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: bactrim ds / ferrous sulfate attending: chief complaint: chest pain major surgical or invasive procedure: lad instent restenosis treated with cypher stent history of present illness: 49 year old male with hiv (last cd4 183 in , vl < 50 in ), and stemi in complicated by anteroseptal/anteroapical akinesis with ef 35%, as well as dvt and influenza infection while in the hospital, who presents from home with fever, cough, and exertional chest pain. . the patient states that for the last 2-3 days he has been experiencing a cough productive of thick sputum. of note, he says his 4 teenagers recently all had strep throat. he had some sore throat as well but that has resolved. he hasn't taken his temperature but has felt warm. . what prompted him to come in was chest tightness across his precordium while ambulating, that did resolve with rest. it felt similar to the pain with his mi, though less severe. it radiated to the left arm, is associated with shortness of . he denies lightheadedness, palpitations, or association with breathing. of note, he has been admitted for a similar pain shortly after his mi at which time a p-mibi demonstrated a moderate partially reversible perfusion defect involving the apex and mid and distal anterior wall, as well as a moderate fixed perfusion defect involving the mid and distal anteroseptal wall, which were both thought to be a result from his recent mi and not ongoing ischemia. . on arrival to the ed vitals were 101.9, 78, 106/60, 14, 96% on room air. he had a chest x-ray that was unremarkable. he underwent cta which was negative for pe or dissection, but did demonstrate subtle changes in the right lung base consistent with bronchopneumonia. ekg on arrival was unchanged from prior, with evidence of an old anteroseptal mi. while in the ed, however, he developed recurrent chest pain in the setting of tachycardia, now with more prominent st depressions in the lateral precordial leads. he was given nitroglycerin and metoprolol 5 mg iv. he also received morphine 4 mg. subsequently his blood pressure was noted to drop to the 80s systolic. he received 3 liters of ivf, but blood pressure remained low, so sepsis protocol was initiated: he had a right ij precept catheter placed. scvo2 81%, cvp 11. norepinephrine was initiated. he also received levofloxacin and metronidazole x 1 after blood cultures were drawn. . on arrival to the micu, the patient says he still has about level chest tightness, but otherwise feels comfortable. he denies any melena, though has occasional mild hematochezia from his hemorrhoids. denies hematuria. denies lower extremity edema. past medical history: 1) stemi in with overlapping bare metal stents to the lad for a 90% ostial occlusion. 2) congestive heart failure, with ef 35%, with anterior wall, septal, and apical akinesis post-mi in . 3) hiv, last cd4 183, vl < 50 in , on , managed by dr. . 4) dvt in the right common femoral and popliteal vein in , during admission for stemi, on coumadin. 5) hypereosinophilia 6) hemorrhoids 7) influenza during hospitalization for stemi social history: he denies any alcohol, tobacco or drugs. he is separated from his wife. has two children ages 6 and 10, who are well. he works in banquets. he has lived in for approximately six to seven years and he arrived in the u.s. in his 30's from . he is the son of father and a haitian mother. family history: both parents with hypertension and type ii diabetes. physical exam: physical examination: 100.3, 97, 94/38, 23, 97% on 3l nc. cvp 9. general: well nourished african american male resting comfortably in bed. heent: moist mucous membranes. anicteric sclerae. tonsils non-erythematous, without exudate. neck: no lymphadenopathy. right ij catheter in place. no jvd. cor: rr, normal rate, no murmurs, rubs, or gallops. lungs: coarse upper airway sounds that make it difficult to auscultate true lower airways. abdomen: normoactive bowel sounds, soft, non-tender, no sign. extr: no edema. pneumoboots in place. lymph nodes: no anterior or posterior cervical nodes, no supraclavicular, axillary, or inguinial nodes pertinent results: cta: impression: 1. mucus impaction in distal right lower lobe airways with peripheral ground glass opacity most suggestive of an infectious etiology. 2. mild bronchiectasis with peribronchial thickening. 3. no evidence of pulmonary embolism . ct : impression: interval development of bilateral pleural effusions with consolidation/atelectasis in both lower lobes . ccath: comments: 1. instent restenosis of proximal lad 2. successful pci/stent to proximal lad instent restenosis with a 2.5x28mm cypher stent deployed at 17 atms. excellent result with normal flow down vessel and no residual stenosis. final diagnosis: 1. one vessel coronary artery disease. 2. successful pci/stent to proximal lad in-stent restenosis with a drug eluting stent. . brief hospital course: 49 y/o man w/hiv and recent stemi w/ 2 bms to his lad presented the ed with a pneumonia. he had hypotension and spent several days in the icu, not intubated, but on pressors. his hypotension resovled, but he developed an nstemi. he was transfered to the floor and monitored. his cks were initially trending down, but began trending up again and he was transfered to the service for cardiac cath. he was continued on a heparin drip in preparation for cath as well as for treatment of his dvt. cath showed in-stent restenosis of lad lesion and a drug-eluting stent was placed. the patient was discharged on lovenox bridge to coumadin for prior known dvt. he was discharged with cardiac rehab and pcp follow up, to complete a 10 day levoquin course. he was continued on throughout his hospital course and further hiv care will be managed by his pcp. . medications on admission: anusol-hc 2.5%--apply to affected area three times a day aspirin 325 mg--1 tablet(s) by mouth once a day colace 100mg--one tablet twice a day combivir 300-150mg--take one tablet twice a day coumadin 2.5 mg--as directed tablet(s) by mouth daily as directed by clinic clopidogrel 75 mg--1 tablet(s) by mouth once a day lasix 20 mg--1 tablet(s) by mouth every other day lisinopril 10 mg--1 tablet(s) by mouth once a day metoprolol succinate 25 mg--1 tablet(s) by mouth once a day nitroglycerin 0.4 mg--1 tablet(s) sublingually can repeat in 5 minutes, twice as needed for chest pain if no relief after 3 total, go to emerg. dept. senna 8.6 mg--2 tablet(s) by mouth at bedtime sustiva 600mg--take one tablet in the evening discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. lamivudine-zidovudine 150-300 mg tablet sig: one (1) tablet po bid (2 times a day). 4. efavirenz 600 mg tablet sig: one (1) tablet po daily (daily). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 6. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours). disp:*3 tablet(s)* refills:*0* 7. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). disp:*100 tablet, sublingual(s)* refills:*2* 8. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 9. lovenox 100 mg/ml syringe sig: one (1) syringe subcutaneous once a day. disp:*10 syringe* refills:*1* 10. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. coumadin 5 mg tablet sig: as directed tablet po once a day: take 15 mg (3 5 mg tabs & then 10 mg (2 5mg tabs) . discharge disposition: home discharge diagnosis: cad mr hiv discharge condition: vs 90 124/69 r groin - hematoma, - bruit + distal pulses labs: hct 33.6 k 4.7 discharge instructions: per post stent discharge instructions plavix for 1 yr, do not stop without permission of dr. secondary risk factor modification call your cardiologist for chest pain, shortness of continue antibiotic for 3 more doses we are restarting coumadin, take total of 15 mg & then 10 mg . the clinic will then tell you how much coumadin to take continue lovenox until inr is > 2.0 followup instructions: f/u appt with dr. , 2 4;20 pm check inr , clinic to followup with patient , rnc phone: date/time: 2:50 procedure: coronary arteriography using two catheters left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: pneumonia, organism unspecified thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified human immunodeficiency virus [hiv] disease long-term (current) use of anticoagulants other complications due to other cardiac device, implant, and graft personal history of venous thrombosis and embolism 

Answer: The patient is high likely exposed to