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: motrin / codeine / nortriptyline attending: chief complaint: hypoxia major surgical or invasive procedure: none history of present illness: 65 yo m with a history of hiv (cd 4 331, vl <50 in ), hcv (vl 4200 in ), dm ii, esrd on hd, diastolic chf and anemia transferred from a nursing home with fevers, hypoxia and worsened anemia. . the patient arrived from his nursing home after he was noted to be short of breath, confused, lethargic and hypoxic to 79% on 2l nc. he also had a fever to 100.5. in the ed, 99.7, 97 150/90 28 83% on 6l and 98% on a nrb. he received levofloxacin 750mg iv, cefepime 2g iv and bactrim 400mg iv. the patient was also noted to have hct lower than baseline anemia with brown, guaiac positive stool. . the patient reports that he feels at his baseline and is unsure of why he was sent to the hospital. he reports that he remembers being told that his temperature was up and his oxygen level was down. he denies new shortness of breath though does note a cough productive of yellow sputum x 2 days. he notes new lower extremity swelling without chest pain, orthopnea or weight gain. he also denies missing hd. also the patient denies black or bloody stools. past medical history: hiv. follwed by dr. . diagnosed . ( cd4 331), viral load < 50 copies in , h/ esophagitis - esrd, on hd since . tues thurs sat at hospital () (nephrologist dr. ) - hep c- ib vl 4,290 iu/ml - dm ii c/b neuropathy, charcot foot, neuropathy and ?mild retinopathy - chf, echo ef 50% (diastolic dysfunction, 1+ mr) - history of multi-drug resistant organisms including visa (vanc-intermediate sensitivity staph aureus) and mrsa. - necrotizing fasciitis: - : multiple surgeries and circumcision during hospitalization. - hypertension - hypercholesterolemia - le diabetic ulcers - herpes zoster of the left mandibular distribution of the trigeminal nerve. - r suprapatellar abscess: . - ivdu (heroin and cocaine) -, none since - obesity - gi bleed: . ob positive stool. no frank blood. colonic avm on colonoscopy s/p thermal therapy. - anemia: . started epogen. - colonic polyps - gastritis with large hiatal hernia. - lipodystrophy - charcot foot: dx in . - positive afb in sputum: . mycobacterium gordonae. no abnormalities on ct chest in . social history: previously lived alone. now basically long care care facility resident. hx of tobacco abuse (quit 20 yrs ago), hx of alcohol abuse (quit >20 yrs ago), hx of heroin and cocaine abuse (quit >20 yrs ago) family history: non-contributory physical exam: per unit team: vs 37.2 87 103/42 94% nrb gen: well-appearing, nad. heent: perrl. no palpable cervical or clavicular lymphadenopathy. neck supple. card: rrr. normal s1 and s2. no m/r/g. pulm: cta bilaterally. abd: soft, nontender, no organomegaly. ext: bilateral lower leg skin breakdown consistent with chronic edematous and venous stasis changes. 1+ bilateral lower extremity edema. bilateral charcot feet. neuro: a&ox3. appropriate mood and affect. pertinent results: 10:03am wbc-6.5 rbc-2.52* hgb-7.3* hct-22.7* mcv-90 mch-28.9 mchc-32.2 rdw-21.0* 10:03am neuts-78.5* lymphs-15.3* monos-5.2 eos-0.6 basos-0.3 10:03am plt count-228 10:03am alt(sgpt)-5 ast(sgot)-13 alk phos-61 tot bili-2.0* 10:03am ld(ldh)-162 ck(cpk)-32* 10:03am ck-mb-notdone probnp-greater th 10:03am calcium-8.7 phosphate-4.6* magnesium-2.0 iron-11* 10:03am glucose-110* urea n-26* creat-5.3* sodium-140 potassium-3.2* chloride-96 total co2-34* anion gap-13 10:52am lactate-1.9 . 6:07 pm sputum source: expectorated. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 2+ (1-5 per 1000x field): gram positive cocci. in pairs and clusters. 2+ (1-5 per 1000x field): gram positive rod(s). respiratory culture (preliminary): . inr on discharge 6.5 cxr: limited study demonstrating stable mild cardiomegaly with mild pulmonary vascular congestion. brief hospital course: 65 yo m with a history of hiv (cd 4 331, vl <50 in ), hcv (vl 4200 in ), dm ii, esrd on hd, diastolic chf and anemia transferred from a nursing home with fevers, hypoxia and worsened anemia. hosp course by problem: . # hypoxia. thought overload although pna also considered given the ? fever. he was initially treated with cefepime and levaquin. he received hd urgently and had 6kg removed with significant improvement in symptoms. he was tranferred out of the icu and remained stable on the floor with 2l o2 by nasal canula. we recommend: - adhere to low na diet - hd as scheduled - extra hd session tomorrow (monday) per d/w renal team - complete 5d course of levaquin for ? pneumonia. since he is on every other day dosing, only needs one more dose on tuesday - consider outpatient sleep study. . # anemia: at baseline. will need iv iron at hd. . # inr supratherapeutic: thus making pe very unlikely. held coumadin and recommend continue holding it especially since he is on levaquin. consider recheck in days. if remains >6.0, consider vitamin k. there was no evidence of active bleeding. can restart coumadin when inr < 3.0. . # altered mental status. mentating well currently. continue to monitor. . # cardiac enzyme elevation. likely secondary to renal failure. not elevated compared to prior measurements. no signs of acute ischemia based upon history and ekg. . # esrd on hd. patient reports compliance with hd schedule. . # history of graft clots. - continue systemic anticoagulation. ivc clot as well. we held coumadin as above. . # hiv. stable. continue antiretroviral regimen. . # hep c. stable. no current therapy. . # dm ii. insuling sliding scale. . # diastolic chf. fluid removal at hd. continue cardiac regimen of beta-blocker, calcium channel blocker and . . # history of multi-drug resistant organisms including visa (vanc-intermediate sensitivity staph aureus) and mrsa. - strict contact precautions. . # hypertension. continue home antihypertensives . # access: left femoral hd line. . # fen: cardiac, diabetic, renal diet. . # prophylaxis. systemic anticoagulation as at home, bowel regimen. . # code: full per referral form. . # dispo: back to nh . medications on admission: metoprolol 25mg twice daily indinavir i-c crixivan 800 twice daily (12am and 12pm) ritonavir i-c norvir 100mg twice daily with indinavir (12am and 12pm) zerit i-c stavudine 20mg daily at noon after dialysis amlodipine 2.5mg daily at noon epivir i-c lamivudine 150mg at noon 2x/week after dialysis valsartan 160mg daily at 12pm warfarin 0.5mg daily at 5pm methadone 15mg twice daily albuterol 90mcg 2 puffs every 6 hours acetaminophen 650mg every 4 hours as needed compazine 10mg three times a day as needed milk of magnesia 30ml at 8pm if no bm in 3 days gabapentin 200mg at bedtime renagel 800mg three times a day citalopram 40mg daily docusate 100mg twice daily b complex 1 cap daily at 12 noon calcitriol 0.25 mcg every other day senna 8.6mg twice daily as needed bisacodyl 10mg suppository as needed eucerin cream discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. indinavir 400 mg capsule sig: two (2) capsule po twice daily (). 3. ritonavir 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 5. zerit 20 mg capsule sig: one (1) capsule po at noon after hd. 6. epivir 150 mg tablet sig: one (1) tablet po at noon 2x/wk after hd. 7. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 8. methadone 5 mg tablet sig: three (3) tablet po bid (2 times a day). 9. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation every 4-6 hours as needed for shortness of breath or wheezing. 10. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 11. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 12. gabapentin 100 mg capsule sig: two (2) capsule po hs (at bedtime). 13. sevelamer hcl 800 mg tablet sig: one (1) tablet po tid w/meals (3 times a day with meals). 14. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 16. vitamin b complex-c tablet sig: one (1) tablet po once a day. 17. levofloxacin 250 mg tablet sig: one (1) tablet po q48h (every 48 hours) for 1 doses: give after hd on tuesday. 18. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 19. bisacodyl 10 mg suppository sig: one (1) suppository rectal hs (at bedtime) as needed. discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: primary: - pneumonia - fluid overload esrd - anemia secondary: - diastolic chf - hiv - hep c - dmii - htn discharge condition: on 2l nc oxygen. aaox3 discharge instructions: you came in with shortness of breath and confusion. we treated you with dialysis and you improved. we also treated you with antibiotics for possible pneumonia. please continue levaquin for one more dose. please hold coumadin since your level was too high. this can be rechecked in days. you should get an extra hemodialysis session tomorrow (monday). followup instructions: please have hemodialysis tomorrow in addition to normal schedule. procedure: hemodialysis diagnoses: pneumonia, organism unspecified anemia in chronic kidney disease end stage renal disease pure hypercholesterolemia congestive heart failure, unspecified chronic hepatitis c without mention of hepatic coma acute on chronic diastolic heart failure diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes human immunodeficiency virus [hiv] disease hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease 

Answer: The patient is high likely exposed to