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: history of present illness: the patient is a 39 year-old male with a history of hiv diagnosed one year ago with cd4 count currently 25 not on treatment secondary to fear regarding side effects of medications. the patient also has a history of hepatitis c. he was admitted with weakness, progressive worsening dyspnea, hypoxia and hypotension and fever. the patient was brought to the emergency room by ems. in the emergency room his temperature was 102.2, pulse 130, oxygenation 64% on room air and 86% on a nonrebreather. blood pressure was 67/36 and lactate was 4.0. the patient received 7 liters of intravenous fluids of normal saline, intubated, sedated, right ij and a line were placed. the patient was started on ceftriaxone, flagyl, vancomycin, levophed, gtt, cvp increased to 12 with mbo2 75%. chest x-ray with diffuse bilateral infiltrates concerning for pcp sepsis protocol initiated. the patient was intubated for a total of two times for hypoxic respiratory failure. his bronch was positive times two for pcp and the patient was started on bactrim, steroids. the patient also developed perirectal hsv type 2 lesions and started on acyclovir. the patient had one out of four bottles of coag negative staph species felt to be contaminate and this was ______________ sensitive. the patient was maintained on bactrim and steroids during his hospitalization in the micu and then transferred to the general medicine floor under the acove service for further management. past medical history: 1. hiv. 2. hepatitis c. 3. congenital absent thyroid gland. 4. history of depression. 5. history of substance abuse. social history: he is a homosexual male who lives by himself with mother next of being his decision maker. he is full code. he has a 25 pack year tobacco history. prior etoh abuse as well as history of intravenous drug abuse. allergies: detergents and soaps. physical examination on transfer to the medicine floor: temperature 98.4. blood pressure 87 to 108/49 to 62. heart rate 87 to 103. respiratory rate 22. satting at 89 to 95% on a cool mist shovel mask. the patient's is and os were /4170. generally, the patient was gaunt man with temple wasting in no acute distress. heent examination anicteric. oropharynx is clear. oropharynx is significant for thrush on the tongue. no other lesions or exudates are noted. mucous membranes are moist. poor dentition. otherwise normocephalic, atraumatic. extraocular movements intact. neck is supple with no lymphadenopathy or jvd. heart is regular rate and rhythm. normal s1 and s2. no appreciable murmurs. lungs are clear to auscultation bilaterally with no rales, wheezes or rhonchi. abdomen is soft, liver is 2 cm below costal margin. normoactive bowel sounds, nondistended, nontender. extremities are free of any clubbing, cyanosis or edema. skin is free of any rash. there is no costovertebral angle tenderness of the back. cranial nerves ii through xii are intact. on neurological examination strength is 5 out of 5 and symmetric. toes are downgoing. reflexes are 2+ throughout. hospital course: 1. pcp : the patient was maintained on a cool mist mask for oxygenation and his sats remained 92 to 98%. by the time of discharge the patient was satting at 100% on room air at rest. with ambulation he desatted to 91% on room air. the patient was continued on bactrim. he completed 18 out of 21 days of bactrim throughout his hospitalization and will continue the rest as an outpatient. otherwise the patient was maintained on a slow prednisone taper. he was on 20 mg a day and taper will be continued as an outpatient. the patient was also maintained on albuterol as well as atrovent nebulizers prn. 2. hiv/aids: the patient will follow up with the infectious disease clinic for initiation of haart therapy, otherwise the patient was maintained on acyclovir for his herpes, which was discontinued prior to discharge due to the fact that no active lesions were visualized. the patient was continued on mycelex for thrush and he was initiated on azithromycin for mask prophylaxis. additionally, cryptococcal antigen was sent and was pending at the time of discharge. toxoplasmosis serologies were sent and were pending. dmv antibodies were sent and also pending at the time of discharge. the patient's blood cultures with the exception of the one contaminant were negative. the patient remained afebrile and stable on his medication regimen. 