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: efavirenz attending: chief complaint: cough/ascites/dyspnea major surgical or invasive procedure: pericardectomy history of present illness: this 51 year old haitian male has been complaining of dypnea on exertion and cough over the past couple of months. he presented to the ed on for evaluation of dyspnea on exertion. a chest cta showed a small pericardial hyperdense effusion. the patient underwent echocardiogram on which demonstrated moderately dilated left atrium,abnormal septal motion/position, and an effusion that was echo dense, consistent with blood, inflammation or other cellular elements. it also suggested that the parietal pericardium may be thickened. lvef was 70%. he was referred for heart catheterization to further evaluate suspicion of pericardial constriction. cath strongly supported diagnosis of constrictive pericarditis and he referred for surgical evaluation. past medical history: constrictive pericarditis hiv+ hypertension end-stage renal disease on hemodialysis s/p renal transplant renal osteodystrophy h/o serratia pneumonia in s/p right thigh av graft bilateral u/e avf now thrombosed social history: lives with wife, born in . has 4 children. quit smoking in , had 8 pack-year tobacco history. denies any alcohol or illicit drug use. works as a taxi driver. family history: brother had a kidney transplant and died of kidney disease at 60 years of age. physical exam: preop exam pulse: 96 resp: 18 o2 sat: 99% ra b/p left: 109/76 (can do do right arm pressures) height: 70" weight: 155 lbs general: nad. dry, persistent cough noted skin: warm, dry and intact. bilateral ue thrombosed avf's. well healed rlq incision. heent: ncat, perrla, eomi, sclera anicteric neck: supple full rom chest: lungs clear bilaterally heart: sinus rhythm, no m/r/g, + s1/s2 abdomen: mildly distended, soft, nontender, likley ascites, normal active bowels sounds. there is hepatomegally 3-4cm below costal margin and slight splenomegally. extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact pulses: femoral right: avf (thrill) left:2 dp right:1 left:1 pt :1 left:1 radial right:2 left:1 pertinent results: intraop tee: - pre pericardectomy: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. the right atrium is dilated. no atrial septal defect is seen by 2d or color doppler. the right ventricular cavity is dilated with normal free wall contractility. there is abnormal septal motion/position consistent with septal bounce suggestive of pericardial constriction. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the pericardium appears thickened (5mm). pericardial constriction is present. the mitral annulus pulse waved doppler revealed normal e prime and a prime. - post resection: rv filling has improved. lv vti improved to 19.0 from 13.0cc. lvef 50%.intact thoracic aorta. mild mr, mild ai and mild tr. . labs: hct-27.1* wbc-14.0* rbc-2.87* hgb-9.5* hct-28.2* rdw-18.9* plt ct-172 wbc-12.1* rbc-2.70* hgb-8.9* hct-26.9* rdw-18.1* plt ct-144* wbc-15.5* rbc-2.90* hgb-9.5* hct-28.4* rdw-17.7* plt ct-157 wbc-19.3* rbc-2.82* hgb-9.4* hct-28.0* rdw-17.7* plt ct-148* wbc-20.3*# rbc-2.94* hgb-9.7* hct-29.2* rdw-17.0* plt ct-144* . 03:59am blood pt-24.7* inr(pt)-2.4* 06:00pm blood pt-31.3* inr(pt)-3.0* 08:30am blood pt-38.5* inr(pt)-3.8* 10:20pm blood pt-43.3* inr(pt)-4.3* 11:12am blood pt-82.2* inr(pt)-8.3* 09:20am blood pt-90.8* inr(pt)-9.3* 04:01am blood pt-34.8* inr(pt)-3.4* 02:03pm blood pt-24.8* inr(pt)-2.4* 04:50am blood pt-16.8* inr(pt)-1.6* . urean-40* creat-6.5* na-136 k-4.0 cl-90* urean-33* creat-5.7*# na-135 k-3.9 cl-89* glucose-79 urean-58* creat-7.4*# na-135 k-4.9 cl-89* hco3-29 glucose-94 urean-37* creat-5.2*# na-135 k-4.2 cl-90* hco3-34* glucose-93 urean-67* creat-8.4*# na-128* k-4.9 cl-86* hco3-26 urean-47* creat-6.8* na-132* k-4.2 cl-89* glucose-93 urean-63* creat-8.5* na-140 k-5.6* cl-104 hco3-22 calcium-8.6 phos-5.9* mg-2.7* albumin-3.9 calcium-8.3* phos-3.4 mg-2.4 . 4:00 pm tissue pericardium. gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. tissue (final ): no growth. anaerobic culture (final ): no growth. acid fast culture (preliminary): acid fast smear (final ): no acid fast bacilli seen on direct smear. fungal culture (preliminary): no fungus isolated. brief hospital course: mr. was admitted to the on for surgical management of his constrictive pericarditis. on he was taken to the operating room where he underwent total pericardectomy. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. given esrd, the nephrology service was consulted and hemodialysis was continued. the infectious disease service was also consulted to monitor his pericardial cultures and pathology results. pericardial cultures were negative and consistent with constrictive pericarditis associated with renal failure rather than infectious etiology (i.e. tuberculous). his warfarin was resumed for patency of the av fistula in his groin as he has had many failed fistulae in the past. inr at one point became supratherapuetic when resumed on his preoperative dose. warfarin was therefore withheld and vitamin k was administered. over several days, his inr improved. low dose warfarin was resumed, and titrated for a goal inr between 1.5 - 2.0 per dr. . at discharge, he will continue to have his inr monitored at dialysis every tuesday, thursday and saturday. dr. will resume outpatient management of his prothrombin time/inr. over several days, he continued to make clinical improvements, and was cleared for discharge to home on postoperativeday seven. prior to discharge, all followup appointments were arranged and confirmed. medications on admission: nephrocaps 1 capsule three times weekly, on hd days calcium acetate 667 mg capsule 2 capsule by mouth twice a day cinacalcet 90 mg tablet daily emtricitabine 200 mg capsule q monday, thursday lopinavir-ritonavir 200 mg-50 mg tablet 2 tablet by mouth prednisone 5 mg tablet qd sildenafil 50 mg tablet as needed sulfamethoxazole-trimethoprim 800 mg/160 mg every monday, wednesday and friday tenofovir disoproxil fumarate 300 mg tablet monday only warfarin 10 mg tablet - last dose dextromethorphan-guaifenesin 100 mg-10 mg/5 ml syrup one teaspoon by mouth to tid docusate sodium 100 mg capsule twice a day as needed for constipation discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 3. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). disp:*90 capsule(s)* refills:*2* 4. cinacalcet 30 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 5. lopinavir-ritonavir 200-50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 6. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr). disp:*90 tablet(s)* refills:*2* 8. emtricitabine 200 mg capsule sig: one (1) capsule po 2x/week (mo,th). disp:*60 capsule(s)* refills:*2* 9. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po 3x/week (tu,th,sa). disp:*90 cap(s)* refills:*2* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*0* 11. zidovudine 100 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*2* 12. warfarin 1 mg tablet sig: one (1) tablet po once a day: take as directed by dr. . daily dose may vary according to inr. goal inr between 1.5 to 2.0. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: constrictive pericarditis, s/p pericardectomy hiv positive hypertension end-stage renal disease on hemodialysis s/p renal transplant renal osteodystrophy h/o serratia pneumonia in s/p right thigh av graft bilateral u/e avf now thrombosed discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisions: sternal - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. () on at 1:00pm cardiologist: dr. on at 10:00am wound check: , on at 10:15am . please call to schedule appointments with your primary care dr. in weeks . labs: pt/inr for coumadin ?????? indication av fistula goal inr 1.5 to 2.0 first draw at dialysis results to: dr. phone: / fax: . **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: hemodialysis pericardiectomy diagnoses: thrombocytopenia, unspecified anemia in chronic kidney disease end stage renal disease renal dialysis status long-term (current) use of steroids hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of other medications long-term (current) use of anticoagulants personal history of noncompliance with medical treatment, presenting hazards to health chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta constrictive pericarditis asymptomatic human immunodeficiency virus [hiv] infection status kidney replaced by transplant nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney renal osteodystrophy personal history of other specified diseases 

Answer: The patient is high likely exposed to