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 / codeine attending: chief complaint: viral prodrome major surgical or invasive procedure: none history of present illness: mr. is a 48m with a pmh s/f hiv (last cd4 count 1200, viral load undetectable), chronic pain on narcotics, who presents to the ed with progressive dyspnea and systemic viral prodrome. the patient was in his usoh until friday , when he began to experience sudden onset of dyspnea on exertion, cough productive of yellow sputum, rhinorrhea, pharyngitis, myalgias, diarrhea, fevers to 102, fatigue, anorexia, and chills. he denies any pleuritic chest pain or hemoptysis, nausea or vomiting. he was seen by his pcp , where he was started on moxifloxacin 400mg daily for presumed community acquired pna. throughout the weekend, he slept, with decreased po. today his symptoms progressed, and he was directed to the ed for further evaluation. . in the ed his presenting vital signs were t=98.6, bp=135/75, hr=71, rr=18, o2sat=97% on room air. initial exam was notable for clear lungs and mild somnolence. a cxr showed "platelike atelectasis in the lingula". abg showed a mild respiratory acidosis and mild hypoxia: 7.29/63/58. the patient transiently desaturated on ambulation to 86%, and was started on cpap. he was having apneic episodes on cpap, for which he was given 0.4mg narcan with good effect. it was thought that this may be due to his outpatient narcotic regimen. he was given 750mg of iv levofloxacin and 1lns. a rapid influenza test was sent. his labs were notable for new arf with a bun of 22 and a cr 1.6 his current vital signs are t=98.6, bp=120-130, hr=70-80, rr=12, o2sat 96-99% on 4l. past medical history: 1. hiv: last cd4 count 1200, viral load undetectable 2. depression/anxiety 3. chronic myofascial pain syndrome: managed at pain center 4. seizure disorder social history: remote smoking history, 8 years from age 22-30. non-drinker, no ivdu. acquired hiv through sexual intercourse. homosexual. lives with a roomate, does not work, is on disability. family history: nc physical exam: on discharge: vitals: 95.4 59 18 115/77 96%ra pain: denies access: piv gen: nad heent: o/p clear, mmm cv: rrr, no m resp: ctab, no crackles or wheezing abd; soft, nontender, +bs ext; no edema neuro: a&ox3, grossly nonfocal skin: no changes psych: flat, strange affect at times pertinent results: no leukocytosis, wbc 4 with 46%n chem panel: bun 22-->17, creat 1.6-->1.0 lactate 1.2 serum tox negative ldh 164 . ua negative resp viral screen (including flu) antigen neg, cx pending blood cx x2 ntd . . imaging/results: cxr : linguilar platelike atelectasis vs early pna . cxr : improved abx in linguila. no pna. . brief hospital course: 48year old male with hiv cd4 1200, chronic myofascial pain syndrome, depression/anxiety, seizure disorder in his usoh until , had acute onset of flu-like symptoms with fevers 102, myalgias, sore throat, n/v, and cough with yellow sputum a/w doe. outpt pcp started , no improvement in flu symptoms, slept for next 2days, then decided to come to er . in er, depressed ms (on many narcotics at home) and transient hypoxia to 85%ra, started on cpap. recieved, narcan with improvement in ms. concern for pna and sepsis, got levaquin iv, ivfs, and was admitted to micu. flu screen (done 5days after onset of symptoms) was negative. cxr unremarkable. got ivfs for , resolved. in micu remained afebrile, weaned off oxygen, stable off any abx. transfered to floor . repeat cxr showed no infiltrates and cough better so kept off abx. continued to feel back to baseline, had no more viral symptoms, remained afebrile and on ra. he continued to demonstrate some strange affect and slow mentation. given his somnolence on arrival to er and his multiple sedative meds at home, some of his outpt meds are being held (percocet, xanaflex, trazadone) and klonipine started at lower dose 2mg tid. his celexa/lyrica/piroxicam will be continued and he will be given ultram for breakthrough pain since he has issues with chronic myofascial pain for which he is followed by pain clinic. strongly advice pcp or pain physicians to review his regimen as i was unable to reach pcp by phone. he states he has an appt in 2days. rest of his meds were the same. . see below for rest of plan per problem: . 