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: lithium / penicillins / grapefruit attending: chief complaint: swallowed a spoon major surgical or invasive procedure: 1. endotracheal intubation 2. esophagogastroduodenoscopy with retrieval of foreign body history of present illness: 31 yo female with ptsd and hiv admitted from the ed s/p having swallowed a spoon. . per records patient is a 31 yo f with known history of foreign body injestion that presents to the ed with swallowing a spoon. brought in by ems. per report the patient has had several such experiences recently and has had foreign body removal at other hospitals. . today, patient admitted for foreign body removal but felt that the patient would benefit from transfer to have intubation prior to the procedure. (unclear from the notes if the procedure was attempted today). . upon arrival to the micu the patient was very agitated and would not stop yelling, trying to leave her room. she was given ativan and haldol and morphine with good effect. however, patient still with agitation and security sitter was required. . currently the patient endorses no symptoms but is not cooperative with the exam. past medical history: hiv+ cd4 (absolute) is 158, hiv viral load is not known hep c chronic anemia ? of seizure disorder ptsd eating d/o with emesis and electrolyte disturbance bipolar d/o psychosis w/auditory hallucinations, self injurious behavior borderline personality disorder social history: pt lives at psych facility. has legal guardian, . reported history of cocaine use, although patient denies. family history: patient would not answer questions. physical exam: vs: 97.1 79 bp 92/62 o2 99% ra gen: nad, resting in bed, but easily agitated heent: perrla, eomi, sclera anicteric, op clear, mmm, no jvd. cv: regular, nl s1, s2, no m/r/g. pulm: cta b abd: soft,diffusely tender, would not allow in depth exam, + bs ext: warm, 2+ dp/radial pulses bl, no edema. neuro: alert & oriented x 3, cn ii-xii grossly intact. pertinent results: 11:20pm wbc-3.5* rbc-4.22 hgb-11.6* hct-34.9* mcv-83 mch-27.5 mchc-33.3 rdw-15.7* 11:20pm neuts-73.4* lymphs-19.4 monos-5.2 eos-1.0 basos-1.0 11:20pm asa-neg ethanol-neg carbamzpn-<1.0* acetmnphn-neg cyclsprn-less than bnzodzpn-neg barbitrt-neg tricyclic-neg cxr: the heart is normal in size. the mediastinal and hilar contours are unremarkable. the right costophrenic angle is excluded from this film. the lungs are clear. there is no left pleural effusion. the soft tissues and osseous structures are unremarkable. axr: high-density material is present within the sigmoid colon possibly due to metal based medication. there is no evidence of radiopaque foreign body. there are no distended loops of small bowel or air-fluid levels. the soft tissues and osseous structures are unremarkable. brief hospital course: 31 yo female with ptsd, hiv, and history of foreign body ingestions was admitted s/p swallowing a plastic spoon and actively hearing voices. . 1. ingestion of foreign body: history of such behavior in the past. will need further psych treatment to prevent this. egd with conscious sedation and intubation performed in icu and gold-colored plastic spoon was removed. linear erosion noted in teh stomach, so patient should continue on ppi therapy. . 2. bipolar disorder with psychotic features. patient with a history of psychosis and bipolar disorder. was evaluated by psychiatry and recommended transfer back to . continue olanzapine, bupropion, and prozac. received ativan, haldol, and seroquel prn agitation. . 3. hiv: per records received from , not currently on treatment, as behavioral problems preclude reliable compliance with haart. continue valacyclovir and bactrim prophylaxis. . 4. hypotension: the patient was found to be hypotensive today during code purple. improved with iv fluids, patient was likely dehydrated secondary to poor intake and abdominal pain. does not appear dry currently. bp stable with map >60, systolic bp 80-90. . # fen: continue mvi, calcium, thiamine, iron # ppx: heparin sc, bowel regimen, ppi # code: full medications on admission: albuterol 2 puffs q4h prn olanzapine 10mg po bid colace 100mg po qhs iron 325mg po bid valacyclovir 1gm po daily prilosec 20mg po daily kcl 20meq po qid bactrium 400/80 mg po daily thiamine 100mg po dialy bupropion sr 100mg po daily calcium 500mg po daily prozac 20mg po qam mvi 1 tab po daily psyllium packet prn constipation guaifenesin prn cough haldol 5mg po q4h prn agitation ativan 3mg po q4h prn agitation seroquel 300mg po q6h prn agitation tylenol 650mg po q6h prn pain/fever benadryl 75mg po q4h prn agitation magnesium hydroxide 30ml qid prn ingestion discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 2. bupropion 100 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 5. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 6. hexavitamin tablet sig: one (1) cap po daily (daily). 7. olanzapine 10 mg tablet sig: one (1) tablet po bid (2 times a day). 8. quetiapine 100 mg tablet sig: three (3) tablet po q6h (every 6 hours) as needed. 9. bactrim 400-80 mg tablet sig: one (1) tablet po once a day. 10. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 11. valacyclovir 1 g tablet sig: one (1) tablet po once a day. 12. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 13. colace 100 mg capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: - discharge diagnosis: 1. foreign body in gi tract 2. bipolar disorder 3. post-traumatic stress disorder 4. bulimia 5. hiv + 6. hep c + discharge condition: good discharge instructions: you were admitted for removal of a foreign body from your gi tract after you had swallowed a spoon. followup instructions: with your pcp as needed. procedure: other endoscopy of small intestine removal of intraluminal foreign body from stomach and small intestine without incision diagnoses: anemia, unspecified chronic hepatitis c without mention of hepatic coma hypotension, unspecified dehydration bipolar disorder, unspecified asymptomatic human immunodeficiency virus [hiv] infection status foreign body accidentally entering other orifice unspecified psychosis posttraumatic stress disorder borderline personality disorder foreign body in digestive system, unspecified 

Answer: The patient is high likely exposed to