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: patient recorded as having no known allergies to drugs attending: chief complaint: transfer from osh with pericardial effusion major surgical or invasive procedure: pericardiocentesis history of present illness: mr. is a 37 year old man who works for the government in the middle east who returned from abroad 3 days pta with malaise and fevers to 102 after a long flight. he had decreased appetite and drank gatorade only for 2 days. he denies nausea, vomiting, chest pain, sob at that time. he self medicated with amoxicillin and penicillin at home (unknown quantities). the fevers persisted and today he became short of breath with substernal burning and diaphoresis and went to hospital ed. at the osh, per patient's wife ekg was concerning for pericaridal effusion and cxr and echo were done which revealed pericardial effusion. at osh, bp 129/92 p 127 t 97.7 rr 18 o2 sats 97%. he was transferred immediately to for further evaluation and pericardiocentesis. in the cath lab, equalization of diastolic pressures across and in the pericardium. approx. 700cc fluid was drained and ra pressure came down to 10 and pericardial pressure to 3. echo in the lab revealed trace residual fluid. pt is frequently screened for tuberculosis and was last screened one month ago and was negative. denies night sweats. does note weight loss of 8 pounds but states that he frequently fluctuates in terms of weight. no dysuria, no change in bowel habits, no hematuria, no cp. pt has a rash on his chest and groin s/p shaving for images today. no myalgias or arthralgias. no ms changes noted by pt's wife. past medical history: mvp with murmur stab wound to groin with recent i and d car accident - broke pelvis, s/p ptx, s/p splenectomy, shattered rib helicopter crash l and r ribs frx and fractured sternum social history: lives with wife occasional (social) drinker smokes ppd x 3 years works for the government in security family history: " problem" father had kidney ca physical exam: vitals 98.7 120/72 110 16 96% o2 ra heent: mmm, perrla, eomi, no pharyngeal exudates, no lad cv: rrr no m,r,g s1, s2; no pulses (8mm hg); no jvd; no carotid bruit; 2+ pulses in dp, pt, radial, carotid lung: bronchial breath sounds rll, otherwise cta b abd: soft, nt, nd, bsna, no masses, midline scar, no hsm ext: no c/c/e; l groin site looks good s/p sheath pull. no hematoma or ecchymosis present. no bruit. r flank wound with sutures in place; not red, warm, swollen or painful. neuro: a and o x 3; cn ii-xii intact pertinent results: 06:40pm albumin-3.2* 04:45pm other body fluid tot prot-5.8 glucose-80 ld(ldh)-722 amylase-26 albumin-3.3 05:10pm lactate-2.5* 05:35pm anisocyt-1+ macrocyt-2+ 05:35pm neuts-86.3* lymphs-9.2* monos-4.3 eos-0.1 basos-0.2 05:35pm wbc-26.4* rbc-5.08 hgb-16.7 hct-50.2 mcv-99* mch-32.9* mchc-33.3 rdw-17.3* 05:35pm glucose-85 urea n-20 creat-1.1 sodium-135 potassium-5.2* chloride-100 total co2-19* anion gap-21* 06:40pm pt-13.8* ptt-28.1 inr(pt)-1.3 06:40pm plt count-431 06:40pm anisocyt-1+ macrocyt-2+ 06:40pm neuts-87.0* lymphs-8.2* monos-4.4 eos-0.2 basos-0.2 06:40pm wbc-26.0* rbc-4.61 hgb-15.2 hct-45.1 mcv-98 mch-33.1* mchc-33.8 rdw-17.4* 06:40pm albumin-3.2* 06:40pm alt(sgpt)-150* ast(sgot)-34 alk phos-69 amylase-32 tot bili-1.2 dir bili-0.6* indir bil-0.6 06:40pm glucose-119* urea n-19 creat-1.0 sodium-135 potassium-4.6 chloride-102 total co2-21* anion gap-17 brief hospital course: mr. is a 37 year old man who comes from osh with echo findings consistent with pericardial effusion and tamponade who underwent fluoro guided pericardiocentesis on in the cath lab. . 1) pericardial effusion. pt. was febrile on admission x 3 days with sob and symptoms consistent pericardial effusion. hemodynamics in the lab were consistent with tamponade (700cc fluid tapped during pericardiocentesis). a pigtail catheter was placed which drained 200cc of fluid and was removed on day 2 when no further fluid was draining. we sent pericardial fluid for cultures. gram stain negative from pericardial fluid but culture was positive for coag negative staph (which we feel was a likely contaminant). we sent pericardial fluid for and rf which were negative. afb smear was negative and acid fast culture was still pending at time of discharge. urine protein levels were not consistent with nephrotic syndrome. tsh was within normal range. cxr revealed an area of consolidation consistent with a pneumonia. in addition, the recent stab wound to his flank presented a likely nidus of bacterial infection. the patient was treated with iv ceftriaxone and po azithromycin for broad spectrum coverage of a presumed bacterial pneumonia. upon discharge, this was changed to po cefepoxime for a total of a two week course and po azithromycin was continued for a total of 5 days. id was consulted re: the pericarditis and felt that this could be pneumococcal in origin (esp. since he is s/p splenectomy), and given the fact that he self medicated for several days, this could explain cultures being negative from the day of admission. repeat echo showed small residual effusion in the pericardium. . 2) fevers and malaise. pt was febrile to 102 on day 2 of this admission. this was presumed to be from a community acquired pneumonia. antibiotics as described above were administered. pt was afebrile for 24 hours prior to discharge. . 3) disposition. pt requested to be discharged home instead of extended in-hospital observation with continuation of iv antibiotics because he is scheduled to return to the middle east in one week's time. the risks of discontinuing hospital care were discussed and understood by the patient and his wife at the time of discharge. he was also given a prescription for levofloxacin to bring with him on his travels to take prophylactically should he become febrile as a bridge to immediate treatment by a physician. medications on admission: none discharge medications: 1. azithromycin 250 mg capsule sig: one (1) capsule po q24h (every 24 hours) for 2 days: take until . disp:*2 capsule(s)* refills:*0* 2. cefpodoxime proxetil 200 mg tablet sig: one (1) tablet po every twelve (12) hours for 10 days: please take all doses thru . disp:*20 tablet(s)* refills:*0* 3. levaquin 500 mg tablet sig: one (1) tablet po once a day as needed for fevers: to start only if develop new fevers after completion of abx and while arranging for md evaluation. disp:*5 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: pericardial effusion/tamponade s/p pericardiocentesis fevers now resolved discharge condition: fair discharge instructions: please md or return to ed for development of fevers, chills, chest pain, shortness of breath, severe cough or abdominal pain. please be sure to complete antibiotics as previously directed please be sure to seek immediate medical attention if develop new fevers and be sure to take levaquin while arranging for md evaluation followup instructions: please call echo lab at to arrange for f/u echocardiogram to assess pericardial effusion in several days. order has been placed and they should contact you for this date via cell phone. procedure: pericardiocentesis diagnoses: pneumonia, organism unspecified unspecified disease of pericardium other acquired absence of organ pneumococcal pneumonia [streptococcus pneumoniae pneumonia] other acute pericarditis 

Answer: The patient is high likely exposed to