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: mr. is a 73 year old male with a history of cholangiocarcinoma who is status post left hepatic lobectomy, cholecystectomy, common duct excision and pylorosparing whipple procedure on who was discharged on and was subsequently readmitted on with a collection of a subphrenic abscess. he developed at that time acute renal insufficiency with increased creatinine. his creatinine stabilized at approximately 2.5 and the patient had been discharged to home with follow up with the renal service and the hepatobiliary service. over the few days prior to admission he had decreasing urine output. his ptc drain had had minimal output and his drain had had a large amount of output which was reddish brown in color. past medical history: his past medical history was significant for cholangiocarcinoma, acute renal insufficiency, squamous cell carcinoma of the lip, hypercholesterolemia, question of a prior myocardial infarction, basal cell carcinoma of the skin, diverticulosis. past surgical history: is significant for left hepatic lobectomy, a pylorosparing whipple procedure, and multiple excisions of skin cancer. family history: is significant for coronary artery disease and a brother with lung cancer. social history: is significant for a 40 pack year smoking history. he quit 10 years ago. he drinks one to two drinks a day. medications upon admission: linezolid, fluconazole, protonix, pancrease, reglan, ciprofloxacin. he had no known drug allergies. physical examination: on admission patient's vital signs were 95.0, 76, 122/50, 18, 99 percent on room air. he was in no apparent distress and was alert and oriented times three. he was minimally jaundiced without rash. sclerae were mildly icteric. he had no jugular venous distension. his lung sounds were decreased at the bases without crackles. his heart was regular rate and rhythm with no murmurs. his abdomen was soft. his drain had reddish brown fluid. his rectal was guaiac positive without masses. he had 2 to 3 pitting edema of the bilateral lower extremities. his white count was 8.8, hematocrit 32, platelet 103, total bilirubin was 19.3. on his creatinine was 3.3 with a bun of 50. his bile grew out vre on in addition to 3+ yeast. his prior imaging had been significant for renal ultrasound which showed no hydronephrosis and left 7 mm renal stone and good bilateral blood scan. ct scan on had revealed stable peripancreatic fluid collection, left renal stone and diverticulosis. chest x-ray on revealed a right upper lobe opacity and bibasilar atelectasis. the patient was admitted to the hospital for intravenous fluid hydration, consultation with the nephrology service, elevation of his legs, antibiotics, strict i's and o's and follow up of his liver function tests. on an abdominal ultrasound was done to assess for vascular flow in his liver and kidneys for a complaint of left flank pain. the ultrasound revealed that patient was status post hepatectomy and no focal lesions were identified in the rest of the liver. the right kidney was 10 cm, the left was 11 cm. there was a small nonobstructing stone seen in the left kidney at the interpolar area. there were no renal masses. there was normal flow in the portal vein including right and left branches. the flow in the hepatic artery at that time could not be demonstrated. there was a normal arterial wave form in the renal arteries with high resistant indices around 0.8. the patient was continued on antibiotics. on he was transfused one unit of packed red blood cells. the goal for his hematocrit was to keep it above 30. his hepatitis serologies were checked. his renal function continued to worsen on . he was continued on intravenous fluids and a hit panel was checked. he was seen in consultation by the dermatology service on . it was felt that he had a bullous drug versus scabies rash. he was seen in consultation by the plastic surgical service. at that time they thought that there was no consideration for plastic surgical intervention. they doubt that the lesion on his anterior temporoparietal area on the right with serous drainage was suitable for any type of debridement at that time. on the patient had a cholangiogram which was performed through the patient's current at that time biliary drainage catheter. this demonstrated a leak similar in size to the prior study of . it appeared at the level of the hepaticojejunal anastomosis. the biliary tree appeared decompressed and there was rapid flow through the biliary drainage catheter entering the jejunum. the patient continued to be stable with adequate urine output on . his drain had approximately 200 cc output a day. his ptc catheter had about 20 cc drainage per day. his bilirubin was elevated to 18.2. his creatinine had come down somewhat. given his suboptimal fluid status at that time and his hypovolemia, the patient was