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: penicillins / sulfonamides / tetracyclines attending: chief complaint: loc major surgical or invasive procedure: intubation history of present illness: 45 yo male drug abuser on methadone with aids ( cd4 292, vl>100k, h/o pcp pneumonia and on haart) and hcv+ found unconscious at his group home. he was on the couch and unresponsive for 3-4 minutes. ems administered 1mg of narcan with good response, gcs 3-->14. his pupils were constricted but reactive. on arrival to the ed, he was minimally responsive, he received 1mg of narcan and became a+0x3. he was able to tell the team that he used iv heroine (which he later recounted), chewed two fentanyl patches, and ingested 2mg of klonopin. he became unresponsive to noxious stimuli, received 4.8mg of narcan and was started on a narcan gtt, intubated and given 50g of charcoal with sorbitol. toxicology was consulted and felt not opioid overdose, instead likely benzo intoxication with possible narcotic withdrawal. he also received 5liters of ns. past medical history: # hiv- question of compliance with haart # hcv+- genotype 1 grade 1 hepatic fibrosis on bx # polysubstance abuse # past apap overdose # etoh related pancreatitis # dts # cad- s/p lcx stent , normal ef on echo # neurogenic bladder # hiv nephropathy- cr as low as 0.8-1.0 and as high as 7 in # herpes # zoster- treated with acyclovir # peripheral neuropathy- likely hiv # depression or anxiety given on zoloft in past and maybe currently social history: lives in group home. h/o etoh and heroin use, though denies any use currently. no longer on methadone maintenance. family history: nc physical exam: t96.1, p53, 96/57 (map 72), 100% on , fio2 40% opens eyes to voice and squeezes hand. pupils dilated but reactive. neck supple. intubated. brady s1/s2 cta anteriorly soft, +bs, no hepatomegaly, vertical scar to right side of umbilicus, and small surgica appearing scar in rlq no peripheral edema, no interdigitary injection sites, abreasions on shins, +dp and pt pulses bilaterally pertinent results: labs on admission: wbc 8.0, hgb 14.7, hct 41.9, mcv 86, plt 151 (diff: neuts-52.6 lymphs-37.7 monos-6.2 eos-3.0 baso-0.5) na 135, k 5.1, cl 100, hco3 19, bun 20, cr 3.1, glu 79 albumin 2.9*, ca 7.9*, phos 3.9, mg 1.3* alt 16, ast 32, ap 128, tbili 0.4, amylase 92, lipase 37 ck(cpk) 236*, ck-mb 5, ctropnt <0.01 serum osm 276 serum tox screen: tca+ urine tox screen: benzo +, negative opioids but did not check for fentanyl u/a: 1.010, 5.0, 30 prot, rare bacteria . labs on discharge: wbc 4.5, hgb 12.6*, hct 36.5*, mcv 90, plt 121* pt 11.2, ptt 27.8, inr(pt) 0.9 na 137, k 4.1, cl 108, hco3 22, bun 14, cr 1.3, glu 80 ca 8.1*, phos 2.9, mg 2.0 . imaging: ekg : nsr @65bpm, nl axis, normal intervals, qtc-420 unchanged except for qtc 400 . . cxr : ap single view of the chest has been obtained with the patient in supine position and is analyzed in direct comparison with a similar study obtained 1-1/2 hours earlier during the same day. the patient is now intubated. the ett is terminating in the trachea, some 6 cm above the level of the carina. an ng tube has been passed, reaching well the fundus of the stomach. there is no pneumothorax or any other placement related complication. in comparison with the next preceding study, diffuse lateral pulmonary densities have developed and progressed significantly since the previous study obtained 1-1/2 hours earlier. the most likely explanation is chf or perhaps fluid overload as the heart shadow does not identify marked cardiomegaly. . ct head :there is significant limitation of the study secondary to patient motion, but there is no evidence for intracranial hemorrhage. the -white matter junction is distinct. the ventricles, sulci, and cisterns demonstrate no effacement. there is no mass effect or shift of normally midline structures. the osseous structures are unremarkable. the visualized paranasal sinuses are clear. the mastoid air cells are well pneumatized. . cxr : ap chest radiograph shows endotracheal tube and nasogastric tube in stable position. the cardiac and mediastinal contours appear unchanged. again seen are increased bilateral pulmonary densities consistent with chf or fluid overload, unchanged from prior study. . brief hospital course: 46 yo male with likely fentanyl overdose and benzo withdrawal vs. intoxication, s/p intubation for airway protection. . # altered mental status: his mental status began to clear in the icu after administration of