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 65-year-old female with a history of coronary artery disease, status post recent admit for acute myocardial infarction complicated by cardiogenic shock, acute renal failure and underwent catheterization with a stent to the left circumflex artery. patient was discharged to rehabilitation over this month and then to home last week. she was doing well at her baseline apparently. since then, on the day of admission, in the morning, she had an acute episode of shortness of breath and chest pressure. the patient states that she apparently felt normal last night with no recent fevers, chills. patient does complain of a history of a dry cough without any sputum productive. patient says she felt similarly during her episode of acute myocardial infarction so she subsequently called ems. on arrival, ems noted that patient to be tachypneic but had a stable oxygen saturation of 98% on a questionable amount of supplemental 02. the patient was, however, still intubated in the field and brought to for further management. the patient was also given 100 mg of intravenous lasix without further improvement in her oxygenation and her shortness of breath. in the emergency department, the patient had stable hemodynamics and oxygenation. arterial blood gases showed ph 7.17, pco2 of 42, po2 of 535. the patient was admitted to the medical intensive care unit for further management of her acidosis. allergies: to motrin, the patient says that it causes bleeding. medications on admission: azt 200 mg po b.i.d., t3c 150 mg po b.i.d., nevirapine 200 mg b.i.d., lasix 40 mg po q.d., captopril 25 mg po b.i.d., glyburide 5 mg po b.i.d., albuterol and atrovent mdi inhalers, flovent 110 mcg 2 puffs b.i.d., colace 100 mg po b.i.d., lipitor 80 mg po q.d., multivitamin 1 tablet po q.d., timoptic, bactrim ds 1 tablet po q.d., reglan 10 mg po b.i.d., prilosec 20 mg po q.d., aspirin 325 mg po q.d., plavix 75 mg po q.d., toprol xl 150 mg po q.d., imdur 30 mg po q.d., tums 500 mg po b.i.d., procrit 4000 units subcutaneous biweekly. past medical history: 1. coronary artery disease, status post myocardial infarction in , status post catheterization in which showed 90% right coronary artery, 40% left anterior descending and 100% mid left circumflex stenosis which was stented and an ejection fraction of 40%. 2. chronic obstructive pulmonary disease with no documented pulmonary function test on record. 3. acute renal failure during recent hospitalization. 4. hiv. last recorded cd4 230 in with an undetectable viral load. 5. factor viii deficiency. 6. hypertension. 7. diabetes mellitus for 25 years. 8. congestive heart failure secondary to cardiogenic shock. ejection fraction of 40% and severe mitral regurgitation. physical exam on admission: patient had a pulse of 100. blood pressure 160/90. respiratory rate of 30. 02 saturation 99% on 100% fio2. in general, patient was intubated but awake, comfortable appearing. head, eyes, ears, nose and throat: pupils equal, round and reactive to light. sclera were anicteric. neck: mildly increased jugular venous distention, no lymphadenopathy. heart was regular rate and rhythm, 2/6 systolic ejection murmur heard at the left upper sternal border with radiation to the apex. lungs were clear to auscultation bilaterally, no rales or wheezes were appreciated. abdomen was soft, nontender, nondistended, normal active bowel sounds. extremities showed no peripheral edema. electrocardiogram showed sinus tachycardia, normal axis and intervals, unchanged from a previous electrocardiogram. after the patient's onset of myocardial infarction, chest x-ray showed endotracheal tube in good position, mild vascular redistribution likely with curly b lines, however, there was no evidence of failure and no infiltrates on chest x-ray. laboratory values: arterial blood gases: ph 7.17, pco2 42, po2 535. pt 13.5, ptt 24.3, inr 1.2. white blood cell count 7.0, 78% neutrophils, 0 bands, 60% lymphocytes, 4% monocytes. hematocrit 36.8, platelets 206,000. sodium 143, potassium 6.3, chloride 113, bicarbonate 14, bun 68, creatinine 3.3, blood sugar 183, ck of 7211, mb fraction of 17, troponin of 0.6. urinalysis showed large blood, 100 protein, 4 red blood cells, 0 white blood cells. hospital course: by system: 1. renal: it was felt that the patient had an acidosis of mild anion gap, as well as nongap variety. the most likely cause was renal in origin given the patient's increased bun and creatinine, as well as possibly impaired ability to generate bicarbonate. given the fact that the patient was also on antiretrovirals and had been shown to be a culprit at times for this acidosis, they were held for part of the hospital course until the lactate level which came back and was normal. subsequently, patient's antiretrovirals were re-continued. the patient's acidosis continued to improve while the patient was on the ventilator. on day two of admission, the patient self extubated and maintained good 02 saturations with nonrebreather as well as nasal cannula. the patient's acute on chronic renal failure continued to resolve with intravenous fluids. patient's bun and creatinine on discharge were 75 and 2.8 and the patient's ph on discharge was 7.32. 2. pulmonary: there was no defect in oxygenation. the patient was only intubated for help in management of the acidosis. the patient subsequently self-extubated on day two of admission and had stable 02 saturations with minimal supplemental oxygen. 3. cardiovascular: given the fact that the patient had a similar presentation for her acute myocardial infarction and was known to have a 90% right coronary artery lesion which was not intervened on, the patient was initially started on heparin and intravenous nitroglycerin and continued on her aspirin beta-blocker ace. the patient's lipitor was held because of her elevated ck with a negative mb fraction. the patient was ruled out for myocardial infarction by enzymes and the intravenous heparin and nitroglycerin were subsequently discontinued. the patient remained hemodynamically stable throughout the hospital course and the patient's lipitor was held and subsequently the cks were trending down. ck on discharge was 4,131, again, with a negative mb fraction. the patient was instructed to have outpatient follow-up for further management of her lipids and to see if another antihyperlipidemic medication could be chosen. 4. infectious disease: initially the patient's antiretroviral medications were initially held, however, after lactate levels came back negative, they were restarted. patient remained afebrile throughout the hospital course. patient's white blood cell count remained stable. patient was continued on her antiretroviral medications, as well as her prophylactic medications during her hospital course. patient's condition at discharge: stable. discharge status: to home with services. discharge medications: 1. bactrim ds 1 tablet po q.d. 2. prilosec 20 mg po q.d. 3. enteric coated aspirin 325 mg po q.d. 4. flovent 110 mcg 2 puffs b.i.d. 5. tums 500 mg po b.i.d. 6. epogen 4000 units subcutaneous every monday, wednesday and friday. 7. multivitamin 1 tablet po q.d. 8. timoptic 0.25% eye drops, one drop to each eye b.i.d. 9. retrovir 200 mg po b.i.d. 10. lamivudine 100 mg po q.d. 11. viramune 200 mg po b.i.d. 12. plavix 75 mg po q.d. until . 13. glyburide 2.5 mg po b.i.d. before breakfast and before dinner. 14. lopressor 50 mg po b.i.d. 15. hydralazine 25 mg po t.i.d. 16. albuterol inhaler 2 puffs q.i.d. 17. atrovent 2 puffs mdi q.i.d. discharge diagnoses: 1. hiv positive. 2. hypertension. 3. chronic obstructive pulmonary disease. 4. diabetes type 2. 5. chronic bronchitis. 6. factor viii deficiency. 7. spinal stenosis at l4-l5. 8. chronic renal failure. 9. coronary artery disease. 10. congestive heart failure. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other pulmonary insufficiency, not elsewhere classified chronic airway obstruction, not elsewhere classified old myocardial infarction asymptomatic human immunodeficiency virus [hiv] infection status 

Answer: The patient is high likely exposed to