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 / lisinopril attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath cabgx4(lima->lad, svg->pda, om, diag) history of present illness: 43m with pmh notable for hiv c/b nephropathy requiring hd, cad s/p mi was originally admitted yesterday for av fistula placement. in the holding area preoperatively, the pt admitted that he had had some cp the day prior. he stress test with myocardial perfusion which was notable for a moderate, partially reversible perfusion defect of the distal inferior wall and apex. he also "ruled in" for nstemi by troponin (.46->.52) in the setting of sigificant renal failure. his operation was postponed and the pt went for a cardiac cath. past medical history: coronary artery disease s/p myocardial infarction, end-stage renal disease on hemo-dialysis, hypertension, hypercholesterolemia, hiv+, asthma, gastroesophageal reflux disease, neuropathy, lung nodules, anemia, +vre in past, s/p appendectomy, s/p tonsillectomy, s/p tracheostomy x 2, h/o deep vein thrombosis, hyperparathyroidism, anal hpv social history: attorney. lives with roommates. has a partner. quit smoking 6 years ago. drinks a glass of wine on occasion. denies drug use. family history: cad in many relatives but not at a young age. physical exam: vitals: 132/83, 82, 18, 100% ra gen: nad heent: no jvd, op clear, mmm heart: rrr, s1, s2, no rmg lungs: diffuse wheeze, no rhonchi abd: soft, nt, nd ext: wwp, no cce pertinent results: cxr : persistent right middle and right lower lobe atelectasis. if persistent consider bronchoscopy to exclude mucous plugging or fixed obstructing lesion in bronchus intermedius. echo : pre-bypass: there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). there are complex (>4mm) atheroma in the descending thoracic aorta. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. post_bypass: preserved biventricular systolic function. overall lvef 55%. trace mr, tr. ble u/s : no evidence of dvt on either side. ekg: nsr 87 bpm, nl axis, nl intervals, no st changes, no t wave inversions, no q waves p-mibi : moderate, partially reversible perfusion defect of the distal inferior wall and apex, not significantly changed from prior exam. hypokinesis of the distal inferior wall. ef 56%. stress: no anginal type symptoms or ischemic ekg changes. cadiac cath : lmca: 30% lad: 90% px, diffuse dz distally lcx: moderate to severe diffuse disease rca: diffuse disease, total occlusion distally rec: asa, rf modification, cabg vs pci 03:40pm blood wbc-5.1 rbc-2.67* hgb-9.3* hct-26.9* mcv-101* mch-34.8* mchc-34.6 rdw-16.3* plt ct-182 05:30am blood wbc-5.1 rbc-3.27* hgb-11.3* hct-33.1* mcv-101* mch-34.4* mchc-34.1 rdw-17.5* plt ct-201 06:20pm blood wbc-11.1* rbc-2.22* hgb-7.6* hct-22.1* mcv-100* mch-34.3* mchc-34.3 rdw-18.9* plt ct-196 07:40am blood wbc-8.9 rbc-2.81* hgb-9.0* hct-26.5* mcv-95 mch-32.1* mchc-33.9 rdw-17.5* plt ct-322 04:40am blood pt-12.6 ptt-29.6 inr(pt)-1.1 03:11am blood pt-13.6* ptt-28.9 inr(pt)-1.2* 03:40pm blood glucose-149* urean-61* creat-11.9*# na-137 k-4.7 cl-96 hco3-24 angap-22* 07:40am blood glucose-142* urean-82* creat-10.4*# na-130* k-5.5* cl-89* hco3-25 angap-22* 03:40pm blood ck-mb-9 ctropnt-0.46* 07:40am blood albumin-3.6 calcium-9.7 phos-7.1* mg-2.7* uricacd-9.0* 11:30pm urine rbc-3* wbc-560* bacteri-none yeast-none epi-2 07:40am blood wbc-8.9 rbc-2.81* hgb-9.0* hct-26.5* mcv-95 mch-32.1* mchc-33.9 rdw-17.5* plt ct-322 brief hospital course: as mentioned in the hpi, mr. a cardiac cath which revealed severe three vessel disease. prior to surgery he needed extensive work-up which included blood work, urinalysis, cxr, echo, pulmonary consult with pft's and right arm abg's. during this time and throughout hospital course renal followed patient along with him receiving hemodialysis. he was eventually ready for surgery on hospital day seven and following receiving consent he was brought to the operating room where he a coronary artery bypass graft x 4. please see operative report for surgical details. he tolerated the procedure well and was