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 attending: chief complaint: gi bleed major surgical or invasive procedure: none history of present illness: 36 year old male with hiv not on haart, hepb, hepc, psa presenting with several episodes of coffee ground emesis one night prior to admission. he presented to hospital in and was admitted. his hct on admission was 23, he was given 2 units prbcs, 2 units ffp, 1 bag of platelets and hct recheck was 19. unclear when blood was rechecked in relation to blood transfusion. he was transferred to where he receives his gi and hepatology care. he states that he had a similar episode a couple of months ago requiring admission. . of note, he has had endoscopies in by dr. but none in omr. he is not sure whether he has varices. past medical history: hiv/aids dx'ed hepb hepc (no cirrhosis or portal htn by ct scan but no liver bx in past) thrombocytopenia, baseline 10-17k splenomegaly and possible bone marrow suppression) polysubstance abuse chronic anemia, baseline 30-33 med non-compliance epistaxis occasional hematochezia small squamous cell carcinoma on face s/p excision ' s/p right hip replacement in for oa osteoarthritis seizures (related to past cocaine) h/o suicude attempt - od on pills h/o depression social history: lives on with grandmother. , no children. employed as handyman. occasional etoh. denies recent drug use. multiple tattoos. incarcerated in past. history of being homeless and ivdu. family history: mother with disease. father died of a self-inflicted gunshot wound. physical exam: v: 99.1f hr 93 bp 115/61 rr 14 98%ra gen: awake, alert, no jaundice, nad, thin male heent: perrl, eomi, op clear, mm sl dry neck: supple. no lad cv: rrr, normal s1, s2, soft systolic murmur, mildly displaced pulm: ctab abd: normoactive bs, soft, mild distension, mild ttp ruq, hepatosplenomegaly appreciated, no rebound or guarding ext: wwp, no edema skin: spider angiomas on trunk pertinent results: hiv vl: 59,200 copies/ml. cd4 18 hbv vl: 149,000 iu/ml hcv vl (genotype 1): 1,980,000 iu/ml cd4 4%, abs 18. . on admission to micu as transfer osh 04:40pm blood wbc-2.6* rbc-2.53* hgb-8.1* hct-23.8* mcv-94# mch-32.2* mchc-34.1 rdw-19.6* plt ct-50*# 04:40pm blood neuts-63.6 lymphs-25.3 monos-9.4 eos-1.3 baso-0.4 04:40pm blood pt-15.9* ptt-38.1* inr(pt)-1.4* 04:40pm blood glucose-75 urean-17 creat-0.8 na-143 k-3.4 cl-115* hco3-23 angap-8 04:40pm blood alt-66* ast-142* ld(ldh)-194 alkphos-82 totbili-2.1* dirbili-1.3* indbili-0.8 04:40pm blood albumin-2.5* calcium-7.2* phos-2.4* mg-1.7 . when patient left ama 04:13am blood wbc-2.2* rbc-2.61* hgb-8.8* hct-24.9* mcv-96 mch-33.5* mchc-35.1* rdw-18.7* plt ct-45* 04:13am blood pt-16.3* ptt-40.5* inr(pt)-1.5* 04:13am blood glucose-105 urean-13 creat-0.7 na-141 k-3.5 cl-114* hco3-22 angap-9 04:13am blood alt-66* ast-151* alkphos-72 totbili-2.7* 04:13am blood calcium-7.0* phos-2.3* mg-1.6 . cxr findings: there is borderline cardiomegaly. there is elevation of the right hemidiaphragm. there is right lower lobe atelectasis. there is no evidence of pneumothorax or pleural effusions. the soft tissues and osseous structures are unremarkable. impression: area of right lower lobe atelectasis. borderline cardiomegaly. . echo :impression: normal study. normal biventricular cavity sizes with preserved global and regional biventricular systolic function. no valvular pathology or pathologic flow identified. brief hospital course: a/p: 36 year old male with hiv/aids, hepb, hepc, psa presenting with upper gi bleed. . 1) gi bleed - improved overall status, no hematemesis, hemosynamically stable, not orthostatic. on admission transfused two units prbc, two units fresh frozen plasma, and one bag of platelets. patient underwent egd which revealed, one 7 mm none-bleeding ulcer in the pre-pyloric region, mild portal hypertensive gastropathy, and esophageal candidiasis. patient initially on octreotide drip for presumed variceal bleed, but this was discontinued after the egd showed no varices. liver consulted and feels patient has no active liver issues at this time. patient to follow-up as an outpatient. - consented and two units of blood on reserve at blood bank. - maintain 2 large bore ivs - ppi iv bid - follow hct , transfuse hct <21 . 2) thrombocytopenia - episode of epistaxis this am. patient had been pursuing an outpatient work-up for itp vs splenic sequestration vs bone marrow suppression. work-up complicated by patient living on . tranfusion yesterday did not raise patient's platelet counts. liver has seen as outpatient and will not follow while in hospital. - consult heme/onc: ? further work-up, bone marrow biopsy - id: dr. following, not id consult service. he will see the patient . . 