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: no known allergies / adverse drug reactions attending: chief complaint: pericardial effusion major surgical or invasive procedure: right heart catheterization and pericardiocentesis history of present illness: 46 y/o m with no significant pmhx who was transferred to for urgent pericardiocentesis for pericardial effusion with tamponade physiology. patient was in his usual state of health until early when he developed persistent low-grade fevers (99.5 to 100.5). he then developed right-sided arm pain, which prompted him to present to an osh ed, where cxr showed cardiomegaly. lyme serologies and a monospot were negative. on exam, he had evidence of left-sided otitis media and was treated with 10-days of amoxicillin therapy. he then presented to his pcp, repeated cxr and found persistent cardiomegaly. patient was then referred to bidn for echo today. this revealed pericardial effusion with tamponade physiology; pulsus paradoxus was 10. pt was then transferred here for urgent pericardiocentesis. . in the cath lab, the patient underwent pericardial drain placement, with subsequent drainage of 500 cc from pericardium. bp was stable the entire time; however, patient has remained persistently tachycardic to the 120's. he received 3l ivf's prior to pericardiocentesis. rhc was performed before and after pericardiocentesis and reportedly did not show significant change in pressures, raising concern for potential constrictive physiology. . on arrival to the icu, the patient denied any complaints. he reports that, aside from his persistent fevers and right-sided arm pain, he has not experienced any other symptoms. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or pre-syncope. . ros: the patient denies a history of prior stroke/tia, deep venous thrombosis or pulmonary embolus. he denies bleeding at the time of prior procedures or surgeries. denies headaches or vision changes. no cough or upper respiratory symptoms. denies chest pain, dizziness or lightheadedness; no palpitations. denies shortness of breath. no nausea or vomiting, denies abdominal pain. no dysuria or hematuria. no change in bowel movements or bloody stools. denies muscle weakness, myalgias or neurologic complaints. no exertional buttock or calf pain. . past medical history: * cabg: none * percutaneous coronary interventions: none * pacing/icd: none . past medical & surgical history: 1. s/p orif right lateral malleolar fracture (right ankle fracture, ) 2. s/p removal of syndesmotic screws from right ankle () social history: patient lives at home with his wife, works as a of a software company. two children, son and daughter. smoking history. rare alcohol use; no recreational substance use. exercises 2-4 times weekly. family history: denies family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; grandmother with diabetes (died at age 81), uncle with diabetes. physical exam: admission exam vitals: temp 99.9 bp 155/86 hr 101 rr 22 sao2 96% on 2lnc general: appears in no acute distress. alert and interactive. heent: normocephalic, atraumatic. eomi. perrl. mucous membranes moist. no xanthalesma. neck: supple without lymphadenopathy. lvp difficult to assess. cvs: pmi located in the 5th intercostal space, mid-clavicular line. regular rhythm, without murmurs or gallops. s1 and s2 normal. no s3 or s4. tachycardic. audible friction rub. hyperdynamic precordium. resp: respirations unlabored, no accessory muscle use. clear to auscultation bilaterally without adventitious sounds. no wheezing, rhonchi or crackles. stable inspiratory effort. abd: soft, non-tender, non-distended, with normoactive bowel sounds. no palpable masses or peritoneal signs. abdominal aorta not enlarged to palpation, no bruit. extr: no cyanosis, clubbing or edema, 2+ peripheral pulses derm: no stasis dermatitis, ulcers, scars, or xanthomas. pulse exam: right: dp 2+ left: dp 2+ pertinent results: admission results 09:50am blood wbc-9.6 rbc-4.16* hgb-12.3* hct-36.8* mcv-88 mch-29.5 mchc-33.4 rdw-12.7 plt ct-394 09:34pm blood neuts-73.9* lymphs-18.0 monos-6.9 eos-0.9 baso-0.2 09:34pm blood pt-14.9* ptt-29.8 inr(pt)-1.4* 09:34pm blood glucose-108* urean-8 creat-0.9 na-139 k-4.4 cl-106 hco3-28 angap-9 09:34pm blood alt-33 ast-19 ld(ldh)-137 alkphos-152* totbili-1.2 09:34pm blood albumin-3.4* calcium-8.4 phos-3.4 mg-2.0 09:50am blood tsh-0.85 04:54pm blood lactate-0.8 pertinent labs and studies 06:00pm pericardial fluid wbc-763* hct,fl-5* polys-57* lymphs-33* monos-0 macro-10* 06:00pm pericardial fluid totprot-5.4 glucose-91 ld(ldh)-530 amylase-24 albumin-3.3 pericardial fluid negative for malignant cells echocardiogram overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there is a large pericardial effusion, most prominent outside of the lateral and posterior walls. there is right ventricular diastolic collapse, consistent with impaired fillling/tamponade physiology. impression: large pericardial effusion, most suitable for pericardiocentesis via the lateral intercostal approach. cxr comparison is made with prior study performed 4 hours earlier. there has been decrease in size in cardiac silhouette, now mildly enlarged. there is mild pneumopericardium. if any, there are small bilateral pleural effusions. aside from left lower lobe atelectasis, the lungs are clear. there is no pneumothorax. cxr there are low lung volumes. moderate-to-severe enlargement of the cardiac silhouette appears unchanged compared to the prior study. the mediastinal and hilar contours are within normal limits. pulmonary vascularity is