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: haldol attending: chief complaint: nausea, vomiting, diarrhea, dizziness major surgical or invasive procedure: placement of a peripherally inserted central catheter placement of a femoral line history of present illness: mr. is a 53 year-old man with a history of hiv, hep c, and extensive substance abuse who presented to the ed with nausea, vomiting, diarrhea, and dizziness. he reports that for the past month he has been dehydrated from working out and not drinking enough fluids. two days ago he ate lunch at 12:30pm, including a strawberry ensure and a brownie with m&ms, and began feeling nauseated and vomiting by 2:30pm. the emesis was non-bloodly, non-bilious. shortly after this, he began having diarrhea, which he describes as pink in color. he denies dark red or black bowel movements. he does report having chills, diaphoresis, palpitations, and cramps in his legs. he also felt mildly short of breath. at around 6:30pm, he got up from bed to see if he could drink some water. he became dizzy and fell down. his right forehead lightly hit the door handle, but he denies losing consciousness or bleeding. at this point, he called ems who took him to the ed. . in the ed, his vitals were 98.7, 100/64, 14, and 100% on non-rebreather. patient's bp dropped to 60/p without response to 6l ns and required levophed via femoral line. the patient was given vancomycin and zosyn and admitted to the micu for monitoring. . past medical history: - severe peanut allergy- nausea, vomiting, and diarrhea - polysubstance dependence (etoh, cocaine, and heroine, morphine, methadone) -- no use in > 35 days. currently uses suboxone bought on the streets. - hiv - recent cd4 581. - left lateral tibial plateau fracture - folliculitis of face. - cellulitis of legs. - hepatitis c - followed by dr. . according to patient, had ~3 months of ifn/rbv treament in /, but stopped when his cd4 count began to decline (hcv genotype 1a, stage iii fibrosis as of ). - question of dyspepsia. - history of weight loss. - mesenteric lymphadenopathy. - splenomegaly. - genital warts. - polyps on colonoscopy. - peripheral neuropathy / foot drop. social history: mr. is currently on disability. he smokes pack of cigarettes per day. he lives by himself in an apartment . in . he denies current sexual activity. he has an extensive substance abuse history (see pmh above). he is scheduled for an intake interview with dr. at house/, so he can get involved into a suboxone treatment program at . he has an appointment with dr. on at 9:45am. family history: history of colon cancer in his mother and two grandmothers. also notes an uncle with liver failure secondary to alcoholic liver disease. physical exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema rectal guaiac positive, brown stool (per ed) pertinent results: 09:00pm plt count-243 09:00pm neuts-92.6* lymphs-3.0* monos-3.8 eos-0.2 basos-0.3 09:00pm wbc-13.5*# rbc-4.43* hgb-14.0 hct-41.3 mcv-93 mch-31.5 mchc-33.8 rdw-13.3 09:00pm cortisol-56.6* 09:00pm alt(sgpt)-73* ast(sgot)-75* alk phos-107 tot bili-0.5 09:00pm glucose-117* urea n-23* creat-1.6* sodium-140 potassium-4.5 chloride-105 total co2-26 anion gap-14 11:30pm urine blood-sm nitrite-neg protein-75 glucose-tr ketone-tr bilirubin-sm urobilngn-neg ph-5.0 leuk-neg 12:25pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 06:41am blood wbc-3.3* rbc-3.30* hgb-10.2* hct-30.2* mcv-92 mch-31.0 mchc-33.9 rdw-13.0 plt ct-167 08:16am blood wbc-6.3 lymph-13* abs -819 cd3%-83 abs cd3-678 cd4%-28 abs cd4-227* cd8%-53 abs cd8-431 cd4/cd8-0.5* 06:41am blood glucose-88 urean-11 creat-0.8 na-142 k-3.6 cl-108 hco3-24 angap-14 08:16am blood alt-49* ast-50* ld(ldh)-125 alkphos-70 totbili-0.5 dirbili-0.2 indbili-0.3 06:41am blood calcium-8.6 phos-4.1 mg-1.4* . microbiology stool cx for cryptosporidium, cyclospora, microsporidium, yersinia, giardia, c. dif, e. coli -- pending at time of discharge. stool cx: no ova and parasites seen. (this test does not reliably detect cryptosporidium, cyclospora or microsporidium. while most cases of giardia are detected by routine o+p, the giardia antigen test may enhance detection when organisms are rare.) cmv viral load (final ): cmv dna not detected. (performed by pcr. detection range: 600 - 100,000 copies/ml. for research use only. not for use in diagnostic procedures. this test has been validated by the microbiology laboratory at .) urine cx - no growth blood cx - no growth x 48 hours . ekg - normal sinus rhythm, wnl, unchanged from previous study . echo - the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. . cxr () - impression: no acute cardiopulmonary abnormality. . ct abd - multiple enlarged mesenteric lymph nodes, with a " mesentery appearance," as seen on multiple prior studies, but slightly more prominent compared to the most recent study. no other acute abdominal abnormalities. . chest xray: impression: 1. left picc tip projects over the mid svc. no pneumothorax. 