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 / bactrim attending: chief complaint: melena major surgical or invasive procedure: egd with banding and sclerotherapy history of present illness: 50m with hiv, hcv cirrhosis with esophageal varices s/p numerous banding presents with one episode of loose, dark stools the morning of admission. he states he'd felt well the day before admission but went to bed feeling queasy. he awoke at four am, needing to move his bowels, and when he did the stool was dark with some red streaking, loose but not exactly watery, and somewhat sticky. he's had no further bm's, no abd pain, and no n/v. he also denies lh, chest pain, or dyspnea. denies f/c. he says he's had approximately variceal bleeds, all similar to this; he's never had a colonoscopy. he denies swelling in his legs or abdomen, no recent weight changes. in the ed, he had a hct of 26, refused an ng lavage and was started on an octreotide drip. . pt admitted to micu and received 4 units prbc and underwent egd with banding and sclerotherapy. after egd pt had n/v and found to have ileus. improved after stopping octreotide and increased bowel regimen. hct stabalized and pt transfered back to medicine floor. past medical history: -- hiv/aids dx in , cd4 nadir 95 in -- h/o zoster -- h/o positive toxo igg in -- h/o positive cmv igg in -- h/o positive hep a ab in -- h/o positive hep b core ab in (with neg sab, neg antigen) h/o negative rpr in -- negative ppd in -- osteomyelitis l knee 10 years ago ivda -- portal vein thrombosis seen on ct in -- hepatitis c, s/p varices, portal gastropathy, splenomegaly -- esophageal varices s/p banding -- gout (dx age 18; hx of tophi removal; on allopurinol in the past. was seen in clinic .) -- substance abuse (mostly iv heroin, benzos, cocaine) medical noncompliance social history: lives with girlfriend, on . smoked 2ppd x 20-30 yrs, no etoh. h/o ivda. recent cocaine use (last 1 week ago), with frequent 4-5d "binges." occasional bzd abuse. denies any etoh use. family history: non-contributory physical exam: t 96.7, bp 112/67, hr 70, rr 14, spo2 99% 2lnc gen: alert and oriented x3. heent: anicteric, no jvd/lad/thyromegaly, r ij. cv: rrr, s1s2, no m/r/g resp: moves air well, no w/r/r abd: soft, mild distention, active bs, non-tender. tympany. no fluid wave appreciated. ext: no cyanosis/edema, warm/dry, no clubbing, no pitting/color changes/indentations. occ healed lesions and l leg ecchymoses. neuro: a&ox3, no focal cn/motor deficits, no asterixis pertinent results: egd : 3 cords of grade i varices, gastropathy. egd: esophagus: protruding lesions 2 cords of grade ii varices were seen in the lower third of the esophagus. there were stigmata of recent bleeding on one varix with a cherry red spot.a single band was placed at the lower third of esophagus near ge junction on this varix.a second band was attempted when bleeding was noticed on the banded varix.at this point, hemostasis was secured by injecting a total of 6.5 cc of 50% morrhuate sodium into 2 separate varices. bleeding stopped. . kub: impression: ascites, but no obstruction. . abd u/s: liver doppler ultrasound study: extending from the left portal vein to the main portal vein, there is a non-occlusive retractile echogenic filling defect consistent with thrombus. the hepatic veins are patent. there is a small amount of ascites. a small right-sided pleural effusion is seen. the ivc is patent. the gallbladder is normal in appearance. no gallbladder wall edema is seen. there is no intrahepatic or extrahepatic biliary ductal dilatation, and the common bile duct measures 5 mm in diameter. the spleen is enlarged measuring 18.5 cm. . ecg: sinus rhythm, normal ecg . labs: wbc rbc hgb hct mcv mch mchc rdw plt ct 06:00am 1.2* 3.64* 9.4* 28.8* 79* 25.8* 32.7 19.0* 46* 02:10am 27.2* 09:45pm 1.3* 3.44* 9.3* 27.5* 80* 27.1 34.0 18.6* 39* 04:21am 1.4* 3.93* 10.2* 31.1* 79* 26.0* 32.9 18.9* 56* 03:25am 1.6* 3.61* 9.8* 28.7* 80* 27.1 34.1 18.5* 53* 06:18pm 31.8* 11:52am 28.7* 02:39am 1.5* 3.72* 9.9* 29.2* 79* 26.6* 33.8 18.5* 47* 11:00pm 27.7* 05:52pm 28.9* 03:05pm 26.7*# 09:43am 20.3* 05:00am 2.7* 3.54* 8.6* 26.4* 75*#1 24.2*# 32.4 18.2* 79 . glucose urean creat na k cl hco3 angap 06:00am 89 10 1.1 141 3.5 104 29 12 . lfts: alt ast ld(ldh) ck(cpk) alkphos amylase totbili dirbili 06:00am 9 15 0.6 04:21am 14 19 118 57 0.7 coags: pt ptt plt ct inr(pt) 06:00am 15.5* 29.4 1.4 . tox screen: asa ethanol acetmnp bnzodzp barbitr tricycl 09:43am neg neg1 neg neg neg neg . micro: 5:50 am urine site: clean catch **final report ** urine culture (final ): no growth. . brief hospital course: