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: sulfa (sulfonamides) attending: chief complaint: bright red blood per rectum s/p anoscopy major surgical or invasive procedure: colonoscopy - history of present illness: 44 yo m with hiv (last cd4 count in was 471 and vl undetectable), h/o cmv colitis and cryptococcous/adenovirus colitis in , who presented to the ed with brbpr after high resolution anoscopy today in clinic. per report, lesions were ulcerated and there was concern for cmv infection. biopsy was taken. the patient then noticed large amount of brbpr when going to the bathroom x6. denied lightheadedness, dizziness, n/v, sob, cp at that time. he returned to clinic and they called ems. his vitals on the ems sheet in clinic were bp 118/90, hr 68, rr 20. he was sent to the ed. . in the ed, his initial vital signs were hr 124, bp 154/101, rr 16, o2sat 99% ra. labs were taken. he had 2 more episodes of brbpr. per report, he was given ivf 2l. gi was notified and he was sent to the micu for further care. . micu course: pt received 2u prbcs and hematocrit remained stable at 30 from baseline 40. colonoscopy showed diverticulosis of the sigmoid, erythema in the cecum and ascending/descending colon c/w colitis. there was no evidence of active bleed on colonoscopy. past medical history: 1. hiv/aids, diagnosed in . has had rectal gonorrhea, syphillis, and staph skin infections that have required i&d. cd4 count reportedly 70. 2. hx infectious colitis with shigella (culture proven) as well as giardia at that time. 3. depression 4. gerd 5. bilateral knee arthroscopies 6. chronic back pain 7. ?herpes zoster.-recent social history: lives in with his partner. tobacco or etoh. + crystal meth. family history: htn, mi, cva, prostate ca. physical exam: vitals: bp 127/89, hr 93, rr 10, o2sat 97% general: nad; lying in bed, lipodystrophy in the face. heent: mmm, pink conjunctiva, perrl, eomi, op clear without erythema/exudate cv: rrr no m/r/g appreciated lungs: ctab no w/r/r abdomen: +bs, soft, ntnd extremities: no e/c/c, dp pulses 2+ symmetric, radial pulses 2+ symmetric rectal per ed report: some blood and stool on rectal exam pertinent results: imaging: chest film: no acute cardiopulmonary process, no evidence of free air. . micro: colonoscopy biopsies-reports pending . labs: blood wbc-7.0 rbc-3.19* hgb-11.3* hct-32.3* mcv-101* mch-35.4* mchc-34.9 rdw-16.7* plt ct-246 blood wbc-9.1 rbc-3.40* hgb-11.6* hct-33.6* mcv-99* mch-34.0* mchc-34.4 rdw-16.3* plt ct-259 07:15pm blood wbc-7.6 rbc-3.20* hgb-10.9* hct-31.7* mcv-99* mch-34.2* mchc-34.6 rdw-16.6* plt ct-253 06:20am blood glucose-98 urean-7 creat-0.7 na-139 k-3.9 cl-103 hco3-30 angap-10 06:20am blood calcium-8.7 phos-3.7 mg-2.1 . colonic mucosal biopsies (two): 1. cecum: colonic mucosa with rare degenerated crypts and reactive epithelial changes; no viral inclusions or cryptosporidium seen. 2. ascending:colonic mucosa with rare degenerated crypts; no viral inclusions or cryptosporidium seen. . brief hospital course: 44 y/o m with pmhx of hiv on haart (last cd4 370) h/o cmv colitis, h/o crypto & adenovirus colitis who presented to the ed after multiple episodes of brbpr and high resolution anoscopy with biopsies earlier that day in clinic. pt had 6 episodes of brbpr post anoscopy and was sent directly to the ed. vs were stable in the ed and pt was transferred to micu due to concern for active lower gi bleed. pt received 2u prbcs and hematocrit remained essentially stable at 30. pt was transfered to medicine floor in stable condition. . pt had a repeat colonoscopy that did not show any sign of active bleed and hematocrit remained stable on the floor. it was though that the active bleed may have been due to biopsies taken during anoscopy vs diverticuli. pt will be seen at for follow up of