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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: cabg x 3 history of present illness: mr. is a 65-year-old man with hiv, htn, ^chol, and type ii diabetes mellitus who has been having chest pain for the past 2 years. this was initially found on ros during cardiac evaluation for a planned dorsocervical fat pad removal. pt initially thought cp was indigestion. he is now experiencing resting chest pain. cardiac cath performed on revealed 3 vessel disease and left main disease with an ef of 49%. referred for cabg. past medical history: past medical history hiv () - cd4 866, viral load undetectable on haart type ii diabetes mellitus () hypertension hypercholesterolemia lightheadedness and loc () recurrent perirectal herpes () lipodystrophy varicose veins erectile dysfunction diverticulae in sigmoid and descending colon () left ankle subacute cellulitis, venous stasis ulcer () left tibia fracture from fall () posterior vitreous detachment od right arm fracture () past surgical history facelift () left inguinal herniorraphy with gortex mesh () arthroscopic surgery hemorrhoidectomy () esophageal ring dilation appendectomy () tonsillectomy/adenoidectomy () social history: denies smoking. drinks socially on occasion. born and raised in , currently lives on a horse farm in fall, n.h. works as a cosmetologist, used to own salon . now trains, breeds, and sells horses. family history: notable for uterine cancer (mother), cad (mother), lupus (sister), stroke (grandmother in 70's), and diabetes (two aunts). history of hypertension. physical exam: tm 98, tc 97.1, bp 110/70, p 80, rr 20, o2sat 97 ra, weight 68.0 kg general: nad skin: 2cm x 2cm discolored patch in area of l medial malleolus. tanned skin in exposed areas. heent: mucous membranes dry; mildly icteric sclerae; perrla; large dorsocervical fat pad; oral mucosa without lesions. no carotid bruits. pulm: ctab, no wheezes, rales, ronchi. symmetric expansion of the chest cavity on inspiration. diaphragmatic excursion of 2cm. cor: ii/vi blowing, mid-systolic crescendo-decrescendo murmur auscultated best at the llsb. abd: soft, distended, nontender. active bs x4. no hepatomegaly, splenomegaly appreciated. ext: no peripheral edema. some varicosities. neuro/psych: cnii-xii intact on screen. aox3. walking gait, heel-to-toe performed without difficulty. slight tremor of left 5th digit on rest. pertinent results: cardiac catheterization (): 1. coronary angiography of this right dominant circulation revealed severe three vessel disease. the lmca had a 60% narrowing at its origin with pressure damping noted during engagement of the artery. the lad had serial 80-90% lesions in the mid vessel and diffuse luminal irregularities that narrowed to 30-40% in the distal vessel. the rca also had diffuse luminal irregularities and a focal 70% lesion in the distal vessel. the rca supplied a moderate sized pda that had a 50% lesion. 2. resting hemodynamics revealed mildly elevated left ventricular filling pressures with an lvedp of 18 mmhg and a mean pcwp of 13 mmhg in the setting of normal systemic arterial blood pressure. there was evidence of mild pulmonary artery hypertension with pa pressures of 38/17/26 mmhg. no gradient across the aortic valve was detected. 3. left ventriculography demonstrated mild anterolateral hypokinesis with a calculated lvef of 49%. mild (1+) mitral regurgitation was seen. 05:17pm blood wbc-8.8 rbc-4.49* hgb-15.3 hct-44.9 mcv-100* mch-34.1* mchc-34.0 rdw-15.0 plt ct-307 07:23pm blood wbc-11.4* rbc-3.13* hgb-10.1* hct-28.8* mcv-92 mch-32.2* mchc-35.0 rdw-16.5* plt ct-147* 05:50am blood wbc-11.9* rbc-3.00* hgb-9.2* hct-29.0* mcv-97 mch-30.8 mchc-31.9 rdw-16.4* plt ct-353 05:17pm blood pt-12.0 ptt-21.1* inr(pt)-1.0 05:30am blood pt-13.4* ptt-21.5* inr(pt)-1.2 05:17pm blood glucose-267* urean-26* creat-1.0 na-138 k-4.5 cl-101 hco3-24 angap-18 05:30am blood glucose-148* urean-23* creat-0.9 na-139 k-4.3 cl-101 hco3-25 angap-17 05:17pm blood calcium-9.9 phos-3.3 mg-2.2 06:45pm urine color-yellow appear-clear sp -1.015 06:45pm urine blood-neg nitrite-neg protein-tr glucose-tr ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 06:45pm urine rbc-0 wbc-0 bacteri-none yeast-none epi-<1 brief hospital course: as mentioned in the hpi, mr. presented to cardiac surgery service following his cardiac cath on hd #2 which revealed severe 3vd. the following day, , pt was brought to the operating room where he underwent coronary artery bypass surgery. please see op note for full details. pt. tolerated the procedure well with a total byoass time of 93 minutes and cross clamp time of 75 minutes. he was transferred to csru in stable condition with a map of 76, cvp 12, pad 15, 22, hr 92 sr and being titrated on neo, propofol, and insulin. pt transfused 1 unit prbc and cryo x 2 in csru. later on op day pt was weaned from propofol and mechanical ventilation and was extubated without incidence. he was awake, alert, mae, and following commands. pod #1 pt was still requiring neo for bp support. lasix was started. consult today and cont. to see pt. throughout hosp. course and help managed his diabetes. chest tubes removed. transfused 1 unit of prbcs. pod #2. pt was doing better. is now weaned off of neo. pacing wires removed. lopressor started. hiv meds started. pod #3 pt remained in the csru, but was transferred to telemetry floor today. pod # pt improved steadily throughout these 3 days and was ready for discharge on pod #6. he was seen by pt throughout his post-op course and was now level 5. labs were stable and exam was unremarkable. pt was slightly above his pre-op wt and was d/c'd with lasix. medications on admission: 1. actos 30mg--one tablet daily. 