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: dr. is a -year-old gentleman with a history of coronary artery disease, aortic insufficiency, atrial fibrillation, asthma, and chronic renal insufficiency, who was transferred to from following an episode of respiratory distress. four days prior to admission the patient had fallen at home and was taken to where hip films indicated no fracture. he was discharged to short-term unit where he received tylenol no. 3 as well as ambien. on the morning of admission, the patient became confused, anxious, and dyspneic with a respiratory rate in the 40s, and oxygen saturation dropping to 70% on 2 liters; this improved to 95% on a 40% face mask. the patient was also noted to have recently developed zoster in the right fifth cranial nerve, ophthalmic division distribution. the patient was taken to the emergency department at , again, on , which is the date of admission, where his vital signs were stable; however, his mental status was still altered. electrocardiogram indicated atrial flutter at a rate of 110. he was given lopressor, nitroglycerin paste, levaquin, lasix, acyclovir, and captopril in the emergency department with better rate control. the patient also had lower extremity noninvasive doppler studies which were negative. according to the patient's son, the patient has been agitated and not himself since admission to the four days prior to admission. the patient also has baseline changes of - respiration; however, his baseline mental status is extremely lucid per the patient's family. past medical history: 1. coronary artery disease, status post non-q-wave myocardial infarction in ; catheterization in with percutaneous transluminal coronary angioplasty of the left anterior descending artery; catheterization in with left main stenting, and multiple cardiac catheterizations in including a left anterior descending rotablation and stent. 2. asthma/chronic obstructive pulmonary disease with restrictive pulmonary function tests and on home oxygen. 3. pericarditis in . 4. chronic renal insufficiency with a baseline creatinine of 1.8. 5. congestive heart failure, 35% ejection fraction. 6. atrial fibrillation, chronic. 7. aortic insufficiency. 8. temporal arteritis. 9. ascending aortic dilatation, 6.2 cm in . 10. zoster, first noted on , started valtrex on . allergies: no known drug allergies. medications on admission: acyclovir 600 mg p.o. five times per day times five days, coumadin 3 mg p.o. q.h.s., lopressor 12.5 mg p.o. b.i.d., colace 100 mg p.o. b.i.d., folate 1 mg p.o. q.d., aspirin 325 mg p.o. q.d., isordil 30 mg p.o. t.i.d., captopril 25 mg p.o. t.i.d., co-enzyme q 100 mg p.o. q.d., vitamin e 400 mg p.o. q.d., vitamin c 500 mg p.o. q.d., tylenol no. 3 p.r.n., vitamin b6 100 mg p.o. q.d., vitamin b12 1000 mg p.o. q.d., ambien p.r.n., milk of magnesia p.r.n. social history: the patient is a retired ophthalmologist from eye & ear infirmary. he denies smoking or alcohol use. family history: family history was noncontributory. physical examination on admission: the patient was a somnolent and arousable elderly gentleman, slightly agitated, in no acute distress. he was afebrile with a heart rate of 72, respiratory rate of 24, blood pressure of 170/58, oxygen saturation 95% on 2.5 liters. heent examination indicated zoster in a cranial nerve v division 1 distribution on the right. the pupils were equal, round, and reactive to light. extraocular muscles were intact. the oral mucosa was dry. the patient had a right subconjunctival hemorrhage. the neck was supple with no jugular venous distention. the chest indicated reduced breath sounds at the bases. no wheezes, rhonchi or rales. cardiovascular examination indicated a regular rhythm, normal s1 and s2. a decrescendo diastolic murmur at the right upper sternal border and a soft systolic murmur at the apex. the abdomen was soft, with mild diffuse tenderness, without guarding or rebound. it was not distended. there were normal abdominal bowel sounds, and no hepatosplenomegaly. the extremity examination indicated peripheral pulses that were 2+. no clubbing, cyanosis or edema. on neurologic examination, the patient was somnolent but arousable, oriented to person, month, and year only. he had a positive oculocephalic gag and corneal reflexes, was moving all four extremities. reflexes were 1+ and symmetric. toes were upgoing bilaterally. laboratory values on presentation: initial laboratory studies indicated a creatine kinase of 90, mb negative, troponin of 0.3. chem-7 with sodium of 140, potassium 5.3, chloride 110, bicarbonate 28, bun 72, creatinine 2.1, glucose of 131. white blood cell count 10.8, hematocrit 36.5, platelets 175. pt 23.4, ptt 34.8, inr of 3.6. an initial arterial blood gas indicated a ph of 7.35, pco2 of 52, and po2 of 77. radiology/imaging: chest x-ray indicated stable mediastinal widening and aortic root dilatation with a tracheal shift to the right which was old. there were small bilateral pleural effusions that were unchanged. lower extremity noninvasive doppler studies were negative as was a urinalysis. electrocardiogram #1 indicated atrial flutter at a rate of 111 with 2:1 conduction, left axis deviation, left ventricular hypertrophy, q waves in leads iii and avf, st depressions in v4 through v6, and a t wave inversion in i and avl. electrocardiogram #2 indicated a rate of 72, continued atrial flutter with persistent electrocardiogram changes. hospital course by system: the patient was admitted to the c-med service for rule out of myocardial infarction as well as for management of altered mental status. 