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: history of present illness: mr. is a 42 year old white male with a history of metastatic testicular carcinoma diagnosed in status post left radical orchiectomy followed by four cycles of bleomycin, etoposide, and cisplatin. mr. was also diagnosed with hiv in and has been on long standing anti-retroviral therapy since that time. his recent cd4 count was 702 and his viral load was 1060. the patient had been free from recurrence of his testicular cancer until approximately six months ago when he presented with low back pain after going on an hiv "drug holiday". at the time of his presenting low back pain, the patient also had symptoms of malaise and a low grade fever. his work-up at the time was notable for significant retroperitoneal lymphadenopathy by ct scan. multiple ct guided percutaneous biopsies were performed and these were not diagnostic revealing follicular hyperplasia. with a continuously rising alpha fetoprotein level, last measured at 214, open surgery was recommended. past medical history: 1. metastatic non-seminoma testicular carcinoma. 2. human immunodeficiency virus. 3. noninsulin dependent diabetes mellitus. 4. depression. past surgical history: 1. left radical orchiectomy in . 2. status post lipectomy. 3. status post atypical nevus excision. medications on admission: 1. flonase. 2. zantac. 3. acyclovir. 4. kaletra. 5. epivir. 6. effexor. 7. androgel 8. chloral hydrate. allergies: the patient has no known drug allergies. physical examination: temperature 95.9 f.; blood pressure 126/68; pulse 72; respiratory rate 16; oxygen saturation 98% on room air. in general, the patient is a pleasant, moderately obese white male in no apparent distress. heent: clear oropharynx, moist mucous membranes. anicteric sclerae. neck: soft, no masses, no lymphadenopathy, no bruits. lungs are clear to auscultation and percussion bilaterally. heart is regular rate and rhythm, normal s1, s2, no murmurs. abdomen soft, obese, nontender. left abdominal scar, well healed. no hepatosplenomegaly. normoactive bowel sounds. no cyanosis, clubbing or edema. two plus dorsalis pedis pulses bilaterally. laboratory: the white blood cell count was 9.6, hematocrit 40.2, platelet count 325, inr 1.0. cd4 count 702. glucose 93. bun 18, creatinine 0.6. ast 14, alt 18; alkaline phosphatase 89, amylase 55. total bilirubin 0.4, direct bilirubin 0.1, indirect bilirubin 0.3. his afp was 214.3, which was up from 199.7 in , and 110.7 in . the hiv viral load was 1,060. imaging: ct scan study obtained in , revealed significant retroperitoneal, inguinal and pelvic lymphadenopathy. the lymphadenopathy has been overall stable, although there has been one para-aortic lymph node which increased in size from 2.6 by 2.1 centimeters to 3.4 by 3.2 centimeters. the preoperative chest x-ray was within normal limits. the preoperative ekg demonstrated normal sinus rhythm at a rate of 78 beats per minute. hospital course: on the date of admission, the patient was taken to the operating room where he underwent a bilateral retroperitoneal pelvic lymph node dissection. the estimated blood loss from the procedure was 1500 cc. the specimens sent included the lymph nodes as well as the left gonadal vein. intraoperatively, a foley catheter was placed along with an nasogastric tube. postoperatively, the patient was admitted to the surgical intensive care unit intubated and sedated. his postoperative creatinine was 0.8; his postoperative hematocrit was 37.7. the following morning, postoperative day one, the patient was extubated and subsequently transferred to a regular hospital floor the following afternoon. the patient had adequate urine output, but did have significant pain issues necessitating a pain service consultation to manage this. thereafter, the patient's pain was tolerable. the nasogastric tube was removed on postoperative day five, along with the foley catheter. the patient began eating at that time and physical therapy and occupational therapy were consulted to with transferring and personal care needs. the patient was becoming increasingly depressed at this time, concerned that he was not able to care for himself, and mobilize as easily as he had been prior to his surgery. on postoperative day seven, the patient was ready to be discharged when a large amount of serous fluid began draining from his inferior abdominal incision. approximately 700 cc of serous fluid were expressed and the patient was sent for a ct scan to evaluate fascial dehiscence. abdominal examination at this time revealed that the staples were intact, that the abdomen was soft, and that there was no erythema nor palpable masses at the incision site. the ct scan did not suggest evidence of fascial dehiscence, although it did indicate that there were was a moderate amount of intra-abdominal ascites present. the serous fluid was sent for evaluation, revealing a creatinine level of 1.0 and amylase level of 35 and a triglyceride level of 23. the patient was diuresed with lasix as needed and a rectal bag was secured over the abdominal incision to collect the drainage. the abdominal drainage persisted throughout postoperative day eight and postoperative day nine, although it diminished significantly on postoperative day ten. at this time, it was felt that a repeat ct scan was not necessary and the patient was sent home on postoperative day ten with the visiting nurse with wound care and care of the abdominal drain and collection of the abdominal drain contents. discharge diagnoses: 1. recurrent metastatic left testicular carcinoma. 2. postoperative ascites and incisional drainage 3. postoperative ileus 4. human immunodeficiency virus. 5. depression. 6. obstructive sleep apnea. 7. gastroesophageal reflux disease. discharge medications: 1. furosemide 40 mg p.o. q. day times seven days. 2. potassium chloride 40 meq p.o. q. day times seven days. 3. ibuprofen 400 mg p.o. q. eight hours p.r.n. pain. 4. kaletra as directed. 5. epivir as directed. 6. acyclovir as directed. 7. ranitidine as directed. 8. effexor as directed. 9. chloral hydrate as directed. 10. androgel as directed. 11. flonase as directed. discharge instructions: 1. the patient was told to follow-up with dr. in one to two weeks for staple removal. 2. he was told to see dr. earlier if there was significant output from the abdominal drainage bag. 3. the patient was also told to follow-up with his primary care physician regarding his hiv issues as needed. condition on discharge: good. discharge status: home with services. , md dictated by: medquist36 d: 11:18 t: 23:12 job#: procedure: division or crushing of other cranial and peripheral nerves regional lymph node excision diagnoses: esophageal reflux acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified acute respiratory failure unspecified sleep apnea asymptomatic human immunodeficiency virus [hiv] infection status secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes 

Answer: The patient is high likely exposed to