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: service: medicine history of present illness: this is a 58 year old man with past medical history significant of autoimmune deficiency syndrome, diagnosed in , last cd4 count 132 in , viral load 15,000, chronic obstructive pulmonary disease (three liters oxygen at home), cardiomyopathy, hepatitis b hemodialysis, now admitted on , with an episode of bright red blood per rectum. workup done in , revealed grade i known bleeding internal hemorrhoids and local erosions thought to be due to enema use.. in the emergency department on admission, he was found to have positive bleeding hemorrhoids. also, initial oxygen liters which improved to 93% on 100% nonrebreather. he was in extremis. a long discussion of code status was initiated. the decline was thought to be due to an infection (aspiration pneumonitis) or a flare of chronic obstructive pulmonary disease. because of the respiratory distress, the patient was initially admitted to medical intensive care unit where he was started on levofloxacin and steroids and placed on bipap. past medical history: 1. autoimmune deficiency syndrome, diagnosed in . 2. chronic obstructive pulmonary disease. 3. cardiomyopathy secondary to hiv. 4. history of pulmonary embolism and deep vein thrombosis. 5. hepatitis c and b. 6. hemorrhoids. 7. polysubstance abuse. 8. end stage renal disease on hemodialysis. 9. history of pancreatitis. 10. history of anemia. 11. benign prostatic hypertrophy. 12. depression. 13. ppd positive. medications on admission: 1. amiodarone 200 mg q.d. 2. protonix 40 mg p.o. q.d. 3. zoloft 50 mg p.o. q.d. 4. zestril 20 mg p.o. q.d. 5. lamivudine 20 mg p.o. q.d. 6. albuterol nebulizer q.i.d. 7. lactulose 30 ml t.i.d. 8. valium 5 mg p.o. t.i.d. 9. renagel 4 mg p.o. q.i.d. 10. multivitamins. 11. methadone 50 mg q.d. 12. colace 100 mg p.o. b.i.d. 13. bactrim ds thursday, tuesday, saturday. 14. levaquin 250 mg q.o.d. 15. tylenol 650 mg p.r.n. 16. percocet one to two tablets p.r.n. 17. fentanyl 100 mcg q72hours. 18. tums. 19. lopressor 12.5 mg b.i.d. 20. captopril 6.25 mg t.i.d. 21. prednisone taper. 22. stavudine 20 mg p.o. q.d. allergies: haldol developing rash. thorazine producing anaphylaxis. h2 blockers producing thrombocytopenia. clindamycin and codeine and stelazine rash. physical examination: on admission, temperature was 99.2, heart rate 110, blood pressure 100/62, low 90s% sat on nrb. the patient was in acute distress, tachpneic and disoriented. head, eyes, ears, nose and throat - pupils are equal, round, and reactive to light and accommodation, mild esotropia, no oral thrush. the neck is supple, no lymphadenopathy. cardiac - s1 and s2, regular rate and rhythm, ii/vi holosystolic murmur. the lungs revealed bilateral rhonchi, no dullness. the abdomen is soft, nontender, mildly distended. extremities - chronic venous stasis, no edema. hospital course: this is a 58 year old man with history of autoimmune deficiency syndrome, chronic obstructive pulmonary disease, cardiomyopathy, hepatitis b and c, polysubstance abuse, end stage renal disease on hemodialysis, now admitted with an episode of bright red blood per rectum due to hemorrhoidal bleeding and flare of chronic obstructive pulmonary disease. gastrointestinal - the patient has a history of bright red blood per rectum for which had previous workup in , which reveled grade i nonbleeding hemorrhoids. his colonoscopy also revealed rectal ulcer and surgery who followed the patient previously felt that ulcer is cause for his bleed. this hospitalization the patient did not have further episodes of bleeding and his hematocrit remained stable. it was therefore decided not to pursue further workup. pulmonary - the patient was admitted with worsening oxygen saturation requiring bipap and this was believed to be due to chronic obstructive pulmonary disease flare. labs showed an acute on chronic respiratory acidosis, possible chronic metablic acidosis (renal failure). the patient was started on levofloxacin on , and steroid taper with significant improvement of oxygen saturation. because there was also believed to be a component of aspiration, the patient had also swallowing study, which showed only mild abnormalities. renal - the patient has a history of end stage renal disease on hemodialysis. he continued to have hemodialysis during hospitalization. there were no active issues. infectious disease - the patient was on levaquin for flare of chronic obstructive pulmonary disease, continues on bactrim ds q.i.d. as prophylaxis of pcp and is also on antiretroviral medications. cardiovascular - the patient has a history of cardiomyopathy secondary to hiv. he continues to be on ace inhibitor and beta blockers. there were no active issues regarding cardiomyopathy during this hospitalization. laboratory data: white blood count 2.7, hemoglobin 10.2, hematocrit 32.1, platelet count 87,000. partial thromboplastin time 33.6, inr 1.3. granulocyte count 1280. glucose 83, blood urea nitrogen 68, creatinine 9.4, sodium 143, potassium 4.7, chloride 107, bicarbonate 26. liver function tests within normal limits. ck negative. albumin 2.6, calcium 8.6, phosphorus 6.6, magnesium 2.3. chest x-ray reveals no evidence of congestive heart failure or pneumonia. discharge diagnoses: 1. respiratory failure 2. rectal bleeding 3. autoimmune deficiency syndrome. medications on discharge: 1. amiodarone 200 mg q.d. 2. protonix 40 mg p.o. q.d. 3. zoloft 50 mg p.o. q.d. 4. lamivudine 20 mg p.o. q.d. 5. albuterol nebulizer q.i.d. 6. lactulose 30 ml t.i.d. 7. valium 5 mg p.o. t.i.d. 8. renagel 4 mg p.o. q.i.d. 9 . multivitamins. 10. methadone 50 mg q.d. 11. colace 100 mg p.o. b.i.d. 12. bactrim ds thursday, tuesday, sunday. 13. tylenol 650 mg p.r.n. 14. percocet one to two tablets p.r.n. 15. fentanyl patch 100 mcg q72hours. 16. tums. 17. lopressor 12.5 mg b.i.d. 18. captopril 6.25 mg t.i.d. 19. prednisone taper. 20. stavudine 20 mg p.o. q.d. condition on discharge: the patient was discharged home in stable condition. , m.d. dictated by: medquist36 procedure: hemodialysis diagnoses: other primary cardiomyopathies chronic hepatitis c without mention of hepatic coma obstructive chronic bronchitis with (acute) exacerbation depressive disorder, not elsewhere classified human immunodeficiency virus [hiv] disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure internal hemorrhoids with other complication chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta 

Answer: The patient is high likely exposed to