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: history of present illness: the patient is a 48 year old male who was transferred from with a pericardial effusion and question of pulmonary embolus. the patient reports that he had been dyspneic for about 10 days prior to admission. about ten days prior to admission, he developed symptoms of generalized malaise. the patient then went on a trip to , on return had noted increasing shortness of breath. this progressed to the point that the patient was able to walk only 400 to 500 feet before experiencing significant shortness of breath. the patient reports that prior to this, he had been in his usual state of health. he had an upper respiratory tract type infection approximately one month prior. since this time, he has had a persistent cough. the patient presented to where a cta showed a right lower lobe pulmonary embolus, in addition to a pericardial effusion. the patient was also noted to have a heart rate to the 150's and was transferred to for further care. review of systems: the patient reported a history of a fast heart rate in the past few months, for which he has been told to lose weight but had reported to have a normal thyroid function. the patient also complained of some cough and vague epigastric discomfort but denied chest pain. the patient also complained of insomnia over the last several days but denied paroxysmal nocturnal dyspnea or orthopnea. the patient also complained of lower extremity swelling. past medical history: 1. cervical disease status post surgery times two. allergies: no known drug allergies. medications: ambien prn. social history: the patient is married. he is a bar owner. he has three children. he denies tobacco, denies alcohol use; however, he does have a 25 year history of significant second hand smoke. family history: the patient reports that his father had a history of a stroke at age 75. physical examination: on admission, temperature was 98.0; blood pressure 127/83; pulse 103; respirations 17; saturating 98% on three liters. this was a pleasant, middle-aged gentleman, lying in bed in no acute distress. pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. oropharynx clear. cardiovascular revealed tachycardia but regular, somewhat distant heart sounds but normal s1 and s2. lungs were notable for decreased breath sounds at the bases but otherwise clear. abdomen was soft, nontender, nondistended, with good bowel sounds. the extremities were warm and well perfused with trace bilateral lower extremity edema. laboratory data: on admission, white count was 17.8; hematocrit of 36.8. ck was 387. mb 18. troponin less than 0.01. hospital course: 1. pericardial effusion: the patient was found to have a large pericardial effusion, without evidence of tamponade. he had a pulse of 25, measured both by a line as well as by non invasive blood pressure cuff. the patient's pericardial effusion was drained in the catheterization laboratory, with the placement of a pig tail catheter on the morning of . at this time, 700 cc of sanguinous fluid was removed. the patient's pig tail catheter stopped draining fluid on the subsequent day. transthoracic echo revealed clot versus fluid. on , the patient was taken to the operating room for a pericardial window and biopsy. the patient tolerated these procedures well and his chest tube and pericardial tube drains were discontinued on . the patient will have a repeat echocardiogram on to ensure adequate resolution of his pericardial effusion. after drainage of the pericardial effusion, the patient's pulsus resolved. the patient had cultures both from original placement of the pigtail catheter as well as at the time of the pericardial window. the cultures showed polys but no organisms and all cultures remained no growth to date. the sample sent for cytology revealed inflammatory changes but no evidence for infection and no evidence for malignancy. the etiology of the patient's pericardial effusion was deemed likely to be viral, although malignant effusion was also considered. on chest ct, the patient had no evidence of lymphadenopathy and no lung nodules. virus and hiv were pending at the time of this discharge summary. the patient will follow-up with cardiology for further monitoring. 2. respiratory: the patient had a persistent oxygen requirement during his hospitalization. per outpatient hospital cta, he was reported to have a right lower lobe pulmonary embolus. the scans accompanied the patient and radiology at felt that this was an inaccurate read of the original scan. the patient had a repeat ct angiogram to assess for pulmonary embolus. the patient had a negative ct angiogram on . a repeat chest ct performed on confirmed interval increase of bilateral pleural effusions. there was no evidence for pneumonia on chest x-ray nor on chest ct. the patient's oxygen saturations improved with incentive spirometry and increased ambulation. the patient will be followed closely as an outpatient and should have further pulmonary testing performed as an outpatient. 3. cardiac rhythm: the patient was admitted in atrial flutter, with a rate in the 150's. the patient had an episode of diaphoresis during this and received diltiazem with return to sinus rhythm. the patient had no further episodes of atrial flutter on this admission. the patient did have sinus tachycardia of unclear etiology. his thyroid function tests were normal and there was no evidence of a pulmonary embolus. the patient was rate controlled with lopressor which was titrated to blood pressure and rate. the patient was started on aspirin given his history of atrial flutter. 4. infectious disease: the patient was admitted with an elevated white count and had a temperature spike to 102. the patient had cultures which all remained no growth to date at the time of this discharge summary. his temperature curve and his white blood cell count were trending down at the time of discharge and he remained off antibiotics. condition on discharge: stable. discharge status: to home. discharge diagnoses: 1. pericardial effusion. 2. pleural effusion. 3. atrial fibrillation. medications on discharge: 1. aspirin 325 mg q. day. 2. toprol xl 150 mg q. day. 3. ambien prn. follow-up plans: the patient will follow-up with his primary care physician in the week following discharge. in addition to this, the patient will follow-up with dr. and dr. of cardiology. dr 12.932 dictated by: medquist36 procedure: coronary arteriography using a single catheter pericardiocentesis arterial catheterization pericardiotomy right heart cardiac catheterization diagnoses: unspecified pleural effusion congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation atrial flutter unspecified disease of pericardium 

Answer: The patient is high likely exposed to