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: no known allergies / adverse drug reactions attending: chief complaint: l sided weakness and iph major surgical or invasive procedure: none history of present illness: mr. is a 53 yo right-handed male patient with h/o hiv, hcv, recent septic arthritis on cefazoline iv and lovenox prophylaxis who was transferred from due to l hemiparesis. last night, at 3am, patient reports having l weakness when he got up to use the bathroom( able to go to bathroom normally at 2am). patient states that he could not move his l arm and leg at all and needed assistance from his father to go back to bed. he was unable to sit or stand unsupported. he was aware of his deficits, but did not want to go to the ed, because of a bad experience recently at . later in the morning, patient was found to have l hemiplegia by visiting nurse and transferred to and due to intracranial hemorrhage on ct-scan. at osh, patient was normotensive, afebrile. he was given ativan 2 mg per unclear reason, possibly anxiety, as patient denies any convulsions. the patient was alert and oriented during ambulance ride, but became more drowsy, unclear about the timing in relation to receiving ativan. patient was evaluated by neurology team at 10am. appears to be drowsy but arousable and cooperative. reports that he cannot move his l extremities at all, which is stable from onset at 3am. ros: positive for chills, sweats, chronic numbness of toes, r knee pain negative fevers, headache, diplopia, vision loss, tingling, loss bowel/bladder control, chest pain, sob, n/v. past medical history: 1. hiv on abacavir, truvada and raltegravir. diagnosed , he reports seeing pcp monthly and recent cd4 count 600s. 2. hcv on ribavarin and peginterferon 3. recent septic arthritis s/p arthroscopy . currently on cefazolin iv 2000mg q8hr. per patient, medication was started since discharge from on and the last dose was last night(need medical record from ) on lovenox prophylaxis. social history: living at home with his father, denies current cig smoking or alcohol in 23 years, but prior history of heroin use. family history: knee surgery in his father physical exam: physical exam on admission: vs: t: 97.5 hr 104 bpp 152/77 rr 17 02 96/ra general: middle age patient, lying in bed, looks drowsy but arousable heent: no jaundice, no nuchal rigidity, op clear, no carotid bruits lung: clear, no crackles, no wheezing heart: systolic murmur at usb ab: soft, nt/nd ext: r knee with sutures in place, warm to touch compared to left side, no erythema or drainage. l toes bandaged. neurologic examination: mental status: level of arousal: awake. drowsy throughout exam but easily arousable to voice. oriented to (thought date was 13 or 14?), knows hospital but not which one. knows president current and prior. attentiveness: refused to tell months backward but able to tell days of week forward. language: fluent, moderate dysarthria, normal comprehension, repetition, naming. no paraphasic errors. memory: very poor registration/recall (could not register more than words at a time), remote memory intact. praxis: no apraxia/dyspraxia calculation: incorrect (said 4 quarters in $1.25) neglect: no neglect cranial nerves: i: not tested. ii: pupils symmetric at 3 to 2 mm, equal, round and reactive to light bilaterally, defect in vf at left inferior quadrant(examined with both eyes open) iii, iv, vi: eomi, normal primary position, no ptosis v, vii: facial sensation intact, l upper and lower facial weakness viii: hearing intact to voice. ix, x: palatal elevation normal : unable to move lt trapezius and sternocleidomastoid, r side full xii: tongue midline and no fasciculation motor: lying in bed, no tremor or abnormal movement tone and bulk: flaccid tone lue but incrased tone lle d b t we fe ff ip q h at g/ tf r 5 5 5 5 5 5 5 - - 5 5 5 5 l 0 throughout **unable to examine r knee due to pain from septic arthritis reflexes: b t br pa ac r 2 2 2 2 2 l 2 2 2 - 2 **unable to examine r knee due to pain from septic arthritis toes downgoing on right, upgoing on left sensation: examined with difficulty because patient was drowsy -decreased light touch l arm and leg, intact on face v1-3 -vibration intact -proprioception intact -pain by pinprick - decrease sensation of lue but intact both les, intact abdominal/chest area -no extinction to dss coordination and cerebellar function: no dysmetria on fnf on the right, intact finger to crease tapping on the right gait: not assessed physical exam on discharge: expired pertinent results: 10:22am pt-16.2* ptt-33.6 inr(pt)-1.5* 10:22am plt count-106* 10:22am neuts-85.9* lymphs-10.6* monos-3.0 eos-0.3 basos-0.3 10:22am wbc-13.1* rbc-3.16* hgb-10.4* hct-29.5* mcv-93 mch-32.9* mchc-35.2* rdw-14.5 10:22am calcium-7.6* phosphate-2.6* magnesium-2.1 10:22am estgfr-using this 10:22am glucose-108* urea n-12 creat-0.5 sodium-133 potassium-3.4 chloride-100 total co2-25 anion gap-11 12:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 12:30pm urine color-yellow appear-clear sp -1.012 12:30pm urine uhold-hold 12:30pm urine hours-random 11:46pm osmolal-270* 11:46pm sodium-131* potassium-3.9 chloride-100 11:51pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 11:51pm urine osmolal-578 11:51pm urine hours-random sodium-75 potassium-55 chloride-75 noncontrast head ct : impression: 1. 