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: didanosine / iodine; iodine containing attending: chief complaint: transfer from floor (west) for hypotension major surgical or invasive procedure: none history of present illness: hpi: 40 yo indian male with hiv/aids (cd4 17), chronic wasting/malnutrition on tpn, on treatment for cryptosporidium diarrhea, c. diff, who originally presented to on with worsening pancytopenia and epistaxis (plt 17 on admission). hematology saw pt while hospitalized and differential for thrombocytopenia was drug induced from flagyl/gancyclovir/bactrim, myelosuppression from hiv, vs itp. bone marrow biopsy was performed and pt was started on iv steroids for presumed itp. additionally, pt has been having guaiac positive stools and gi saw pt though opted not to scope as pt likely bleeding in setting of thrombocytopenia. mr. was also diagnosed with norwegian scabies, thrush, and likely esophageal candidiasis. . last night ~midnight, micu green called for pt being hypothermic to 92.9, bp: 58/pal (100s prior), p: 88; rr: 26; o2: 2l with a new productive cough. he was given cefepime 2 g iv x 1, 4 l ns. pt was started on a dopamine gtt for sbp in the 60s and transferred to via ambulance. past medical history: pmhx copied per old note: 1) hiv: diagnosed . last cd4 17 on (45 on ), vl 33,000 on . last haart regimen in consisted of kaletra/trizivir/viread; however, this regimen did not suppress his vl or raise his cd4 count. as his haart meds were thought to be worsening his diarrheal symptoms and were unlikely to be absorbed, they were held at that time. . 2) cryptosporidium: positive and , negative . started treatment with paromycin and azithromycin on for projected 18 week course. terminal ileum biopsies taken, which was c/w cryptosporidiosis. . 3) cmv colitis: one cell suspicious for cmv on terminal ileum biopsy, though staining was negative. cmv vl found to be 6830. he was started on ganciclovir 150mg iv bid on for 2wk induction period, then to qd maintenance dosing. . 4) c. diff colitis: started treatment with flagyl 500mg iv tid on for 14 day course, holding antimotility agents that had been previously used. . 5) esophageal candidiasis: dx'ed on egd, s/p 14 days fluconazole. recently diagnosed with thrush, started on another course of fluconazole 100mg iv qd x 14 days. . 6) malnutrition: likely chronic diarrhea and aids. receives chronic tpn . 7) abnormal tft's: tsh 4, ft4 0.7 in . not repleted sinus tach and diarrhea. planned for recheck in 6 weeks. . 8) h/o pancreatititis ddi c/b pseudocyst requiring drainage . 9) h/o scabies tx with permethrin . 10) anal condylomata social history: indian born. economic professor . no tobacco, alcohol, or ivdu. family history: grandmother with ovarian cancer physical exam: physical exam: 18mcg dopamine, sbp 85 vs: 92.9 i/o 1550 / br bm(1600) gen: mild distress, heent: perrl, eomi, nonicteric sclera, op with extensive thrush, dry mm, jvd flat, cv: rrr no mrg lungs: decrease bs, abd: decrease bs, soft nt/nd ext: no c/c/e skin: hyperkeratotic scales on neck neuro: aaox3 pertinent results: radiology: abdominal ultrasound- impression: minimal thickened gallbladder wall with intraluminal sludge and slightly dilated common bile duct. these constellation of findings are concerning for hiv cholangiopathy. . tte -the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. no vegetation seen (cannot definitively exclude). . cxr pa/lat- no acute cardiopulm process 06:00pm glucose-84 urea n-40* creat-1.6*# sodium-147* potassium-3.7 chloride-110* total co2-23 anion gap-18 06:00pm alt(sgpt)-29 ast(sgot)-48* ld(ldh)-261* alk phos-854* amylase-51 tot bili-1.0 06:00pm ggt-446* 06:00pm calcium-7.1* phosphate-4.0 magnesium-1.9 06:00pm haptoglob-166 06:00pm wbc-1.0*# rbc-2.46* hgb-7.9* hct-22.7* mcv-92# mch-32.0# mchc-34.7 rdw-18.1* 06:00pm neuts-72* bands-0 lymphs-18 monos-10 eos-0 basos-0 atyps-0 metas-0 myelos-0 06:00pm plt count-7*# 06:00pm pt-12.9 ptt-26.9 inr(pt)-1.1 06:00pm gran ct-760* 06:00pm ret aut-0.2* head ct : findings: there is no evidence of acute intra- or extra-axial hemorrhage. the -white matter differentiation appears grossly preserved. there is slight prominence of the ventricles and sulci that may be related to volume loss. the basal cisterns appear patent. imaged paranasal sinuses appear clear. portable chest x-ray: the heart size is normal. there is a persistent area of opacity in the right lower lobe with associated displacement of the fissure suggestive of atelectasis. there is a new area of opacity in the left retrocardiac region with air bronchograms, concerning for infectious pneumonia or aspiration. there is a persistent small right pleural effusion and there is a new small left pleural effusion. impression: persistent right lower lobe opacity, most