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: this was a 40-year-old haitian from hospital after a recent stay in the intensive care unit on to . she initially presented with complaints of headache, anorexia, shortness of breath, and fevers. she was found to have adult respiratory distress syndrome requiring paralytics persistent hypotension requiring pressors on several occasions; reportedly responsive to steroids. she was treated with broad-spectrum antibiotics, antivirals, and antifungals and developed acute renal failure secondary to amphotericin. she required an insulin drip for glucose control. she was eventually weaned mostly from ventilator but did require a tracheostomy. her persistent fevers led to a repeat bronchoscopy which grew herpes simplex virus. she had episodes of pulmonary edema but related to volume resuscitation and tachycardia. an esophagogastroduodenoscopy tube was placed for nutrition. she was transferred to on . on that day, the patient was seen by dr. and was noted to be hypotensive. intravenous phenylephrine was started at but apparently turned off for the ambulance ride. on transfer, ambulance personnel noted difficulty bagging the patient and stopped in the emergency department. there, she was found to be hypoxic with a bradycardic arrest which responded to epinephrine, atropine, and cardiopulmonary resuscitation. she arrived in the intensive care unit unresponsive. past medical history: 1. acquired immunodeficiency syndrome. 2. cerebral toxoplasmosis. 3. seizure disorder since . 4. history of tuberculosis; status post isoniazid. 5. history of adult respiratory distress syndrome secondary to pneumococcal sepsis. 6. history of methicillin-resistant staphylococcus aureus infection of decubitus ulcer. 7. human papilloma virus infection. 8. herpes simplex virus infection found on bronchoscopy on . 9. history of candidal esophagitis. 10. premature ovarian failure. 11. hypoparathyroidism. 12. hypotension. 13. question addison's disease. 14. empty sellar syndrome. 15. hypothyroidism. medications on admission: 1. 350 mg three times daily. 2. vancomycin 1 g once daily. 3. metronidazole 500 mg three times daily. 4. sulfadiazine 500 mg four times daily. 5. pantoprazole 40 mg once daily. 6. prednisone 10 mg three times daily. 7. leucovorin 10 mg once daily. 8. ceftazidime 2 g once daily. 9. amphotericin lipid complex 300 mg once daily. 10. phenytoin 200 mg three times daily. 11. pyrimethamine 50 mg once daily. 12. levothyroxine 100 mg once daily. 13. sertraline 75 mg once daily. 14. regular insulin sliding-scale. 15. nph insulin 30 units subcutaneously q.a.m. and 20 units subcutaneously q.h.s. 16. zolpidem 5 mg as needed. 17. ativan as needed. 18. morphine sulfate as needed. allergies: penicillin, reported to sulfa but known to tolerate trimethoprim/sulfamethoxazole, imipenem (causing thrombocytopenia), pentamidine. social history: the patient moved from 15 years ago. she has a husband and daughter. tobacco, alcohol, or intravenous drug use. physical examination on presentation: temperature was 101.1 axillary, heart rate was 115, blood pressure was 134/93 in intravenous phenylephrine drip, respiratory rate was 24 on pressor support ventilation 15 cm of water plus continuous positive airway pressure of 5 cm of water, fio2 of 1; oxygen saturation was 100% on these settings, intravenous pressure was 12. an overweight black female with tracheostomy. the neck was supple without jugular venous distention or lymphadenopathy. the lungs with coarse breath sounds bilaterally. heart was tachycardic with a regular rhythm and normal heart sounds. abdomen with a few bowel sounds, softly distended, tympanitic, jejunostomy tube in place with no apparent tenderness. guaiac-negative green stool in rectal bag. extremities with 2+ distal pulses. no edema. the skin appeared dry. mucous membranes appeared dry. neurologically, she was responsive to painful stimuli, moved all extremities spontaneously with 1+ biceps, patellar, and achilles reflexes. bilateral upgoing toes. pertinent laboratory values on presentation: arterial blood gas in the emergency department revealed ph was 6.4, pco2 was 220, po2 was 73, lactate was 12.4; improving to a ph of 7.07, pco2 of 100, and then to ph of 7.35, pco2 of 46, with a lactate of 2, and a po2 of 87. sodium was 139 and potassium was 4.1. hematocrit was 28. ionized calcium was 1.14. laboratory data from on revealed white blood cell count was 20 (with 85 polymorphonuclear cells, 9 lymphocytes, and 6 monocytes), hematocrit was 22.5, and platelets were 150. sodium was 140, potassium was 4.4, chloride was 107, bicarbonate was 22, blood urea nitrogen was 24, creatinine was 2.2, and blood glucose was 140. ast was 1.8, alt was 24, alkaline phosphatase was 110, ldh was 322, amylase was 45, lipase was 197. calcium was 7.6, magnesium was 1.3, phosphate was 4.7. albumin was 1.8. phenytoin level was 5.2. prothrombin time was 50.6. inr was 1.8. partial thromboplastin time was 33.1. on arrival to the intensive care unit white blood cell count was 22.6, hematocrit was 26.4, and platelets were 158. prothrombin was 16.2, inr was 1.7, partial thromboplastin time was 29.8. sodium was 139, potassium was 3.2, chloride was 104, bicarbonate was 22, blood urea nitrogen was 27, creatinine was 1.8, and blood glucose was 183. ast was 25, alt was 11, ldh was 532. creatine kinase was 36. alkaline phosphatase was 115, total bilirubin was 0.3. calcium was 7.2, magnesium was 1.5, phosphate