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 48 year old man with a significant past medical history who presents to his primary care physician on the day of admission with a one week history of fever and malaise. the patient had home temperatures of 101.0 f., on , which briefly improved over the next few days; however, then again on , the patient began feeling poorly with aches and fevers. denies upper respiratory or gastrointestinal symptoms. the day prior to admission, the patient did note some slight stomach ache with some dry heaves. on the morning of admission, he had worsening malaise. the patient noted an episode of sharp upper left quadrant pain exacerbated by laying on his left side, after which the patient said he had feelings of being slightly nauseated and anxious and as he was walking to the bathroom, fell to the floor. the patient denies trauma. he had brief loss of consciousness, no confusion, no incontinence. after this episode, the patient went to see his primary care physician, . , and was found to have hematuria in the office and was referred to the emergency room. in the emergency room, the patient underwent an abdominal ct scan and was noted to have a large pericardial effusion. he underwent further evaluation for this finding by echocardiogram which demonstrated tamponade physiology. the patient was brought to the cardiac catheterization laboratory for emergent pericardiocentesis which was performed, and 450 cc. of bloody fluid removed, with suction bulb drain left in place. the patient was noted to have hemodynamics including pulmonary artery pressure of 26/15 with a wedge of 15, right atrium 13, right ventricle 25/9. cardiac output 2.7 with an index of 1.5, which improved to a cardiac index of 2.4 after removal of fluid. of note, the patient denies any history of chest pain; no shortness of breath and reports stable recent exercise tolerance for which at baseline he is able to walk flights of stairs without limitations. the patient denies prior tuberculosis exposure and has no risk factors. he has no travel history. the patient does note sick contacts with his wife and daughter. past medical history: 1. kidney stones; two prior episodes treated with pain relief. 2. health maintenance including a within normal limits colonoscopy within the past two years, demonstrating only hemorrhoids. 3. stress test in for costochondritis type chest pain which demonstrated at 100% of maximum heart rate eleven minutes of protocol. the patient stopped for fatigue with no ischemic ekg changes, within normal limit hemodynamic response. medications: none. occasional tylenol, motrin, sudafed. family history: mother status post mastectomy. father is 85 years old with a history of a gland removed in his abdomen. brother who is healthy. positive coronary artery disease in his uncles. social history: the patient works in giftware sales. no occupational exposures. no tobacco. drinks a few drinks per week. no illicit drugs. he has two daughters, ages 11 and 18 and a son 26. he lives with his wife and children. allergies: to contrast dye given for prior ct scan. review of systems; no vision changes, no upper respiratory system symptoms; positive slight nausea, positive sharp left upper quadrant pain; no diarrhea; no constipation. no melena, no bright red blood, no urinary frequency, no burning or frank hematuria. no rashes, no joint pain, no weight loss. the patient reports a stable weight of 133. night sweats only with fevers. of note, the patient does report two prior febrile illnesses in and of the past year with five to six days of fevers and aches. physical examination: temperature 100.5 f.; blood pressure 111/59; pulse 101; respiratory rate 22; o2 saturation 98% on room air. in general, pleasant middle aged man lying in bed in no acute distress. heent: normocephalic, atraumatic. pupils are equal, round and reactive to light. extraocular muscles are intact. oropharynx with white coating on tongue. throat clear, no exudates. neck supple, no jugular venous distention, no anterior or posterior supraclavicular, axillary or left inguinal lymphadenopathy. cardiovascular is regular rate, no murmur. positive tachycardia. pulmonary is clear to auscultation bilaterally anteriorly. abdomen is normoactive bowel sounds, soft, nondistended, liver: nontender, palpable 2 centimeters below the costal margin. spleen not palpable with minimal epigastric left upper quadrant tenderness. extremities with no edema. neurological is alert, oriented and appropriate. non-focal. laboratory: white blood cell count 18.3, hematocrit 42.6, platelets 448. sodium 143, potassium 4.7, chloride 101, bicarbonate 27, bun 21, creatinine 1.2, glucose 115. alt 45, ast 31, alkaline phosphatase 69, total bilirubin 2.2. albumin 4.2, amylase 69, lipase 27. urinalysis with large blood, 30 protein, 18 ketones, 6 to 10 red blood cells, zero to 2 white blood cells, 3 bacteria. abdominal ct scan demonstrated moderate to large pericardial effusion. pericholecystic fluid, no gallstones; renal stones without obstruction. ekg is sinus tachycardia at 115, low voltage, atrial abnormality. hospital course: mr. was admitted to the coronary care unit after successful drainage of his pericardial effusion. he was monitored over the next 40 hours and remained hemodynamically stable. repeat echocardiogram demonstrated his effusion has improved to small and he had minimal output from his drain. the etiology of the patient's event remained unclear. likely possibilities included viral illness and virus studies were pending at time of discharge. bacterial gram stain was negative and culture negative. no fungal isolates were identified. the patient underwent work-up for a possible malignant etiology including chest and abdominal ct scans which were unremarkable for mass. his psa was within normal limits. he has had a colonoscopy within the past two years which was normal. further infectious work-ups included investigation for tuberculosis. the patient received pre-treatment for ct scan with prednisone and therefore ppd placement was deferred to an outpatient setting. the patient was instructed to follow with dr. office for a ppd placement. further evaluation of the pericardial fluid with adenosine viaminase studies were requested and pending at time of discharge. hiv consent and testing were obtained with the results pending at time of discharge. gastrointestinal: the patient presented with left upper quadrant pain and an isolated total bilirubin with normal fractionation. his total bilirubin improved to normal on day after admission. the patient had a repeat urinalysis which demonstrated improvement in his hematuria to only trace blood, zero to two red blood cells. urine cytology was pending at time of discharge. endocrine: the patient had persistent tachycardia and thyroid function tests were checked and pending at time of discharge. discharge medications: indomethacin 50 mg p.o. p.r.n. discharge instructions: 1. follow-up appointment with dr. for a ppd later this week. 2. dr. on thursday, , at 09:45 a.m. 3. cardiology follow-up with dr. on , at 10:30 a.m. with repeat echocardiogram to be scheduled prior to this visit. 3. infectious disease clinic with dr. ; the patient to call for an appointment in two to three weeks. condition on discharge: good. discharge diagnoses: pericardial efffusion. , m.d. dictated by: medquist36 procedure: pericardiocentesis right heart cardiac catheterization diagnoses: unspecified disease of pericardium 

Answer: The patient is high likely exposed to