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: no known allergies / adverse drug reactions attending: chief complaint: left hip pain major surgical or invasive procedure: left total hip replacement history of present illness: the patient is a 55-year-old male with a history of hiv, hepatitis c and osteonecrosis of both femoral heads. symptomatically the left has been worse than the right. the pain persisted despite nonoperative measures. he elects for definitive treatment. past medical history: osteonecrosis, htn, hep c, hiv+, tobacco abuse social history: the patient smokes one packet of cigarettes per week. he has been doing so for the past 40 years. he drinks occasional alcohol. he has a history of intravenous drug abuse, which he indicates he discontinued in the . family history: nc physical exam: well appearing, well nourished 55 year old male alert and oriented no acute distress lle: -dressing-c/d/i -incision-c/d/i -+at, fhl, -silt -brisk cap refill -calf-soft, nontender -nvi distally pertinent results: 09:50am blood wbc-8.3 rbc-2.49* hgb-9.1* hct-24.7* mcv-verified mch-36.4* mchc-36.6* rdw-16.9* plt ct-130* 06:22am blood wbc-10.7 rbc-2.08* hgb-7.6* hct-21.9* mcv-106* mch-36.7* mchc-34.8 rdw-15.0 plt ct-135* 04:07am blood wbc-10.0 rbc-2.48* hgb-9.2* hct-25.6* mcv-103* mch-37.2* mchc-36.0* rdw-15.2 plt ct-149* 12:00am blood wbc-7.7 rbc-2.55* hgb-9.2* hct-26.6* mcv-105* mch-36.1* mchc-34.5 rdw-15.2 plt ct-135* 04:30pm blood wbc-12.3*# rbc-2.61*# hgb-9.6*# hct-26.9*# mcv-103* mch-36.6* mchc-35.5* rdw-15.3 plt ct-168 04:07am blood neuts-76.4* lymphs-16.7* monos-5.6 eos-1.0 baso-0.3 09:50am blood glucose-100 urean-8 creat-0.7 na-137 k-3.5 cl-99 hco3-29 angap-13 06:22am blood glucose-113* urean-10 creat-0.8 na-135 k-3.8 cl-98 hco3-31 angap-10 04:07am blood glucose-133* urean-9 creat-0.8 na-136 k-3.5 cl-98 hco3-27 angap-15 12:00am blood glucose-131* urean-10 creat-0.8 na-135 k-3.1* cl-100 hco3-28 angap-10 04:30pm blood glucose-105* urean-10 creat-0.7 na-137 k-3.6 cl-101 hco3-28 angap-12 06:22am blood calcium-8.8 phos-2.8 mg-2.3 brief hospital course: the patient was admitted to the orthopaedic surgery service and was taken to the operating room for above described procedure. please see separately dictated operative report for details. the surgery was uncomplicated and the patient tolerated the procedure well. patient received perioperative iv antibiotics. postoperative course was remarkable for the following: 1. post op pain - lumbar sacral plexus block was attempted by block team. after the block, pt had a bilateral motor and sensory deficit of the lower extremities extending up to the level of t2 (nipple line). he became hypotensive requiring the use of pressors to keep his blood pressure in a safe range. these symptoms persisted and the decision was made to obtain a spine mri to r/u epidural hematoma. this was negative. ms was transfered to the for further monitoring throughout the night. as per icu note, his neuromuscular exam completely returned to shortly after arriving to the icu. 2. icu course - his neurological deficits resolved completely in the icu. his mri did not show any evidence of epidural hematoma. he was monitored overnight in the icu and transitioned to the floor the following day. he developed a fever to 102 overnight and was cultured. his hypertension was also sub-optimally controlled so he was started on amlodopine 5mg x 1 and continued on his home lisinopril, metoprolol, and hctz. 3. post-op anemia due to blood loss - hct 21.9 on pod 2. patient triggered for bp 78/50, otherwise asymptomatic. received 2 units prbcs -> hct 24.9. otherwise, pain was initially controlled with a pca followed by a transition to oral pain medications on pod#1. the patient received lovenox for dvt prophylaxis starting on the morning of pod#1. the foley was removed on pod#2 and the patient was voiding independently thereafter. the surgical dressing was changed on pod#2 and the surgical incision was found to be clean and intact without erythema or abnormal drainage. the patient was seen daily by physical therapy. labs were checked throughout the hospital course and repleted accordingly. at the time of discharge the patient was tolerating a regular diet and feeling well. the patient was afebrile with stable vital signs. the patient's hematocrit was acceptable and pain was adequately controlled on an oral regimen. the operative extremity was neurovascularly intact and the wound was benign. the patient's weight-bearing status is weight bearing as tolerated on the operative extremity with posterior precautions. walker or two crutches at all times for 6 weeks. mr is discharged to home with services in stable condition. medications on admission: asa, fenanyl, hctz, lisinopril, daranavir, stavudine, ritonavir, raltegravir, oxycontin, pravastatin, toprol xl discharge medications: 1. