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: shellfish derived attending: chief complaint: shortness of breath, lower extremity swelling major surgical or invasive procedure: aflutter ablation on history of present illness: 68 y/o gentleman presented to hospital on with chest pain and was diagnosed with pericarditis per patient and spouse. then presented to his pcp's office in with chest pain. he was found to have pericardial effusion. he was admitted to for further workup for this. on admission he was found to be in atrial flutter and was cardioverted. patient was then admitted for chest pain, palpitations and dyspnea on and was diagnosed with left lower lobe pneumonia. he finished his 5 days course of levofloxacin yesterday. patient contact his primary care doctor with increased dypnea on minimal exertion and increased lower extremity swelling. he was asked to come to the emergecy department. in the emergency department his vitals were t 100.7 bp 180s/90s hr 90s rr 20s oxygen saturation in mid 80s on room air -> high 90s on nrb -> mid 90s on 4lnc. patient received ceftriaxone 1 gm iv, azithromycin 500 mg iv, and 1 gm of oral tylenol. on arrival to the floor his vitals were t 98.3 bp 148/93 hr 90 98% 3lnc. patient states that she has had pleuritic chest pain in the last few weeks. it improved on discharge but experienced worsening discomfort today along with palpitations. he experienced shortness of breath on minimal exertion today, taking few steps. he also noticed bilateral lower extremity swelling since yesterday. he felt feverish yesterday. he has had occasional dry in the last couple of days. he denies any chills, nausea, vomitting, nightsweats, change in weight, abdominal pain, diarrhea, constipation, dysuria, hematuria, blood in stool. denies any headache, change in vision, hearing, focal numbness, weakness, back pain. he has had decreased appetite in the last few weeks. no rash or recent travel. patient is anxious per wife. past medical history: - recent diagnosis of pericarditis thought to be secondary to viral pericarditis with course c/b aflutter requiring cv. - recent pna treated with levofloxacin - hyperlipidemia - gerd - hypertension - possible gi bleed in past (patient reports he was admitted and monitored, had an upper endosocpy, had gastritis). also with hemorrhoids. - restless leg syndrome - tonsillectomy . social history: patient is married, has two grown children in their 40's. he works importing shoes. he does not smoke. he rarely drinks alcohol. no illicit drug use. he is very active at baseline, working outdoors a lot at his second home in . family history: father passed away from melanoma "at an old age," and his mother of a renal cancer in her 80's. no history of heart disease. physical exam: vitals: t 98.3 bp 148/93 hr 90 98% 3lnc, pulsus 10 mmhg. gen: pleasant gentleman, in no apparent distress, following commands heent: mmm, op clear, jvp 7 cm heart: s1s2 rrr, distant heart sounds lungs: mild crackles in bilateral base, egophony present in left base abdomen: bs present, soft, nontender, nondistended ext: warm well perfused, 1+ edema in bilateral lower extremities neuro: strength 5/5 bilaterally, sensation is intact pertinent results: admission labs: . 05:40pm blood wbc-9.4 rbc-3.55* hgb-11.1* hct-32.2* mcv-91 mch-31.2 mchc-34.4 rdw-12.5 plt ct-420 04:07am blood wbc-8.1 rbc-3.08* hgb-9.6* hct-28.1* mcv-91 mch-31.0 mchc-34.1 rdw-12.6 plt ct-386 05:40pm blood neuts-85.0* lymphs-9.7* monos-4.4 eos-0.7 baso-0.2 05:40pm blood pt-25.2* ptt-36.3* inr(pt)-2.5* 05:40pm blood plt ct-420 05:40pm blood glucose-108* urean-13 creat-0.9 na-140 k-4.1 cl-101 hco3-29 angap-14 05:40pm blood ck(cpk)-10* 05:40pm blood ctropnt-<0.01 05:40pm blood ck-mb-notdone 05:40pm blood calcium-9.0 phos-3.2 mg-2.0 06:14pm blood lactate-1.2 . . pertinent labs/studies: . medications on admission: pravastatin 10 mg qhs omeprazole 40 mg daily hyoscyamine sulfate sr 0.375 mg daily toprol xl 50 mg daily coumadin 5 mg daily discharge medications: 1. pravastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). 2. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 3. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea/vomiting. disp:*30 tablet, rapid dissolve(s)* refills:*0* 6. lasix 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. outpatient lab work please check patient's cbc, na, k, cl, hco3, bun, cr, glucose. 8. coumadin 5 mg tablet sig: one (1) tablet po once a day. disp:*7 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1. pericardial effusion, likely of viral etiology 2. hospital acquired lobar pneumonia 3. pleural effusion 4. atrial flutter secondary diagnosis: 1. hypertension 2. anemia 3. hyperlipidemia discharge condition: stable, with pericardial effusion decreasing in size and no signs of tamponade. discharge instructions: you were admitted to the hospital because you had difficulty breathing and chest pain. you also noticed swelling in both of your ankles. on chest x-ray, we found evidence for pneumonia and you were treated with iv antibiotics. we found substantial effusions around your heart by , which spontaneously decreased during your stay. we also performed a doppler scan and you did not have clots in your legs. we held your anticoagulation medications (which you were placed on for your atrial flutter from the previous hospitalization) to prevent bleeding into the pericardium. your heart rhythm then returned to aflutter, so you were evaluated by electrophysiology and had an aflutter ablation. you were then placed back on your coumadin for one week. you have an appointment with dr. on , and you are scheduled to have a repeat on monday, . while you were here, we made the following changes to your medications: 1. we restarted your coumadin. 2. we started you on colchicine, for your pericarditis 3. we decreased your dose of metoprolol to 25 mg daily 4. we started you on a new medication, lasix, for your leg swelling. 5. we gave you a prescription for ondansetron for nausea. . please take all medications as prescribed. . please keep all previously scheduled appointments. . please come to the emergency room if you experience chest pain, difficulty breathing, back pain, worsening , lightheadedness, change in vision, blood in your sputum/urine/stool, fever, chills, nausea, or any new concerning symptom. followup instructions: provider: phone: date/time: 9:00 am in the gryzmeth building. provider: . phone: date/time: 3:00 in the building. . provider: . phone: . date/time: at 1 pm. provider: , md phone: date/time: 11:00 procedure: thoracentesis excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: pneumonia, organism unspecified esophageal reflux unspecified pleural effusion unspecified essential hypertension atrial flutter other and unspecified hyperlipidemia other specified anemias restless legs syndrome (rls) acute idiopathic pericarditis 

Answer: The patient is high likely exposed to