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 / bactrim / lamivudine attending: chief complaint: altered mental status major surgical or invasive procedure: central line intubation paracentesis history of present illness: hx per family and patient this is a 44 year old gentleman with hiv on haart (cd4 376 vl 6000 in )hepatitis c cirrhosis who was brought in to ed by family after he was not returning phone calls for 6 days. his father and brother found him lying in bed, with soilage around him--the house was in disarray. the patient appeared "out of it". the patient does not recall any precipitating events. pt reports having diarrhea for last week, reports some temperature elevations, and mild associated nausea w/one episode of vomiting a few days before presentation. has had chronic diarrhea with some abdominal pain and distention over past several months. per mother, his health has been declining over the past two months and he has had increasing abdominal distention and le edema. he was scheduled to see the hepatology division at but did not keep appointments. in , pt somnolent with asterixis. creatinine at 9.8 and bun 91. k of 6.2. ekg with some peaked t waves on v4-v6. pt given ca and insulin. also given lactulose for question with out po intake. per ed the patient was somewhat somnolent, but and oriented. vs afebrile, p 74, bp 124/80, rr 13 o2 98 on room air. pt says he does feel better currently, his appetite had been poor but now requesting a sandwhich. past medical history: 1) hiv, acquired by sexual contact, diagnosed 12 years ago follow by dr. , cd4 376. on viread, lexiva, and norvir. no known history of opportunistic infections. 2) hep c cirrhosis, recently has developed ascites and has been started on spironolactone. hep c vl 6,090 iu/ml in 8/. has yet to follow up at clinic. 3) rectal ca , followed by dr. , her note "invasive squamous cell carcinoma harbored by an external anal wart, status post radiation therapy, no chemotherapy." 4) chronic peripheral neuropathy social history: formerly worked in insurance, not working currently. lives alone. not sexually active, is bisexual. no illicit drug use including iv per family. family history: grandparents with colon cancer. mother recently diagnosed with diabetes. physical exam: vs tm 96.9, tc 96.9, 120/58, 81, 16, 97%ra. pt lying in bed, appeared cachectic. nad. cooperative but lacked recollection of events over the last week. heent- no observed lesions in head. nonicteric sclera. perrl. eomi. no thrush or erythema in throat. mouth- dry neck- no jvd appreciated cv- rrr. nl s1s2. no m/g/r's. chest- ctab. no c/w/r. abd- distended. no fluid wave shift noted. n/t, n/d. no hepatomegaly. + splenomegaly. no caput medusa. ext- 2+ pitting edema bilaterally up to mid calves. 2+ dp's. skin- no rashes/lesions, ecchymoses. neurol- aox2 (identified person, knows where he is. msk bilaterally t/o. + asterixis. psych- as mentioned has trouble recalling events from last week. pertinent results: 08:15pm glucose-97 urea n-91* creat-9.8*# sodium-125* potassium-6.2* chloride-92* total co2-18* anion gap-21* 08:15pm alt(sgpt)-30 ast(sgot)-69* alk phos-114 amylase-100 tot bili-1.2 08:15pm lipase-46 08:15pm calcium-7.1* phosphate-5.2*# magnesium-2.8* 08:27pm lactate-2.3* k+-6.3* 07:50pm ammonia-71* 07:50pm wbc-8.1# rbc-3.74* hgb-12.0* hct-33.8* mcv-90 mch-32.1* mchc-35.5* rdw-17.4* 07:50pm neuts-70.5* lymphs-20.1 monos-8.0 eos-1.2 basos-0.3 07:50pm plt count-67* 07:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:50pm ck(cpk)-54 brief hospital course: a/p: this is a 44 year old gentleman with hiv, hepatitis c cirrhosis presents with mental status change and is found to be in renal failure with elevated creatinine, with hyperkalemia, hyponatremia, and ag acidosis. currently mental status seems improved and he is relatively , compared to family report. pt normotensive and afebrile. his abdomen is distended. . on patient underwent paracentesis. after the procedure the patient became progressively tachypneic and complained of diffuse abdominal pain. a blood gas showed diffuse metabolic acidosis, patient was transferred to the micu. central line was placed, patient was started on iv fluids, broad antibiotic coverage and he was intubated. ct scan of abdomen showed diffuse thickening of bowel walls without free air. patient was aggressively treated for sepsis (including three pressors) but could not maintain adequate blood pressures. his condition deteriorated with maximal support overnight. after a family meeting, it was decided to pursue comfort measures. the patient passed on at 9.30 am. family refused post-mortem examination. discharge disposition: expired discharge diagnosis: sepsis, multiorgan failure discharge condition: expired followup instructions: none procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage diagnoses: thrombocytopenia, unspecified cirrhosis of liver without mention of alcohol acute kidney failure, unspecified hyposmolality and/or hyponatremia severe sepsis unspecified viral hepatitis c without hepatic coma acute respiratory failure septic shock septicemia due to escherichia coli [e. coli] unspecified hereditary and idiopathic peripheral neuropathy asymptomatic human immunodeficiency virus [hiv] infection status spontaneous bacterial peritonitis personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus 

Answer: The patient is high likely exposed to