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: abacavir / bactrim / morphine / codeine / erythromycin base / avapro / lisinopril attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization () history of present illness: 40yo m with h/o cad (s/p 6 stents in the lad, most recent was a single placed in lad in due to a 'fractured' previous stent) and hiv on haart presenting with chest pressure and sob. the patient reported that earlier in the day he was not feeling 'quite right' but didn't think much of it. then around noon, he was out shopping and began to note that he was sweating and having difficulty catching his breath. he also developed substernal chest pain and left sided chest pressure. he also felt nauseated and 'dry heaved' a few times this morning, but did not think much of it as this is a chronic problem for him. he had some b/l neck discomfort, but did it did not radiate down his left arm. he was close by to , and decided to go see his pcp, . rather than driving back to . dr. referred him immediately to the ed. . he was recently admitted to hospital in on for chest pain and ste in the anterior leads. he was found to have a mid-lad stent fracture occulding the artery. a des was placed at the site. he was then discharged on prasugrel 10 mg daily (he had previously been on clopidogrel) and aspirin 325 mg daily. he also underwent a tte, which as per report, revealed a mildly dilated left ventricle with an lvef of 30% and akinesis of the mid and distal septum and apex and infero-lateral segments. he reports that his current presentation was more c/w with in initial pain/pressure that he experienced in when his original stents were placed in the lad. his presentation in was severe "pain" and different than this afternoon. . in the ed, his initial vitals were 99.1, 85, 124/91, 20, 98% ra. his presenting ekg reportedly showed 1 mm ste in v2/v3, and q waves and biphasic ts anteriorly although the official read is pending. his labs and imaging significant for negative troponin with a flat ckmb. the remainder of his labs were unremarkable. he experienced a transiently drop in his bp (sbp ~108 from 120-130s) which improved with 1 liter of ns. he was evaluated by cardiology who did not feel he required urgent catheterization. he had already received aspirin today and takes prasugrel as an outpatient. he was then started on a heparin gtt and admitted to the ccu for close monitoring. vitals on transfer were 99.1, p 81, bp 121/73, 12, 98ra. . on arrival to the floor, patient reports feeling well. he continues to have 3/10 chest pain, but feels it is much improved. no sob. no n/v, no ha. no abd pain. . review of systems on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he has chronic night sweats. all of the other review of systems were negative. . cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: (-)diabetes, (+)dyslipidemia, (-)hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: 5 stents to lad in , c/b stent 'fracture' and new stent placed to lad on -9/ -pacing/icd: icd placed in , 3. other past medical history: -systolic congestive heart failure, lvef 30%. -hiv, dx in , on haart, last cd4 -h/o alcohol and cocaine use in the early 90s. -current tobacco use -s/p cholecystomy -dyslipidemia social history: lives with his aunt in . smoked 1ppd for many years, now down to 0.5 ppd. rare etoh, occassional pot. unemployed. not currently sexually active. has been sexually active with both men and women in past. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. he reports being told that his cad is "hereditary" but does not have a known family member with cad. his father and brother are alive and well. physical exam: admission- vs: t 98.1 bp 119/79 hr 66 rr 16 o2 sat 100% on ra general: well appearing, well nourished man in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple, jvd not appreciated at 45 degrees. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 systolic murmur. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. nabs. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: dp 2+ pt 2+ left: dp 2+ pt 2+ exam not significantly changed at discharge- vs: t 98.4 bp 117/87 hr 86 rr 12 o2 sat 98% on ra pertinent results: admission- 05:10pm blood wbc-8.1 rbc-4.78 hgb-14.3 hct-44.9 mcv-94 mch-29.9 mchc-31.9 rdw-13.6 plt ct-247 05:10pm blood neuts-57.3 lymphs-34.6 monos-3.9 eos-3.2 baso-1.0 05:10pm blood pt-12.5 ptt-32.4 inr(pt)-1.2* 05:10pm blood glucose-122* urean-14 creat-0.8 na-137 k-3.8 cl-105 hco3-22 angap-14 05:10pm blood calcium-9.0 phos-2.5* mg-2.1 discharge- 04:09am blood wbc-6.7 rbc-4.95 hgb-15.3 hct-47.1 mcv-95 mch-30.8 mchc-32.4 rdw-13.6 plt ct-202 04:09am blood pt-12.3 ptt-59.2* inr(pt)-1.1 04:09am blood glucose-96 urean-16 creat-0.7 na-139 k-3.7 cl-106 hco3-21* angap-16 04:09am blood calcium-9.0 phos-5.0* mg-2.2 cardiac enzymes- 05:10pm blood ck(cpk)-273 ck-mb-3 ctropnt-<0.01 10:00pm blood ck(cpk)-242 ck-mb-2 ctropnt-<0.01 04:00am blood ck(cpk)-214 ck-mb-2 ctropnt-<0.01 portable tte ()- the left atrium is dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is severe regional left ventricular systolic dysfunction with akinesis of the mid to distal anterior wall, anterior septum, apical segments, apex and distal inferior and lateral walls. there is an anteroapical left ventricular aneurysm. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: borderline dilation of the left ventricular cavity. severe regional left ventricular systolic function consistent with infarction in the distribution of the lad. mild mitral regurgitation. pcxr ()- 1. mild opacity at the right lung base is likely crowding of vessels but could represent early infection in the appropriate clinical setting. a lateral view could be performed for further evaluation, if clinically indicated. 2. nodule at the right lung base, potentially a nipple. further evaluation suggested with nipple markers in place. cardiac cath ()- report pending at discharge brief hospital course: 40yo m with h/o cad (s/p pci to lad, most recently ) and hiv on haart presenting with acute onset chest pressure, sob, nausea, and diaphoresis without overt evidence of active ischemia on ekg. . # coronary artery disease the patient is s/p 6 stents in his lad, most recent des was placed in for a fractured previous stent. he presented with chest pressure and difficulty breathing c/w prior ischemic events. his ekg in the ed did not reveal overt evidence of active ischemia and his cardiac enzymes were negative x3. he underwent cardiac catheterization which did reveal blockage or narrowing of his coronary arteries. he was not started on a beta-blocker, ace-i, or given previous intolerance/allergy. he was continued on his home crestor given his haart therapy. . # chronic systolic heart failure. as per report, the patient's most recent ef was 30% with akinesis of mid and distal septum and apex and infero-lateral segments. he had icd placed in for apparent ectopy and concern for vt given depressed lvef. pt appears euvolemic on exam and no concern for chf exacerbation at this time. he underwent when repeat tte which confirmed his apical akinesis and revealed an lvef 20-25% and an anteroapical left ventricular aneurysm. he would likely benefit from spironolactone therapy. . # hiv the patient was diagnosed with hiv in and is currently on haart therapy. he is followed by dr. and was continued home antiretroviral regimen. . # tobacco use the patient reported has tried many times to quit smoking. he continued on a nicotine patch and provided cessation counselling. . # hld pt continued on home crestor. ___________________ transitional issues -- cxr: nodule noted at the right lung base, which may represent a nipple. he would likely benefit from repeat chest imaging. -- schf: pt would likely benefit from spironolactone therapy. -- cad: the patient's official cath report remains pending at discharge. medications on admission: -atazanavir 150 mg capsule two capsule(s) by mouth once daily, with one capsule of ritonavir (norvir) -dronabinol 10 mg capsule one capsule(s) by mouth twice a day as needed for nausea -emtricitabine-tenofovir 200-300 mg tablet one tablet(s) by mouth once daily. -fentanyl 100 mcg/hour patch 72 hr one patch to skin every 48 (fourty eight)hours. -prasugrel 10 mg tablet -ritonavir 100 mg capsule once daily, with 2 capsules of atazanavir -rosuvastatin 30 mg po qday -aspirin 325 mg tablet po qday -nicotine 14 mg/24 hour patch 24 hr one patch to skin for 14 days daily discharge medications: 1. atazanavir 150 mg capsule sig: two (2) capsule po daily (daily). 2. dronabinol 10 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for nausea. 3. emtricitabine-tenofovir 200-300 mg tablet sig: one (1) tablet po daily (daily). 4. fentanyl 100 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q48h. 5. prasugrel 10 mg tablet sig: one (1) tablet po daily (daily). 6. ritonavir 100 mg tablet sig: one (1) tablet po daily (daily). 7. rosuvastatin 20 mg tablet sig: 1.5 tablets po daily (daily). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). discharge disposition: home discharge diagnosis: primary diagnosis: non-cardiac chest pain secondary diagnosis: hiv coronary artery disease chronic systolic heart failure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking part in your care during this hospitalization. you were admitted with chest pressure that felt very similar to when you had your heart attack. an ekg that was done showed concern for possible blockage or decreased blood flow to your coronary arteries. you were started on medications to help protect your heart including blood thinners and statin. a cardiac catheterization was performed which showed that did not have any blockages in the coronary arteries, and that the stents that were placed previously remain open with good blood flow. your chest pain was not related to your heart, and you did not have a heart attack. we did not make any changes to your medications. please keep your appointments as listed below. followup instructions: department: infectious disease when: thursday at 10:00 am with: , m.d. building: lm campus: west best parking: garage department: cardiac services when: wednesday at 2:40 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder congestive heart failure, unspecified other and unspecified alcohol dependence, in remission percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia chronic systolic heart failure automatic implantable cardiac defibrillator in situ other chest pain asymptomatic human immunodeficiency virus [hiv] infection status solitary pulmonary nodule cocaine dependence, in remission 

Answer: The patient is high likely exposed to