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: the patient is a year-old white female with a history of dementia and prior systolic blood pressures, hypertension with blood pressures of 88/30 and hypoxia into the 80s with increased somnolence. of note the patient had recently presented to the emergency room on with facial redness on the left and had been diagnosed with v1 zoster corneal involvement and she had been sent back to her nursing home with acyclovir and erythromycin ointment. while she was at her nursing facility admission with hypotension with blood pressures of 90s/50s where as her baseline is in the 110s. the o2 sats were in the mid 80s, 85 to 89%. she also was noted to have some increased somnolence. she was sent to the emergency room at . past medical history: 1. stroke in , which revealed left thalamic capsular insult. 2. hypertension. 3. history of right hip fracture. 4. history of hearing impairment. 5. history of pancreatitis. 6. echocardiogram in , which revealed an ejection fraction of 45%. the left atria was mildly dilated. there was mild regional left ventricular hypokinesis of the distal septum 7. history of peripheral neuropathy. 8. hysterectomy. 9. severe dementia. 10. given the history of cerebrovascular accident the patient had a history of aspiration and she had a g tube placed. allergies: no known drug allergies. medications on admission: acyclovir 800 mg five times a day, erythromycin optical ointment. aspirin 325 mg po q day, colace 100 mg po b.i.d., milk of magnesia, metoprolol 25 mg po q.a.m., 12.5 mg po q p.m., remeron 30 mg po q.h.s., sorbitol 70% in g tube. cyclogyl eye drops. social history: the patient is a resident of facility and her son is . physical examination on admission: temperature 99.6. heart rate 76. blood pressure 107/45. respirations 14. sating 92% on 100% nonrebreather. in general, the patient was an elderly ill appearing female, somnolent, minimally responsive. heent showed irregular surgical right pupil with left rash in the v1 distribution. dry mucous membranes. no neck stiffness. chest revealed occasional crackles at the bases. heart regular rate and rhythm. no murmurs, rubs or gallops. abdomen soft with good bowel sounds. extremities were with no clubbing, cyanosis or edema. neurological the patient was responsive to painful stimulus only. laboratories on admission: white blood cell count was 8.8, hematocrit 27.9, platelets 279. the differential was 47% neutrophils, 40% bands. chem 7 on admission sodium 132, k 5.9, chloride 95, bicarb 26, bun 65, creatinine 1.4, glucose 154, coags inr 1.0, ptt 26.7. urinalysis on admission showed moderate leukocyte esterase, small blood, 50 white blood cells, 20 red blood cells, few bacteria, less then 1 epithelial cells. electrocardiogram on admission normal sinus rhythm at a rate of 78. normal intervals. no acute stt wave changes. chest x-ray showed hazy hilar opacities consistent with possible pulmonary edema. there are also bilateral pleural effusions noted. hospital course: the patient is a year-old female with a history of cerebrovascular accident in the past with recent history of v1 zoster presenting now with hypotension with borderline blood pressures, hypoxia and fever who presented with questionable opacity on chest x-ray as well as a dirty urinalysis. 1. pulmonary: the patient's initial blood gas given her hypoxia was 7.36, 58, co2 of 52 and 88 for the oxygen saturation. the patient initially had been admitted to the medical intensive care unit for bipap treatment and this had been changed to face mask as she had been clinically improving. etiologies of the patient's pulmonary status may have been secondary to aspiration pneumonia given the history of bandemia on presentation with fever. she had been started on levofloxacin and flagyl for the aspiration pneumonia and had improvement of her oxygen saturation. she had a sputum sample, which was done, however, the sputum sample was greater then 10 epithelial cells and indicted it may have been contaminated with oropharyngeal secretions. in addition, other etiology of the pulmonary symptoms may have been secondary to some mild fluid overload as chest x-ray showed bilateral pleural effusion and on admission also had some hazy hilar opacities which may have been some mild pulmonary edema. during the course she had also been diurese with lasix as well. she was oberved to have difficulty handling her secretions and required suctioning was was rather traumatic and uncomfortable for her. she seemed to do better on scopolamine patch. 