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: sulfonamides / ticlid / persantine / aspirin / benadryl / xylocaine / prevacid attending: chief complaint: pt. was short of breath and desaturating into the low 80's on ra at rehab facility. major surgical or invasive procedure: central line with cordis placement for sgc in the rt. femoral vein history of present illness: pt. is an 86 yo male with h/o chronic afib, cad, recently discharged from () s/p pericardial window for tamponade. pt. was discharged to the rehab. facility where after spending less then 24 hours at the facility he began experiencing increasing sob with oxygen sats dropping into the 80's on room air. the pt. required nrb and at the ed his oxygen sats improved on bipap. cxr showed mild failure, b/l effusions r>l, and no ischemic ecg changes. he got 50 mg iv ethacrynic acid in ed. he spiked a fever of 102 and levofloxacin was started in the ed. repeat echo in ed was unchanged from the one at discharge. admitted to ccu for diuresis and close monitoring. past medical history: pericardial effusion (s/p pericardial window, unknown etiology) afib(on warfarin) chf (ef 30-40%) cad(s/p ami ') pvd pud pulm. htn asthma gout cea(') cva(') partial thyroidectomy social history: no tobacco or etoh. lives with wife. retired pharmacist. family history: + cad physical exam: vitals: temp: 99.5/102 bp: 160/64 hr 92 rr 18 o2 sat.: 96% on bipap 15/5/100% gen: awake, alert, moderate respiratory distress heent: +jvd to the ear cardiac: irregularly irregular, ii/iv holosystolic murmur heard best at the apex resp: tachypnic, poor inspiratory effort, use of accessory muscles, decreased breath sounds with crackles at bases bilaterally r>l, no wheezes abd: + large abd. hernia on right side, + bowel sounds, nontender ext: cyanotic fingers, erythematus, warm, indurated area on left antecubital region (10cmx7cm), 2+ pitting sacral edema, 2+ pitting edema raight ankle, 3+ pitting edema left ankle to mid-calf. unable to palpate dp's or pt's neuro: alert and oriented x 3 pertinent results: 06:16am pt-22.6* ptt-40.5* inr(pt)-3.4 plt count-184 wbc-7.9 rbc-3.96* hgb-12.3* hct-39.1* mcv-99* mch-31.1 mchc-31.4 rdw-14.1 magnesium-2.5 glucose-91 urea n-84* creat-1.8* sodium-142 potassium-3.6 chloride-97 total co2-35* anion gap-14 11:00am neuts-86* bands-1 lymphs-5* monos-7 eos-1 basos-0 atyps-0 metas-0 myelos-0 wbc-14.0*# rbc-4.17* hgb-12.8* hct-41.1 mcv-99* mch-30.8 mchc-31.2 rdw-14.0 ck(cpk)-33* lactate-1.9 urine blood-lg nitrite-pos protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 09:30pm ck(cpk)-21* cxr 1) congestive heart failure with bilateral pleural effusions. 2) bibasilar atelectasis/consolidation. echo the left atrium is markedly dilated. the right atrium is markedly dilated. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is moderately depressed (ejection fraction 30-40 percent) secondary to extensive severe apical hypokinesis, and at least mild hypokinesis of the rest of the left ventricle. the right ventricular free wall is hypertrophied. the right ventricular cavity is dilated. right ventricular systolic function appears depressed. there is abnormal septal motion/position consistent with right ventricular pressure/volume overload. the aortic valve leaflets (3) are mildly thickened. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate to severe (3+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric. the tricuspid valve leaflets are mildly thickened. the supporting structures of the tricuspid valve are thickened/fibrotic. moderate to severe tricuspid regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is a small posterolateral pericardial effusion, as well as a moderate sized loculated pericardial effusion subtending the right atrial free wall. there are no echocardiographic signs of tamponade. no right atrial or right ventricular diastolic collapse is seen. echocardiographic signs of tamponade may be absent in the presence of elevated right sided pressures. compared with the findings of the prior study (tape reviewed) of , no major change is evident. brief hospital course: pt. was admitted to the ccu for diuresis and close monitoring. pt. was started on ceftriaxone and azithromycin, and the levofloxacin was d/c'ed. blood cultures came back positive for coag. + staph. aureus x 4. vanco was started and then switched to nafcillin + levo after sensitivities and id consulted. also initially treated for chf exacerbation w/ natrecor, ethacrynic acid. pt. became lethargic, had inc. in creatinine, metabolic alk. secondary to diuresis, and was hypoventilating. began fluid boluses to inc. volume status . attempted sgc, however was unable to pass tricuspid valve secondary to severe tr. renal fxn continued to deteriorate, and the pt. had worsening of the pleural effusions. the patient also developed black melanotic stools and was given 1 unit of prbc's. the team had a discussion with mr. and his family, and it was decided to no longer persue aggressive invasive procedures. mr. continued to have worsening acute renal failure and respiratory distress and it was decided after further discussion with the family to make mr. dnr/dni with comfort measures only. all his medications/treatments were stopped except for morphine prn pain and comfort, oxygen, and foley. mr. passed away at 0200 on medications on admission: 1. allopurinol 100 mg tablet sig: one (1) tablet po qod (every other day). 2. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 3. multivitamin capsule sig: one (1) cap po qd (once a day). 4. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. pyridoxine hcl 25 mg tablet sig: two (2) tablet po qd (once a day). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po qd (once a day) as needed. 9. lactulose 10 g/15 ml syrup sig: thirty (30) ml po q8h (every 8 hours) as needed for please give until bm. 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 11. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours). 12. nitroglycerin 2.5 mg capsule, sustained release sig: two (2) capsule, sustained release po qam (). 13. nitroglycerin 2.5 mg capsule, sustained release sig: three (3) capsule, sustained release po qhs (). 14. ethacrynic acid 25 mg tablet sig: four (4) tablet po qd (once a day). 15. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 16. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po qd (once a day). 17. warfarin sodium 2 mg tablet sig: one (1) tablet po qd except monday and thursday (): please hold until inr stabilizes. 18. warfarin sodium 2 mg tablet sig: 1.5 tablets po monday and thursday only (): please hold until inr stabilizes. discharge medications: none discharge disposition: home facility: deceased discharge diagnosis: pericardial effusion, chf, arf discharge condition: pt. deceased () procedure: venous catheterization, not elsewhere classified transfusion of packed cells injection or infusion of nesiritide diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation systolic heart failure, unspecified alkalosis bacteremia cellulitis and abscess of upper arm and forearm hemorrhage of gastrointestinal tract, unspecified 

Answer: The patient is high likely exposed to