in all fields except for crackles in right lower lung field. i:e ratio is 1:1. no use of accessory muscles to breathe. abd- hyperactive bowel sounds. rebound tenderness in right middle quadrant. no hsm, masses. abdominal aorta could not be palpated. no bruit. ext- pulses strong radial, femoral, dp palpable on r and l no cyanosis, clubbing, varicosities, edema. neuro- cns i not tested ii acuity good iii, iv, vi eom full v facial sensation and corneal reflex intact, jaw strength good vii symmetrical expression viii negative rinne, hears whisper bilaterally ix, x uvula midline; phonation normal shrug (trapezius), scm good xii tongue midline sensory: lt, pt, vibration all intact bilaterally. motor: upper extremity extensors , otherwise all muscle groups. negative babinski. pronator drift deferred due to dialysis. cerebellar tests: finger-nose-finger intact, rapid alternating movements performed well. romberg deferred. mental status: alert, oriented to name, date and hospital. appropriate, normal affect. could spell world backwards. memory without prompting. could not do serial 7??????s. knew name of current president and could name the democratic nominee ( ). no l/r confusion or neglect. dtrs could not elicit ankle reflexes. r triceps deferred due to iv placement. l/r patellar, l/rbiceps, l triceps, l/r brachioradialis 2+ msk good range of passive and active range of motion for all joints. pertinent results: radiology: cxr : no acute infiltrates are seen. cxr : findings concerning for early right lower lobe pneumonia. mild volume overload. labs: 09:21pm ph-7.26* comments-serum 09:21pm freeca-0.89* 08:30pm glucose-103 urea n-122* creat-19.8*# sodium-141 potassium-5.5* chloride-100 total co2-15* anion gap-32* 08:30pm calcium-7.3* phosphate-12.8*# magnesium-2.7* 08:30pm wbc-2.1* rbc-2.39* hgb-8.4* hct-24.2* mcv-102* mch-35.2* mchc-34.7 rdw-20.4* 08:30pm neuts-72.0* lymphs-22.6 monos-2.9 eos-2.2 basos-0.3 08:30pm anisocyt-2+ macrocyt-3+ 08:30pm plt count-75* 06:20pm glucose-22* urea n-136* creat-21.4*# sodium-142 potassium-5.8* chloride-100 total co2-12* anion gap-36* 06:20pm alt(sgpt)-32 ast(sgot)-27 ck(cpk)-274* alk phos-93 amylase-191* tot bili-0.4 06:20pm lipase-33 06:20pm ctropnt-0.07* 06:20pm albumin-4.1 calcium-6.2* 06:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:20pm wbc-3.2* rbc-2.44* hgb-8.8* hct-25.0* mcv-102* mch-36.1* mchc-35.3* rdw-20.3* 06:20pm neuts-68.7 lymphs-24.1 monos-5.1 eos-1.7 basos-0.5 06:20pm anisocyt-2+ macrocyt-3+ 06:20pm plt smr-very low plt count-72* 06:20pm pt-13.6 ptt-25.9 inr(pt)-1.2 06:09pm k+-6.9* brief hospital course: following dialysis in the micu, mr. was transferred to , under dr. on for further care. 1. seizure likely a tonic-clonic seizure (pt reports symptoms consistent with ??????s paralysis and tongue biting) with loss of consciousness in the setting of hypoglycemia. the hypoglycemia resulted from the administration of insulin followed by glucose in the ed while attempting to resolve the hyperkalemia. the hypoglycemia resolved with 2 amps d5, and there have been no seizures since. 2. acute on esrd causing hyperkalemia esrd likely due to hiv nephropathy; acute flair secondary to missed dialysis insult. upon admission, patient creatinine was 19.8, bun 122, phosphate 7.26. patient received 5 sessions of hemodialysis throughout this admission. hyperkalemia, bun and creatinine normalized over course following each subsequent dialysis session, with cr noted at 8.9 the day before discharge. uremia caused pruritis (improved on benadryl and sarna lotion) which resolved with dialysis. phosphate trended down with calcium carbonate and renagel. patient was put on nephrocaps throughout stay. 3. anemia increased mcv most likely secondary to poor epo production from esrd, and poor medication compliance (he is prescribed epogen at home but had been unreliable in taking it); alternatively it is consistent with a picture of alcohol use or also characteristic of being on a haart regimen. hct was 25 on admission (which appears to be the patient's baseline) and it has remained stable. hct 27 at discharge. 4. htn bp in ed 226/134. bp poorly controlled due to patient non-compliance with medications. he was intially continued on his home medications (labetolol 600mg tid, hydralazine 10mg tid, enapril 10mg qd). this regimen was changed to labetolol 600mg tid, amlodipine 10mg qd, enapril 10mg qd. labetolol was discontinued in favor of reducing the number of medications, and atenolol 50mg qd was begun. the patient did very well, maintaining blood pressures ~120-130/70-80 at time of discharge. we discuss with him the importance of taking bp medications as prescribed; he has expressed a committment to improving his medication adherence following discharge. 