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: levofloxacin / iodine; iodine containing / betadine / percocet / morphine attending: chief complaint: respiratory failure major surgical or invasive procedure: brochoscopy history of present illness: 36 year-old woman with history of hiv/aids (cd4=56) on haart and pcp/mac prophylaxis), metastatic squamous and adenocarcinoma of the lung (on tarceva) with brain mets and chronic malignant effusion status post right bronchial stenting , recently discharged from after an admission for pneumonia who presents from an outside hospital for acute onset shortness of breath. on arrival to the ed, patient reported worsening dyspnea and pleuritic chest pain for several days prior to presenting to the outside hospital, as well as pleuritic left sided chest pain. subsequently, the patient was intubated for respiratory distress. history was limited given the patient was intubated at the time of evaluation, but she denies chills, headache, diarrhea, nausea/vomiting, photophobia, or abdominal pain. she reports progressive dyspnea, worse with exertion, fever to 101, and cough productive of yellow sputum. she reports back and neck pain, which is chronic. she reports compliance with all of her medications, including her haart and bactrim/azithro. patient was slightly hypotensive after intubation and improved when sedation was weaned. . during her last admission for pneumonia in , she was initially treated with ceftriaxone and flagyl, and later transitioned to augmentin at the time of discharge. she underwent thoracentesis, which revealed an exudative effusion with cells consistent with metastatic adenocarcinoma. pleural fluid was culture negative. there was no lung re-expansion so pleurex catheter was placed. she also underwent bronchoscopy which revealed complete right main bronchus obstruction, so right bronchial stenting was performed. past medical history: 1. both squamous cell and adenocarcinoma of the lung and rul lobectomy, with metastatic nsclc with brain mets, status post stereotactic radiosurgery to a right cerebellar resection cavity and a right occipital metastasis, followed by dr ; history of svc syndrome; she is being treated with tarceva for palliative control of tumor burden 2. hiv diagnosed in , contracted status post blood transfusion from birth of son, c/b pcp, , and thrush. also with history of lymphoma after having axillary lad. last cd4 was 67 on . switched to new regimen ~1.5 months ago. 3. total abdominal hysterectomy for uterine cancer in 4. carotid artery aneurysm on l 5. emphysema 6. status post cholecystectomy social history: prior 30 pack-year smoking history per records. she drinks alcohol occasionally. she used marijuana many years ago but denies any recent illicit drug use. she lives with her husband and her son. family history: her father is alive with cad, mother is alive with cad and history of cva. one of her sisters had ovarian cyst, and one of her brothers died as an infant from an unknown cause. physical exam: t = 98.6; hr = 107; bp = 114/66; rr = 24; o2 = 100% (ac: 300/24/5/0.8) gen: intubated, appears uncomfortable, alert, nad heent: perrl bilat, eomi bilat, anicteric, mmm neck: supple, no lad, no jvd, + visible pulsating left carotid (known aneurysm) cv: rrr, no m/r/g resp: decreased breath sounds on right, left cta without crackles, or wheezes anteriorly abd: nabs, soft, non-distened, non-tender, no masses back/skin: + stage 2 sacral decubitus ulcer ext: warm, dry; + pitting edema bilaterally neuro: a&ox3, cn ii-xii intact, strength intact grossly pertinent results: on admission: 11.3>24.7<519 n:91.1 l:4.8 m:3.9 e:0.2 b:0 |98|15 /88 3.9|35|0.3\ ca:8.8 mg:1.9 p:3.3 alt:8 ast:16 ldh:180 ap:128 :23 lip:12 tbili:0.3 alb:2.5 haptoglobin:424 abg:7.33/54/111 lactate:2.9 ck:16 ck-mb:not done trop-t < 0.01 ua: clear, sg:1.011 ph:5.0, small nitrate, rest of dipstick negative, rbc:0-2 wbc: bact:occ yeast:none epi:0-2 wbc casts:0-2 bal: wbc:0 rbc:0 p:80 l:0 m:0 macro:20 cxr: comparison is made to . there is persistent complete opacification of the right hemithorax. there is a persistent right lateral indentation on the trachea. there is worsening opacity in the left lung with multiple nodules, which appear slightly larger, although this could be due to adjacent opacity. surgical clips are again noted in the right upper quadrant. left chest tube remains in place. appearance of the right main stem bronchus stent is unchanged. brief hospital course: 36 year-old woman with history of hiv/aids (cd4=56) on haart and pcp/mac prophylaxis), metastatic squamous and adenocarcinoma of the lung (on tarceva) with brain mets and chronic malignant effusion status post right bronchial stenting , recently discharged from after an admission for pneumonia who presents from outside hospital for acute onset shortness of breath. she was intubated in ed for respiratory distress. . 