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: right upper lobe superior sulcus tumor. right exploratory thoracoscopy; right thoracotomy and right upper lobectomy with en bloc chest wall resection ribs 2, 3, 4 and 5; reconstruction with -tex mesh; thoracic lymphadenectomy. major surgical or invasive procedure: r thoracotomy, rul lobectomy for ca, and chest wall resection , t2-4 right rib resection and chest wall reconstruction trach () s/p peg () history of present illness: mr. is a 52 year-old man with history of hiv and hepatitis c infection who presented in winter with history of right sided shoulder discomfort. a pet/ct was done in that showed a spiculated mass in right lung apex. a biopsy was taken and pathology described it as non-small cell carcinoma, consistent with squamous cell carcinoma. a medisatinoscopy was done in which didn't show evidence of lymph node involvement. the patient started neo-adjuvant chemoradiation in and completed radiation on complicated by severe hematologic toxicity from his chemotherapy. admitted on for right exploratory thoracoscopy; right thoracotomy and right upper lobectomy with en bloc chest wall resection ribs 2, 3, 4 and 5; reconstruction with -tex mesh; thoracic lymphadenectomy. past medical history: oncology history: diagnosis: superior sulcus, t3, n0 non-small cell lung cancer. histology: squamous cell carcinoma. treatment: radiation to chemotherapy: 1 cycke cisplatin/etoposide, 2nd cycle cysplatin planned for surgical resection/thoracics evaluation . other past medical history # hiv: diagnosed , current cd4 count in 41, was previously maintained 300-500. # hepatitis c - s/p interferon treatment w/o viral supression, liver bx w/grade 2 inflamm, stage ii fibrosis # thrombocytopenia - felt haart # mild hypogonadism is listed in previous notes # depression also listed in previous notes . social history: sh: over 70-pack-year history of smoking. no current etoh. last ivdu 13 years ago. . family history: fh: aunts w/lung cancer in 40s and 50s. father alive w/o ca, mother w/ asthma and s/p removal of breast lesion. physical exam: vs: 98.7, 56, 19, 145/60, 96% on 50% trach mask general: frail, thin male in nad. trach in place. heent: trach #7 portex placed . fitted for passey muir valve. chest: right thoracotomy site healing, no redness, no drainage. breath sounds intermittantly coarse on right, clear on left. abd: peg tube placed . extrem: no c/c/e neuro: alert and communicative. answers questions approp. pertinent results: ctc: the pre-existing subtotal consolidation of the left lowerlobe has markedly improved. the right upper lobe spiculated mass appears minimally smaller than at the last examination. the extent of pleural thickening is unchanged. no new lesions have occurred in the right upper lobe. overall slight regression in size of mediastinal lymph nodes. post ws cxr: slight interval increase in r apical ptx; with air extending towards chest wall, improved lung aeration with partial resolution of mulitfocal cosilidations although still present. stomach inflated, advance doboff. :right pneumothorax decreased, now small to moderate. right apical air pocket is unchanged. dobhoff tube ends in the stomach.diffuse parenchymal opacities, more marked on the left are grossly unchanged, could be infectious. no other change. : ruq us no evidence cholelithiasis ; pre-existing bilateral parenchymal opacities are unchanged. right apical postoperative lesions and the pre-existing right-sided rib lesions also unchanged. micro: bal 9/17:3+ pmn; no microorganisms seen. bal gpc >100,000 organisms/ml. oropharyngeal flora bal gpc >100,000 organisms/ml. oropharyngeal flora blcx x 2: p ucx: p : bal: 4+ pmn blood culture:p cmv viral load-neg bal: ng sputum: ng cath: ng brief hospital course: pt admitted and taken to the or on for right exploratory thoracoscopy; right thoracotomy and right upper lobectomy with en bloc chest wall resection ribs 2, 3, 4 and 5; reconstruction with -tex mesh; thoracic lymphadenectomy. an epidural was placed for pain control and was split (epidural/pca) on pod#1 for improved pain control. 2 chest tubes were placed at the time of surgery and was placed on sxn w/positive air leak. id was consulted for ongoing follow up for previous lll which grew out aspergilus fungatus/mycelia on bal and was being treated w/ voriconazole and bactrim suppression therapy. on pod#2 pt was seen by rt for sxning for low o2 sats w/ copious secretions. required 100% nrb and was subsequently transferred to the icu for resp distress. was intubated and bronched for copious secretions for presumed aspiration pna. food particles were sxn from airways during bronch. cxr w/ rll collapse. started on broad spectrum abx- vanco/zosyn. micro from serial bal's revealed no growth. pod#3 bronch done for pul tiolet to remove secretions from lul as seen by lul collapse on cxr. extubated but failed d/t inability to manage secretions and required re-intubation in 8hrs. pod#4 epidural migrated out and was d/c'd. pod#5 hypotensive and was treated w/ ivf and intermittant pressors, propofol was decreased. bronch'd for pul tiolet nd extubation failed