likely atelectasis. new left retrocardiac opacity, concerning for infectious pneumonia or aspiration. brief hospital course: a/p: 40m with hiv/aids (cd4 17) with chronic diarrhea cryptosporidium, c. diff, and cmv colitis, pancytopenia, electrolyte abnormalities, transfer from floor for hypotension, hypothermia, and new o2 requirement. . #) septic shock: likely due to pseudomonas in blood +/- ? left lower lobe infiltrate he was started on broad spectrum abx cefepime/levo to double cover for pseudomonas. he was started on levophed and dopamine was weaned off on to maintain maps>60. he completed a 7 day course of stress dose steroids. intravenous fluids and antibiotics were continued until when patient was made comfort measures. . #) pancytopenia : multifactorial: likely hiv + medication . a. thrombocytopenia - itp vs. medication (bactrim/ganciclovir/flagyl) vs. myelosuppression from hiv/aids. also possible include infection with pcp, . s/p bmbx by heme on . . b. anemia - hct on admission 22.7. likely from gib and hiv. peripheral smear did not show evidence of hemolysis and iron studies in consistent with anemia of chronic disease. pt also has been having guaiac positive stools. on he was transfused 1u prbcs and 2u prbcs on . c. neutropenia and lymphopenia - marrow suppression likely hiv, infection. gcsf was continued until blood counts increased and no longer neutropenic. . #) gib/coagulopathy: likely from inr of 2.0 as well as low platelets. patient has been putting out bloody watery bms from mushroom cath. he was transfused with plts, prbcs, received 10sc of vit k on and ffp. gi was consulted regarding gi bleed - no intervention because of low platelet count. . #) access: patient had double lumen picc placed. . #) diarrhea - etiology multifactorial including crytosporidia and c.difficile, but completed a 14 day course of flagyl treatment. he was started on opium tincture and loperamide. patient had over 4l stool production. he had frequent labs checked to replete electrolytes and aggressive fluid resuscitation. this was stopped when he was made comfort measures only. . #) aids - cd4 of 17 in . he was restarted on haart medications but these were stopped when made comfort measures. . #) aids cholangiopathy - seen on ruq u/s and pt with elevated ap. it is a biliary obstruction from infection associated strictures of biliary tract, most common being cryptosporidiumm as well as cmv, microsporidia, cyclospora. followed lfts. . #) norwegian scabies-received ivermectin po x 1 on and permethrin cream. he remained on contact precautions. . #) esophageal candidiasis-originally dxd by egd in and he is s/p 14 day trt with fluconazole. pt again dxd with thrush at . was on fluconazole iv (started ) but switched to voriconazole until antibiotics were stopped. . #) code status - patient was a dnr/dni but initially was willing to have pressors. as treatments did not seem to be effective, gi losses remained great, and patient remained with low cd4 count despite haart therapy a family meeting was held on with patient's infectious disease doctor, dr. and the icu team. the patient expressed his wishes to be comfort measures only. on all iv fluids and antibiotics were stopped. he was transitioned to a morphine drip and passed away peacefully with his family at his bedside on at 7:25p.m. medications on admission: medications on transfer: 1. riss 2. tylenol prn 3. carmol topical 4. methylprednisolone 40 mg iv q24 5. nystatin oral suspension 10 ml po tid 6. fluconazole 100 mg iv q24h (-) 7. paromomycin *nf* 750 mg oral tid 8. glutamine 10 gm po tid 9. hydrocerin 1 appl tp tid 10. cefepime x 1-7/15/06 . outpatient medications: azithromycin 500mg po qd flagyl 500mg iv tid (started ) fluconazole 100mg iv qd (started ) ganciclovir 150mg iv bid (started ) bactrim ds 1 tab qd paromycin 750mg po tid metoprolol 25mg po bid ssi glutamine 10gm packet tid c meals nystatin 10ml po tid discharge medications: not applicable discharge disposition: expired discharge diagnosis: aids/hiv pseudomonas sepsis diarrhea: crytopsoridia, c.difficile discharge condition: expired discharge instructions: none followup instructions: none procedure: parenteral infusion of concentrated nutritional substances biopsy of bone marrow transfusion of packed cells transfusion of other serum transfusion of platelets infusion of vasopressor agent diagnoses: acute kidney failure with lesion of tubular necrosis severe sepsis candidiasis of mouth human immunodeficiency virus [hiv] disease blood in stool septic shock intestinal infection due to clostridium difficile diarrhea cytomegaloviral disease nutritional marasmus candidal esophagitis septicemia due to pseudomonas enteritis due to other viral enteritis cryptosporidiosis scabies 

Answer: The patient is high likely exposed to