then transferred to the csru in stable condition for invasive monitoring. later on op day he was weaned from sedation, awoke neurologically intact and was extubated. his hiv medications were restarted. he did require multiple blood transfusions post-operatively. after several days in the crsu he appeared stable and was transferred to the telemetry floor. chest tubes and epicardial pacing wires were removed per protocol. physical therapy followed patient during entire post-op course for strength and mobility. antibiotics were started for a uti. beta blockers were titrated for maximum bp and heart rate control. electrolytes were repleted. he continued to make good progress with minimal complications. he appeared stable and doing well with normal vs and stable labs. he was eventually discharged home on pod #10 with vna services and the appropriate follow-up appointments. medications on admission: asa 325 mg daily metoprolol xl 200 mg daily monteleukast sodium 10 mg daily flovent albuterol calcium acetate mg tid zantac 150 mg 60 mg daily lipitor 10 mg daily ferrous sulfate 325 mg daily diphenoxylate-atropine prn protomix 40 mg daily norvsc 10 mg dialy efavirenz 600 mg daily abacavir 300 mg vit. d ropinirole 0.5 mg hs nephrocaps one daily percocet 1-2 tabs prn lamivudine 25 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. lanthanum 250 mg tablet, chewable sig: three (3) tablet, chewable po tid (3 times a day). 4. simethicone 80 mg tablet, chewable sig: 0.5 tablet, chewable po qid (4 times a day) as needed. 5. ipratropium bromide 17 mcg/actuation aerosol sig: four (4) puff inhalation qid (4 times a day). 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: disk with devices inhalation (2 times a day). 7. ropinirole 0.25 mg tablet sig: two (2) tablet po qhs (). 8. abacavir 300 mg tablet sig: one (1) tablet po bid (2 times a day). 9. efavirenz 600 mg tablet sig: one (1) tablet po daily (daily). 10. triamcinolone acetonide 0.1 % cream sig: one (1) appl topical tid (3 times a day). 11. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 12. calcium acetate 667 mg capsule sig: three (3) capsule po tid w/meals (3 times a day with meals). 13. hydromorphone 2 mg tablet sig: 1-2 tablets po every hours as needed. disp:*50 tablet(s)* refills:*0* 14. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 15. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). 16. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 17. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 18. lopressor 50 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* 19. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) as needed for uti for 7 days. disp:*7 tablet(s)* refills:*0* 20. lamivudine 10 mg/ml solution sig: one (1) mg po daily (daily): 25 mg po daily. mg 21. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 pmh: myocardial infarction, end-stage renal disease on hemo-dialysis, hypertension, hypercholesterolemia, hiv+, asthma, gastroesophageal reflux disease, neuropathy, lung nodules, anemia, +vre in past, s/p appendectomy, s/p tonsillectomy, s/p tracheostomy x 2, h/o deep vein thrombosis, hyperparathyroidism discharge condition: good discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use lotions, creams, or powders on wounds. call our office with sternal drainage, temp>101.5. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization hemodialysis transfusion of packed cells diagnoses: hyperpotassemia end stage renal disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia urinary tract infection, site not specified pulmonary collapse mononeuritis of lower limb, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other diseases of lung, not elsewhere classified personal history of venous thrombosis and embolism chronic obstructive asthma, unspecified urinary complications, not elsewhere classified asymptomatic human immunodeficiency virus [hiv] infection status unspecified deficiency anemia foreign body in main bronchus nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney 

Answer: The patient is high likely exposed to