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: coumadin attending: chief complaint: weight gain since discharge on and rash major surgical or invasive procedure: skin biopsy (right flank) cabg x2 (lima to lad, svg to diag)/ pericardial stripping history of present illness: pt is a 66 year old male with pmh of htn, s/p knee surgeries, recently discharged from the hospital after treatment of pericardial effusion and anasarca. he was treated with a pericardial drain and diuresis with lasix. he was discharged with 3 more days of lasix and prescriptions for meloxicam and omeprazole. he noted his weight was 1.5 lb heavier than yesterday, with development of a new rash. pt presented to hism physician, then referred him to the ed for evaluation. . the patient initially presented to on with left leg and scrotal swelling. he was noted to have a pericardial effusion and hypovolemic hyponatremia in the setting of poor cardiac output. he was treated with a pericardial drain. hyponatremia slowly improved with fluids and treatment of pericardial effusion. he first noted weight gain developing after left knee replacement on . ctv done to eval for thrombosis, not ideal timing of contrast to establish presence of ivc clot, incidentally a large pericardial effusion, free fluid in abdomen and pleural effusions were found. tte without tamponade physiology, large ra/rv, raised the question of pulmonary embolism. he underwent cta which was negative for pe or aortic dissecction but showed persistent pericardial effusion and bilateral pleural effusions. he was admitted to theicu for pericardial drain, then transferred to the floor. etiology of pericarditis remained unclear. past medical history: benign lesion removed from his right breast s/p 3 knee surgeries, ltr normal stress test in hyperlipidemia pre-malignant skin lesions tendonitis htn social history: retired irs attorney. now runs own business as cpa/tax lawyer. lives with wife. 2 grown children. veteran. no h/o incarceration or known tuberculosis exposures. no ivdu. very distant smoking history. 2 glasses wine/day. family history: he has a strong family history of coronary artery disease. father died of mi at age 51. physical exam: a & 0 x 3. vss, afebrile. bp104/71 cor- crisp heart sounds. sr @85. lungs- clear. sternum stable, cleans dry and intact incision. abd- benign. exts- trace edema rle. scant serous drainage from jp site. evh incisions intact. pertinent results: echo overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is dilated there is abnormal septal motion suggestive of pericardial constriction. the aortic valve leaflets (3) are mildly thickened. the mitral valve leaflets are mildly thickened. there is a small pericardial effusion. the effusion appears circumferential. the effusion is echo dense, consistent with blood, inflammation or other cellular elements. the pericardium may be thickened. the echo findings are suggestive but not diagnostic of pericardial constriction. impression: smalll, circumferential, echo dense effusion. the pericardium appears thickened. there is no evidence of pericardial tamponade however the thickened pericardium and septal "bounce" are suggestive of constriction. mitral and tricuspid inflows however do not confirm this possibility. if constriction is being considered, a cardiac mr can help to characterize the thickness of the pericardium and the presence of constriction. compared with the prior study (images reviewed) of , the findings are similar. the mitral and tricuspid inflows are not diagnostic of constriction on either study. 05:35am blood wbc-12.3* rbc-2.98* hgb-8.9* hct-27.1* mcv-91 mch-30.0 mchc-33.0 rdw-13.9 plt ct-612* 05:35am blood plt ct-612* 05:35am blood glucose-85 urean-17 creat-0.7 na-135 k-4.6 cl-101 hco3-26 angap-13 05:35am blood calcium-8.5 phos-3.4 mg-2.0 brief hospital course: cardiac cath done revealed lm and lad dz. he was referred for surgery and underwent cabg/pericardial stripping on with dr. . he was transferred to the cvicu in stable condition on no pressors. within 24 hours, mr. awoke neurologically intact and was extubated. aspirin, a statin and beta blockade were resumed. his chest tubes were left in place as he continued to drain from them. on postoperative day three, he was trnasferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. cts were seperated and mediastinal drains were removed. pleural tubes and the right leg jp continued to have copious outputs. motrin was begun, lasix dose was increased and a fluid restriction was instituted. nacl tablets were given also to correct his low sodium level. the physical therapy service was consulted for assistance with his postoperative strength and mobility. his edema improved, sodium rose and weight fell with these treatments. the left ctwas removed on pod6, the right drain on pod9. nacl tablets were stopped when sodium rose to 134 . the jp drain was removed the day of discharge. pod 11 he was discharged home with vna. all follow-up appointments were advised. medications on admission: atorvastatin 10 mg daily mobic 7.5 mg lasix 20 mg po x 3 days omeprazole 20 mg daily benicar/hctz (mobic, lasix and omeprazole are new medications that were started upon discharge on ) discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. disp:*100 tablet(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ibuprofen 800 mg tablet sig: one (1) tablet po three times a day for 4 weeks: with meals. disp:*84 tablet(s)* refills:*0* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. furosemide 40 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease constrictive pericarditis s/p cabg/pericardial stripping s/p percardiocentesis biventricular diastolic heart failure secondary to constrictive pericarditis htn h/o basal cell skin ca hyperlipidemia s/p left tkr s/p right thr s/pleft breast lumpectomy discharge condition: good discharge instructions: no driving for one month and until off narcotics no lotions, creams, or powders on any incision no lifting greater than 10 pounds for 10 weeks shower daily ,no swimming or baths call for fever greater than 100.5, redness or drainage report weight gain of more than 3 pounds take all medications as prescribed followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks () f/u with orthopedic surgeon as per postop instructions , md phone: procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters pericardiectomy (aorto)coronary bypass of one coronary artery closed biopsy of skin and subcutaneous tissue diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia other chronic pulmonary heart diseases personal history of other malignant neoplasm of skin dermatitis due to drugs and medicines taken internally acute diastolic heart failure constrictive pericarditis effusion of joint, lower leg unspecified drug or medicinal substance causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to