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: penicillins attending: chief complaint: abdominal pain major surgical or invasive procedure: pericardiocentesis chemotherapy history of present illness: 40 yo hiv+ male (diagnosed , last cd4 366, vl 54,000, never on antiretroviral therapy), ?hbv, who presented to the ed with a several day h/o abdominal pain worst in the rlq, nausea, vomiting, and sob/doe. mr. states that these symptoms appeared to begin abruptly, and denies any associated fever, chills, or night sweats prior to admission. an abdominal ct scan performed in the ed incidentally noted a large pericardial effusion. he was noted on exam to have elevated neck veins, tachycardia, and significant pulsus paradoxus. follow-up echocardiogram demonstrated ef >55%, with 1.5-2.2cm circumferential pericardial effusion with extesive stranding and likely loculation, and rv diastolic collapse. he was taken to the cath lab for emergent pericardiocentesis, with drainage of 600 cc of serosanginous fluid and placement of drainage catheter. he stayed in the ccu until the drain was pulled, and then was d/c'ed to the floor. past medical history: hiv diagnosed 1 year ago (patient requested blood test after former partner found to have gonorrhea; std screen negative at the time, but found to have seroconverted). unaware of having an acute retroviral conversion syndrome. he reports negative prior hiv tests, perhaps 2 years prior. hiv rf is msm. no opportunistic infections. has never been on antiretroviral therapy. cd4 counts reportedly between 300-400, and viral loads reportedly between 50,000-100,000. hepatitis a ?hbv: reports getting at least two vaccines for hepb after contracting , and believes that subsequent studies may have suggested hepb infection. social history: in monogamous homosexual relationship. no tobacco, rare etoh. no ivdu. family history: dm, cad physical exam: t: 98.1 bp: 116/66 p: 70 r: 18 98%ra pulsus 6 gen: alert and oriented pleasant male, sitting up and eating, in nad heent: sclerae anicteric, conjunctivae not injected, mmm lungs: decreased breath sounds at bilateral bases cv: rrr, no m/r/g. abd: soft, nontender, nondistended. +bs. ext: no edema. pertinent results: ppd negative 08:42pm blood wbc-5.6 rbc-4.92 hgb-14.4 hct-43.7 mcv-89 mch-29.3 mchc-33.0 rdw-15.0 plt ct-148* 05:09am blood wbc-2.6*# rbc-4.30* hgb-12.7* hct-38.7* mcv-90 mch-29.6 mchc-32.8 rdw-15.2 plt ct-136* 05:51am blood wbc-2.6* rbc-4.08* hgb-12.3* hct-35.9* mcv-88 mch-30.1 mchc-34.2 rdw-15.2 plt ct-147* 06:58am blood wbc-2.6* rbc-4.03* hgb-12.2* hct-35.3* mcv-88 mch-30.2 mchc-34.4 rdw-15.0 plt ct-162 06:50am blood wbc-3.3* rbc-4.40* hgb-13.1* hct-38.8* mcv-88 mch-29.9 mchc-33.9 rdw-15.1 plt ct-172 10:00am blood pt-14.3* ptt-26.8 inr(pt)-1.3 06:44pm blood esr-28* 05:30pm blood wbc-2.6* lymph-32 abs -832 cd3%-85 abs cd3-704 cd4%-24 abs cd4-200* cd8%-61 abs cd8-504 cd4/cd8-0.4* 08:42pm blood glucose-103 urean-19 creat-1.2 na-136 k-4.1 cl-99 hco3-27 angap-14 05:09am blood glucose-90 urean-11 creat-0.9 na-139 k-3.8 cl-106 hco3-29 angap-8 05:51am blood glucose-84 urean-8 creat-0.9 na-140 k-3.9 cl-106 hco3-29 angap-9 06:58am blood glucose-85 urean-8 creat-1.0 na-140 k-4.2 cl-107 hco3-29 angap-8 06:50am blood glucose-90 urean-10 creat-1.0 na-140 k-4.4 cl-105 hco3-31* angap-8 06:58am blood alt-35 ast-30 alkphos-94 totbili-0.6 10:00am blood ck(cpk)-44 08:42pm blood alt-46* ast-26 ck(cpk)-39 alkphos-100 amylase-29 totbili-1.4 08:42pm blood lipase-15 10:00am blood ck-mb-notdone ctropnt-<0.01 08:42pm blood ck-mb-2 ctropnt-<0.01 05:09am blood totprot-6.2* albumin-3.1* globuln-3.1 calcium-7.9* phos-2.8 mg-1.7 06:50am blood calcium-8.4 phos-3.8 mg-1.9 uricacd-3.3* 06:44pm blood -negative 05:09am blood pep-no specifi 11:30pm urine color-amber appear-clear sp -1.025 11:30pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-tr bilirub-sm urobiln-8* ph-6.5 leuks-neg 11:30pm urine rbc-0 wbc-0 bacteri-rare yeast-none epi-0 10:15am urine u-pep-no protein hiv-1 viral load/ultrasensitive (final ): 46,400 copies/ml. lyme serology (final ): no antibody to b. burgdorferi detected by eia pericardial fluid: gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. fluid culture (final ): no growth. anaerobic culture (final ): presumptive propionibacterium acnes. rare growth. acid fast culture (pending): acid fast smear (final ): no acid fast bacilli seen on direct smear. fungal culture (final ): no fungus isolated. 