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: bactrim ds / ferrous sulfate attending: chief complaint: chest pain, stemi major surgical or invasive procedure: right and left heart cardiac catheterization with bare metal stent placement to the left anterior descending artery . history of present illness: 49 yo haitian male with hx of hiv (cd4 324, vl < 50 ), who presented to the ed with chest pain. he states that it started after a bm in the am. he describes it as substernal radiates to throat and forearms bilaterally and worse with inspiration. he had dizziness, but no sob. pt developed anterioseptal st elevations on ekg. he was rushed to cath lab where he had 100% ostial lad occlusion and 2 bms were placed. he was cp free upon arrival to the ccu, but hypoxic to the 70s (sat) and 90s. past medical history: 1. hiv-last cd4 324, vl < 50 - dx , acquired from sexual contact on 2. hep a and hep b both cleared 3. hypereosinophilia 4. internal hemorrhoids social history: he denies any alcohol, tobacco or drugs. he is separated from his wife and living with a new girldfriend. he has two children ages 6 and 10, who are well. he works in banquets. he has lived in for approximately six to seven years and he arrived in the u.s. in his 30's from . he is the son of father and a haitian mother. family history: both parents with hypertension and type ii diabetes. physical exam: t 97.2 hr 109 bp 116/72 rr 32 o2sat on 87% nrb gen: middle aged black man in moderate respiratory distress, shivering heent - mmm, perrl hrt- tachycardic, lungs- coarse bs throughout abd- +bs, soft, ntnd extrem- 2+ pulses, groin neuro- nonfocal pertinent results: 10:40am ck-mb-2 ctropnt-<0.01 07:15pm ck-mb-100* mb indx-10.8* ctropnt-0.95* 05:07am blood ck-mb-329* mb indx-11.3* ctropnt-6.58* 09:47am blood ck-mb-258* mb indx-9.4* ctropnt-6.19* . direct influenza a antigen test (final ): positive for influenza a viral antigen. . ecgs: in ed: 10:30 am equivical ste in v1, v2, v3, reciprical std in ii, iii, v5, v6 in ed: 11:22 am evolving ste with tombstoning in v2, v3, loss of r waves in precordial leads, same reciprical changes as 10:30 in ed: 19:12 aivr, wide complex tachycardia with a-v dissociation post pci: ste in v1-v4 with loss of r-waves in precordium . cardiac cath (): selective coronary angiography of this right dominant system revealed 100% stump occluded lad. lmca, lcx and rca don't have obstructive coronary artery disease. resting hemodynamics was performed. the mean right atrial pressure was 8mmhg, rv pressure was 45/9mmhg, mean pcwp was 23mmhg with a wave of 23mmhg and v wave of 33mmhg. the cardiac output was 4.32 l/min and cardiac index was 2.39 l/min/m2. successful pci of the lad with overlapping bare metal stents as detailed in this report. . echo (): ef 35-40% left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with severe hypokinesis to akinesis of the anterior septum, anterior wall, and apex. no masses or thrombi are seen in the left ventricle. trace aortic regurgitation is seen. trivial mitral regurgitation. trivial/physiologic pericardial effusion. . r leni (): acute thrombus extending along the length of the right common femoral vein down inferiorly as far as the popliteal vein. brief hospital course: pt was admitted with an anterior stemi, found to have 100% occlusion of the lad, with placment of a bare metal stent to the lad and transferred to the ccu post-cath for further management. ck's peaked at 2900 and he had a question of early pericarditis 3 days post-cath which resolved. his ef was 35-40% with anterior akinesis for which he was started on anti-coagulation for mural wall thrombus prophylaxis. pt was also started on asa, plavix, statin, lisinopril and metoprolol during hospitalization. . post-cath, his course was complicated by persistent right groin pain. radiology noted a pseudoaneurysm at the r groin area which was revisualized with us and noted to be stable. additionally was noted r common femoral->popliteal dvt, likely related to cardiac cath. anti-coagulation was continued for dvt and mural wall thromubus prohylaxis. . post-cath course was further complicated by persistent fevers, with some hypoxia. he had a positive dfa for influenza a but blood, stool and sputum cultures were all negative. an id consult was called to assist with the management of his fevers. fever was thought to be secondary to influenza or to the large thrombus burden, there was an eventual improvement in the fever curve. all other issues including his hiv were stable (cd4 > 300, vl undetectable) during this admission and pt. was discharged to home for further follow-up with his pcp and cardiac rehab. medications on admission: anusol-hc 2.5% tid colace 100mg combivir 300-150mg sustiva 600mg qhs discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lamivudine-zidovudine 150-300 mg tablet sig: one (1) tablet po bid (2 times a day). 4. efavirenz 600 mg tablet sig: one (1) tablet po daily (daily). 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. dextromethorphan-guaifenesin 10-100 mg/5 ml liquid sig: five (5) ml po q6h (every 6 hours) as needed. disp:*qs ml(s)* refills:*0* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. warfarin 2 mg tablet sig: 2 1/2 tablets po at bedtime. disp:*90 tablet(s)* refills:*2* 10. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 11. enoxaparin 80 mg/0.8 ml syringe sig: seventy (70) mg subcutaneous q12h (every 12 hours) for 6 days. disp:*qs mg* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: acute myocardial infarction, influenza, pneumonia, deep vein thrombosis. discharge condition: good. discharge instructions: please take all medications as prescribed. please keep all follow-up appointments. please call your primary care doctor, dr. (, or return to the emergency department if you experience fevers, chills, worsening cough, chest pain, chest pressure shortness of , bleeding, blood in your urine, blood in your stool, worsening leg pain or any symptoms that concern you. followup instructions: you are scheduled to see dr. on monday at 11:30am. please call ( if questions regarding this appointment. at this visit you should discuss with dr. an evaluation for hypercoagulability after your recent deep vein thrombosis (dvt), and follow-up for a spot on your liver noted on ct scan. . you are scheduled to have your inr checked at on thursday . this will be monitored by the and they will contact you regarding the results and how you should change your coumadin dose. . please call ( to schedule follow-up with a cardiologist within 1-2 weeks of discharge. procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery acute myocardial infarction of other anterior wall, initial episode of care peripheral vascular complications, not elsewhere classified cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute venous embolism and thrombosis of deep vessels of proximal lower extremity asymptomatic human immunodeficiency virus [hiv] infection status influenza with pneumonia aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to