3) respiratory infiltrates - patient afebrile with no change in baseline wbc levels, denies cough, sputum, sob. cxr rll infiltrate concerning for aspiration chemical pneumonitis vs community acquired or aspiration pneumonia. patient is on pjp prophylaxis. - monitor symptoms - if patient symptomatic, consider sputum cx and empiric therapy with levofloxacin and flagyl. . 4) hiv - followed by dr. in clinic here. not currently on haart. patient has history of intolerance to haart therapy. dr. plans to try truvada in approx one month time as an outpatient. dr. does not recommend starting it now as an inpatient. patient currently on telbivudine as a transition to truvada. cd4 count 18 on . - dr. to follow while in hospital. to see am. - mac proph with azithro - pcp with dapsone - fluconazole for esophageal candidiasis on ecg on day . - ensure patient got ordered pneumococcal vaccine and flu shot. . 5) hepb/hepc - has never received treatment for hepc. recently started on telbivudine for chronic hepb by id (hep be ag positive consistent with active replicating infection). liver consulted and feel patient has no active liver issues at this time. - cont telbivudine - cont to follow lfts, esp t.bili as it is slightly higher today . 6) displaced - unclear cardiac history, cxr demonstrates enlarged cardiac silhouette, systolic mumur at left sternal border. concerned for hiv cardiomyopathy, no echo on file. echo wnl. . 7) s/p right hip replacement - patient one month ago dislocated his replaced right hip. patient currently wears brace to prevent re-dislocation. - cont to use brace - activity as tolerated . 8) fen - regular diet as tolerated, replete electrolytes as needed. . 9) prophylaxis - pneumoboots, patient able to ambulate, ppi iv bid, bowel regimen prn . 10) full code . 11) dispo - called out for transfer from icu to 11 for further work up of thrombocytopenia. . this was the hospital course to date and the plan for the day the patient left ama. hematology will still leave a note in omr regarding patient's thrombocytopenia. patient was provided with fluconazole to complete 14 day course for oral candidiasis, and protonix 40 mg twice a day to treat his recent upper gastrointestinal bleed. patient was strongly encouraged to follow-up with his primary care practitioner and to keep all of his outpatient appointments. medications on admission: dapsone 100 mg p.o. daily azithromycin 600 mg two tabs weekly tyzeka (telbuvidine) 600 mg p.o. daily. discharge medications: 1. dapsone 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. azithromycin 600 mg tablet sig: two (2) tablet po 1x/week (mo). disp:*10 tablet(s)* refills:*2* 3. fluconazole 200 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 12 days. disp:*24 tablet(s)* refills:*0* 4. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q12h (every 12 hours). disp:*60 recon soln(s)* refills:*2* 5. telbivudine 600 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: upper gastrointestinal bleed thrombocytopenia hiv hbv hcv discharge condition: no evidence of active bleeding, needs further hospital work-up but refuses discharge instructions: you were admitted for an upper gastrointestinal bleed. you were found to have a gastric ulcer. you were started on a proton pump inhibitor twice a day. you need to still be in the hospital to monitor your blood levels. you also have low platelets that need transfusions. you are currently being seen in the hospital by blood specialist. it is strongly recommended that you stay in the hospital to complete this work-up and receive any potential treatments. . you have decided to leave against medical advice. if you experience any fevers, chills, nausua, vomiting, bleeding please call 911 or go to the local emergency room. please take your protonix twice a day as directed, please also take the fluconazole for oral candidiasis as directed followup instructions: please call your primary care provider . to follow-up. provider: clinic phone: date/time: 1:20 provider: , md phone: date/time: 1:20 provider: clinic phone: date/time: 1:00 procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: thrombocytopenia, unspecified anemia of other chronic disease cirrhosis of liver without mention of alcohol portal hypertension unspecified viral hepatitis c without hepatic coma other convulsions depressive disorder, not elsewhere classified human immunodeficiency virus [hiv] disease pulmonary collapse osteoarthrosis, unspecified whether generalized or localized, site unspecified gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction personal history of noncompliance with medical treatment, presenting hazards to health hemorrhage of gastrointestinal tract, unspecified other specified hypotension viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta hip joint replacement candidal esophagitis 

Answer: The patient is high likely exposed to