1) respiratory failure: the etiology of her acute respiratory distress was unclear on admission, but is likely related to a worsening left sided pneumonia. other possibilities for acute decompensation include pulmonary embolism since she is likely hypercoagulable or and increase in her tumor burden. a chest cta was not performed due to her iodine allergy. upper and lower extremity ultrasounds were significant for non-occlusive clots in axillary and subclavian veins bilaterally. therefore, the possibility of a pulmonary embolism could not be excluded; however, she was not started on heparin empirically due to the presence of brain metastasis. she was started on empiric antibiotics (vancomycin, azithromycin, ceftriaxone, metronidazole, and bactrim) for community acquired pneumonia, atypical pneumonia, and pcp. bronchoscopy showed a patent proximal stent in the right mainstem bronchus with tumor overgrowth as well as diffuse mucosal edema on the left with thin watery discharged. the bronchial lavage was negative for pcp, bactrim was stopped. on hospital day 2, she began to have continued increased oxygen requirement and a chest x-ray showed increased left lower lobe opacity. upon talking to the husband and family, it was decided to see if her respiratory status improved with the antibiotics. her respiratory status continued to decline as she became more hypoxic and more hypercarbic requiring increased ventilator adjustments. on hospital day 4, the husband and family decided to withdraw ventilator support and the patient expired. 2) hypotension: she had transient hypotension after intubation that was likely secondary to sedation. however, her clinical picture was concerning for sepsis given her respiratory failure, reported fever, and tachycardia. her lactate was mildly elevated, but that may be from her haart medications. her mean arterial blood pressure was maintained above 60 with fluid boluses. 3) hiv/aids: her last cd4 was 56. she was maintained on her haart medications throughout the admission. 4) squamous/adenocarcinoma of lung: she has metastasis to her brain and is status post stereotactic radiotherapy. she had been recently treated with tarceva. she had tumor occluding her right mainstem bronchus causing collapse of her right lung that was stented during her recent admission. she was seen by her oncologist, dr. , on this admission who feels that no further treatment is warranted given the progression of her disease. interventional pulmonary also saw her and felt that there was no indication for further intervention. 5) chronic pain: she was maintained on fentanyl and propofol drip for pain control. 6) anemia: during her last admission, her baseline hematocrit was between 24-27. iron studies last admission, appears to be combination of iron deficiency and acd. she was not transfused since she does not have active coronary disease. her hematocrit remained stable throughout the admission. . 7) fen: she was initially npo. tube feeds were to be started; however, she was not tolerating po intake through her og tube. her electrolytes were repleted as needed. . 8) access: a right femoral line was placed. 9) prophylaxis: she was maintained on a ppi and subcutaneous heparin. 10) code: on hospital day 2, she was made dnr with no pressors, no shocks, and no antiarrhythmics. on hospital day 4, she was made comfort measures only. she was extubated and expired. . medications on admission: trimethoprim-sulfamethoxazole 80-400 mg po daily fluconazole 200 mg po q24h azithromycin 600 mg po q sunday/wednesday morphine 10 mg/5 ml po q4h amoxicillin-pot clavulanate 500-125 mg po q8h x 13 days benzonatate 100 mg po tid lidocaine 5 %(700 mg/patch) patch qd propranolol 20 mg po bid fentanyl 100 mcg/hr patch 72hr fentanyl 75 mcg/hr patch 72hr pantoprazole 40 mg po q24h tenofovir disoproxil fumarate 300 mg po daily emtricitabine 200 mg po q24h stavudine 30 mg po q12h albuterol neb q6h prn furosemide 20 mg po daily hydrocodone-acetaminophen 5-500 mg po q4-6h prn discharge medications: none. discharge disposition: expired discharge diagnosis: expired. discharge condition: expired. discharge instructions: none. followup instructions: none. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified anemia, unspecified personal history of malignant neoplasm of bronchus and lung secondary malignant neoplasm of pleura human immunodeficiency virus [hiv] disease personal history of malignant neoplasm of other parts of uterus personal history of other lymphatic and hematopoietic neoplasms acute respiratory failure secondary malignant neoplasm of brain and spinal cord aneurysm of artery of neck 

Answer: The patient is high likely exposed to