2. acyclovir 400mg--two tablets (800 mg) by mouth twice a day 3. androgel 1%(50mg)--use the contents of one packet daily. apply to skin. 4. aspirin 81mg--one daily for cardiovascular prophylaxis. 5. atazanavir sulfate 150mg--two capsules by mouth once daily, with one capsule of ritonavir. 6. atenolol 25mg--one tablet daily. 7. atorvastatin calcium 10mg--one tablet daily for control of cholesterol. 8. effexor xr 75mg--one tablet daily for depression 9. glyburide 5mg--2 tablets (10 mg) by mouth twice a day for control of type ii diabetes mellitus. 10. lamivudine 150mg--one tablet by mouth twice a day 11. levitra 5mg--one tablet once per day prn. 12. lisinopril 2.5mg--one tablet daily. 13. nitroglycerin 0.3mg--one tablet under the tongue as needed for chest pain. repeat in 5 minutes if pain persists. if pain persists 5 minutes after 2nd dose, seek medical attention. 14. oxandrin 10mg--take one tablet by mouth twice a day 15. proscar 5mg-- of a tablet daily for hair growth. 16. ranitidine hcl 300mg--one tablet daily for chronic esophageal reflux. 17. ritonavir 100mg--one capsule by mouth daily, with two capsules of atazanavir. 18. stavudine 15mg--one capsule by mouth twice a day 19. tenofovir 300 mg (viread)--take one tablet by mouth daily discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. lamivudine 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for 21 days. disp:*40 tablet(s)* refills:*0* 5. ritonavir 100 mg capsule sig: one (1) capsule po daily (daily). disp:*60 capsule(s)* refills:*2* 6. atazanavir sulfate 100 mg capsule sig: three (3) capsule po daily (daily). disp:*90 capsule(s)* refills:*2* 7. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. stavudine 15 mg capsule sig: one (1) capsule po q12h (every 12 hours). disp:*60 capsule(s)* refills:*2* 9. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 10. venlafaxine hcl 75 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po daily (daily). disp:*60 capsule, sust. release 24hr(s)* refills:*2* 11. zantac maximum strength 150 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 12. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 13. acyclovir 200 mg capsule sig: two (2) capsule po q12h (every 12 hours). disp:*120 capsule(s)* refills:*2* 14. lasix 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 15. proscar 5 mg tablet sig: one fifth tablet po once a day: one fifth of a tablet for hair growth. disp:*30 tablet(s)* refills:*1* 16. insulin glargine 100 unit/ml solution sig: seventy (70) units subcutaneous at bedtime. disp:*22 vials* refills:*2* 17. insulin lispro (human) 100 unit/ml solution sig: see sliding scale units subcutaneous four times a day: sliding scale: bs units 120-140 2 141-160 4 161-180 6 181-200 8 1-240 12 241-260 14 261-280 16 1-320 20 greater than 300 call doctor . disp:*2 vials* refills:*2* 18. insulin syringe ultra fine ii syringe sig: one (1) needle miscell. five times a day. disp:*qs 1 month supply* refills:*2* 19. ultra tlc lancets misc sig: one (1) lancet miscell. five times a day. disp:*qs 1 month supply* refills:*2* 20. ultra one glucose test strips 1 5x per day 1 month supply refills: 2 discharge disposition: home with service facility: ,nh vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 hiv () - cd4 866, viral load undetectable on haart type ii diabetes mellitus () hypertension hypercholesterolemia lightheadedness and loc () recurrent perirectal herpes () lipodystrophy varicose veins erectile dysfunction diverticulae in sigmoid and descending colon () left ankle subacute cellulitis, venous stasis ulcer () left tibia fracture from fall () posterior vitreous detachment od right arm fracture () past surgical history facelift () left inguinal herniorraphy with gortex mesh () arthroscopic surgery hemorrhoidectomy () esophageal ring dilation appendectomy () tonsillectomy/adenoidectomy () discharge condition: good discharge instructions: may not drive for 4 weeks may not lift greater than 10 pounds for 2 months shower only, let water flow over wounds, pat dry followup instructions: make an appt. and follow up with dr. in weeks make an appt. and follow up with dr. (card) in weeks make an appt. () and follow up with dr. in 4 weeks make an appt. () and follow up with clinic in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures transfusion of packed cells diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia old myocardial infarction asymptomatic human immunodeficiency virus [hiv] infection status lipodystrophy 

Answer: The patient is high likely exposed to