a/p: 50m with aids, hcv cirrhosis with known varices and prior variceal bleeds presents with variceal bleed. . ## gib: source variceal. now s/p egd with banding and sclerotherapy. hct stable. pt was transfused 4u prbcs in the icu. pt remained hemodynamically stable and followed closely in the icu. pt was kept npo, initially started on an octreotide gtt prior to egd. post banding and sclerotherapy pt remained hemodynamically stable. pt was continued on ppi iv intially and transitioned to po. he was continued on sucralfate. he tolerated sips well, then transitioned to pos without trouble. his diet was advanced to regular without any difficulties. he did have 1 small bm which was black and tarry while on the medicine floor but was hemodynamically stable with stable hematocrit. . ## n/v/ileus: likely octreotide and narcotics. improved after d/c meds and starting po naloxone and reglan. kub with no evidence of obstrution. pt did not have n/v and was tolerating pos well with 1 bm. his methadone was continued as well as reglan and po naloxone. po naloxone only affects gut mu receptors therefore not affecting systemic narcotic levels. . ## cirrhosis: ascites per recent abdominal u/s, no asterixis and oriented. his lactulose was restarted, had discussion with dr. as pt was refusing lactulose initially and agreed to take. his nadolol was held. his lfts were wnl. he was continued on levoflox to complete a 7 day course, which he finished. . ## hiv/aids: pt has been off haart for 4-5 months as well as prophylactics. he was restarted on his prophylaxis medications (azithro and dapsone). has id appointment on friday at 11 a.m. . ## substance abuse: he was continued on methadone, however he was placed on iv then switched to 60mg daily. per dr. and pt his home regimen is 80mg daily, which he was switched to. states no etoh abuse recently, so held ciwa. no evidence of withdrawal symptoms and did not need ciwa. . ## coagulopathy: likely to liver disease. no evidence of consumptive process. . ## pancytopenia: likely both hiv and liver disease. cont to follow. became neutropenic. thought to be seconday to hiv. got one dose of neugapen. . ## smoking: pt was provided with nicotine patch while in-house and encouraged to quit. . ## code: full medications on admission: (pt states only taking methadone, allopurinol, and prednisone) azithromycin 1200mg weekly dapsone 100mg daily nadolol 40mg daily paroxetine 10mg daily pantoprazole 40mg daily allopurinol 200mg daily lactulose 30cc tid methadone 80mg daily lopinavir-ritonavir 200-50 mg abacavir 300mg lamivudine 150mg tenofovir disoproxil fumarate 300mg daily prednisone 5mg daily (for gout) discharge medications: 1. dapsone 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day) for 2 weeks. disp:*56 tablet(s)* refills:*0* 3. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). disp:*2700 ml(s)* refills:*2* 4. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*30 patch 24hr(s)* refills:*2* 5. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours): take twice per day for 2 weeks, then take daily. disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 7. azithromycin 600 mg tablet sig: two (2) tablet po once a week. disp:*4 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: melena variceal bleeding . secondary: -hiv -hcv cirrhosis discharge condition: stable discharge instructions: please take all your medications as directed and keep all your follow up appointments. . if you notice bright red blood per rectum, vomiting red blood, or black/tarry stools or other worisome symptoms, call your physician and go to the emergency room. followup instructions: you have an appointment with dr. on at 11 a.m. . you have an appointment with dr. on at 11:30 a.m. . you have an appointment with dr. on at 10:30 a.m. . dr. office will call you with an appointment for a repeat egd and variceal banding in about 2 weeks. procedure: venous catheterization, not elsewhere classified endoscopic excision or destruction of lesion or tissue of esophagus transfusion of packed cells diagnoses: tobacco use disorder cirrhosis of liver without mention of alcohol portal hypertension other, mixed, or unspecified drug abuse, unspecified unspecified viral hepatitis c without hepatic coma gout, unspecified human immunodeficiency virus [hiv] disease other sequelae of chronic liver disease personal history of noncompliance with medical treatment, presenting hazards to health esophageal varices in diseases classified elsewhere, with bleeding precipitous drop in hematocrit opioid abuse, continuous 

Answer: The patient is high likely exposed to