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: amoxicillin / ibuprofen / aspirin attending: chief complaint: pericardial effusion/tamponade major surgical or invasive procedure: insertion of pericardial drain cardiac catheterization showing lesion in left circumflex artery history of present illness: the patient is a 58 year old male with a history of "benign" colonic neoplasm, h/o positive ppd, bronchitis, htn and hyperlipidemia who was transferred from hospital s/p tamponade with large pericardial effusion s/p pericardial drain. prior to admission, the patient had visited the er with flu-like symptoms and placed on zpack and advair. he also initially reported noticing a swollen right ankle that was later described by md +1 pedal edema. he denies any arthralgias or rashes. he denies any contact with tuberculosis, recent travel or sick contacts. admits to having night sweats, chills and a cough with rusty sputum for the past few weeks with increased shortness of breath and orthopnea, no chest pain. he denies any recent weight loss and denies ever having a colonic neoplasm, benign or malignant, with a recent colonoscopy at hospital 1 month ago. he does admit to having smoked 1 ppd for 5-7 years but quit 20 years ago. he also admits to having been exposed to asbestos as a former shipyard worker for 10 years 20 years ago. his first troponin was 0.02 and then 2.8 at . echo was positive for tamponade with a negative ct for dissection. on , underwent pericardiocentesis with 1800 cc fluid obtained with negative cytology with cell block pending. opening wedge was 28 and final wedge 12. pericardial fluid: protein 7.7 ldh 339 wbc 7 hct 21% amylase 63 afb pending, fungal pending, culture pending, gs pending ekg : electrical alternans, normal axis. low voltage. past medical history: bronchitis htn s/p mva hyperlipidemia h/o pleural effusion h/o "benign" colonic neoplasm? -documented by mds at where colonoscopy was performed but denied by patient hemorrhoids diverticulosis h/o positive ppd - born in the us, likely exposed as child in social history: the patient works for . he is married. he is a former smoker having smoked 1 ppd for 5-7 years in the past. he admits to occasional etoh. he also admits reluctantly to a history of cocaine use but will not elaborate. he admits to having tested for hiv in the past. he was formerly exposed to asbestos as a former shipyard worker from -. family history: mother - deceased from bone cancer, ?chf father - alcoholic, deceased at young age from alcoholism physical exam: p=112 bp=130/94 rr=28 95% gen- mildly anxious, appears upset, aox3 heent - perla, eomi, positive nontender submandibular with palpable, nontender thyroid, no supraclavicular, anterior/posterior cervical - regular rate and rhythm, no murmurs/rubs or gallops lungs - clear to auscultation bilaterally abdomen - pericardial drain in place with clean, intact site with no pus, soft, no hepatosplenomegaly, active bowel sounds, nontender/nondistended ext - no c/c/e pertinent results: echo : left ventricle - ejection fraction: 35% to 40% (nl >=55%) conclusions: 1. lv function is moderately depressed with an estimated ejection fraction of 35-40%. there is akinesis of the mid to distal septum. due to poor apical windows, other focal wall motion abnormalities cannot be excluded. 2. there are no hemodynamically signficant valve abnormalites. 3. there is a small pericardial effusion with some pericardial thickening. there is no rv or ra collapse. there is no echo evidence of cardiac tamponade. 4. the rv appears at least mildly dilated with at least mildly depressed systolic function. chest (portable ap) 7:02 pm impression: small pleural effusion. enlarged cardiac silhouette consistent with the patient's history of pericardial effusion. brief hospital course: the patient is a 58 year old african-american male with a history of positive ppd, ?colonic neoplasm who presented to hospital with large pericardial effusion s/p pericardiocentesis on with pericardial drain transferred to for medical management. 1. pericardial effusion: he had a pericardial drain in place on transfer. this was pulled out 1 day after admission when output had decreased to a minimal amount of serosanguinous fluid. all cultures of fluid from hospital were negative (afb, fungal, aerobic), and cell block/cytology was also negative. he had multiple repeat echos while in-house to assess for reaccumulation or change. there was no reaccumulation, and effusion was trivial at time of discharge. given that he had a positive ppd (placed while in-house), sputum was sent x 3 for afb smear and was negative. although the cause of his effusion was still unclear at time of discharge, it was likely a viral myocarditis/pericarditis (given malignancy and tuberculosis virtually excluded). given his positive ppd, the decision was made to treat with isoniazid (and vitamin b6) prophylactically). he will have his lft's checked monthly through his pcp while on this therapy. he was also instructed no to drink alcohol while on this medication. 