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: lisinopril / atazanavir / fresh fruit / cephalosporins / raltegravir / maraviroc / hydralazine attending: chief complaint: altered mental status major surgical or invasive procedure: none history of present illness: 54 yo f with h/o hiv on haart (cd4=437 ), dm2 (diet controlled), ckd, r-sided chf w/severe pulm htn, with two recent admissions to for hypersensitivity reaction c/b polymicrobial bacteremia (including vre/mrsa), iatrogenic , recent c. diff colitis s/p recent hospitalization at from to for fluid overload (treated with lasix gtt and metolazone), mrsa septicemia (requiring micu stay, ivf, cvl, and treated with iv vancomycin), skin breakdown (bactroban cream tid), and hyponatremia. the patient was discharged to rehab off of diuretics, which were stopped as it was felt she was intravascularly volume depleted. the patient had just finished her course of po vancomycin for c. diff on friday (two days before admission). earlier today, the patient was found to be acting out and yelling in pain at her nursing facility. on the ambulance ride to , the patient's blood glucose was found to be "low." at , cxr negative. the patient was given 1 amp of d50 and 500ml of saline, after which she stopped complaining of discomfort. the patient was requiring increasing oxygen, but otherwise her vital signs were stable. her blood pressures were never below 110 systolic, and pulse was generally in 60s-70s. the patient was hypothermic to 95.8 there. after discussion with her son , it was decided to bring her to , where she has received most of her care. here she was also found to have a wide-complex, sinusoidal ekg. due to concern for hyperkalemia (hemolyzed blood sample), patient was given 6g calcium gluconate, nebulizer, 10 units of insulin and an amp of bicarb. she did not receive kayexelate. she was found to have hypothermia here as well and placed in a beir hugger. she was breathing rapidly and deeply and appeared to have increasing oxygenation requirement. the patient was eventually transferred to the icu on cpap 10/5 with 50% fio2. on my interview, the patient reported that she was much more comfortable with the cpap. she confirmed the history above and reported that she continued to have pain, especially in her shoulders and legs. when specifically asked, she also endorsed chest pain. past medical history: - hiv, diagnosed in , on haart (cd4=437 ), -patient recently presented to ed on with severe desquamating rash and transferred to burn unit. rash was determined to desquamating lichenoid hypersensitivity reaction which was treated by stopping art, avoidance of cephalosporins and drugs of abuse such as cocaine. dermatology was consulted on admission and recommended wrapping patient in saran wrap and using vaseline for skin care. no mucosal involvement was noted on admission. she was given copious ivf, and hugger was utilized given insensible losses and impaired thermoregulation. dermatology re-evaluation on revealed worsening mucosal involvement and new erythroderma. this raised concern for progression of her severe drug hypersensitivity eruption. this was felt to be secondary to art, specifically abacavir and lamuvidine, and potentially ceftriaxone to her recent admission to . she is not currently on any related medications. of note, her last attempted art was on resulting in maculo-papular rash. s/p transfer to burn unit - hepatitis c - no response to peg-ifn/ribavirin - shingles - migraines - htn - dm ii - history of mrsa - recurrent uti - recurrent nephrolithiasis - hsv - pancytopenia haart medications - ckd baseline creatinine 2.85-3.0, followed by dr. (nephrolithiasis, pyelonephritis & perinephric abscess c/b perinephric hematoma during stenting ) social history: lives at home in . has 3 children: one son is her hcp, one daughter with hydrocephalus/seizure disorder is in a nursing home ( pediatric care), 3rd child (female) died in childhood from complications of hiv. - worked as a counselor (no longer working) - former heavy smoker, currently 1 pack q2 weeks. - former etoh abuse, none since - former ivdu, none since - recent cocaine use () family history: - father died of mi - mother with diabetes - sister with lung cancer at age 38 and was a heavy smoker. - brother with diabetes physical exam: admission physical exam: vitals: t: 96.6, bp: 125/66, p: 74, r: 26 on cpap general: alert, oriented, no acute distress heent: sclera anicteric, bipap mask in place, mmm, oropharynx clear, eomi, perrl neck: supple, no meningismus cv: s1, s2, systolic mumur heard best at lower sternal border lungs: clear to anterior auscultation only abdomen: soft, non-tender, bowel sounds present, readily palpable enlarged liver ext: warm, well perfused, 1+/2+ pulses, skin on hands and feet rough/lichenified, edematous neuro: cn iii-xii intact, 5/5 strength grip and lower extremities, grossly normal sensation pertinent results: 09:30pm wbc-6.7 rbc-2.66* hgb-7.8* hct-26.2* mcv-98 mch-29.2 mchc-29.8* rdw-17.7* 09:30pm hgb-8.1* calchct-24 09:30pm neuts-58 bands-0 lymphs-31 monos-8 eos-2 basos-0 atyps-1* metas-0 myelos-0 09:30pm