biopsies performed in clinic. cmv vl was negative & colonic biopsy viral cultures returned negative after discharge. hematocrit was stable at 32.3 on day of discharge and pt was strongly encouraged to return to the ed if he noticed any recurrent brbpr. . hiv: pt remained afebrile in house & was continued on home regimen of tipranavir 500mg , norvir cap 100mg 2 caps , truvada 200-300 mg tabs, fuzeon 90 mg sc bid, zerit cap 20mg po bid. pt was continued on valcyclovir ppx and plan for follow up with regarding pending cmv pcr. . depression: stable, pt was continued on home regimen of wellbutrin . chronic back pain/hernia pain: pt was continued on percocet q8hr prn pain medications on admission: meds: per logician and confirmed with patient: robitussin dac 30-10-100 mg/5ml soln 10 ml q6 hours prn cough levaquin 500 mg tab 1 tab po daily finished yesterday 10 day course. trazodone hcl 50 mg tabs 1-2 tabs by mouth at hs prn ensure liqd 1 can po tid viagra 50mg tab (sildenafil citrate) take one hour prior to activity wellbutrin sr 150 mg cr tab 1 tab po q day remeron 30 mg tab 1 tab po qhs albuterol 90 mcg/act aero soln two puffs tid prn valcyte 450 mg tabs take 2 tabs by mouth daily cialis 20 mg tabs 1 tab 1 hour prior to sexual activity oxycodone hcl 5 mg caps 1 cap prn multivitamin with iron take 1 capsule by mouth daily tipranavir 500mg take one tab norvir cap 100mg 2 caps po q12 truvada 200-300 mg tabs 1 tab po daily fuzeon 90 mg kit inject sc bid zerit cap 20mg 1 cap po bid pancrecarb ms-16 cpep 1 cap po with each meal tid depo-testosterone 200 mg/ml oil 200mg im q2wks imodium 2 mg caps use tabs qid prn discharge medications: 1. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 2. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 3. valganciclovir 450 mg tablet sig: two (2) tablet po daily (daily). 4. tipranavir 250 mg capsule sig: two (2) capsule po bid (2 times a day). 5. ritonavir 100 mg capsule sig: two (2) capsule po bid (2 times a day). capsule(s) 6. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po daily (daily). 7. enfuvirtide 90 mg kit sig: one (1) kit subcutaneous (2 times a day). 8. stavudine 20 mg capsule sig: one (1) capsule po q12h (every 12 hours). 9. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) sig: one (1) cap po tid w/meals (3 times a day with meals). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). discharge disposition: home discharge diagnosis: primary; lower gi bleed . secondary: hiv on haart h/o infectious colitis depression discharge condition: stable discharge instructions: you were admitted to the hospital because of bleeding from your rectum. you received blood transfusions and had a colonoscopy that did not show any active site of bleeding. your blood counts have been stable for the last 2 days without any ongoing signs of bleeding. it is important for you to continue watching your stools for any evidence of bleeding, maroon colored stools or any other concerning change in bowel habits. if you experience any chest pain, shortness of breath, dizziness, palpitations or any recurrence of bleeding from your rectum, you should go directly to the er. followup instructions: you should follow up with pcp at early next week. he is expecting you to call and schedule on monday . procedure: closed [endoscopic] biopsy of large intestine flexible sigmoidoscopy transfusion of packed cells diagnoses: other and unspecified noninfectious gastroenteritis and colitis esophageal reflux acute posthemorrhagic anemia depressive disorder, not elsewhere classified human immunodeficiency virus [hiv] disease hemorrhage of gastrointestinal tract, unspecified cytomegaloviral disease diverticulosis of colon (without mention of hemorrhage) irritable bowel syndrome 

Answer: The patient is high likely exposed to