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: penicillins / codeine / bactrim / motrin / prednisone attending: chief complaint: gi bleed major surgical or invasive procedure: esophagoduodenoscopy (endoscopy) history of present illness: mr. is a 43 year old male with h/o hiv most recent cd4 count of 117, hcv cirrhosis with known portal hypertension who presented from clinic with one month of intermittent ruq abdominal pain, nausea, vomiting of yellow material occasionally mixed with red flecks or occasionally black material. the ruq abdominal pain, would usually happen about twice per day, he described the pain as a "sucking in" feeling and would last about 5-10 minutes. the pain was not worsened by eating, did not improve with bowel movements and resolved without any intervention. the vomiting was also not related to food intake, and he also has been having some brb on the toilet paper, but denies any melena. denies any associated lightheadedness, dizziness, cp or sob. went to clinic today, where he was found to be guaiac positive on rectal, and given his symptoms was referred to the er by dr. . . in the ed, initial vs were: t-98.3, p-62, bp-112/75, r-20, 95% on ra o2 sat. he had an ng lavage during which he had a nosebleed so difficult to tell where the bleeding was coming from, but cleared with 500cc's ns. his hct was at baseline, as were his platelets, coags only mildly elevated with inr of 1.3. he triggered for bradycardia, ekg showed sinus bradycardia, and per the patient his baseline hr is in the 40's to 60's. patient was given protonix, ceftriaxone, octreotide gtt and was admitted to the icu for an egd tonight. . on the floor, initial vs were: 99.2, 49, 134/89, 12, 96% on ra. he currently has no complaints, denies any abdominal pain, cp, sob, n/v, lh, dizziness. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies cough, shortness of breath. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: # multiple previous hospitalizations for heroin abuse/ivdu related detoxification # depression and si/sa # multiple overdoses on pills and heroin # antisocial behaviour # hiv, on harrt # hepatitis c virus/chronic infection # asthma # diabetes mellitus -type ii # hypertension # partial complex seizure disorder # scrotal abscess s/p i&d # liver cirrhosis # hepatic encephalopathy # pancytopenia social history: extensive polysubstance abuse history with ivdu with heroin use since age 13-14. also has record of etoh abuse per omr notes. last used heroin on day of admission. he smokes about 1ppd. currently on disability and unemployed. per prior omr records he is widowed as his wife committed suicide a few years ago. he had 5 young children all under the age of 14 who were then placed in dss, now a maternal grandmother cares for the children. he also has 2 grown children in their 20s now from a first marriage. he keeps in touch with a sister who lives in . he appears to live in a group home: , . family history: he has a son with adhd. no notable family history of any cancers. he states there is a strong family history of diabetes on both maternal and paternal sides. physical exam: admission physical exam general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs 01:15pm blood wbc-2.1* rbc-3.95* hgb-12.3* hct-34.9* mcv-88 mch-31.1 mchc-35.2* rdw-14.9 plt ct-62* 01:15pm blood neuts-52.4 lymphs-42.7* monos-3.4 eos-1.2 baso-0.2 01:15pm blood plt ct-62* 01:15pm blood pt-14.4* ptt-31.0 inr(pt)-1.3* 01:15pm blood glucose-96 urean-16 creat-1.1 na-138 k-4.6 cl-104 hco3-25 angap-14 04:14pm blood lactate-0.6 01:35pm blood glucose-90 k-4.6 01:35pm blood hgb-12.5* calchct-38 egd () impression: granularity, erythema and abnormal vascularity in the fundus and antrum compatible with gastritis / portal hypertensive gastropathy otherwise normal egd to third part of the duodenum brief hospital course: as there was concern for an upper gi bleed, the hepatology team felt an egd within the first 12 hours of reported bleed for a possible variceal source was an important intervention. as such, the patient was admitted to the medical icu. anesthesia was called to assess the patient, as a propofol drip was required (fentanyl and versed could not be used given the patient's use of suboxone and haart therapies). mr. was kept npo for the procedure, and received an octreotide drip and iv ppi prior to the scope. the patient was noted to have mild gastritis on egd with no source of bleeding. after the procedure, he was restarted on his home medications, his iv ppi was converted to po, and his octreotide drip was stopped. he was started on a clear liquid diet, which was advanced to a regular diet with carb control and low sodium. he was then monitored overnight in the icu and remained hemodynamically stable. dr. office will set up a follow up appointment for mr. after his discharge. he will require a colonoscopy as an outpatient medications on admission: albuterol 90mcg aerosol take 2puffs every 4-6 hours as needed atazanavir 300 mg daily citalopram 40 mg tablet daily clonazepam 0.5 mg tablet 1 tablet(s) by mouth three times a day clonidine 0.2 mg three times a day emtricitabine-tenofovir 200 mg-300 mg 1 tablet daily flovent hfa 220mcg one puff inh twice a day folic acid 1 mg daily levetiracetam 1,000 mg 1.5 tablet(s) by mouth twice daily omeprazole 40 mg daily, 12 hours from reyataz prochlorperazine maleate 5 mg tablet(s) by mouth four times daily as needed for nausea ritonavir 100 mg daily seroquel 200mg at bedtime suboxone 8mg-2mg take one tablet under the tongue twice a day zyprexa zydis 20mg by mouth at bedtime thiamine hcl 100 mg daily discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours) as needed for sob/wheezing. 2. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 3. clonidine 0.1 mg tablet sig: two (2) tablet po tid (3 times a day). 4. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po daily (daily). 5. clonazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 6. fluticasone 110 mcg/actuation aerosol sig: one (1) puff inhalation (2 times a day). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. levetiracetam 500 mg tablet sig: three (3) tablet po bid (2 times a day). 9. prochlorperazine maleate 10 mg tablet sig: 0.5-1 tablet po q6h (every 6 hours) as needed for nausea. 10. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 11. quetiapine 50 mg tablet sig: four (4) tablet po qhs (once a day (at bedtime)). 12. buprenorphine-naloxone 8-2 mg tablet, sublingual sig: one (1) tablet sublingual (2 times a day). 13. olanzapine 5 mg tablet, rapid dissolve sig: four (4) tablet, rapid dissolve po qhs (once a day (at bedtime)). 14. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 15. atazanavir 150 mg capsule sig: two (2) capsule po daily (daily). 16. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day: take at least 12 hours away from atazanavir. discharge disposition: home discharge diagnosis: gastritis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the for a gastrointestinal bleed. while you were here, you were admitted to the medical icu, and had an endoscopic study for a possible bleed coming from the veins in your esophagus. the study was normal, and your regular home medications were started. followup instructions: please see your pcp or id physician as needed for continued care. procedure: other endoscopy of small intestine diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension asthma, unspecified type, unspecified human immunodeficiency virus [hiv] disease hemorrhage of gastrointestinal tract, unspecified other specified disorders of stomach and duodenum unspecified gastritis and gastroduodenitis, without mention of hemorrhage 

Answer: The patient is high likely exposed to