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: sulfa (sulfonamides) attending: chief complaint: shortness of breath, pleuritic chest pain, nausea, and chills. major surgical or invasive procedure: right sided cardiac cath with pericardiocentesis: pericardiectomy history of present illness: patient is a 63 year old female with a past medical history of hypercholesterolemia who presented to ed with worsening shortness of breath and chest pains lasting for the past week. chest pain is described as a tightness around her neck and shoulders bilaterally. for the past week, she had also been having shortness of breath and pleuritic chest pain with inspiration relieved with an upright position. she has had a non productive cough for the past few days. she denies any fevers. she has noted chills, nausea and vomiting today. she denies any peripheral edema, or abdominal distension. she saw her pcp in who performed a ct scan of the chest. initial diagnosed with pneumonia, she was given rocephin, avelox, and decadron short acting and a depot formulation. upon presentation to the emergency department, she was hypotensive with a systolic blood pressure in the 70s and tachycardic to the 110s. she recieved 2l ivf bolus with good response. she was taken to cath lab for a right heart cath and pericardicentesis. she was transfered to the ccu for further monitoring in a fair condition. past medical history: dyslipidemia arthritis s/p tah/bso social history: patient is a nonsmoker. occasionally uses alcohol with no history of alcohol abuse. she works as a nurse . has lost her son to pneumococcal pneumonia recently and feels under stress. family history: no family history of cad, stroke, rheumatologic disorders, or pericardial disease. physical exam: vital signs: afebrile, bp 134/75, hr 101, rr 20, o2 97% on 2l, cvp 20 general exam: wdwn female in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with right ij in place. no noted lymphadeopathy. cardiovascular: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. s3. prominent rub throughout precordium. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. mild crackles at base/posterior. abdomen: ssoft, ntnd, no hsm or tenderness. no abdominial bruits. extremeties: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: 07:35am blood wbc-11.5* rbc-3.23* hgb-9.8* hct-29.3* mcv-91 mch-30.2 mchc-33.3 rdw-13.6 plt ct-753* 07:35am blood plt ct-753* 10:33am blood wbc-10.2 rbc-3.75* hgb-11.6* hct-34.9* mcv-93 mch-31.0 mchc-33.3 rdw-13.3 plt ct-364 12:11pm blood pt-12.4 ptt-22.4 inr(pt)-1.1 10:33am blood glucose-160* urean-17 creat-0.7 na-142 k-4.3 cl-106 hco3-21* angap-19 06:01am blood alt-148* ast-32 ld(ldh)-149 alkphos-102 totbili-0.5 06:00am blood vanco-18.7 chest (pa & lat) 7:48 pm medical condition: 63 year old woman s/p pericardectomy reason for this examination: evaluate for effusions picc in mid svc. relatively unchanged left small and decreased small right pleural effusions. similar appearance of pulmonary vascularity. picc w/o port 7:30 am reason: for iv antibiotics procedure name: picc line placement. indication: iv access needed for antibiotics. technique: using sterile technique and local anesthesia, the right brachial vein was punctured under direct ultrasound guidance using a micropuncture set. hard copies of ultrasound images were obtained before and immediately after establishing intravenous access. a peel-away sheath was then placed over a guidewire and a double-lumen picc line measuring 44 cm in length was then placed through the peel-away sheath with its tip positioned in the svc under fluoroscopic guidance. position of the catheter was confirmed by a fluoroscopic spot film of the chest. the peel-away sheath and guidewire were then removed. the catheter was secured to the skin, flushed, and a sterile dressing applied. the patient tolerated the procedure well. there were no immediate complications. impression: uncomplicated ultrasound and fluoroscopically guided 5 french double-lumen picc line placement via the right brachial venous approach. final internal length is 44 cm, with the tip positioned in svc. the line is ready to use. echocardiography report , (complete) done at 8:46:20 am final referring physician information , w. , status: inpatient dob: age (years): 63 f hgt (in): 65 bp (mm hg): 156/78 wgt (lb): 120 hr (bpm): 98 bsa (m2): 1.59 m2 indication: intraoperative tee for pericardial resection icd-9 codes: 786.05, 423.9, 424.0 test information date/time: at 08:46 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw4-: machine: siemens echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 45% to 50% >= 55% aorta - ascending: 2.8 cm <= 3.4 cm findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: mild regional lv systolic dysfunction. mildly depressed lvef. right ventricle: borderline normal rv systolic function. abnormal septal motion c/w pericardial constriction. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mild tr. pericardium: small to moderate pericardial effusion. the pericardium may be thickened. constriction is present. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. bilateral pleural effusions. 1. no atrial septal defect is seen by 2d or color doppler. 2.there is mild regional left ventricular systolic dysfunction with mild hypokinesia of the lateral and inferolateral wall. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). 3.right ventricular systolic function is borderline normal. there is abnormal septal motion suggestive of pericardial constriction. 4. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 7.there is a small to moderate sized pericardial effusion. the pericardium may be thickened. pericardial constriction is present. 8. post pericardial resection there is reduction in the pericardial effusion. brief hospital course: patient was transferred to the ccu after her pericardiocentesis in a fair condition. she was seen and evaluated by the ccu team upon her arrival. since the procedure, she had an improvement in her dyspnea and pleuritic pain. she was no longer nauseated and her chest pain was improved with doses of iv morphine. she was placed on supplemental o2 via nasal canula. wound site was hemostatic with no bleeding. patient was evaluated for possible causes of pericardial effusion including infectious causes (viral ebv, adenovirus, hiv, tuberculosis, streptococcus, cmv, , ect), malignancy, or rheumatologic causes. her pericardial drain was dc'd on . she continued on vanco and zosyn. she was seen by cardiac surgery for potential pericardiectomy secondary to contriction. she was taken to the operating room on where she underwent a pericardiectomy. she was transferred to the icu in critical but stable condition. she was extubated later that day. she was transferred to the floor on pod #2. she did well postoperatively. she was followed closely by infectious diseases who recommended that she complete a 2 week course of vanco and levo, and await finalization of her or cultures. rheumatology felt that the effusion was not due to an immune process/ra. a picc line was placed on . id recommended that she complete a 2 week course of vanco and levo which she will receive in . the results of a weekly cbc, chemistry and vanco trough will be sent to her pcp, . . she will also follow up with ct surgery at medical center in . medications on admission: zetia 10mg po daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. picc line picc line per protocal for heparin and ns flushes 6. outpatient lab work weekly vanco trough, chem 7 and cbc with results to dr. phone (, fax *** 7. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 weeks: started , completed . disp:*14 tablet(s)* refills:*0* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 9. vancomycin 500 mg recon soln sig: seven y (750) recon soln intravenous q 24h (every 24 hours) for 2 weeks: started ends . disp:* recon soln(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: pericardial effusion with tamponade ^chol, arthritis, s/p tah/sbo discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 1-2 weeks dr. 2 weeks please make an appointment with ct surgery at medical center in weeks. we have faxed them a copy of your operative report and discharge summary. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization diagnostic ultrasound of heart pericardiocentesis pericardiectomy other incision of pleura diagnoses: pure hypercholesterolemia unspecified pleural effusion cardiogenic shock other ascites constrictive pericarditis cardiac tamponade other acute pericarditis 

Answer: The patient is high likely exposed to