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 64-year-old woman with no significant past medical history, who developed strep pneumopericarditis. she was in her usual state of health until four days prior to admission, when she began to notice myalgias in her proximal joints, knees, back, and in her chest. over the next day, she also developed right sided pleuritic chest pain and tachypnea with splinting. at home, she took her temperature which was 102.9, and treated with ibuprofen and acetaminophen. she had one syncopal episode, and believed it to be related to being "sick" as she has experienced syncope with illness before. she took a vicodin for the pain and felt better. the next day her tachypnea and dyspnea worsened, and her husband brought her to the emergency department. a transthoracic echocardiogram was performed demonstrating enlarged pericardial effusion without echographic signs of tamponade. electrocardiogram showed diffuse st elevations and evidence of electrical alternans. past medical history: 1. anemia, hematocrit in the low 30's since young adulthood. 2. mild digital osteoarthritis. 3. history of trochanteric bursitis. 4. insomnia. 5. history of pneumonia . 6. g4 p3 m1. medications on admission: 1. colace. 2. valium 5 mg po q hs. 3. multivitamin po q day. allergies: codeine and darvon both cause nausea. family history: family history of malignant hyperthermia. social history: denies tobacco. has two drinks per week. lives in . has three kids. married to dr. , physician here at . significant laboratories on admission: white count 25.2 with 81 neutrophils and 11% bands, hematocrit 33. bicarb 24. esr 123. ck 36. chest x-ray: right costophrenic angle blunted. left costophrenic angle blunted with obscuring of the left hemidiaphragm. brief hospital course: 1. pericardial effusion/tamponade. the patient was taken emergently to the cardiac catheterization laboratory. there was elevation, and there was complete equalization of filling pressures with decreasing cardiac output and a pulsus paradoxus of 22 mm hg all consistent with tamponade. pericardiocentesis was performed, 680 cc thick fibrinous fluid was removed, bedside echocardiogram confirmed almost complete removal of the pericardial fluid. the patient's symptoms of dyspnea resolved almost immediately, and pulsus returned to 10. right atrial pressures, however, remained elevated at 16 with positive kussmaul's sign consistent with effusive constrictive syndrome. the patient was transferred to the ccu for observation. pansensitive strep pneumo grew from culture of the pericardial fluid. viral and fungal cultures were negative. the patient was initially treated with vancomycin/zosyn. id was consulted, and recommended changing to ceftriaxone. dr. followed the patient in the ccu with serial echocardiograms as well as onto to the floor. she remained hemodynamically stable and the effusion appeared smaller on than previously suggesting resolution. the patient will follow up in one month after discharge with dr. with a repeat echocardiogram. she will continue ceftriaxone 2 grams iv q24h for one month. the id consult service recommended pneumococcal vaccine which was given prior to discharge. the id fellow, , arrange clinic followup to check serum immunoglobulins once the patient has recovered from her acute illness. of note, followup blood cultures were all negative for growth. the initial streptococcus pneumonia bacteria were sensitive to ceftriaxone, erythromycin, levofloxacin, penicillin, tetracycline, trimethoprim/sulfa, and vancomycin. on day of discharge, the patient is afebrile with a white count of 10.3. 2. pleural effusion. on initial chest x-ray, the patient was noted to have bilateral pleural effusions. a chest x-ray was obtained demonstrating right greater than left pleural effusions with increased fluid in the major fissure. these effusions were loculated on ct scan with a foci of ground-glass attenuation and thickened septal lines. repeat ct scan showed evidence of progression of the effusions. in addition, the patient had a persistent o2 requirement of 2 liters. the patient underwent thoracentesis when she was in the intensive care unit. dr. and dr. consulted with dr. , who all decided bilateral vats was the best approach for mrs. . the procedure was performed and four chest tubes placed. the patient's pain was maintained under control with epidural anesthesia. the drainage from the chest tubes gradually resolved. the tubes were pulled without complication and the patient's oxygen requirement resolved. of note, the cultures of the pleural effusions are negative to date, however, these were drawn after the patient was started on antibiotics. the effusions are felt to be infectious in etiology. cytology is negative for malignant cells, demonstrates numerous reactive cells including neutrophils, lymphocytes, histocytes, and mesothelial cells. the patient will follow up with dr. in one week. by the end of the hospital course, the patient was using only tylenol with oxycodone 5 mg for pain management. 3. atrial fibrillation concurrent with pericarditis. this is felt to be typical of a pericardial inflammation. the patient was started on an amiodarone load, and will continue as an outpatient on daily amiodarone for one month. she will be maintained on aspirin, but no further anticoagulation as the risk for hemorrhagic pericarditis is too high. she had several episodes of atrial fibrillation (six times lasting hours during the hospital stay). she was started on low-dose beta blocker for rate control. she was monitored on telemetry. on day of discharge, she had a normal sinus rhythm and will follow up with dr. in one month. 4. hsv-i oral lesions. during the initial workup of positives of the pericarditis, a throat swab was obtained in the intensive care unit. this was positive for hsv-i. by the end of her course, mrs. had developed oral lesions consistent with hsv-i virus. she was started on acyclovir 400 mg po 5x/day. this dose was decreased to tid and will be continued for the remainder of a two week course. 5. diarrhea. the patient developed diarrhea felt to be related to antibiotics. clostridium difficile was negative and the diarrhea resolved prior to discharge on loperamide. 6. pedal edema. towards the end of the hospital course, mrs. developed + pitting pedal edema as well as 1+ edema in her hands. this was felt likely secondary to low albumin and poor nutrition. she received boost supplements with meals and was given a prescription for hose to be worn at home. discharge diagnoses: 1. strep pneumopericarditis and pericardial effusion. 2. pericardial tamponade. 3. paroxysmal atrial fibrillation. 4. bilateral pleural effusions. 5. status post bilateral vats. 6. herpes simplex virus oral lesions. discharge medications: 1. diazepam 5 mg po q hs. 2. multivitamin one tablet po q day. 3. docusate sodium 100 mg po bid. 4. amiodarone 200 mg po q day. 5. ceftriaxone 2 grams iv q24h x4 weeks. 6. oxycodone 5 mg po q8h prn pain. 7. metoprolol 12.5 mg po bid. 8. pantoprazole 40 mg po q day. 9. aspirin 325 mg po q day. 10. acyclovir 400 mg po q day x12 days (total of 14 day course). 11. loperamide 2 mg po qid prn diarrhea. 12. lidocaine solution tid prn mouth pain. , m.d. dictated by: medquist36 procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified pericardiocentesis thoracentesis decortication of lung transpleural thoracoscopy right heart cardiac catheterization diagnoses: anemia, unspecified unspecified pleural effusion atrial fibrillation pneumococcal septicemia [streptococcus pneumoniae septicemia] other acute pericarditis 

Answer: The patient is high likely exposed to