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: this is a 60-year-old male with hiv complicated by neuropathy, status post colectomy with colostomy for c. diff, status post cva with left hemiparesis, presenting with a fall at home and found to have a high creatinine, hyperkalemia and acidemia. the patient was in his usual state of health until the past week when the patient noticed increasing colostomy output and generalized weakness. denies change in bowel movement quality, positive nausea and vomiting, negative fever and chills. the patient states that on the day of admission he was standing up from his wheelchair, trying to pull up his pants and fell on his right hip and hit his head, no loss of consciousness, no lightheadedness, no chest pain, no shortness of breath, no dizziness, no urinary frequency or dysuria, no fever or chills. in the ed the systolic blood pressure was found to be low in the 70s and he received one liter of normal saline and it was 126/61. past medical history: 1. hiv complicated by neuropathy, last cd4 in was 380. 2. status post mca cva in with left hemiparesis. 3. chronic renal failure, baseline is 1.5 to 1.9. 4. history of renal tubular acidosis. 5. status post left femoral fracture, status post open reduction internal fixation in . 6. depression. 7. hypertension. 8. gerd. 9. history of seizure disorder post cva. 10. status post colectomy for c. diff colitis in with colostomy. 11. osteoarthritis. 12. ppd positive. allergies: penicillin - angioedema. verapamil, tegretol, vasotec, elavil, hydrochlorothiazide, iodine, vancomycin, tegaderm, trilafon, sulfa, food dyes. social history: patient lives alone in assisted hiv. adls intact. history of alcohol abuse. was a french chef. no alcohol or tobacco use currently. medications: celexa 40 mg q.d., neurontin 100 mg t.i.d., aciphex 20 mg q.d., viagra, testosterone, enteric coated aspirin 325 mg q.d., prilosec as needed, motrin, bicitra q.o.d. physical examination: 98.6, 93, 105/68, 17, 100% on three liters. he was lying in bed in no apparent distress. heent exam reveals dry mucous membranes. cv - regular rate, 2/6 systolic murmur. pulmonary - clear to auscultation bilaterally. abdomen soft, nontender, nondistended, ostomy bag full green liquid. extremities - dry skin, no edema. neurologically alert and oriented x3, slowing talking. labs: white blood cell count 10.0, hematocrit 42.1, platelets 272, mcv 83, neutrophils 87, 0 bands, 9 lymphs, 29 monos, 1 eosinophil. electrolytes - sodium 133, potassium 6.3, chloride 111, bicarb 9, bun 60, creatinine 8.1, glucose 126, free calcium 9.23. abgs - 7.12/26/161. urinalysis - moderate blood, trace ketones, red blood cells, white blood cells, few bacteria. urine sodium 32, potassium 46, chloride 48. ekg - left axis deviation, normal sinus rhythm at 100. chest x-ray - enlarged heart, prominent pulmonary vasculature, left pleural effusions. hip film - no fracture, no discoloration. last echo in , ejection fraction greater than 55%, mild mitral regurgitation. stress negative. hospital course: 1. acute renal failure. the patient responded acutely to iv fluid repletion and was down to his baseline of 1.8 on discharge. the renal ultrasound showed only two tiny non-obstructing right kidney stones, otherwise normal appearance of the kidneys, borderline splenomegaly. this was all felt to be due to pre-renal causes. however, a renal tubular acidosis could have been part of the cause for why he was having such a big metabolic acidosis. 2. acidemia. the gap is greater than 15 and likely secondary to uremia. also a non-anion gap metabolic likely due to bicarb loss from the colostomy. the patient received d5w with bicarbonate and they watched his fluid outputs. the patient responded with bicarb of 22 to 24 on discharge. 3. status post fall. the patient is a fall risk due to his co-morbidities and likely had weakness caused by all of the dehydration and fluid depletion. he was ruled out for a cardiac event and it was felt that perhaps is ms-contin or viagra could be contributors. physical therapy was consulted and it was felt that he was able to do transfers from bed to wheelchair without difficulty, but would benefit from home pt. he did not qualify for acute rehab care. 4. hypotension. this resolved by boluses of fluid and was thought to be intravascularly depleted. 5. hiv. the patient has not been on therapy for greater than 8 months. his last cd4 was in and he had a cd4 count of 380 at that time. the patient feels that perhaps at this time he would want to re-initiate therapy and will discuss this with his pcp. 6. diarrhea. the patient had stool cultures of c. diff sent, which were all negative and o&ps, which were still pending, but preliminary results were negative. the patient turned occult blood positive. gi was consulted and it was felt that perhaps he would have occult blood positive from just having ostomy bag. they did not think this was infectious in nature. a cmv was sent for the chance that this could be colitis. cmv viral load was pending. gi recommended that the patient undergo a small bowel follow through to look for a mass lesion as the cause such as a lymphoma. the results will be called to dr. his pcp. 7. anemia. the patient was anemic. he was found to have normal vitamin b-12, folate, tsh. it was suggested that perhaps than an epo be done as an outpatient to evaluate since he has baseline renal dysfunction in an hiv patient. discharge diagnoses: 1. renal failure. 2. hiv. 3. urinary tract infection. 4. anemia. 5. diarrhea. 6. anemia. 7. hypotension. discharge medications: will be dictated in a separate note. follow up: the patient will be asked to follow up with dr. at by making an appointment early next week regarding the results of his small bowel follow exam. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnoses: acidosis hyperpotassemia urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified human immunodeficiency virus [hiv] disease diarrhea polyneuropathy in other diseases classified elsewhere 

Answer: The patient is high likely exposed to