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: admission for elective drainage of pericardial effusion major surgical or invasive procedure: pericardiocentesis history of present illness: 57 year old male with past medical history of mild hyperlipidemia, who presents for drainage of enlarging pericardial effusion. serial echo today showed moderate-large pericardial effusion with elevated intracardial pressures, persistent brief right atrial collapse. right heart catheterization today showed early tamponade physiology and 430cc of bloody fluid was drained by left posterior approach with a pericardial drain left in place. . patient had been recently hospitalized / for concern of stemi vs. pericarditis. briefly, he had developed acute retrosternal chest pain while talking on the phone, improved with leaning forward, worse when leaning back/upper body movement/deep inspiration and had presented to hospital. he was transferred to given concern for stemi by ekg, with mild leukocytosis (wbc 14.3) and negative troponin x1. cta was negative for pulmonary emboli and cardiac enzymes remained flat during his stay. post-catheterization, patient was kept on prasugrel po, integrillin gtt and heparin gtt given concern for proximal left circumflex lysed thrombus/stemi vs. pulmonary emboli. his course was complicated by significant retroperitoneal bleed requiring urgent covered stenting of right common femoral artery by left femoral approach. echos prior to discharge were notable for enlarging pericardial effusion with initial right atrial and ventricular dysfunction suggestive of early tamponade. as follow-up echos showed less right-sided dysfunction and patient never had pulsus paradoxus, he was discharged with close follow-up with new primary cardiologist. . of note, the patient presented to the ed yesterday evening with abdominal pain which his wife described as severe, preventing him from tolerating pos, with new back/bilateral flank pain and low grade fevers. as ct abdomen/pelvis with contrast showed no signs of hematoma superinfection or worsening bleed, it was felt his pain was likely due to ongoing presence of retroperitoneal blood and he was discharged with percocet. . on review of systems, he endorses intermittent left shoulder and left lateral chest incision site pain. he endorses abdominal discomfort, especially with palpation but denies any more abdominal or flank pain. he denies prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, myalgias, joint pains, cough, hemoptysis, black stools, or red stools. he denies recent fevers, chills or rigors, runny nose, cough, sore throat. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. he has had some positional retrosternal chest pain presumably due to pericarditis which has responded at home to advil>tylenol. past medical history: 1. cardiac risk factors: (-)diabetes, (+)dyslipidemia, (+)hypertension, previously on diovan, off this past year after blood pressures improved with weight loss 2. cardiac history: - percutaneous coronary interventions: right dominant. lmca with no obstructive disease. lad has bridge in proximal lad. lcx thrombus after first om but no lesion. rca without obstructive disease. 3. other past medical history: - duodenal ulcer, h.pylori positive treated 14 years ago - ?osa, had sleep study but not formally diagnosed, not on cpap social history: pt with lives his wife. has two grown children 30 and 35yo, and 4 grandchildren. he works full-time as a software engineer for . his wife states that he tries to adhere to a south beach diet and to eat healthy. -tobacco history: denies -etoh: once per week, 2 shots of whiskey or glass of wine -illicit drugs: denies family history: his grandmother had an mi at 64yo. great-aunt with cva. otherwise no early mi, dvt's, or pe's. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission: vs: t=101.3 bp=146/73 hr=104 --> 91 rr=19 o2 sat= 97% on ra general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva pink, no pallor of the oral mucosa. neck: supple with no jvd. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no murmurs/gallops/rubs lungs: no chest wall deformities, scoliosis or kyphosis. respirations unlabored but patient endorses left incision site pain with deep breaths. ctab, no wheezes/rhonchi/rales abdomen: soft, nontender, nondistended although uncomfortable with palpation. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. left lateral chest drain site c/d/i with sutures and drain in place. large right groin ecchymosis (3x6 inches) without fluctuance, warmth, skin breakdown. mildly tender to gentle palpation. pulses: right: dp 2+ pt 2+, left: dp 2+ pt 2+ pertinent results: pericardial fluid: negative for malignant cells. ct abdomen : 1. resolving right retroperitoneal hematoma without radiographic evidence of superinfection, or active extravasation. 