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: epigastric abdominal pain major surgical or invasive procedure: : exploratory laparotomy, lysis of adhesions, serosal repair x5 history of present illness: 52m w/hiv last cd4 258 vl undetectable presents to the ed c/o epigastric pain. 3 days pta, the patient experienced severe epigastric pain with nausea. this pain was not related to food intake. in fact, his appetite was very poor. he reported no f/c during those 3 days. presenting to the ed, his wbc was 16.5 (4.3 previous note before presentation), a bun of 69 and a creatinine of 3.0 (baseline 1.2). his amylase and lipase were significantly elevated to 1204 and 1272. a lactate level was 3.4. a cta/pancreas was obtained and revealed extensive, severe acute pancreatitis, with internal pancreatic hypoattenuation that may represent edema versus necrosis. past medical history: hiv: diagnosed ; c/b pcp, zoster; treatment experienced, good virologic suppression currently hbv, cleared htn, on atenolol and lisinopril hyperlipidemia, on fenofibrate schizophrenia & depression, on buspar, loxapine, tranylcypromine social history: paitent was b/r in ma, went to boarding school then college and some grad work in in art history, stopped when he "fell on (his) face." he did not want to further expaine that statment. he has a partner x 20 years. close relation with his father. is on ss for hiv and psych issues. he also is an artist. denies etoh/recreational drugs/smoking. family history: no h/o anal, colon, cervical or head/neck ca. brother with brain tumor, father with prostate ca, mother with breast ca. physical exam: on discharge: vs: afvss gen: nad, a+ox3, supine on bed cv: rrr, normal s1/s2 resp: ctab, no wheezes/crackles/rhonchi abd: slightly distended however soft, nt, +bs, incisional site is c/d/i, staples intact ext: no edema, 2+ radial and pedal pulses pertinent results: admit wbc: 16.5 discharge wbc: 10.4 admit amylase: 1204 admit lipase: 1272 discharge amylase: 55 discharge lipase: 76 admit h/h: 17.3/48.2 discharge h/h: 9.2/28.6 all urine and blood cultures were negative throughout hospital course. c-diff was negative x 3 cta (admit): extensive, severe acute pancreatitis, with internal pancreatic hypoattenuation that may represent edema versus necrosis cta (): continued pancreatitis without evidence of clearing, there is now an ileus seen on ct cta (): interval increase in peripancreatic inflammatory changes, multiloculated fluid collection extending into the left pericolic gutter and along the descending colon. sbo seen on ct. cta (): 1. interval increase in peripancreatic inflammatory changes and interval unification of some of the multiloculated fluid collection in the left pericolic gutter and in the lesser sac. new areas of fluid collection are noted in the anterior abdominal wall. percutaneous drainage is not feasible given the multiple internal septations. 2. no evidence of pancreatic necrosis or venous thrombosis or pseudoaneurysm. brief hospital course: after presenting to the ed, the patient was directly admitted to the sicu for monitoring. during his short stay in the sicu, his bps were stable in the 120-150's, hrs were in the 80-90's (nsr), and his sats were in the high 90's on 2 l nc. he did not require intubation nor did he require pressors in the sicu. after being transferred to the floor, the patient did well. he was tolerating clears well, did not c/o n/v, and his wbc trended downwards. his pain was well controlled at first by a pca then transitioned to po pain meds. he did not c/o significant pain/breakthrough pain. psychiatry was consulted given his h/o schizophrenia. id was consulted given his h/o hiv. given these recommendations, the patient was started on his po anti-psychotic /depression medications but did not start on his hiv regimen in fear of resistance (po status may change at any minute). halfway through his hospital course, the patient suddenly became distended and had episodes of emesis. he was made npo and a ngt was inserted. he stopped passing flatus and required daily suppositories. despite being npo with a ngt, the patient remained distended. in addition he began to c/o more pain, located in the epigastric region. he began to spike fevers. his wbc started to rise. he was continued on iv abx for empiric treatment and cultures from his urine and blood were obtained. repeat ctas were performed, showing evidence of non-resolving and worsening pancreatitis. in addition, the cta suggested ileus. in light of his nutritional status, a picc was placed and tpn was started. he remained npo. despite numerous attempts in d/cing the ngt, the patient became more nauseated and distended. after failing conservative management for approximately a week, a repeat cta was obtained which showed pancreatitis and a sbo. the patient was then taken to the or and explored on . loa was performed. post-operatively the patient did well. he became less distended and could tolerate not having a ngt. he was passing flatus had numerous bm. c-diffs were negative x 3. his abdomen became much less distended and softer. his diet was advanced. on the day of discharge, he was cleared by psychiatry and id. he was to restart all his home medications. he was afebrile x 24 hours with a normal wbc. he was tolerating a diet and had less frequent bm. his abdomen was slightly distended but soft. his amylase and lipase levels are wnl. medications on admission: 1) atenolol 50 mg tablet one and a half tablet(s) by mouth once a day 2) buspar 5mg tablet 2 by mouth every day 3) darunavir 300 mg tablet 2 tablet(s) by mouth twice a day take with norvir 4) emtricitabine-tenofovir 200 mg-300 mg tablet 1 tablet(s) by mouth daily 5) etravirine 100 mg tablet 2 tablet(s) by mouth twice daily with some food 6) fenofibrate micronized 67 mg capsule 1 capsule(s) by mouth once a day take this medication with food/meal 7) lisinopril 10 mg tablet 1 tablet(s) by mouth once a day 8) loxapine 80 mg capsule one by mouth every day 9) ritonavir 100 mg capsule 1 capsule(s) by mouth twice daily take with darunavir 10) tranylcypromine 10 mg tablet 2 by mouth every day discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain for 2 weeks. disp:*40 tablet(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). tablet(s) 4. buspirone 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. tranylcypromine 10 mg tablet sig: two (2) tablet po daily (daily). tablet(s) 6. loxapine succinate 10 mg capsule sig: eight (8) capsule po daily (daily). discharge disposition: home discharge diagnosis: pancreatitis, small-bowel obstruction discharge condition: stable discharge instructions: please call or come to the emergency department if you experience temperature >101.5, chills, persistent nausea or vomiting, abdominal distension, shortness of breath or difficulty breathing, chest pain, redness / tenderness / purulent drainage from your incision, or any other symptoms of acute concern. diet: low-fat new medications: dilaudid (pain medication). no driving while taking. activity: as tolerated. no heavy lifting or strenuous activity. no swimming or tub bathing until told otherwise. shower. followup instructions: please call dr office () to schedule appointment in week. , md phone: date/time: 2:00 , m.d. phone: date/time: 9:30 , m.d. phone: date/time: 11:30 procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances other lysis of peritoneal adhesions suture of laceration of small intestine, except duodenum suture of laceration of small intestine, except duodenum suture of laceration of small intestine, except duodenum suture of laceration of small intestine, except duodenum suture of laceration of small intestine, except duodenum replacement of (naso-)gastric or esophagostomy tube replacement of (naso-)gastric or esophagostomy tube diagnoses: pneumonia, organism unspecified unspecified essential hypertension acute kidney failure, unspecified accidental puncture or laceration during a procedure, not elsewhere classified unspecified schizophrenia, unspecified diaphragmatic hernia without mention of obstruction or gangrene dysthymic disorder other and unspecified hyperlipidemia paralytic ileus diarrhea acute pancreatitis asymptomatic human immunodeficiency virus [hiv] infection status umbilical hernia without mention of obstruction or gangrene intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to