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: penicillins attending: chief complaint: shortness of breath, dyspnea on exertion major surgical or invasive procedure: pericardiectomy paracentesis by hepatology service history of present illness: this is a 63 yo male with cirrhotic liver disease, atrial fibrillation and known pericardial calcification/constriction referred for evaluation for pericardial stripping and possible maze procedure. denies orthopnea and pnd. no history of chest pain. his shortness of breath does improve following paracentesis. past medical history: - liver cirrhosis, complicated by ascites. liver bx showed chronic venous outflow obstruction/constrictive pericarditis. - alcoholism, quit - hypertension - chronic atrial fibrillation - chronic venous insufficiency - history of gout(resolved when quit etoh) - external hemorrhoids past surgical history: - s/p paracentesis on frequent basis, currently q3-4 weeks - s/p bilateral inguinal hernia - s/p umbilical hernia - polypectomy(complicated by gi bleed) social history: race: caucasian lives with: alone in . partner is . occupation: retired machinist tobacco: denies etoh: none since . history of heavy use. family history: father died of liver disease at age 69. mother died of stroke at age 83. no premature cad. physical exam: pulse: 87 resp: 20 o2 sat: 99% b/p right: 115/81 left: 115/84 height:6'0" weight:175 lbs general: non-toxic, no acute distress middle aged male skin: dry intact ?jaundice heent: perrla eomi - sclera anicteric neck: supple full rom - no jvd chest: lungs clear bilaterally heart: rrr irregular murmur - none abdomen: +distended, very firm - significant ascites noted, large ventral hernia noted extremities: warm , well-perfused edema 1+ pitting edema bilaterally, chronic venous changes varicosities: gsv without varicosities neuro: grossly intact pulses: femoral right: 2 left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit -- none pertinent results: echo: prebypass: the left atrium is dilated. no atrial septal defect is seen by 2d or color doppler. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). transgastric view could not be obtained. the right ventricular cavity is mildly dilated with normal free wall contractility. the aortic valve leaflets (3) are mildly thickened. there are filamentous strands on the aortic leaflets consistent with lambl's excresences (normal variant). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). the pericardium appears thickened. there are pericardial calcifications. the echo findings are suggestive but not diagnostic of pericardial constriction. post bypass: biventricular systolic function remains preserved. pre-op 12:10pm blood wbc-17.8*# rbc-3.99*# hgb-11.5*# hct-34.4*# mcv-86 mch-28.7 mchc-33.3 rdw-15.6* plt ct-353 01:45pm blood urean-31* creat-1.1 cl-99 hco3-25 11:55am blood alt-18 ast-38 ld(ldh)-221 alkphos-114 totbili-0.9 post-op 05:45am blood wbc-7.8 rbc-3.05* hgb-8.6* hct-26.3* mcv-86 mch-28.4 mchc-32.8 rdw-16.2* plt ct-200 05:45am blood plt ct-200 05:45am blood pt-12.2 inr(pt)-1.0 ascites ascites analysis wbc rbc polys lymphs monos mesothe macroph 06:12pm 400* 3750* 48* 36* 0 3* 13* peritoneal ascites chemistry totpro albumin triglyc 06:12pm 3.9 2.2 169 05:45am blood glucose-91 urean-25* creat-1.0 na-127* k-4.9 cl-92* hco3-28 angap-12 11:55am blood alt-18 ast-38 ld(ldh)-221 alkphos-114 totbili-0.9 radiology report chest (portable ap) study date of 11:55 am final report history: chest tubes removed. rule out pneumothorax. impression: ap chest compared to : since , major cardiopulmonary support devices have all been removed, left lower lobe atelectasis has worsened, though the small overall lung volumes are unchanged. a slight interval increase in the cardiomediastinal diameter is a common finding after cardiac surgery. no pneumothorax. dr. approved: wed 7:47 pm chest ct : preliminary report !! wet read !! a 9.6 x 8 cm loculated left pleural high density collection represents hematoma, possibly with moderate mass effect on the left ventricle - dr reviewed and spoke with radiologist - left pleural hematoma noted -patient cleared for discharge : right femoral us: small hematoma at cannulation site with no vessel compression - wet reas brief hospital course: mr. was a same day admit after undergoing pre-operative work-up as an outpatient. on day of admission he was brought directly to the operating room where he underwent a pericardiectomy with a bypass time of 105 minutes. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-operative day one he remained hemodynamically stable and was transferred to the step-down floor for further care. coumadin was restarted for atrial fibrillation. chest tubes and epicardial pacing wires were removed per cardiac surgery protocols. he was seen by the hepatology service and had a paracentesis for 3500 cc's during his hospital stay. he complained post operatively of right leg stabbing pain and right thigh paresthesia. he was started on neurontin. neurology was consulted and it was thought that the paresthesia was a direct result of the femoral vein cannulation. a right femoral ultrasound was performed which revealed only a small hematoma with no pseudoaneurysm or fistula noted. the pain was improving at the time of discharge. neurology recommended continuing neurontin with follow up in clinic in 4 weeks if symptoms persist. he continued to progress with activity level and was discharged home with visiting nurses on . he is to have his inr checked by vna on with results called to dr office. follow up with dr in 1 month. medications on admission: ciprofloxacin 250mg po daily since furosemide 20mg po tid spironolactone 100mg po bid **warfarin 7.5mg po daily** stopped discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. ciprofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours): resume preop schedule. 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 5. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical tid (3 times a day) as needed for dermititis. disp:*1 bottle* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4 hrs as needed for pain. disp:*50 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*2* 8. warfarin 5 mg tablet sig: 1.5 tablets po once a day as needed for a-fib: for target inr 2-2.5. resume preop schedule. 9. lasix 20 mg tablet sig: one (1) tablet po twice a day. 10. ferrousul 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 11. ascorbic acid 500 mg tablet sig: one (1) tablet po twice a day for 1 months. disp:*60 tablet(s)* refills:*0* 12. folic acid 1 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 13. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 14. gabapentin 100 mg capsule sig: two (2) capsule po q8h (every 8 hours). disp:*180 capsule(s)* refills:*1* discharge disposition: home with service facility: vna discharge diagnosis: constrictive pericarditis s/p pericardiectomy past medical history: - liver cirrhosis, complicated by ascites. liver bx showed chronic venous outflow obstruction/constrictive pericarditis. - alcoholism, quit - hypertension - chronic atrial fibrillation - chronic venous insufficiency - history of gout(resolved when quit etoh) - external hemorrhoids past surgical history: - s/p paracentesis on frequent basis, currently q3-4 weeks - s/p bilateral inguinal hernia - s/p umbilical hernia - polypectomy(complicated by gi bleed) discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn sternal wound healing well, no drainage or erythema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns coumadin to be followed by clinic at pcp's office (dr. followup instructions: surgeon dr. on @ 1:00 pm please call to schedule appointments primary care dr. in weeks cardiologist dr. in weeks clinic in 4 weeks if right leg pain persists wound check appointment - 6 () - your nurse e prior to discharge coumadin to be followed by clinic at pcp's office (dr. - phone # procedure: extracorporeal circulation auxiliary to open heart surgery percutaneous abdominal drainage pericardiectomy diagnoses: hyperpotassemia unspecified essential hypertension cirrhosis of liver without mention of alcohol hyposmolality and/or hyponatremia atrial fibrillation hematoma complicating a procedure other ascites constrictive pericarditis venous (peripheral) insufficiency, unspecified long-term (current) use of aspirin myocardial degeneration 

Answer: The patient is high likely exposed to