narcan and activated charcoal. intoxication with methylene or ethylene glycol were ruled out, as was hepatic encephalopathy. toxicology was consulted to help in his management. once his sedation (propofol) was weaned, he was able to be extubated and his mental status appeared to be back to his baseline. he was restarted on his outpatient medications which include klonopin, zoloft, elavil, neurontin and fentanyl. he was also given thiamine/folate/mvi for h/o etoh abuse. social work was consulted to address the patient's substance abuse issues and he noted that he has strong support system in place, through the health clinic and aa. . # anion gap metabolic acidosis: on admission, mr. had an ag metabolic acidosis, most likely from arf. ingestion of another toxin or alcohol was ruled out, etoh was negative, salicylates were negative, and his lactate was normal (1.1 - 1.2). the ag acidosis resolved w/ the administration of ivf and his ag was down to 11 on discharge. . # arf: urine lytes were checked and were c/w prerenal etiology (fena 0.41%). he demonstrated a quick improvement in cr w/ ivf which also supported that diagnosis. urine eos were negative, so ain was ruled out. ivf were discontinued once he was tolerating adequate pos. his cr was down to 1.3 prior to discharge. . # aids: his haart was held until when his pcp could confirm his regimen. he is currently not on any pcp as he is allergic to bactrim, but he and his pcp will discuss starting dapsone as an outpatient. . # fen: once extubated, he was given a regular diet. he was continued on ivf until his cr came back to baseline. his electrolytes were checked daily and were repleted prn. . # pain: pt has chronic pain, likely from hiv-related peripheral neuropathy. he was restarted on his outpatient regimen of gabapentin, amitryptyline, and fentanyl once he was transferred to the floor. on discharge, it was advised that he follow-up with the acupuncture clinic again to attempt to address his chronic pain needs. . # ppx: heparin sc, bowel regimen, thiamine/folate/mvi. . # access: peripheral iv. . # code: presumed full code. . # dispo: to home. medications on admission: listed by ed- but unsure if these are his real meds elavil zoloft epivir viread sustiva crixivan lipitor atenolol lisinopril neurontin fentanyl patches methadone novair discharge medications: 1. efavirenz 600 mg tablet sig: one (1) tablet po daily (daily). 2. epzicom 600-300 mg tablet sig: one (1) tablet po once a day. 3. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 8. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 10. fentanyl 50 mcg/hr patch 72hr sig: one (1) patch 72hr transdermal q72h (every 72 hours). 11. multivitamin capsule sig: one (1) cap po daily (daily). 12. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 13. gabapentin 800 mg tablet sig: three (3) tablet po twice a day. 14. amitriptyline 150 mg tablet sig: one (1) tablet po at bedtime. 15. lisinopril 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnosis: benzodiazepine and fentanyl overdose acute renal failure urinary retention . secondary diagnosis: hiv hepatitis c h/o polysubstance abuse cad discharge condition: good. able to urinate on his own. afebrile, bp 128/90, hr 76. discharge instructions: 1. please follow up with your pcp or go to the nearest er if you develop any of the following: fever, chills, chest pain, shortness of breath, difficulty breathing, worsening pain, rash, nausea, vomiting, or any other worrisome symptoms. 2. please take all your medications as prescribed. 3. please follow-up with your pcp in the next two weeks. followup instructions: 1. please follow up with dr. as previously scheduled. it is important that you follow-up with her to continue on your haart regimen and to follow up on your renal failure. 2. please follow up with , pa on at 1:00pm. phone: 3. please follow up with aa and the acupuncture group at . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis coronary atherosclerosis of native coronary artery chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified unspecified glaucoma percutaneous transluminal coronary angioplasty status human immunodeficiency virus [hiv] disease poisoning by benzodiazepine-based tranquilizers accidental poisoning by other opiates and related narcotics accidental poisoning by benzodiazepine-based tranquilizers poisoning by other opiates and related narcotics sedative, hypnotic or anxiolytic abuse, unspecified 

Answer: The patient is high likely exposed to