pt-17.9* ptt-50.7* inr(pt)-1.6* 09:30pm glucose-95 lactate-8.8* na+-129* k+-5.7* cl--108 09:30pm type- po2-41* pco2-30* ph-7.15* total co2-11* base xs--18 comments-green top 09:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:30pm cortisol-19.4 09:30pm tsh-95* 09:30pm albumin-2.2* calcium-7.2* phosphate-7.1*# magnesium-2.0 09:30pm ck-mb-3 probnp-5182* 09:30pm ctropnt-0.08* 09:30pm lipase-40 09:30pm alt(sgpt)-39 ast(sgot)-138* ck(cpk)-52 alk phos-139* tot bili-0.9 09:30pm estgfr-using this 09:30pm glucose-97 urea n-45* creat-3.0* sodium-125* potassium-5.5* chloride-97 total co2-9* anion gap-25* 09:35pm urine rbc-1 wbc-5 bacteria-none yeast-none epi-0 09:35pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 09:35pm urine color-yellow appear-clear sp -1.009 10:13pm freeca-1.29 10:13pm glucose-122* lactate-9.9* na+-129* k+-4.7 cl--108 10:13pm type-art temp-35 rates-/30 po2-172* pco2-19* ph-7.26* total co2-9* base xs--16 intubated-not intuba 11:50pm o2 sat-38 11:50pm lactate-8.7* k+-4.7 11:50pm type- imaging: cxr: impression: possible mild pulmonary vascular congestion. no significant change from prior. ct abdomen: 1. new, moderate-to-large volume ascites as compared to exam, which appears to be simple. 2. increase in heart size compared to prior, consistent with worsening right heart failure as documented in previous cardiology notes. suspect that the ascites may be related to the right heart failure. 2. cholelithiasis. 3. dysmorphic appearance of the right kidney with some capsular calcifications likely secondary to prior hematoma. brief hospital course: the patient is a 54-year-old woman with a complicated medical history presenting with altered mental status and lactic acidosis. it was unclear whether her lactic acidosis is type a or type b. the patient was lethargic and agitated earlier, which suggests hypoperfusion of brain. creatinine has slowly been rising over the last week. the patient does not have an obvious site of infection. she appears to have some cardiac dysfunction, but chest x-ray suggestive of only mild interstitial edema. cortisol level unknown, but patient thought to have iatrogenic disease in the past. in addition, patient on two hiv medications that have been implicated in lactic acidosis (abacavir and lamivudine). she was started on broad coverage with vancomycin and meropenem for occult infection. she was started on iv fluids with bicarbonate. she also received stress dose steroids since she has history of iatrogenic disease. her hiv medications were held due to concern for causing lactic acidosis. the patient was found to have wide qrs complex, which cardiology felt was secondary to toxic-metabolic derangement. the plan was to perform echo in the morning and check mb. troponin was mildly elevated but patient had kidney injury. at 5:10am on the morning of admission, patient complained of chest pain and then has seizure-like activity, followed by bradycardia and loss of blood pressure. a code was called, and the patient was fund to be in pulseless electrical activity. after 15 minutes of the pulseless electrical activity algorithm, the patient had a return of spontaneous circulation. despite the presence of two pressors, however, her blood pressure and heart rate could not be maintained and she went into pulseless electrical activity again. another code commenced. despite maximal efforts, spontaneous circulation could not be achieved, and at 5:50 am, the patient was pronounced dead. the patient's family was notified and decided against postmortem examination. medications on admission: the preadmission medication list is accurate and complete. 1. abacavir sulfate 300 mg po bid start: in am 2. fosamprenavir 1400 mg po q12h start: in am 3. lamivudine 150 mg po daily start: in am 4. aquaphor ointment 1 appl tp daily 5. aveeno bath 1 pkg tp start: in am 6. bupropion (sustained release) 150 mg po qam 7. isosorbide mononitrate (extended release) 30 mg po daily start: in am hold for sbp < 100. 8. metoprolol succinate xl 50 mg po daily start: in am hold for sbp < 100, hr < 60. 9. omeprazole 40 mg po daily start: in am 10. oxycodone (immediate release) 5 mg po bid:prn pain discharge medications: patient expired. discharge disposition: expired discharge diagnosis: patient expired. discharge condition: patient expired. discharge instructions: patient expired. followup instructions: patient expired. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis thrombocytopenia, unspecified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic hepatitis c with hepatic coma acute kidney failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified acute on chronic diastolic heart failure human immunodeficiency virus [hiv] disease chronic kidney disease, unspecified paroxysmal ventricular tachycardia cardiac arrest primary pulmonary hypertension other ascites acute myocardial infarction of unspecified site, initial episode of care herpes simplex without mention of complication shock, unspecified other pancytopenia exfoliation due to erythematous condition involving less than 10 percent of body surface stevens-johnson syndrome 

Answer: The patient is high likely exposed to