3.7 x 2.6 right frontal and 1.8 x 1.7 cm right occipital intraparenchymal hemorrhages with surrounding edema similar to reference study. 2. partial effacement of frontal and atrium of right lateral ventricle with slight asymmetric enlargement of the right temporal , similar to prior. transthoracic echo : impression: no vegetations seen mri/a head and neck : impression: 1. large intraparenchymal hemorrhage in the right centrum semiovale with mass effect and midline shift. a small hemorrhage is seen in the right posterior temporal region. restricted diffusion is seen surrounding the large intraparenchymal hemorrhage. increased signal on post-contrast images could be suspicious for extravasation. the differential diagnosis includes cerebritis with secondary involvement of the vascular structures or a mycotic aneurysm. 2. leptomeningeal enhancement suggests meningitis. 3. soft tissue abscess identified in the posterior neck, soft tissue structures measuring 17-mm mm indicating metastatic abscess. 4. mra of the neck is unremarkable. 5. mra of the head is limited by motion, but no major vascular occlusion seen. the findings were discussed with dr. at the time of interpretation of this study on at 11:30 a.m. cxr : findings: in comparison with the study of , the tip of the endotracheal tube measures approximately 3.8 cm above the carina. nasogastric tube extends into the stomach where it crosses the lower margin of the image. continued enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels, consistent with elevated pulmonary venous pressure. the apparent widening of the mediastinum is not as well appreciated on the current study. bibasilar atelectatic changes are again seen. brief hospital course: 53 yo rhm with hiv, hcv, recent diagnosis of septic arthritis who presented to an outside hospital with dense l hemiplegia and dysarthria. head ct demonstrated approx 3.2x3.4 cm r frontoparietal iph as well as small r occipital iph. he was transferred to for further management. repeat ct in ed here appeared stable. he was admitted to the neuro icu for close monitoring and further investigation. there was concern for septic emboli as a potential etiology of his iph, in the setting of septic arthritis and a systolic murmur. echocardiogram showed no evidence of vegetations. he was continued on cefazolin for antibiotic coverage given his recent history of septic arthritis. lovenox and all antiplatelets/anticoagulants were held. bp was monitored closely with a goal sbp of <160. he underwent an mri in the evening of , which demonstrated enlargement of r frontoparietal hemorrhage with surrounding edema and ~10mm midline shift. on exam he was less responsive (although had also received ativan) with minimal withdrawal to noxious on l. he was started on mannitol and neurosurgery was , who reviewed the images and recommended craniotomy. his family initially consented to the procedure but after further discussion regarding his likely poor prognosis with dense l hemiparesis they declined and he was made cmo. he was started on a morphine gtt and passed away at 2:06pm on . family were at the bedside and declined autopsy. medications on admission: 1. paxil 40 mg tid 2. abacavir 300 mg tid, truvada 1 tab daily, raltegravir 400 mg for harrt 3. cefazolin 2 g iv tid 4. ribavarin 200 mg tid and peginterferon 180 mcg weekly for hcv 5. lovenox 30 mg sc daily plan cont 12 days after discharge on 6. oxycodone 5 mg prn q4hr 7. reglan 10 mg prn qid discharge medications: none discharge disposition: expired discharge diagnosis: intraparenchymal hemorrhage septic arthritis discharge condition: expired discharge instructions: mr. was admitted to on after experiencing sudden onset left sided weakness at home. he was found to have two areas of bleeding in the right side of his brain. he was admitted to the neuro icu. an mri was performed which showed worsening of the bleeding with compression of his brain. the option of surgery was discussed with his family, but given the severity of the bleeding and his poor prognosis the decision was made to forgo surgical intervention and pursue comfort measures only. he was started on a morphine drip and passed away peacefully at 2:06pm on . family declined autopsy. followup instructions: n/a md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: thrombocytopenia, unspecified anemia, unspecified unspecified viral hepatitis c without hepatic coma personal history of tobacco use intracerebral hemorrhage cerebral edema dysarthria do not resuscitate status asymptomatic human immunodeficiency virus [hiv] infection status personal history of alcoholism pyogenic arthritis, lower leg hemiplegia, unspecified, affecting nondominant side 

Answer: The patient is high likely exposed to