was 7.1. albumin was 2.1. microbiology from last admission showed methicillin-resistant staphylococcus aureus growing from on multiple occasions and herpes simplex virus growing from bronchoalveolar lavage several times. radiology/imaging: a chest x-ray revealed increased air space disease with persistent interstitial disease, right internal jugular catheter and right peripherally inserted catheter in place. tracheostomy in good position. electrocardiogram revealed sinus bradycardia at 27, with a long p-r interval. hospital course: the patient's respiratory arrest was felt to have a very broad differential. she received supportive care with blood, urine, and cultures. broad-spectrum antibiotics were continued and stress-dose steroids were given for relative adrenal insufficiency. pyrimethamine for toxoplasmosis history and for her herpes simplex virus infection were continued. ms. decreased neurologic status was felt to be quite concerning for anoxic brain injury. the neurology service was consulted. a computed tomography scan of the head was ordered as well as electroencephalogram. dilantin was reloaded for a low level. infectious disease consultation recommended discontinuation of ; which was done. vancomycin, ceftazidime, metronidazole, and ampicillin were continued. the patient tolerated pressure support ventilation easily and responded to furosemide for diuresis. the neurology consultation felt the patient to be minimally responsive; likely due to anoxic brain injury. they agreed with workup in progress and recommended re-evaluating neurologic examination over several days to evaluate for prognosis. while ventilation was easy, the patient required neuromuscular paralysis because she was continually biting her tongue. after an oral airway was placed, it was possible to discontinue paralysis, and the patient remained comfortable on pressor support ventilation. a lumbar puncture was attempted on and failed. it was noted that lumbar puncture had been attempted the week prior with no success, and this procedure was not again repeated after this attempt. as sedation was weaned, the patient was able to open her eyes intermittently and move purposefully, but had no meaningful interaction. pressor support was decreased to a certain extent, but the patient was unable to become independent of the ventilator. levels of positive end-expiratory pressure were required at all times for the patient's comfort. she continued to receive occasional lorazepam for increased agitation. final report of electroencephalogram showed minimal activity. the patient continued to have fevers during the last week of . by , there was a high concern that the patient would be in a persistent vegetative state. discussions continued with the family over the level of aggressiveness the patient would want; and in the meantime, metabolic abnormalities such as hyponatremia and anemia were addressed. on , it was felt that the patient was likely to remain in a persistent vegetative state, and the possibility of withdrawal of life support was discussed with the family on . extensive discussions were had with the patient's husband from this time on. he understood that his wife had suffered significant cortical anoxic brain injury and had a poor prognosis for recovery. he stated at that time that he wished for to have no further procedures; including no lumbar puncture, new central venous access, arterial access, lung biopsy, or blood products. on , ms. blood cultures grew methicillin-resistant staphylococcus aureus. her husband was by the pulmonary fellow (dr. ) and informed that the patient had a lethal blood infection which could only be treated by changing her central intravenous access. mr. that he understood, but affirmed his wishes to not place any new central lines or perform invasive procedures. mr. and his family were continually informed that the medical team did not feel that further medical intervention would improve ms. prognosis or comfort, but for several days the family remainder uncomfortable with withdrawing life support. on , the patient's family met with dr. and with dr. from the ethic support service. at this time, all parties agreed to respect 's prior wishes to not continue aggressive interventions. on that day, 's care was changed to focus on comfort; however, the family felt that was comfortable on ventilator support and wished this to be continued. all intravenous medications, fluids, and laboratory draws were otherwise discontinued; including intravenous phenylephrine. morphine was ordered to administered as needed for discomfort; however, the family did not want prophylactic continuous morphine infusion. the patient was continued with ventilatory support and as needed morphine sulfate until . on , a medical intensive care unit house officer was called to pronounce the patient's death at 6:29 p.m. pupils were fixed and dilated. no spontaneous heart beat or breathing. asystole by telemetry. the patient's husband was called and notified at 6:40 p.m. a postmortem examination was declined. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube diagnoses: hyposmolality and/or hyponatremia methicillin susceptible staphylococcus aureus septicemia human immunodeficiency virus [hiv] disease acute respiratory failure cardiac arrest methicillin susceptible pneumonia due to staphylococcus aureus infection and inflammatory reaction due to other vascular device, implant, and graft 

Answer: The patient is high likely exposed to