2. cad: he was noted to have a depressed ef (to 30-35%) on tte. he underwent a ett-mibi that showed ef=35% with global hk, no fixed/reversible defects. the decision was made to take him for cardiac catheterization (?3vd or other balanced lesions contributing to global hk). catheterization showed 70% lesion of left circumflex. no stent was inserted, for patient had a ? allergy. he was desensitized for prior to discharge and will return for stenting of left circumflex. he was started on a beta blocker, acei, , , lipitor prior to discharge. of note, tte on the day prior to discharge showed an improved ef of 40%. he never had any anginal symptoms while in-house. 3. hypertension: he was on hctz on admission. this was stopped, and he was maintained on acei/bb and discharged on these medications. his bp remained under good control throughout hospitalization. 4. tachycardic: he was tachycardic to 100-110's. this persisted even after removal of the pericardial drain. he was started on a beta blocker with some improvement in the tachycardia 6. dispo: he was discharged after desensitization and will return for cardiac catheterization 2-3 days after discharge. he was instructed about the importance of taking his and daily to avoid in stent thrombosis (and to avoid resensitization to ). medications on admission: meds on admission: mvi hctz all: -hives/rash discharge medications: 1. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. toprol xl 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 3. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*5* 4. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. aspirin 325 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. outpatient lab work please check ast, alt, alkaline phosphatase, total bilirubin once a month and fax results to dr. , fax ( 7. isoniazid 300 mg tablet sig: one (1) tablet po once a day for 9 months. disp:*30 tablet(s)* refills:*8* 8. vitamin b-6 50 mg tablet sig: one (1) tablet po once a day for 9 months. disp:*30 tablet(s)* refills:*8* discharge disposition: home discharge diagnosis: primary diagnosis: 1. pericardial tamponade/effusion 2. congestive heart failure, ef=30% secondary diagnoses: 1. hypretension discharge condition: good discharge instructions: 1. please take all your medications as described in this discharge paperwork. we made the following changes to your medication regimen. - we added toprol xl 100 mg daily, to help with your heartrate and blood pressure - we added lisinopril, a medication to help with your blood pressure. please take 10 mg daily - we stopped your hydrochlorothiazide. - we added isoniazid, a medication to be taken for your possible exposure to tuberculosis. you should take this medication for 9 months. do not drink alcohol while on this medication, for this could cause serious liver damage. in addition, you should have your liver function tested monthly while on this medication. you should also take vitamin b6 daily while on this medication - please take lipitor, a medication to help lower your cholesterol, 20 mg daily - please take aspirin 325 mg daily. also take 75 mg daily. it is extremely important that you take these medications every day. if you miss a dose, you risk clotting off the stents in your heart which could cause death. in addition, missing aspirin doses may result in becoming allergic to this medication again. 2. please follow up with your pcp and cardiology as described below. 3. please call your pcp if you are experiencing chest pain, shortness of breath, fever, chills, lightheadedness, dizziness, or with any other concerns. followup instructions: 1. please follow up with your pcp, . () within 1-2 weeks of discharge. he should check your liver function tests at this time while you are on isoniazid and lipitor. you will need to get your liver function tested monthly (results faxed to (. 2. please plan on coming in for your cardiac catheterization on monday, , to 4. do not eat breakfast on this morning. cardiology (dr. will call you to schedule this and confirm date and time. md procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension other and unspecified hyperlipidemia tachycardia, unspecified heart disease, unspecified acute idiopathic pericarditis personal history of allergy to analgesic agent 

Answer: The patient is high likely exposed to