03:03pm other body fluid wbc-* rbc-* polys-1* lymphs-1* monos-0 macro-2* other-96* 03:03pm other body fluid totprot-5.3 glucose-60 ld(ldh)- amylase-18 albumin-2.8 cytology: numerous atypical and degenerated lymphoid cells are present singly. 1. pericardial fluid cytospins (a): primary effusion lymphoma (see note) immunoperoxidase studies performed are not contributory due to a high background staining. note: primary effusion lymphoma is a form of high grade b cell lymphoma confined to serosal cavities. it typically occur in the setting of hiv infection, but can also be seen in other immunodeficiency states, and presents with pleural or pericardial effusions containing large anaplastic plasmacytic immunoblasts which are typically negative for cd20 and cd79a but positive for cd138. typically there is no associated mass effect. 2. cell block, pericardial fluid (b): atypical degenerate plasmacytoid cells consistent with necrotic primary effusion lymphoma (see note). ct abd (): appendix measuring at the upper limits of normal with likely wall enhancement related to phase of contrast. there is a low suspicion for appeniditis given other features including air in the lumen and lack of associated findings. recommend clinical correlation. large paracardial effusion associated pleural effusion, hepatic and venous congestion. periportal adenopathy. small amount of free fluid in pelvis. ct chest (): interval decrease in size of pericardial effusion following pericardial drain placement, with a small-to-moderate amount of fluid persisting. thickening of the pericardium with evidence of enhancement, in keeping with exudative effusion. increase in number but not size of multiple mediastinal lymph nodes, with adjacent stranding of mediastinal fat. these are nonspecific but may be inflammatory. interval increase in size of right pleural effusion. bibasilar compressive atelectatic changes. nonspecific stranding of the mediastinal structures. echo : small pericardial effusion. no echocardiographic signs of tamponade. cxr : bilateral effusions; the left slightly smaller than yesterday. brief hospital course: 1)pericardial effusion: because of his tachycardia, elevated jvd, and rv collapse seen on echo, his effusion was drained emergently in the cath lab, and he was monitored in the ccu until the drain was pulled. he never experienced any hemodynamic compromise. the fluid cytology was consistent with primary effusion lymphoma. this lymphoma is associated with hhv-8, but the sample that was sent to the micro lab to test for this was lost. he was evaluated by the oncology serivce, who recommended chemo. he received one dose of chemo (liposomal daunorubicin), which he tolerated well. tumor lysis labs were checked and were normal, and he was given allopurinol. his pulsus paradoxus was monitored and was normal. he had no evidence of reaccumulation of the pericardial fluid. 2)pleural effusions: these were seen on initial ct, and were monitored by cxr. they were decreasing on size prior to d/c. he denied shortness of breath, and his oxygen saturation was normal on room air. 3)id: he was begun on haart per id recommendations (emtricitabine, tenofovir, and kaletra). his ppd was negative. his cd4 count was 200, and his viral load was 46,400. medications on admission: flonase prn discharge medications: 1. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. lopinavir-ritonavir 133.3-33.3 mg capsule sig: three (3) cap po bid (2 times a day). disp:*180 cap(s)* refills:*2* 3. emtricitabine 200 mg capsule sig: one (1) capsule po q24h (every 24 hours). disp:*30 capsule(s)* refills:*2* 4. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. ketoconazole 2 % cream sig: one (1) appl topical (2 times a day). disp:*1 tube* refills:*2* discharge disposition: home discharge diagnosis: pericardial effusion discharge condition: stable discharge instructions: continue haart medications. followup instructions: follow up with dr. within 1-2 weeks. follow up with hematology/ clinic. procedure: pericardiocentesis injection or infusion of cancer chemotherapeutic substance diagnoses: unspecified viral hepatitis c without hepatic coma human immunodeficiency virus [hiv] disease other malignant lymphomas, unspecified site, extranodal and solid organ sites acute pericarditis, unspecified 

Answer: The patient is high likely exposed to