transferred to the surgical intensive care unit at which time a swan ganz catheter was placed. this was completed without complications. dermatology followed up on the biopsy that had been obtained revealed results consistent with a herpetic disseminated infection. the physical examination at that time revealed vesicles with erythematous base. on a radial arterial line was also placed. an infectious disease consultation at that time revealed an assessment of cutaneous disseminated herpetic lesion, likely varicella zoster. his elevated liver function tests and right upper lobe infiltrate were suspicious at that time for visceral involvement. the patient was started on acyclovir. the infusion was followed with serial chest x-rays. the patient had a worsening respiratory status. on his white count was 5.8. his creatinine was 4.0. his inr was 1.5. he was again transfused a unit of packed cells on . his antibiotics at that time consisted of levaquin, linezolid and acyclovir. his liver function tests at that time were significant for an alt of 206 up from 175, an ast of 478 up from 301, alkaline phosphatase of 411 up from 410, amylase of 17, total bilirubin of 18.2 up from 15.4, lipase of 59 and albumin of 2.5. on as well as a hepatology consult was obtained. they thought that a liver biopsy was not necessary at that time given that it would not affect management. they did feel that he had possibly metastatic cholangiocarcinoma with visceral involvement. he enterobacter was repeated on . he also had a worsening pulmonary status and renal status. he did have some bleeding from his upper airway. at that time it was felt that he had disseminated hsv. he was continued on acyclovir. his pt on was 16.3, inr of 1.3 and his creatinine was 4.4 up from 4.2. his albumin was 2.5. his ast was 729 and alt was 261. the patient through the next several days demonstrated septic physiology and required fresh frozen plasma and platelet products. he also required levophed drip for blood pressure support in light of his septic physiology. at this point he was started on lasix and which did allow us to diurese him to some small amount. at this time he was also started on ccvhd. he demonstrated a metabolic acidosis and coagulopathy. he also had varicella pneumonia and varicella hepatitis. on an arterial line was placed without complication. at this time he was continued on antibiotics and ccvhd for his renal failure. he was pancultured. a family meeting was held on to discuss the current status and prognosis with the family. it was agreed at that point that we would continue aggressive therapy include ccvhd, high dose acyclovir and intubation if necessary. however, at that time it was decided that the patient would not be made do not resuscitate. also on a right internal jugular line was placed without complication. in the evening of that day the patient was intubated for respiratory distress. arterial blood gas was 7.33, 61, 64, 34 and 3. an intensive care unit attending was present for the intubation. the patient was on levophed as well as propofol for sedation and was being ventilated in assist control mode. he continued to be followed by the infectious disease staff on high dose acyclovir. he had an episode of rapid atrial fibrillation on . he was started on amiodarone. cardioversion was attempted but the patient did not convert. a right subclavian line was placed on the 8th without complication. the patient was continued on ccvhd throughout this time. on a chest x- ray revealed improvement in the patient's pulmonary edema. a ct scan at that time revealed bilateral peribronchial opacities and bilateral pleural effusions. there was a slight interval decrease in the size of the peripancreatic fluid collection and a nonobstructing left renal stone. a cholangiogram on revealed a decompressed intrahepatic bile duct with a continued anastomotic leak. the distal aspect of the catheter was clotted off and there was no passage of contrast at that time into the small bowel. a successful placement of a new #10 french modified nephrostomy tube was completed. side holes were created in addition above the anastomotic leak. a post placement cholangiogram demonstrated appropriate positioning of the tube with the side holes draining into the intrahepatic biliary duct and distal pigtail within the small bowel. the patient underwent a bronchoscopy which revealed copious secretions which were suctioned from the right upper lobe and right lower lobe. patient was started on argatroban at that time as well. patient continued to be resuscitated with fresh frozen plasma and platelets throughout his hospital course. he had worsening hematologic parameters and continued to require ccvhd. he was maintained on total parenteral nutrition throughout his hospitalization. when the patient's amiodarone was discontinued he did recur into rapid atrial fibrillation. the