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: zithromax attending: chief complaint: increasing shortness of breath with associated fever. presented to where echo showed pericardial effusion with tamponade physiology. his inr was 5.4 and he was transfused with 2 units of ffp then transferred to for pericardial drainage. major surgical or invasive procedure: pericardial drainage history of present illness: 24 yo male who had avr(#23 on x mechanical)ascending aorta replacement @ on . treated at as described above then transferred to for pericardial drainage. past medical history: s/p avr/asc ao replacement charcot tooth syndrome s/p umbilical hernia repair s/p foot surgery s/p rt inginal hernia repair social history: ppd x 10 years, quit no etoh lives with mother unemployed family history: maternal grandfather deceased from mi age 55 father deceased from mi age 30 physical exam: admission t 98.2 hr 92 bp120/65 rr 20 gen: anxious heent perrl/eomi/anicteric/noninjected. oropharynx benign neck supple/no lymphadenopathy. no tm/carotids 2+ lungs cta cv rrr/+click ext no cce/ 2+ pulses throughout neuro nonfocal discharge vs t 98.7 hr 66 sr bp 144/69 rr 18 sat 100%ra gen nad neuro a&ox3 nonfocal pulm cta bil cv rrr sharp click abdm soft nt/+bs ext warm well perfused/no edema pertinent results: 11:11pm hct-22.7* 08:34pm other body fluid tot prot-5.1 glucose-71 ld(ldh)-1242 amylase-31 albumin-3.1 08:34pm other body fluid wbc-5178* hct-14* polys-34* lymphs-61* monos-1* eos-4* 07:10pm pt-21.1* ptt-26.0 inr(pt)-2.0* 05:00pm glucose-99 urea n-15 creat-0.7 sodium-139 potassium-3.7 chloride-102 total co2-27 anion gap-14 05:00pm alt(sgpt)-59* ast(sgot)-32 ld(ldh)-345* alk phos-115 tot bili-0.2 07:50am blood hct-32.2* 07:05am blood pt-21.4* ptt-121.3* inr(pt)-2.1* 07:05am blood urean-17 creat-0.8 k-4.6 brief hospital course: pt brought to cardiac catheterization lab on admission where he had pericardial tap for 560cc of bloody fluid, a drain was left in place and he was transferred to the ct icu. on pod1 he had a repeat tee that showed no reaccumulation of effusion. the following morning the pericardial drain was removed and he was transferred to the cardiac stepdown floor and begun on heparin and coumadin. over the next 4 days the patient was anticoagulated very cautiously and on pod8 it was decided he was stable and ready to be discharged home medications on admission: lopressor 25" colace 100" asa81' zantac 150" percocet 5/325-prn feso4 325' vit c 500" lasix 20' kcl 20' coumadin 4' discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed. disp:*20 tablet(s)* refills:*0* 4. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 5. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 7. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 1 months. disp:*60 capsule, sustained release(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po every six (6) hours as needed. disp:*50 tablet(s)* refills:*0* 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. ibuprofen 400 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 11. warfarin 2 mg tablet sig: as directed tablet po once a day: 3 mg on then as directedby dr . disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: s/p pericardial tap() s/p avr/asc ao repair() pmh:chorcot- tooth, s/p hernia repair, discharge condition: good discharge instructions: keep wounds clean nad dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds followup instructions: dr in weeks dr on at noon for inr check dr in weeks procedure: coronary arteriography using a single catheter pericardiocentesis right heart cardiac catheterization diagnoses: cardiac complications, not elsewhere classified heart valve replaced by other means acute pericarditis, unspecified 

Answer: The patient is high likely exposed to