5. gi diarrhea on admission, resolved after 1 day. following the diarrhea patient did not have a bowel movement while in house. cultures for c.diff, mac, microsporidiosis, parasite ordered to rule out infectious colitis. discharged on stool softeners. 6. pancytopenia, chronic likely hiv-associated. cmv viral load negative; cmv igg was positive, cmv igm negative indicating past cmv infection. bone marrow biopsy done prior to admission as an outpatient; recommend follow up on these results with pcp. 7. immunocompromised status hiv/aids (dz ) cd4 count is 90; patient is not haart compliant. held haart while in house. will consider restarting haart regimen when patient can demonstrate capability in drug adherence with his other medication. continue outpatient regimen of inhaled pentamidine once monthly (last given ) for pcp . azithromycin for mac prophylaxis was given once, but discontinued after concerns of a rising eosinophil count (range was 6.2-20). the most likely etiology of his eosinophilia is hiv-related vs. a drug reaction and does not warrent further work-up (skiest et ., clinical significance of eosinophilia in hiv-infected individuals. the american journal of medicine, ) but we recommend that the eosinophil count be followed as an outpatient given that the patient complains of pruritis. patient positive for hepatitis c, likely secondary to iv drug use. never been on treatment. recommend outpatient follow up with us abdomen to rule out hepatomas and visualize portal vein every 6months to 1 year; alpha-fetoprotein levels to rule out hepatocellular carcinoma; viral load and genotype to determine best treatment. 8. polysubstance abuse hx cocaine and alcohol use, although tox screen was negative. issues stable throughout hospital course by empirically treating him with mvi, b12, folate. patient met with social work re. drug non-compliance, substance abuse and housing post-discharge. social work discussed joining addiction program, which patient is amenable to. patient has been asked to contact the program post-discharge to set up a date for admission. 9. h/o dvts per previous admission, patient was found to have right femoral dvt secondary to placement of indwelling line. (he has no risk factors for hypercoaguability). he was treated with iv heparin and started on po coumadin 3mg, which was increased over 2 days to coumadin 10mg with a goal ptt 60-80 and goal inr . once therapeutic, dose was reduced to 5mg daily of coumadin. pt inr was found to be therapeutic on day of discharge, the heparin iv was d/c'd with anticipation of inr f/u at the . 10. diabetes mellitus likely type ii. while in house, we put him of an insulin sliding scale, however he only needed one dose of humolog on when his blood glucose was 184. for the remainder of his hospital stay, his range of blood glucose varied from 99-142. nutrition came to discuss diabetic diet options. 11. neuropathy hiv-associated peripheral neuropathy vs. diabetic neuropathy. he was started on neurontin 100mg po hs and transitioned to 100mg tid plus 125mg supplemental post hemodialysis. medications on admission: renagel 800 tid nephrocaps coumadin 3mg qd gabapentin 300 mg labetalol hcl 600 mg tid hydralazine 60 mg diltiazem hcl 120 mg qd enalapril 20 mg losartan potassium 50 mg qd abacavir sulfate 300 mg lopinavir-ritonavir tenofovir 300 mg qwk discharge medications: 1. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*0* 2. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po qd (once a day). disp:*30 cap(s)* refills:*0* 3. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical twice a day as needed. disp:*1 tube* refills:*0* 4. enalapril maleate 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 5. amlodipine besylate 5 mg tablet sig: two (2) tablet po qd (once a day). disp:*60 tablet(s)* refills:*2* 6. atenolol 50 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 7. warfarin sodium 5 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 8. gabapentin 100 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. hyperkalemia 2. esrd 3. htn 4. hiv/aids discharge condition: fair discharge instructions: return to emergency department if you experience chest pain, shortness of breath, abdominal pain, fevers, chills, or night sweats. followup instructions: follow up with dr. within 1 week of discharge. procedure: hemodialysis diagnoses: hyperpotassemia nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere acute kidney failure, unspecified unspecified viral hepatitis c without hepatic coma other convulsions human immunodeficiency virus [hiv] disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled personal history of noncompliance with medical treatment, presenting hazards to health unspecified hereditary and idiopathic peripheral neuropathy 

Answer: The patient is high likely exposed to