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 48 year old male with the history of aids, coronary artery disease, status post cardiac catheterization on with percutaneous transluminal coronary angioplasty to his left anterior descending coronary artery and balloon angioplasty. he presents to the emergency room on with dyspnea on exertion since discharge. he reported he had initial symptoms on his previous presentation where bilateral upper extremity pain and substernal chest pain "like somewhat is sitting on my chest." since then he has had severe dyspnea on exertion with minimal activity, occasionally with chest pain without upper extremity pain. he reported no weight loss, fever, vomiting, diarrhea. he does complain of night sweats, nausea and gas. he has no lower extremity edema, no paroxysmal nocturnal dyspnea and stable two to three pillow orthopnea. he reported that he did start smoking again after his last hospitalization and that he recently had some "bumps" popping up over his shoulder and back over ten days. they are nonpruritic. currently on examination he is chest pain free with no shortness of breath. past medical history: 1. hiv positive requiring retroviral therapy. last cd4 count 66 on . 2. hypercholesterolemia. 3. coronary artery disease. 4. depression. 5. congestive heart failure with both diastolic and systolic dysfunction. 6. right middle lobe 9 mm nodule noted on a ct angio of his chest . 7. shingles. 8. gastroesophageal reflux disease. allergies: no known drug allergies. medications on admission: 1. lopinavir-ritonavir 133.3-33.3 caps, dosing 3 caps by mouth twice a day. 2. lamivudine-zidovudine 150-300 mg tablets 1 tablet p.o. twice daily. 3. abacavir 300 mg p.o. twice a day. 4. plavix 75 mg p.o. once a day for 30 days starting status post stent placement. 5. aspirin 325 mg p.o. once a day. 6. 20 mg p.o. once a day. 7. atenolol 50 mg p.o. once a day. 8. lisinopril 5 mg p.o. once a day. 9. bactrim ss 1 tablet once a day. 10. famotidine 20 mg p.o. twice a day. 11. sublingual nitroglycerine. 12. senna prn 13. colace. 14. prozac 40 mg p.o. once a day and nicotine transdermal patch 14 mg, application every 24 hours. social history: admitted to smoking one pack a day, occasional alcohol, no current drug use at all. family history: had a positive family history. his father died of myocardial infarction at age 47. physical examination: on admission temperature 98.9, blood pressure 143/64, heart rate 62, regular, saturating 99 percent on room air. head, eyes, ears, nose and throat examination was unremarkable. he had jugular venous distension, no lymphadenopathy palpable. heart was regular rate and rhythm with s1, s2, tones no murmur, rub or gallop. lungs were clear bilaterally with distant breath sounds bilaterally. abdomen had some mild epigastric tenderness, no distention, no masses, no hepatosplenomegaly. extremities had no edema. he had some rare 1 mm scabbed over papules on his left shoulder and back, nontender, nonpruritic. chest x-ray showed no infiltrate, no congestive heart failure or effusion. his electrocardiogram showed normal axis with sinus rhythm at 75 with 1 to elevations in v1 through v3. biphasic t waves in v2 through v3 consistent with his prior electrocardiogram on . only the t wave changes were new. please refer to his electrocardiogram done on for official report. cardiac catheterization on did show three vessel disease. he received three stents to his left anterior descending coronary artery and balloon angioplasty to his third obtuse marginal, av groove circumflex and left posterior descending coronary artery. his ejection fraction at that time was 46 percent with an left ventricular ejection fraction of 13. he was admitted through the emergency room. laboratories prior to the catheterization were as follows; troponin t 0.02, saturation of 35, potassium of 5.6. chloride 99, bicarb 21, bun 24, creatinine 1.0, blood sugar 101, anion gap 21, ck 135 with mb of 3. white count of 5.9, hematocrit 31.6, platelet count 357,000. pt 12.2, ptt 24.4, inr 0.9. urinalysis was negative. given his current symptoms the patient went to the cardiac catheterization laboratory on the cardiology service which showed a clot in the left anterior descending coronary artery, restenosis in the circumflex and he was referred to dr. for emergent coronary artery bypass graft. on the 23rd he went to the operating room for emergent coronary artery bypass grafting times two with a left internal mammary artery to the left anterior descending coronary artery, a vein graft to the obtuse marginal and a vein graft sequentially to the posterior descending coronary artery. he was transferred to the cardiothoracic intensive care unit in stable condition