2. moderate-sized pericardial effusion, stable. echo: regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). there is a moderate to large sized pericardial effusion (1.8 cm outside of mid-rv free wall in diastole in the subcostal view). there is brief right atrial diastolic collapse, without rv diastolic collapse. impression: moderate to large pericardial effusion with evidence of elevated intrapericardial pressures but no frank tamponade echo : overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there is a small pericardial effusion, primarily lateral to the left ventricle. the effusion is echo dense, consistent with blood, inflammation or other cellular elements. there are no echocardiographic signs of tamponade. there is significant, accentuated respiratory variation in mitral/tricuspid valve inflows, which togetgher with a septal "bounce" and absence of a large pericardial effusion suggests pericardial constrictive physiology. impression: small residual pericardial effusion with evidence of effusive-constrictive physiology. : regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). there is abnormal septal motion/position. there is a small pericardial effusion. the effusion appears loculated. impression: residual small pericardial effusion located at the lateral and inferior left ventricular wall. the effusion appears loculated. there is abnormal septal motion likely reflecting effusive-constrictive physiology. this phenomenon can be seen shortly after pericardiocentesis and usually resolves within a few weeks. brief hospital course: 57 year old male with past medical history of hyperlipidemia and likely recent pericarditis (?viral etiology) who presented for large pericardial effusion drainage. # pericardial effusion: patient had a recent admission and had known pericardial effusion without tamponade physiology. on repeat echo, the pericardial effusion was larger and he was admitted for pericardial drain placement. etiology of effusion is unclear but is most likely viral. autoimmune, neoplastic, tuberculosis and dressler's are much less likely given presentation. pericardial effusion was consistent with exudate, likely from inflammatory process. cytology did not show any malignant cells. tsh was negative. pleural fluid cultures were negative. his pericardial drain output was monitored and it was removed on . he was transferred from the ccu to the floor on . he has several repeat echos which did showed effusive-constrictive physiology and only small amount of residual fluid. he initially had pleuritic chest pain which was improved after drainage of fluid and initiation of nsaids. pt initially started on colchicine as well to help prevent recurrance but in light of below gi symptoms which were possibly due to the colchicine, this medication was stoppped and should be readdressed as an outpatient. #fevers: patient had several fevers during this admission (tm 101.7). his pericardial effusion and pericarditis were thought be the most likely etiology of his fevers. blood cultures, urine cultures and percardial fluid cultures were also sent and returned negative. cxr did not show signs of pneumonia. ct abdomen did not show any sign of infection. he began to have nausea and vomiting on as well as diarrhea. his fevers may have been related to gi source. c. diff was sent and was negative. #nausea/ vomiting/ diarrhea: patient began having nausea, vomiting, diarrhea on which was likely secondary to his colchicine and high dose aspirin use. he was treated with zofran and simethicone with some improvement in his symptoms. he then developed diarrhaa on . his famotidine was changed to pantoprazole for improved gi prophylaxis. c. diff was sent and was negative. his colchicine was stopped and he was discharged home only on high dose aspirin. # common femoral artery injury with hemmorhage: patient had recent post-operative course complicated by active right common femoral artery bleed resulting in hypovolemic shock, stabilized by coated stent placement. during this admission, the patient was hemodynamically stable and his hematocrit was stable. he was continued on aspirin, but at an increased dose for his pericarditis. # hyperlipidemia: lipid panel with ldl 64 during last hospitalization. he was continued on atorvastatin 10mg daily and omega 3 fatty acids daily. #code: full (confirmed with patient) medications on admission: * aspirin ec 325mg daily * omega 3 fatty acids twice daily * vitamin d 1000 units daily * atorvastatin 10mg daily * acetaminophen 325mg 1-2 tablets every 4 hours daily prn pain * percocet 5-325mg q4-6 hours prn pain (started for abdominal pain) * prevacid prn discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day). disp:*120 tablet, delayed release (e.c.)(s)* refills:*2* 2. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 3. vitamin d 1,000 unit capsule sig: one (1) capsule po once a day. 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. percocet 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. 6. prevacid oral discharge disposition: home discharge diagnosis: primary: pericardial effusion secondary: retroperitoneal bleed discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital because you had a fluid collection in the sac that surrounds your heart called a pericardial effusion. the fluid was drained by a procedure called pericardiocentesis and this decreased the pressure around the heart. you will need to have a repeat echocardiogram (ultrasound of the heart) in one week to evaluate the fluid collection. the following changes were made to your medications: -increased aspirin from 325 mg once a day to 650 mg twice a day you will need to have your liver function tests rechecked when you see dr. . followup instructions: you will need to follow up with dr. next week. his office will call you to reschedule your appointment. if you do not hear from them, please call . procedure: pericardiocentesis pulmonary artery wedge monitoring diagnoses: nausea with vomiting other and unspecified hyperlipidemia diarrhea other respiratory abnormalities acute idiopathic pericarditis cardiac tamponade 

Answer: The patient is high likely exposed to