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: ampicillin / dilantin / haldol / ceftazidime attending: chief complaint: confusion major surgical or invasive procedure: none history of present illness: mr. is a 74 yo male with recent history of cva () on coumadin who presented with rhinorrhea (3 days), productive cough (2 days) and mental status change (over the 16 hours pta). the night pta, he had restless sleep, woke at 3:30am and showered to get ready for the day. his wife got up at 6:30 and prepared breakfast. prior to breakfast he was sitting the newspaper and his wife noted that he was "shaking" badly. he commented that he was "cold". she took his temp, which was 97f. they sat down to eat breakfast and he began to act odd. he sat very far away from the table. with prompting, he scooted to the table. he then was unable to properly use his fork to eat his eggs. his wife then called her pcp who recommended that they go to the ed. she called 911. per the ed report (but no documentation in the chart), the pt was hypoglycemic in field to 27 and received dextrose. in the ed, he had a head ct that was negative for bleed or infarct. glucose was 108. he had a temperature of 104. initially his vs were bp 133/78, h 84 and evolved to 90-100s systolic and hr of 100-120s. he was given dilt 5mg x 2 for rvr. cxr was initially read as right middle lobe infiltrate and he was given ceftriaxone 1 g and azithromycin 500mg. there was some discussion about meningitis, but he was not given meningitis doses of medications. his neurologist felt that this was less likely meningitis and recommended against lp in the setting of therapeutic inr. when he arrived to the micu, his sbps were in the 70s. an arterial line was placed. he was bolused 4 more liters with improvement to 90-100s. ros: +cough, +rhinorrhea, -diarrhea, -chest pain, -urinary problems past medical history: traumatic subdural/subarachnoid hemorrhage- () relating to fall in setting of ? alcohol use. no apparent residual symptoms. hypertension hypercholesterolemia bipolar disorder- well controlled on depakote depression- on effexor ? bph- tried flomax and developed orthostatic syncope/hypotension. ? delirium with prior hospital admission for sdh/sah. ? atrial fibrillation social history: lives at home with his wife, retired schoolteacher and coach for baseball, football and other sports, 3 grown children live in the area, ? history of alcoholism, currently rarely drinks, had 2 drinks last night for new year's celebration, no h/o illicit drug use. family history: mother- had dm, had strokes in her 50's cad died from dm complications physical exam: micu admission exam: t: 103.0 rectal bp: 84/52 nibp, 97/52 art line p: 106 afib rr: 17 o2 sats: 96% 4lnc gen: lethargic heent: icteric injected, peerl 3-2mm, op with dry mucous membranes neck: jvp flat cv: tachy, slightly irregular, distant resp: clear anteriorly abd: +bs, slightly distended, non-tender ext: bruise on right arm, no edema/warm 2+ pulses neuro: lethargic, oriented x 3, short-term memory difficulty, 5/5 strength, pertinent results: admission labs: 10:50am blood wbc-11.1* rbc-5.33 hgb-16.0 hct-46.6 mcv-88 mch-30.1 mchc-34.4 rdw-13.4 plt ct-217 10:50am blood neuts-77* bands-15* lymphs-2* monos-2 eos-0 baso-0 atyps-4* metas-0 myelos-0 10:50am blood pt-25.4* ptt-30.0 inr(pt)-2.5* 10:50am blood glucose-113* urean-17 creat-0.8 na-137 k-4.2 cl-99 hco3-27 angap-15 10:50am blood alt-38 ast-24 alkphos-60 totbili-0.8 04:03am blood albumin-3.2* calcium-7.3* phos-2.3* mg-1.5* 03:07pm blood type-art po2-213* pco2-29* ph-7.50* caltco2-23 base xs-0 11:06am blood lactate-2.6* 10:50am blood valproa-41* 10:50am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 07:10am blood vitb12-1148* 07:10am blood caltibc-229* ferritn-762* trf-176* 07:10am blood tsh-1.3 07:10am blood free t4-1.1 imaging: ct head w/o contrast: 1. no acute intracranial hemorrhage or major vascular territorial infarct. if there is continued concern for ischemia, mri with dwi is more sensitive. 2. extensive bifrontal encephalomalacia. cxr: likely right middle lobe pheumonia; follow up in 6 weeks recommended microbiology: influenza dfa: positive for influenza a viral antigen. right chin dfa of vesicular rash: positive for herpes simplex virus type 1 by direct antigen staining , blood cultures: no growth urine cultures: no growth sputum: op flora echocardiogram: the left atrium is mildly dilated. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: suboptimal image quality. normal biventricular cavity sizes with preserved global biventricular systolic function. mild mitral regurgitation. trace aortic regurgitation. dilated ascending aorta. brief hospital course: respiratory symptoms: mr. is a 74 yo male who presented with a three-day history of progressive respiratory symptoms (rhinorrhea, productive cough, fevers) and mental status change. he was found to have a rml pneumonia radiographically and was positive for influenza a. on presentation, he initially required aggressive fluid resuscitation, but thereafter remained hemodynamically stable. he required admission to the micu for hypotension and concern for sepsis. he was started empirically on vancomycin and ceftrazidime, as well as tamiflu for influenza. sputum cultures were negative. he competed a five day course of levofloxacin and tamiflu. change in mental status: the patient's course was complicated by delirium, in particular sun-downing in the evenings. this was felt to be due to his underlying flu, pneumonia and the icu environment. he became significantly agitated at night, requiring chemical and mechanical restraints. he also required a 1:1 sitter for safety. the decision was made to start the patient on a low dose of seroquel early in the evening, although this was discontinued by the time of discharge. his mental status dramatically improved with treatment of his underlying lung processes, and he was doing crossword puzzles and had no evidence of delirium upon discharge. atrial fibrillation with rvr: while in the icu, the patient was noted to have afib with rvr with heart rates as high as 150 during periods of intense agitation. he was started on a diltiazem drip. he later became hypotensive and was temporarily on digoxin until blood pressure stabilized, at which point he was restarted on home lopressor. an echo was also obtained which showed normal cardiac function. he was maintained on coumadin for anticoagulation, though his inr was labile while on antibiotics. hsv-1 outbreak: the patient was noted to have multiple vesicular lesions on the upper and lower lips in the mid-line, as well as a small area of vesicles on the right chin and right neck. dfa was positive for hsv-1. he was started on a short course of acyclovir po. **** pending issues for follow-up: (1) he needs an inr check with necessary coumadin dosage adjustment on friday, . this is to be done by the pcp . medications on admission: venlafaxine sr 225 mg qhs divalproex 500 mg tablet sustained release qhs warfarin 3 mg qhs metoprolol tartrate 50 mg discharge medications: 1. divalproex 500 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po at bedtime. 2. venlafaxine 75 mg capsule, sust. release 24 hr sig: three (3) capsule, sust. release 24 hr po hs (at bedtime). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po every twelve (12) hours. 4. warfarin 3 mg tablet sig: one (1) tablet po hs (at bedtime). 5. atorvastatin 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnoses: influenza secondary diagnoses: hypertension hypercholesterolemia bph discharge condition: stable-- feeling well; breathing comfortably and satting in the upper 90's on room air at rest and on ambulation. uses a cane for ambulation, as before. discharge instructions: you were admitted to the hospital with influenza. please call your doctor if you develop new symptoms such as shortness of breath or fever. please return to the emergency department if you cannot reach your doctor. followup instructions: please see your primary care doctor, dr. , on friday, , at 9 am. his office number is . you also need to have your coumadin levels checked at this appointment. procedure: arterial catheterization diagnoses: anemia, unspecified pure hypercholesterolemia unspecified essential hypertension unspecified septicemia severe sepsis atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) dermatitis due to drugs and medicines taken internally personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits accidents occurring in residential institution other specified antibiotics causing adverse effects in therapeutic use examination of participant in clinical trial herpes simplex without mention of complication other alteration of consciousness other bipolar disorders influenza with other respiratory manifestations bacterial pneumonia, unspecified hypoglycemia, unspecified 

Answer: The patient is high likely exposed to