on a neo-synephrine drip at 0.8 mcg per kilogram per minute and titrated propofol drip. on postoperative day one he was hemodynamically stable on a neo-synephrine drip at 2.5 mcg per kilograms per minute. he was restarted on his aspirin and plavix and continued with his perioperative vancomycin. his white count was 8.3, hematocrit 31.8, platelet count 286,000, potassium 4.5, bun 17, creatinine 0.9. he remained intubated. he was stable and remained in the cardiothoracic intensive care unit. he was seen by his center physician who made suggestions for his antiretroviral therapy protocol and his hiv medications were restarted. on postoperative day two he had no events overnight. he was extubated. his maximum temperature was 100. he was hemodynamically stable in sinus rhythm, saturating 94 percent on 2 liters nasal cannula. his creatinine and white count were stable. he was doing well. his swan was discontinued. his neo-synephrine continued to be weaned. chest tubes were discontinued and his foley was pulled and he was encouraged to ambulate. on the 26th his cordis was discontinued. peripheral intravenous was placed. he was transferred out to the floor. his examination was unremarkable. his incisions were clean, dry and intact. he continued to be seen every day by dr. , his staff physician. was encouraged to continue using the incentive spirometer and work on pulmonary toilet as well as ambulation with physical therapy and the nursing staff. on postoperative day four he had a blood pressure of 124/76 with sinus rhythm at 78. his beta blockage with lopressor continued as well as lasix diuresis. he continued on his triple antiviral therapy as well as his plavix. his examination was relatively unremarkable. incisions were clean, dry and intact. his epicardial pacing wires were to be removed during the day that day. he was saturating 95 percent on room air. he had somewhat of a flat affect but otherwise appeared to be alert and oriented with a nonfocal examination. psychiatry consult was requested and done by dr. for his history of depression and the assessment was based on his current examination and he appeared safe for discharge with outpatient follow up and they recommended that his prozac be continued. he was also seen by case management and patient's desire was to be discharged to home and his roommate will be with him. patient would be discharged with services. on the day of discharge he was receiving percocet prn and ibuprofen for p.o. pain control. he had good bowel sounds. discharge planning was done. his examination was unremarkable. incisions were clean, dry and intact. he was performing all of his activities of daily living and his last laboratories were hematocrit of 27.3. the patient was deemed well enough to be discharged to home with visiting nurse associates services and was discharged with the following diagnoses. final diagnoses: 1. status post emergent coronary artery bypass grafting times three. 2. coronary artery disease, status post triple vessel stenting . 3. hiv positive on retroviral therapy. 4. hypercholesterolemia. 5. depression. 6. congestive heart failure. 7. right middle lobe nodule. 8. gastroesophageal reflux disease. discharge follow up appointments: were scheduled. patient was requested to make an appointment with dr. for approximately one to two weeks post discharge, to make appointment for a psychiatric referral at health center one week after discharge and make appointment to see dr. , his surgeon in the office for postoperative surgical visit in approximately six weeks. he also has an appointment scheduled with dr. from cardiology for at 11:30. discharge medications: 1. percocet 5/325 one to two tablets p.o. prn q 4 hours for pain. 2. plavix 75 mg p.o. once daily. 3. aspirin 81 mg enteric coated p.o. once daily. 4. abacavir sulfate 300 mg p.o. twice daily. 5. lamivudine - zidovudine 150-350 mg tablet, 1 tablet p.o. twice daily. 6. lopinavir-ritonavir 133.3 - 33.3 mg capsule, 3 capsules twice a day. 7. flexitime 40 mg p.o. daily. 8. metoprolol 25 mg p.o. twice a day. 9. lasix 20 mg p.o. twice a day for seven days. 10. potassium chloride 20 meq p.o. twice a day for seven days. 11. pepcid 20 mg p.o. once a day. 12. ibuprofen 600 mg p.o. q 6 hours prn for pain. the patient was discharged home with services on . , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome tobacco use disorder unspecified essential hypertension depressive disorder, not elsewhere classified human immunodeficiency virus [hiv] disease other and unspecified hyperlipidemia other complications due to other cardiac device, implant, and graft family history of ischemic heart disease chronic diastolic heart failure 

Answer: The patient is high likely exposed to