1. cardiovascular: the patient was ruled out for myocardial infarction. he remained in atrial flutter with heparin for anticoagulation. he was occasionally tachycardic to the low 100s which was treated successfully times two with intravenous lopressor. an echocardiogram indicated mild left ventricular hypertrophy, moderately decreased left ventricular function, 2+ aortic regurgitation, and 1+ mitral regurgitation, 4+ tricuspid regurgitation, as well as severe cor pulmonale and severe pulmonary hypertension. the patient's rate remained stable in the 70s to 80s, in atrial flutter throughout the remainder of his hospital stay until the last few hours prior to the patient's expiration. 2. infectious disease: an infectious disease consultation was obtained on the first day of hospitalization. per infectious disease recommendations, the patient had a lumbar puncture which indicated 45 white blood cells in tube #1, 28 white blood cells in tube #4, and elevated protein at 67, normal opening pressure, and normal glucose. a vvv pcr from the patient's cerebrospinal fluid was sent for analysis and was still pending at the time of the patient's demise; however, ultimately, the vvv pcr was read as negative. the patient was started on intravenous acyclovir and maintained on this throughout his hospital course. an mri of the head indicated moderate atrophy, small vessel disease. no evidence of meningoencephalitis. no hematoma or mass effect. 3. pulmonary: the patient continued to exhibit - respiration throughout his hospital course. serial blood gases indicated pco2 in the 70s to 80s; however, this did not always correlate with the patient's mental status. two times over the course of the hospitalization, the patient was sent to the medical intensive care unit in order to receive bipap treatment overnight. each time the patient was returned to the floor with some improvement in mental status as well as in pco2; however, again, the patient would revert to a waxing and mental status with elevated pco2. he was also given a course of intravenous steroids which was later tapered to p.o. steroids, as well as tried on an aminophyllin drip; however, neither seemed to effect the patient's pulmonary status. the patient was also started on levofloxacin and flagyl to treat possible aspiration pneumonia; although, a sputum culture ended up being negative, and the infectious disease consultation did not think the patient had a pneumonia, and these antibiotics were subsequently discontinued. 4. ophthalmology: the patient was seen by the ophthalmology consultation service and was determined not to have zoster ophthalmicus. ophthalmology continued to follow him during his hospital course. he was also started on prophylactic antibiotic eyedrops. 5. neurology: the patient had a head ct on the date of admission which was negative for mass lesion or bleed. neurologically was consulted secondary to the patient's waxing and mental status. a metabolic workup was initiated which was negative with the exception of an elevated pco2, which again did not seem to correlate with the patient's mental status. initially, it was thought that the patient's altered mental status might be secondary to tylenol no. 3 and ambien which he had received at ; however, during his course at the patient received no benzodiazepines or other sedating medication, and his mental status continued to wax and wane. 6. disposition: on hospital day 16, following extended discussions with the patient's family and his attending dr. , it was determined that given the patient's likely poor outcome he should be do not intubate as well as do not resuscitate. on hospital day 16, the patient was noted to develop hypotension with a systolic blood pressure in the 60s as well as bradycardia. he was continued on nasal cpap; however, two hours prior to the initial finding of hypotension and bradycardia, the patient expired at 1 o'clock in the morning of . the patient's family was contact and came into the hospital. they declined a postmortem examination. discharge diagnoses: 1. zoster. 2. viral encephalitis. 3. restrictive lung disease. 4. coronary artery disease. 5. renal insufficiency. 6. congestive heart failure. 7. atrial fibrillation/flutter. 8. aortic dilatation. condition at discharge: expired. , m.d. dictated by: medquist36 d: 00:17 t: 07:46 job#: procedure: spinal tap incision of lung non-invasive mechanical ventilation arterial catheterization diagnoses: abnormal coagulation profile congestive heart failure, unspecified atrial fibrillation acute and chronic respiratory failure pneumonitis due to inhalation of food or vomitus unspecified disorder of kidney and ureter herpes zoster with meningitis cheyne-stokes respiration 

Answer: The patient is high likely exposed to