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: this is a 55 year old gentleman with hiv, coronary artery disease, status post myocardial infarction, who woke up at 1:00 a.m. with an ice cold left leg from the upper thigh to the foot. he admits to pain in the calf and numbness. symptoms improved by 5:00 a.m., but pain continued. the patient went to the emergency room at an outside hospital at hospital in , where he was evaluated. the patient was begun on iv heparin and transferred here for further evaluation and treatment. on arrival to our emergency room, vascular service was consulted. the patient was admitted to the vascular service for definitive care. past medical history: allergies to penicillin, manifestations unknown. illnesses include coronary artery disease and myocardial infarction at the age of 49, status post angioplasty. history of hiv. history of hypertension. past surgical history: no past surgical history. medications: lopressor xl 25 mg daily; combivir 1 puff b.i.d.; lisinopril 25 mg daily; lipitor 40 mg daily; aspirin 325 mg daily. social history: positive for smoking and occasional alcohol use. family history: noncontributory. physical examination: vital signs: temperature 98.4. pulse 80. respirations 18. blood pressure 207/94, rechecked 172/107, rechecked 148/81. oxygen saturation 96% on room air. general appearance: alert and oriented. heent exam was unremarkable. there are no carotid bruits. heart is irregular rate and rhythm. lungs are clear to auscultation. abdominal exam is unremarkable. pulse exam shows palpable femoral's bilaterally. on the left palpable popliteal, dp and pt signals only. on the right palpable popliteal, palpable dp and pt. the exam is remarkable numbness on the base of the left foot and sensory motor is intact. hospital course: admitting labs: the white count is 7.1, hematocrit 42.0, platelets 249k. bun 23, creatinine 1.1. ekg was sinus rhythm with no acute changes. the patient was continued on his iv heparin. a diagnostic arteriogram would be done in the morning. dr. initial exam he felt the patient either had an embolus or embolic occlusion since he had a history of cath claudication. the patient proceeded to the or and underwent a left femoral embolectomy with a vein patch angioplasty. he tolerated the procedure well. findings showed an embolus in the left common femoral at the bifurcation. the patient was extubated in the or and transferred to the pacu in stable condition with a palpable dp. immediately postoperatively there were no acute events. he required nitroglycerin for systolic blood pressure control. his postoperative hematocrit was 36.2. he continued to do well and was transferred to the vicu for continued monitoring and care. postoperative day 1 there were no overnight events. the patient remained neurologically intact. the wounds were clean, dry and intact. the patient's diet was advanced as tolerated. iv fluids were hep-lock. ambulation was begun and the patient was d-lined and transferred to the regular nursing floor. the patient was begun on lovenox with coumadin conversion. an echo would be done on an outpatient basis per his primary care physician. patient is to follow up with his primary care physician or clinic for labs and adjustment in his coumadin dosing. the patient was discharged on postoperative day 2 in stable condition. discharge diagnoses: 1. left femoral embolus, status post embolectomy and vein patch angioplasty. 2. history of coronary artery disease, status post myocardial infarction, status post coronary angioplasty. 3. history of hiv. 4. history of hypertension. 5. history of hyperlipidemia. 6. history of peripheral vascular disease. discharge medications: 1. lovenox 80 mg b.i.d. this should be continued until his inr is in a steady state of 2.0 or greater. his labs should be drawn every other day and the results called to dr. for coumadin dosing adjustment. 2. percocet 5/325 tablets 1 to 2 q.4-6h p.r.n. for pain. 3. coumadin 5 mg daily. 4. colace 100 mg b.i.d. the patient is to resume his preoperative medications of: 1. lopressor xl 25 mg daily. 2. combivir 1 puff b.i.d. 3. lipitor 40 mg daily. 4. lisinopril 25 mg daily. 5. aspirin 325 mg daily. , procedure: incision of vessel, lower limb arteries repair of blood vessel with tissue patch graft diagnoses: unspecified essential hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status arterial embolism and thrombosis of lower extremity asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to