patient was at this point unable to wean from the respiratory support that he had been receiving. he also continued to require total parenteral nutrition. on a repeat ultrasound was done due to his biliary drainage which had decreased output and continuously rising bilirubin. this revealed a liver that normal in echogenicity. there was no ductal dilatation. the portal vein as well as the hepatic veins were noted to be patent and with proper directional flow. the inferior vena cava was patent. the right kidney was 10 cm without hydronephrosis. there was a small right pleural effusion. the patient remained on fluconazole, vancomycin and zosyn at this time. his white count on was 17,000 with a hematocrit of 29 and a platelet count of 55. his inr was 2.7 with a ptt of 71.4. his lactate was 2.1 and albumin of 2.7. his total bilirubin was 59. his alkaline phosphatase was 893, alt of 45 and an ast of 112. throughout this time the patient remained on levophed. his antibiotics were on the 24th zosyn, vancomycin and fluconazole. his white count was 20,000. his culture data at that time showed a negative urine, a negative sputum although a bronchoalveolar lavage revealed no fungal and no viral cultures. negative blood cultures. his swab head confirmed varicella antigen test. his drain had albicans. his c. difficile was negative and his catheter tips were all negative multiple times. he was more alert on . his bilirubin was 44 and his white count was 20,000 which was elevated. at that time he was scheduled for tracheostomy. this was performed by dr. on and was uncomplicated. for the details of that procedure please see the dictated operative note. on he had a chest x-ray which revealed continued small bilateral pleural effusions and bilateral patchy opacities with a residual opacity in the right mid lung. his varies lines were in the proper position at that time. this was the last chest x-ray that he had. he was bronchoscoped on which revealed a thick blood clot completely obstructing the left main bronchus. this was suctioned out. he had persistent acidemia. his gas remained adequate at that time. however, it was also clear that the patient was not making progress. he had increased ventilator requirement and an acidosis on cvh. he had increased coagulopathy and was requiring fresh frozen plasma. his liver function tests were elevated and his mental status on was decreased. the family at that time was updated by the attending physician of the patient's status and elected at that time to continue his current care. however, the patient did continue to do poorly. he continued with full supportive measures. he was febrile and continued to require ventilatory support on these first few days of . he was continued on pressors including levophed and pitressin. he was continued on total parenteral nutrition at that time. he was exhibiting multi organ failure. his total bilirubin was 37 with a lactate of 2.2. his liver function tests were significant for an alt of 78 and 252. there was a family meeting on at which time the decision was made to make the patient cmo on . this was done and the patient expired on . he was pronounced dead at 1729 p.m. of cardiopulmonary arrest secondary to multi organ failure originating from disseminated varicella zoster infection. the family was present at the time of the patient's death. condition on discharge: patient expired. discharge status: as above. discharge diagnoses: 1. cholangiocarcinoma. 2. acute renal insufficiency. 3. blood loss anemia. 4. hypovolemia. 5. atelectasis. 6. cardiopulmonary arrest. 7. hypercholesterolemia. 8. history of myocardial infarction. 9. status post tracheostomy. 10. disseminated varicella zoster. 11. multi organ failure. 12. anastomotic leak from prior biliary anastomosis. 13. liver failure. 14. requirement for parenteral nutrition. 15. varicella zoster. 16. bilateral pneumonia. 17. bilateral pleural effusions. 18. rapid atrial fibrillation. 19. delirium. 20. respiratory failure requiring intubation. 21. failure to thrive requiring total parenteral nutrition. , md,phd procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis other lavage of bronchus and trachea other lavage of bronchus and trachea other permanent tracheostomy arterial catheterization closed [endoscopic] biopsy of bronchus pulmonary artery wedge monitoring other cholangiogram other percutaneous procedures on biliary tract injection or infusion of oxazolidinone class of antibiotics diagnoses: malignant neoplasm of liver, secondary acute kidney failure with lesion of tubular necrosis other pulmonary insufficiency, not elsewhere classified defibrination syndrome herpes zoster with other specified complications secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes malignant neoplasm of extrahepatic bile ducts varicella (hemorrhagic) pneumonitis 

Answer: The patient is high likely exposed to