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous daily (daily) for 4 weeks. disp:*28 syringe* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*50 tablet(s)* refills:*1* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours) as needed for chronic pain. 7. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever or pain. 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 10. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours) as needed for chronic pain. 11. oxycodone 10 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po q12h (every 12 hours) as needed for chronic pain. 12. oxycodone 5 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 13. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 14. hydrochlorothiazide 50 mg tablet sig: one (1) tablet po once a day. 15. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 16. stavudine 20 mg capsule sig: two (2) capsule po q12h (every 12 hours). 17. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). 18. raltegravir 400 mg tablet sig: one (1) tablet po bid (2 times a day). 19. darunavir 400 mg tablet sig: two (2) tablet po daily (daily). 20. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: left hip avascular necrosis hypertension/hypotension post-op anemia due to blood loss discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: 1. please return to the emergency department or notify your physician if you experience any of the following: severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your primary physician regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. 4. you have been given medications for pain control. please do not drive, operate heavy machinery, or drink alcohol while taking these medications. as your pain decreases, take fewer tablets and increase the time between doses. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as colace) as needed to prevent this side effect. call your surgeons office 3 days before you are out of medication so that it can be refilled. these medications cannot be called into your pharmacy and must be picked up in the clinic or mailed to your house. please allow an extra 2 days if you would like your medication mailed to your home. 5. you may not drive a car until cleared to do so by your surgeon. 6. please keep your wounds clean. you may shower starting five (5) days after surgery, but no tub baths or swimming for at least four (4) weeks. no dressing is needed if wound continues to be non-draining. any stitches or staples that need to be removed will be taken out by the visiting nurse (vna) or rehab facility two weeks after your surgery. 7. please call your surgeon's office to schedule or confirm your follow-up appointment in four (4) weeks. 8. please do not take any non-steroidal anti-inflammatory medications (nsaids such as celebrex, ibuprofen, advil, aleve, motrin, etc). 9. anticoagulation: please continue your lovenox for four (4) weeks to help prevent deep vein thrombosis (blood clots). stockings x 6 weeks. 10. wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four (4) week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two (2) weeks. 11. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at two weeks after surgery. 12. activity: weight bearing as tolerated with walker or 2 crutches at all times for six weeks. posterior precautions. no strenuous exercise or heavy lifting until follow up appointment. mobilize frequently. physical therapy: wbat with crutches/walker x 6 weeks rom - posterior precautions mobilize frequently treatments frequency: dry, sterile dressing changes daily and as needed for drainage wound checks ice staple removal and replace with steri strips pod14 teds followup instructions: provider: , md phone: date/time: 10:00 md procedure: total hip replacement diagnoses: other iatrogenic hypotension tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia unspecified viral hepatitis c without hepatic coma fever, unspecified accidents occurring in residential institution aseptic necrosis of head and neck of femur asymptomatic human immunodeficiency virus [hiv] infection status peripheral nerve- and plexus-blocking anesthetics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to