2. new right basilar atelectasis compared to radiograph obtained earlier today. brief hospital course: mr. is a 53 year old man with hiv and hepatitis c who presented with an acute onset of diarrhea, vomiting, and hypotension. he required pressor support for hypotension and a brief stay in the micu. . # diarrhea / vomiting: on admission multiple etiologies were thought to be possibly responsible for mr. symptoms. the most likely possibilities included an allergic reaction to peanuts or infection. he was known to have a history of nausea and vomiting with peanuts and had possible exposure to peanuts before his symptoms started. several stool studies were ordered to look for various pathogens. however, not enough stool could be collected because he stopped having bowel mom. of the studies that came back, the ova and parasite exam was negative. he had briefly been placed on vancomycin, metronidazole and ceftriaxone for empiric coverage. cmv viral load was undetectable. blood and urine cultures were negative at the time of discharge. because peanut allergy was in the differential, an appointment was made for the patient to see an allergist within 2-3 weeks of discharge. he was given a prescription for epipen to take home with him. . # hypotension: on admission he was hypotensive. the hypotension did not immediately resolve with aggressive fluid repletion. it required brief pressor support. his blood pressure was stable by the time he was transferred to the floor. it remained stable through time of discharge. given that it did not immediately resolve with fluids, this was thought to support the theory that his symptoms may have been related to an allergic response. . # anemia: mr. presented with a decreased hematocrit. he had received several liters of fluid. his hematocrit was 30.9 on discharge, slightly down from his baeline. there was no evidence of bleeding during the hospitalization. he was guiac positive on admission. . # substance dependence: mr. had a long history of polysubstance abuse. in the micu he was verbally abusive and agitated. he reported using suboxone daily. he was scheduled for an intake at a clinic. this was confirmed. given his significant agitation and symptoms of withdrawal he was continued on suboxone. he was not given a prescription at the time of discharge. he was given a nicotine patch on the floor, but did not want a prescription. he met with social work. . # depression: home sertraline was continued throughout the hospitalization. . # acute renal failure: on admission mr. creatinine was 1.6. after iv fluids, it decreased to 0.8 at the time of discharge. treatment was iv hydration. . # hepatitis c: lfts mildly elevated on admission (alt 73, ast 75) and decreased slightly before discharge (alt 49 ast 50). . # hiv: mr. had a recent drop in his cd4 count. however, his cd4% is 28%. he reported adherence to his medication regimen at home. his home regimen was continued during this admission. . medications on admission: 1. atripla, 1 tablet daily (efavirenz-emtricitabin-tenofovir 600 mg-200 mg-300 mg) 2. zoloft (sertraline) 100 mg tablet 1.5 tablets daily discharge medications: 1. sertraline 50 mg tablet sig: three (3) tablet po daily (daily). 2. efavirenz 600 mg tablet sig: one (1) tablet po daily (daily). 3. emtricitabine 200 mg capsule sig: one (1) capsule po q24h (every 24 hours). 4. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). 5. epipen 0.3 mg/0.3 ml pen injector sig: one (1) injection intramuscular as needed as needed for allergic reaction. disp:*1 pen* refills:*3* discharge disposition: home discharge diagnosis: primary: acute gastrointestinal illness, possibly from food poisoning or peanut allergy . secondary: hiv hepatitis c discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were admitted to the hospital because of low blood pressure and dehydration associated with vomiting and diarrhea. you were treated with iv fluids and a medicine to increase your blood pressure. you were also given antibiotics because we thought an infection might be causing your symptoms. we did tests of your blood, urine, and stool and found no definite source of infection. we do not know for sure what caused your symptoms. they may have been from an infection or from your peanut allergy. . your symptoms improved, and you were able to eat regular food and to walk around without need for support. . after you are discharged from the hospital, please follow up with the doctor appointments mentioned below. . we have provided you with an epi-pen in case you have a severe reaction to the peanuts. . if you develop any of the symptoms listed below or any other symptoms that are concerning to you, please call your primary care doctor or go to your local emergency room. followup instructions: please follow up with your primary care doctor, dr. , within 1 week of leaving the hospital. you can call to make an appointment with him. . in addition, we have made an appointment for you at the clinic at (, ) with dr. . the appointment is on at 1pm. please call the clinic at if you have any questions or need to reschedule. . please keep you appointment with dr. on at 9:45am. procedure: venous catheterization, not elsewhere classified diagnoses: tobacco use disorder chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified depressive disorder, not elsewhere classified opioid type dependence, unspecified mononeuritis of lower limb, unspecified enlargement of lymph nodes asymptomatic human immunodeficiency virus [hiv] infection status other acquired deformities of ankle and foot allergic gastroenteritis and colitis allergy to peanuts food poisoning, unspecified 

Answer: The patient is high likely exposed to