3. elevated liver function tests: the patient's liver function tests were noted to be elevated secondary to initiation of bactrim. again this was felt secondary to antibiotics. his liver function tests had started to trend down toward the time of discharge. the patient had no evidence of hepatobiliary obstruction and ultrasound of the right upper quadrant was performed, which revealed a homogenous liver without focal mass, lesions or dilated intrahepatic biliary radicles. gallbladder demonstrated minimal dependent debris. no definite stones. no wall thickening or adjacent fluid to suggest acute process. there is no fluid in the abdomen. the kidneys demonstrated normal cortical medullary thickness and echo texture without hydronephrosis or nephrolithiasis. common hepatic bile duct of .3 cm, which is normal. the pancrease appears unremarkable. the patient also had elevated pancreatic enzymes in the setting of a normal abdominal examination with no tenderness to palpation. the patient was tolerating a regular diet without any nausea, belly pain or other complaints. these findings were felt to be consistent with aids and were to be followed. also given that viral hepatitides can account for elevations in liver function tests the patient's hepatitis b, hepatitis a serologies and hepatitis c viral load were sent. additional cmv was sent and these results were hepatitis b surface antigen negative, hepatitis b surface antibody positive, hepatitis c antibody was pending, hepatitis a antibodies negative, hepatitis c antibodies pending, hepatitis c viral load pending. cmv antigens pending and need to be followed up as an outpatient. 4. anemia: the patient's hematocrits ranged from 28 to 37. iron studies were sent and were consistent with anemia of chronic disease. the patient had no guaiac positive stools. the etiology of his anemia was felt secondary to his aids. 5. psychiatric: the patient was considerably anxious as well as depressed throughout his hospitalization. his anxiety was managed with prn lorazepam q 4 to 6 hours. the initiation of an ssri was discussed, however, the patient decided to defer further management as an outpatient. 6. endocrine: the patient had syndrome of inappropriate antidiuretic hormone on urine studies felt secondary to his congenitally absent thyroid gland. his tsh was checked and was .93 on . the patient was continued on his usual 150 micrograms of replacement daily. a recheck on was 12. this in the setting of a free t4 of .8. it was decided that the patient would be continued on his current dose of levoxyl and further management to be deferred as an outpatient. otherwise the patient's hyponatremia was also felt to be exacerbated by his pneumonia. his sodium remained in the following range, 127 to 136. 7. fen: the patient was maintained on an house diet and t.i.d. boost drinks. 8. cardiac: the patient had tachycardia upon ambulation. the patient had no events on telemetry and no events of arrhythmia during his intensive care unit stay nor on the floor. a chest x-ray was obtained on the day of discharge and should be followed up as an outpatient. 9. prophylaxis: the patient was maintained on subq heparin a bowel regimen. he stooled regularly and his bowel movements were guaiac negative and he was ambulating without difficulty with the help of a walker. he did become tachycardic upon ambulation and was satting at 91% on room air at the time of discharge. disposition: the patient will be discharged to a rehab center for cardiopulmonary rehabilitation as well as physical therapy. discharge diagnoses: 1. hiv/aids. 2. pcp . 3. siadh. 4. hyponatremia. 5. hypothyroidism secondary to congenitally absent thyroid gland. 7. hepatic ulcers secondary to hsv type 2. 8. oral candidiasis. 9. anemia of chronic disease. 10. anxiety disorder. 11. depression. follow up plans: the patient is to follow up with dr. from the infectious disease clinic on at 10:00 a.m. the phone number there is . the patient is also going to be set up with follow up with his primary care physician . at for approximately two weeks post discharge. this appointment will be set up for him prior to his discharge. discharge condition: fair to stable. he is stable on room air satting at 98 to 100% at rest and desatting to 91% with ambulation. he is tolerating a regular diet. he is having no shortness of breath at rest. no ectopy or events on telemetry. the patient's renal function is at baseline and the patient's anxiety disorder is at baseline. the patient's hyponatremia is stable. discharge status: he will be discharged to a rehab center. medications on discharge: 1. 8.6 mg tablets po b.i.d. prn as needed. 2. docusate 150 mg per 15 ml liquid one po b.i.d. as needed for constipation. 3. multivitamin one po q day. 4. lansoprazole 30 mg one po q.d. 5. bactrim 160-800 two tablets one po t.i.d. for three days. 6. thiamine 100 mg one po q.d. 7. lorazepam 0.5 mg one po q 4 to 6 hours as needed for anxiety. 8. folic acid 1 mg one po q.d. 9. nystatin 100,000 unit per milliliter suspension 5 milliliters po q.i.d. as needed for thrush. 10. clotrimazole 10 mg troches one troch q.i.d. for five days. 11. azithromycin 1200 mg one po q weekly. 12. levothyroxine 150 mcg one po q.d. 13. prednisone to be tapered as follows 10 mg one po q.d. for five days and then 7.5 mg one po q.d. for five days and 5 mg one po q.d. for five days and then 2.5 mg one po q.d. for five days and then 1 mg one po q.d. for five days and then stop. , m.d. dictated by: medquist36 d: 11:27 t: 12:29 job#: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus closed [endoscopic] biopsy of bronchus diagnoses: chronic hepatitis c without mention of hepatic coma unspecified septicemia severe sepsis candidiasis of mouth human immunodeficiency virus [hiv] disease acute respiratory failure pneumocystosis other disorders of neurohypophysis 

Answer: The patient is high likely exposed to