not engorged. no focal consolidation, pleural effusion, or pneumothorax is present. there are no acute osseous abnormalities. impression: unchanged enlargement of the cardiac silhouette without evidence of pulmonary vascular congestion. echocardiogram regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is a moderate sized pericardial effusion mostly located adjacent to the lateral and inferior walls. there is a trivial amount of pericardial fluid anterior to the right ventricle. there are no echocardiographic signs of tamponade. compared with the prior study (images reviewed) of , the effusion is smaller and there is no echocardiographic evidence of tamponade. pending studies:**** blood cultures x3 pericardial fluid urine culture 06:00pm pericardial fluid adenosine deaminase, fluid-pnd 06:46pm pericardial fluid mycoplasma pneumoniae dna, pcr-pnd brief hospital course: impression/plan: 46 y/o m with no significant pmhx who was transferred to for urgent pericardiocentesis for pericardial effusion with tamponade physiology in the setting of persistent fevers. # pericardial effusion - mr. was transferred to from an osh to have the pericardial fluid drained. 500cc of fluid was drained during the initial tap and subsequently drained an additional 120cc prior to removal. a rhc was also performed at the time of pericardiocentesis which showed elevated right and left filling pressures with equilization of diastolic pressures. repeat echo after the drain was placed showed a smaller effusion with no evidence of tamponade physiology. another echo was obtained after the drain was removed showed smaller effusion with no echocardiographic evidence of tamponade. he was started on ibuprofen during this admission to reduce pericardial inflammation, which he will continue for 3 weeks. the etiology of the effusion remains unclear at the time of discharge. given that he has been having persistent fevers of unknown origin as well as the new pericardial effusion, an infectious etiology was thought to be most likely, however we also considered thyroid disease (had a normal tsh), malignancy and rheumatologic disease. id was consulted, as discussed below. his hiv test was negative, ppd was placed and was also negative, was negative. esr and crp were elevated at 87 and 203, respectively. the pericardial fluid had no growth and showed 1+ pmns with no organisms on gram stain, there were no afb. the rest of his infectious work-up was unrevealing, as described below. # fever of unknown origin - he has had persistent fevers of unknown origin for several weeks now. cxr did not show clear evidence of an infectious process. he reportedly had tests for lyme and monospot which were negative at osh. the fevers were thought to be related to his pericardial effusion. infection was thought to be the primary cause, with viral etiologies being the most likely cause (echovirus, adenovirus, coxsackievirus, parvovorus). numerous serologies were ordered to evaluate for these infections, which were still pending at the time of discharge, lyme was tested again and was negative. as mentioned above, hiv and ppd were negative. it is also possible that his fevers are caused by malignancy or rheumatologic disease, although he has no additional signs/symptoms to suggest either of these diagnoses. # tachycardia - patient had sinus tachycardia during the first 2 days of admission, which was noted to be somewhat correlated with when he had low grade fevers. he remained asymptomatic during these episodes. he appeared euvoluemic. the tachycardia had resolved at the time of discharge, he was also afebrile for 36 hours prior to discharge. # code status this admission - full code #transitional issues: -follow-up parvovirus, mycoplasma serologies and mcyoplasma pcr -follow-up pericardial fluid viral culture -will see id after discharge regarding his ongoing fevers and recent pericardial effusion medications on admission: none discharge medications: 1. ibuprofen 400 mg tablet sig: one (1) tablet po every eight (8) hours for 3 weeks: after 3 weeks, take as needed for pain. discharge disposition: home discharge diagnosis: primary diagnosis: pericardial effusion with pericardiocentesis fevers of unknown origin discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you during your admission to . you were admitted to the cardiac intensive care unit because you had fluid around your heart, called a pericardial effusion, which was drained. as you know, you had been having fevers of unclear origin for a number of weeks which we think is from the same process that caused your pericardial effusion. numerous tests are still pending and we don't have a clear cause for the fevers and effusion, although the most likely cause would be a virus. at the time of discharge, your effusion was smaller and there was no evidence that it wasi nterfering with your heart function. you will follow-up with the infectious disease clinic after discharge. please note the following changes to your medications: start ibuprofen 400mg by mouth every 8 hours for 3 weeks, then as needed for pain followup instructions: department: bidhc when: thursday at 9:15 am with: , md building: (, ma) campus: off campus best parking: free parking on site department: infectious disease when: thursday at 11:30 am with: , md building: lm campus: west best parking: garage procedure: pericardiocentesis right heart cardiac catheterization diagnoses: other specified cardiac dysrhythmias fever, unspecified acute idiopathic pericarditis cardiac tamponade 

Answer: The patient is high likely exposed to