again requiring reintubation. pod#6 one of the chest tubes was removed and the other tube remained on sxn. oral feeding tube was placed for tube feeds. pod#7 trach performed. required intermittant neo/ivf boluses for bp support. chest tube to water seal. pod# chest tube d/c'd. weaning vent slowly. heme was consulted for low plt count which was felt to be multifactorial. pt did rec transfusion of plts and prbc. pod# 11- 17 cont'd to have difficulty weaning from the vent w/ periods of agitation. neuro was consulted and felt ms changes were d/t delirium. pod# 18 failed swallow. eval for peg. pod# 20 peg placed. pod#21 progressed well ms cleared, weaned from vent, started feeds. transferred from the icu to the floor. pod# 22 pt transferred to the icu after he developed somulence w/ passey muir valve in place. hypercarbic. passey muir valve removed, symptoms improved. pod#23 pt transferred from the icu to the floor. remains npo on tube feeds at goal. passed swallow for nectar thick liqs and pureed but will not start po's until re-assessed at follow up visit. passey muir valve. intermittantly required pressors for hypotension medications on admission: combivir, letvita, zoloft, klonopin, mvi, trazodone prn, methadone, dilaudid, voriconazole discharge medications: 1. emtricitabine-tenofovir 200-300 mg tablet : one (1) tablet po daily (daily): via g-tube. 2. bisacodyl 10 mg suppository : one (1) suppository rectal hs (at bedtime) as needed. 3. heparin (porcine) 5,000 unit/ml solution : one (1) injection (2 times a day). 4. acetylcysteine 20 % (200 mg/ml) solution : 3-5 mls miscellaneous q8h (every 8 hours) as needed. 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) neb inhalation q6h (every 6 hours) as needed for o2 sat <93%. 6. tamsulosin 0.4 mg capsule, sust. release 24 hr : one (1) capsule, sust. release 24 hr po hs (at bedtime): via peg. 7. trimethoprim-sulfamethoxazole 80-400 mg tablet : one (1) tablet po daily (daily): via peg. 8. olanzapine 5 mg tablet : one (1) tablet po tid (3 times a day): via peg. 9. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily): via-peg. 10. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed: via peg. 11. lactulose 10 gram/15 ml syrup : thirty (30) ml po bid (2 times a day) as needed: via peg. 12. fosamprenavir 700 mg tablet : two (2) tablet po q12h (every 12 hours): via peg. 13. multivitamins tablet, chewable : one (1) tablet po daily (daily): via peg. 14. gabapentin 250 mg/5 ml solution : six hundred (600) mg po tid (3 times a day) as needed for pain: via peg. 15. sertraline 100 mg tablet : one (1) tablet po daily (daily): via peg. 16. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day): via peg. 17. methadone 10 mg/ml concentrate : seventy five (75) mg po qam (once a day (in the morning)) as needed for maintenance. 18. voriconazole 200 mg/5 ml suspension for reconstitution : two y (250) mg po q12h (every 12 hours). 19. albuterol 90 mcg/actuation aerosol : four (4) puff inhalation q2h (every 2 hours) as needed. 20. ipratropium bromide 17 mcg/actuation aerosol : two (2) puff inhalation qid (4 times a day). 21. erythromycin 5 mg/g ointment : .5 qid ophthalmic qid (4 times a day). 22. regular insulin per sliding scale fingerstick discharge disposition: extended care facility: & rehab center - discharge diagnosis: hiv+ hep c+ sp r thoracotomy, rul lobectomy for ca, and chest wall resection , t2-4 right rib resection and chest wall reconstruction, transfer w/acute ms change, po2=42, ?aspiration, now s/p trach () s/p peg () . discharge condition: deconditioned discharge instructions: call dr. office if you develop fever, chills, redness or drainage from your incision site or have any symptoms that concern you. followup instructions: follow-up with dr. on date/time: 11:30 on the clinical center building one. please arrive 45 minutes prior to your appointment and report to the radiology for a chest xray. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances other lavage of bronchus and trachea other lavage of bronchus and trachea other lavage of bronchus and trachea other lavage of bronchus and trachea percutaneous [endoscopic] gastrostomy [peg] arterial catheterization temporary tracheostomy other repair of chest wall closed [endoscopic] biopsy of bronchus transpleural thoracoscopy transfusion of packed cells transfusion of platelets simple excision of other lymphatic structure excision or destruction of lesion of chest wall other lobectomy of lung diagnoses: acidosis thrombocytopenia, unspecified chronic hepatitis c without mention of hepatic coma secondary malignant neoplasm of other specified sites personal history of tobacco use pulmonary collapse acute respiratory failure pneumonitis due to inhalation of food or vomitus iatrogenic pneumothorax malignant neoplasm of upper lobe, bronchus or lung other respiratory complications ventilator associated pneumonia removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation delirium due to conditions classified elsewhere asymptomatic human immunodeficiency virus [hiv] infection status aspergillosis pneumonia in aspergillosis 

Answer: The patient is high likely exposed to