2. cardiovascular: the patient during the hospital course had presented with tenuous blood pressures on admission. likely cause sof the tenuous blood pressures probably secondary to the recent infection. she also had been initially receiving fluids during the hospital course, but may have given her decreased blood pressures and the hypotension had resolved after receiving intravenous fluids and 2 units of packed red blood cells. later on as her blood pressure was stable she was diuresed with some lasix as she had extremity edema and possibly pulmonary edema as well. also she had episodes of supraventricular tachycardia with a rate to the 150s. during that course she had initially been on diltiazem drip initially to control her heart rate. she converted back to normal sinus rhythm with these episodes. as she moved out to the floor her diltiazem drip was turned off and her beta blocker was titrated upward during these episodes. while on the floor she had occasional episodes of supraventricular tachycardia her heart rate was up into the 150s,but her blood pressures remained stable. she stopped having episodes of svt once her lopressor was at 75 mg . 3. renal: the patient presented with acute renal failure with a creatinine of 1.4, which had improved with hydration initially to her baseline of approximately .5 and had been stable otherwise. 4. gastrointestinal: the patient's hematocrit on admission was 27.9, which is down from her baseline of 34. she had a history of guaiac positive stools, however, her hematocrit had been stable after she had received 2 units of packed red blood cells during the remainder of her hospital course. 5. infectious disease: the patient presented with hypoxia, temperature to 102. as well as borderline systolic blood pressures in the 90s. she had initially been treated with levofloxacin and flagyl for aspiration pneumonia. her urinalysis on admission also was dirty and the levofloxacin should cover any possible urinary tract infections as well. she spiked low grade fevers and vancomycin had been added on to cover a possible line infection. the patient had initially a femoral line placed. however, the blood culture tip from the femoral line was negative and the vancomycin was stopped. also of note she had sets of blood cultures drawn, which were from , which were negative and from , which were no growth to date. she also had two sets of urine cultures, which did not grow out anything as well. given her clinical symptoms the patient will probably continue with the levofloxacin and flagyl for the aspiration pneumonia. also of note the patient had presented with zoster with ophthalmic involvement to the emergency room on per the emergency room note as possible ophthalmic nerve involvement. for this she was treated with acyclovir and erythromycin. she was seen by the ophthalmology services who recommended routine ophthalmologic follow up as an outpatient. the examination on the 25th there is no obvious ophthalmic involvement, however, the examination was somewhat limited secondary to patient's mental status as it was difficult to open the patient's eyes during the examination. 6. fen: tube feeds were continued and she had an episode of hypernatremia, which had resolved with free water boluses. the patient's magnesium on admission had been 4.4 and her milk of magnesia had been held. on discharge her magnesium was stable at 1.6. 7. hematology: the patient received 2 units of packed red blood cells as her hematocrit was below her baseline. initially her aspirin had been held given concerns of presentation of borderline blood pressures and decreased hematocrit, however, after the 2 units of packed red blood cells her hematocrit had been stable. initially her aspirin had been held, although this can be considered to be added back on as her hematocrit becomes stable. discharge diagnoses: 1. fever. 2. hypoxia. 3. borderline systolic blood pressures secondary to recent aspiration pneumonia. 4. history of supraventricular tachycardia. discharge condition: fair. discharge medications: colace 100 mg po t.i.d., lansoprazole 30 mg per nasogastric tube q day, erythromycin 0.5% ophthalmic ointment times fourteen days, which had been started on . levofloxacin 250 mg po q day initially started for pneumonia. flagyl 500 mg po t.i.d. started for pneumonia. mirtazapine 30 mg po q.h.s., acyclovir 400 mg po five times per day since times fourteen days. lasix 20 mg intravenous q day, scopolamine patch q 72 hours to skin, lasix 20 mg intravenous q day and metoprolol 75 mg po b.i.d. dr.. 12-847 dictated by: medquist36 procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances diagnoses: anemia, unspecified urinary tract infection, site not specified congestive heart failure, unspecified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified other specified cardiac dysrhythmias pneumonitis due to inhalation of food or vomitus hyperosmolality and/or hypernatremia herpes zoster dermatitis of eyelid 

Answer: The patient is high likely exposed to