48m with male with h/o hiv (cd4 1200, vl undetectable), chronic myofascial pain on multiple meds, seizure d/o admitted with 5days of acute onset viral syndrome a/w doe and hypoxia. . . viral syndrome/cough/hypoxia: very typical viral syndrome concerning for flu, though swab checked 5days later is negative. cxr repeated w/o any evidence of secondary pna. had some hypoxia po2 58 in er, but resolved and stable off abx. afebrile since admission -continue to monitor off abx -robitussion for cough . . respiratory acidosis: abg is consistent with a chronic respiratory acidosis. no history of copd or asthma, no clear signs of chest wall myopathy, not obese. per the ed resident, pt appeared somnolent on initial presentation, and responded to narcan. he is on chronic percocet, as well as clonazapam, tizanidine, and trazodone, all of which can be sedating. leads very sedentary lifestyle, this is possibly a medication induced hypoventiliation. -will ask to continue to hold percocet, tizanidine, and trazodone -resume klonipin at 2mg tid, cymbalta, lyrica okay-->dont want to withdraw all meds as pt has chronic myofascial pain -reccommend to pcp to all these meds-could not reach while here . . : creat up to 1.6 on admission in setting fevers/ po. -s/p ivfs, creat 1.0 today, monitor . . hiv on art: last cd4 1200, vl undetectable -continue home haart regimen . . depression/anxiety: holding home trazodone and tizanidine. continue celexa 20mg tid, lyrica 25mg qd, klonipin 2mg tid (lower dose) . . seizure disorder: continue home depakote xr 750mg . . chronic pain: continue piroxicam 20mg qd and pregabalin 25mg qd, will hold tizanidine and percocet given ms. . . medications on admission: abacavir-lamivudine 600 mg-300 mg tab daily atazanavir 400mg daily citalopram 20mg tid clonazepam 4/2/4mg tid divalproex 750mg percocet 5/325mg q8-6hprn piroxicam 20mg daily pregabalin tizanidine 4 mg daily trazodone 100 mg qhs loratadine 10 mg daily as needed moxifloxacin 400mg daily discharge medications: 1. atazanavir 200 mg capsule sig: two (2) capsule po daily (daily). 2. citalopram 20 mg tablet sig: one (1) tablet po three times a day. 3. piroxicam 10 mg capsule sig: two (2) capsule po daily (daily). 4. pregabalin 25 mg capsule sig: one (1) capsule po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): for constipation. 6. abacavir 300 mg tablet sig: two (2) tablet po daily (daily). 7. lamivudine 100 mg tablet sig: three (3) tablet po daily (daily). 8. divalproex 250 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po bid (2 times a day). 9. clonazepam 1 mg tablet sig: two (2) tablet po tid (3 times a day): decreased dose. 10. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 11. tramadol 50 mg tablet sig: one (1) tablet po every eight (8) hours as needed. disp:*45 tablet(s)* refills:*0* 12. robitussin-dm 10-100 mg/5 ml syrup sig: one (1) po every 6-8 hours as needed for cough. disp:*qs bottle* refills:*0* discharge disposition: home discharge diagnosis: viral syndrome, possibly influenza -resolved hypercapneia excess sedation discharge condition: stable discharge instructions: you were admitted with a flu like illness. you do not have a pneumonia. you are on too many medications that cause you to be very sleepy. please do not restart the tizanidine, trazadone, percocet, loratadine. you can continue the celexa, depakots, piroxicam, lyrica, and klonipine at lower dose (2mg three times a day). if you have pain that is not controlled by this, take ultram as prescribed. please bring all of your medications to your doctors that he can review all your meds and stop the unneccessary ones that are causing excess sedation. followup instructions: follow up with your pcp as scheduled in 2days provider: , md phone: date/time: 2:10 procedure: non-invasive mechanical ventilation diagnoses: acidosis acute kidney failure, unspecified dysthymic disorder unspecified viral infection epilepsy, unspecified, without mention of intractable epilepsy antidepressants causing adverse effects in therapeutic use myalgia and myositis, unspecified asymptomatic human immunodeficiency virus [hiv] infection status other alteration of consciousness antiallergic and antiemetic drugs causing adverse effects in therapeutic use aromatic analgesics, not elsewhere classified, causing adverse effects in therapeutic use skeletal muscle relaxants causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to