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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catherization coronary artery bypass graft (left internal mammary artery -> left anterior descending, saphenous vein graft -> posterior descending artery) history of present illness: 44 yom with hiv, diagnosed 10 years ago, viral load undetectable, maltoma s/p h. pylori treatment without residual disease presents with 5 days of chest pain. he reported experiencing sharp retrosternal chest pain with radiation to b/l arms, back, and neck. pain was associated with shortness of breath/lightheadedness/dizziness/diaphoresis, no n/v. he reports approximately 4-5 episodes/day. an ekg was obtained at the office and revealed non-specific st elevation in the inferior leads. pt referred for cath which revealed lad and rca dz, he was then referred to ct surgery. pt brought to or on for coronary artery bypass grafting past medical history: hiv--most recent cd4 count 361, viral load undetectable () h. pylori associated gastric maltoma secondary syphillis h/o mrsa abscess social history: works as wedding planner at local hotel. no etoh. +1.5 ppd x 30yrs. no other illicit drugs. family history: patient is adopted, but reports biological mother had h/o dm. no other known early cad. physical exam: admission t 98.0 bp 117/78 rr 18 o2 sat 98% 2l gen: siting up on stretcher, pleasant, interactive, nad heent: perrl, mmm, op clear neck: supple, no jvd, no lad cv: rrr, no mrg appreciated resp: ctab, no w/r/r abd: +bs, soft, nt, nd rectal: guaiac negative per ed exam ext: 2+ dp/pt pulses b/l, no c/c/e neuro: cn ii-xii grossly intact, strength and sensation intact discharge t 99 bp 110/66 rr 16 o2 sat 94%ra gen: nad neuro: a&ox3, nonfocal exam pulm: cta bilat cv: rrr, no murmur. sternum stable, incision cdi abdm: soft, nt, nd, nabs ext: warm, no edema. evh site l leg cdi pertinent results: 10:25am blood wbc-6.7 rbc-3.31* hgb-11.4* hct-31.4* mcv-95 mch-34.4* mchc-36.2* rdw-13.4 plt ct-250 03:00pm blood wbc-7.2 rbc-5.33# hgb-18.0 hct-49.6 mcv-93# mch-33.8*# mchc-36.3* rdw-12.7 plt ct-374 10:40am blood neuts-56.6 lymphs-35.5 monos-4.9 eos-2.5 baso-0.6 03:00pm blood neuts-59.0 lymphs-32.0 monos-5.7 eos-2.7 baso-0.6 10:25am blood plt ct-250 02:26am blood pt-13.5* ptt-28.6 inr(pt)-1.2* 11:40pm blood pt-13.0 ptt-40.3* inr(pt)-1.1 03:00pm blood wbc-7.2 lymph-32 abs -2304 cd3%-82 abs cd3-1882* cd4%-19 abs cd4-432 cd8%-63 abs cd8-1457* cd4/cd8-0.3* 10:25am blood glucose-148* urean-14 creat-0.9 na-138 k-3.7 cl-102 hco3-28 angap-12 04:20pm blood glucose-98 urean-13 creat-1.0 na-137 k-4.4 cl-104 hco3-24 angap-13 10:40am blood alt-26 ast-25 ck(cpk)-113 alkphos-136* amylase-63 totbili-0.4 dirbili-0.1 indbili-0.3 10:40am blood lipase-22 06:00am blood ck-mb-6 ctropnt-0.84* 10:40am blood %hba1c-5.4 -done -done 06:00am blood triglyc-144 hdl-33 chol/hd-5.7 ldlcalc-126 03:00pm blood freetes-19 03:00pm blood testost-917* cxr chest, two views: comparison is made to prior examination of . the heart size is in the upper limits of normal. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. there is atelectasis at the lung bases bilaterally, which is unchanged. there are small bilateral pleural effusions also unchanged. impression: small bilateral effusions and bibasilar atelectasis, unchanged. tee patient/test information: indication: intraoperative tee for cabg status: inpatient date/time: at 14:39 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2006aw3-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. measurements: left atrium - long axis dimension: *4.8 cm (nl <= 4.0 cm) left ventricle - inferolateral thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.2 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 40% (nl >=55%) aorta - valve level: 2.0 cm (nl <= 3.6 cm) aorta - ascending: 2.8 cm (nl <= 3.4 cm) aorta - descending thoracic: 2.1 cm (nl <= 2.5 cm) aortic valve - peak velocity: 1.3 m/sec (nl <= 2.0 m/sec) aortic valve - lvot diam: 2.0 cm interpretation: findings: left atrium: all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. normal lv cavity size. mild regional lv systolic dysfunction. mildly depressed lvef. lv wall motion: regional lv wall motion abnormalities include: basal anterior - hypo; mid anterior - hypo; basal anteroseptal - hypo; mid anteroseptal - hypo; basal inferoseptal - hypo; mid inferoseptal - hypo; anterior apex - hypo; septal apex - hypo; apex - hypo; remaining lv segments contract normally. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic root diameter. focal calcifications in aortic root. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. physiologic mr (within normal limits). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally conclusions: pre-cpb no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the septal, anteroseptal, and anterior walls. overall left ventricular systolic function is mildly depressed. the remaining left ventricular segments contract normally. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). post-cpb normal rv systolic function. overall lv systolic function improved - ef now 45-50% but septal, anterosepatal, and anterior mild hypokinesis remain. mitral regurgitation is slightly worse, now mild. thoracic aorta is intact. brief hospital course: 44 yom with hiv, presents with 5 days of chest pain. after er evaluation paient referred for cath which revealed lad and rca dz, he was then referred to ct surgery. pt brought to or on for coronary artery bypass grafting, please see or report for details in summary pt had cabgx2 with lima-lad and svg-pda. he tolerated the surgery well was extubated in the immediate post-op period and transferred to the step down floor on pod1. over the next several days his activity level was advanced by nursing and physical therapy and on pod4 it was decided he was stable and ready for discharge home with visiting nurses medications on admission: atripla 1 tablet po daily discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. atripla mg tablet sig: one (1) tablet po once a day. 7. silver sulfadiazine 1 % cream sig: one (1) appl topical daily (daily). 8. potassium chloride 10 meq capsule, sustained release sig: four (4) capsule, sustained release po once a day for 2 weeks. disp:*56 capsule, sustained release(s)* refills:*0* 9. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*0* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: health vna discharge diagnosis: s/p cabg x2(lima-lad, svg-pda) pmh: hiv, gastric maltoma, seconadary syphillis, h/o mrsa abcess discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks () please call for appointment dr in 1 week () please call for appointment wound check appointment 2 as instructed by nurse () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of one coronary artery continuous intra-arterial blood gas monitoring diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder cardiac complications, not elsewhere classified atrial fibrillation asymptomatic human immunodeficiency virus [hiv] infection status family history of diabetes mellitus 

Answer: The patient is high likely exposed to