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 / ceftriaxone attending: chief complaint: altered mental status major surgical or invasive procedure: none history of present illness: 46 yo female with history of poorly controlled hiv/aids ( cd4: 3; vl: >100,000), not on haart who presents from her nursing home with decreased mental status. finished cipro 500mg on . patient was recently admitted to for a clogged peg tube. patient was recently admitted to 1/1-14-07 for uti and ? meningitis. . in the ed the patient was afebrile and hemodynamically stable. blood glucose was off range and patient was started on an insulin gtt. patient given 4l ns, flagyl 500mg, levoflox 750mg. seen by pcp who was concerned for pancreatitis and/or infection. . on arrival to the micu patient was confused. . micu course: : lp overnight. broad abx and antifungals given. : ruq ultrasound only sig. for sludge in gb. narrowed coverage. will d/w id re haart and pelvic abscesses (seen on ct). will d/w pcp and hcp re code status. started on gentamycin for better gnr coverage. gi- mrcp shows hiv cholangiopathy, will not do ercp. r/o for tuberculosis started per id. d/c ambisome, acyclovir, bactrim. restarted on prophylactic dose of bactrim. . abx: : started on gentomycin and levaquin d/c'd ambisome d/c'd (no crypto in csf), acyclovir d/c'd (no hsv in csf). . transferred to the floor for continued care. past medical history: hiv/aids: cd4 3, vl >100,000 not on haart - ? aids dementia/ftt - ppd negative - pneumovax seizure disorder s/p right mca cva pancytopenia gerd bladder incontinence social history: the patient is a resident at nursing home. she is reported to follow commands but have altered communication at baseline. tobacco: previous use, unknown etoh: previous abuse, amount unknown illicits: none reported family history: nc physical exam: vs - 95.7(ax) 108 131/85 17 100@ 3lnc gen - confused, agitated, patient extremely uncooperative with exam. flailing and contracting. heent - dry mm neck - supple, + cervical lad cor - tachy, no murmurs chest - clear but poor airmovement and moaning abd - tender to palpation, + bs, no rebound, no guarding ext - no edema, r heel with decub ulcer, decub on coccyx and breakdown of skin around labia. neuro - l hemiparesis, unable to eval pupils because patient is clamping eyes down. seems to be neglecting l side. . pertinent results: reports: ekg: sinus tach 120 na/ni, peaked t's v2-4 with <1mm st elev . ct chest/abd/pelvis: 1. bilateral pneumonia, in a pattern suggesting aspiration. (tree and ) 2. multiple small abscesses in musculature of pelvis. 3. hypoenhancing pancreatic tail, without focal fluid collection. evidence of background chronic pancreatitis, with diffuse pancreatic calcifications and dilation of pancreatic duct to 4 mm. . ct head: 1. left mastoid air cell opacification, indicating probable mastoiditis. 2. limited study, but no gross intracranial hemorrhage. . cxr: unresolving left lower lobe/retrocardiac opacity. given stability of findings dating back to , a ct examination is recommended to rule out a postobstructive process. . 03:03am blood caltibc-164* vitb12-1508* folate->20 hapto-99 ferritn-greater th trf-126* 01:55pm blood lipase-260* 02:10pm blood lipase-666* ggt-1138* 08:20am blood lipase-240* ggt-1298* 01:55pm blood alt-188* ast-499* alkphos-1400* amylase-258* totbili-0.6 01:55pm blood glucose-685* urean-40* creat-1.1 na-139 k-4.7 cl-104 hco3-25 angap-15 05:00am blood glucose-221* urean-8 creat-0.4 na-141 k-3.7 cl-114* hco3-19* angap-12 08:05am blood fibrino-407* d-dimer-2757* 01:55pm blood plt ct-166 01:55pm blood wbc-6.0# rbc-2.60* hgb-9.3* hct-27.3* mcv-105* mch-35.8* mchc-34.1 rdw-17.5* plt ct-166 05:45pm blood wbc-5.7# rbc-2.04* hgb-7.1* hct-20.9* mcv-102* mch-34.6* mchc-33.7 rdw-18.7* plt ct-118* 12:34am cerebrospinal fluid (csf) wbc-1 rbc-0 polys-0 lymphs-100 monos-0 12:34am cerebrospinal fluid (csf) totprot-104* glucose-228 . findings: the examination is limited due to patient motion. there is bibasilar airspace disease which may be atelectasis or infection. again seen is trace pericholecystic fluid which was seen on ct scan. there is no evidence of gallstones. there is no intra- or extra-hepatic biliary ductal dilatation. no focal intrahepatic lesions are demonstrated. there is no evidence of choledocholithiasis. there is a slight strandy increased t2 signal intensity surrounding the tail of the pancreas, most consistent with pancreatitis as seen on ct scan. no focal mass is demonstrated, although the images are limited due to patient motion. there is no evidence of pancreatic duct dilatation. the adrenal glands and left kidney are unremarkable. there is a 5-mm cyst at the interpolar region of the right kidney. there is no lymphadenopathy. a transpyloric tube is seen which is coiled in the duodenum as seen on ct scan. edema is seen within the musculature of the lower extremities bilaterally, only partially imaged. there is normal bone marrow signal intensity. impression: 1. no evidence of intra- or extra-hepatic biliary ductal dilatation. no evidence of choledocholithiasis. 2. trace pericholecystic fluid without evidence of gallstones or gallbladder wall thickening or distention. 3. findings consistent with edema in the region of the pancreatic tail, most likely secondary to pancreatitis. the examination is limited due to patient motion; however, no definite pancreatic mass is demonstrated. 4. bibasilar airspace disease, atelectasis or infection. 5. bilateral edema within the lower extremity musculature. brief hospital course: the patient was initially admitted to the icu for further workup, had multiples studies done including mrcp, ct head, lp. workup disclosed ?aids cholangiopathy and pancreatitis. eventually called out to floor. family meeting held between pcp (dr. , dr. and family. decision was made to make pt given extremely poor prognosis. pt expired at 16:05 on /7. medications on admission: 1. ascorbic acid 500mg 2. azithromycin 600 mg po qthurs 3. bisacodyl 10 mg qhs prn 4. ciprofloxacin 500 po q12h 7 days (finished ) 5. hyoscyamine sulfate 0.125 mg qid 6. keppra 500mg 7. magnesium hydroxide 400mg/5ml - 30ml q6h prn 8. mvi 9. senna 8.6mg qhs 10. zinc sulfate 220mg qday 11. bactrim 80-400mg qday 12. humalog insulin per sliding scale 13. jevity 1.2 goal 60cc/hr . discharge medications: n/a discharge disposition: expired discharge diagnosis: aids dementia hiv ?aids cholangiopathy aids dementia hiv ?aids cholangiopathy discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified spinal tap incision of lung enteral infusion of concentrated nutritional substances percutaneous abdominal drainage diagnoses: pneumonia, organism unspecified acidosis urinary tract infection, site not specified unspecified protein-calorie malnutrition human immunodeficiency virus [hiv] disease epilepsy, unspecified, without mention of intractable epilepsy dementia in conditions classified elsewhere without behavioral disturbance pressure ulcer, heel acute pancreatitis chronic or unspecified parametritis and pelvic cellulitis 

Answer: The patient is high likely exposed to