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: patient recorded as having no known allergies to drugs attending: chief complaint: cp and sob major surgical or invasive procedure: right heart catheterization; pericardialcentesis history of present illness: patient is a 52 y/o male with a history of dyslipidemia and dm who presented to an osh w/ complaints substernal chest pain with associated shortness of breath over the last two days. pain described as constant, stabbing 10/10 chest pain without radiation. found that pain is worse with position. he denies any assoicated nausea/vomiting or diaphoresis. while in the osh ed, patient's vitals were 94/68, hr 107, rr 16, t 100.4, and 89% on ra. patients cp was not relieved by slng x 3. ekg showed st depressions in lead i, avl, and 1mm st elevations in i. the patient had a cta which revieled a large pericardial effuison, as well as a question of atelectasis verus infiltrate at the left base. the patient was transfered to for possible pericardialsentesis. of note, on the day prior the presentation, the patient endorses a 101.4 degree fever, ear pain, and loose, non-bloody stools. he has not any new joint pain, and has no history of rheumatologic, thyroid , or renal disease. he had a colonoscopy two years prior, which he reports as negative. he denies any recent cough, hemopytsis, night sweats, or history of smoking. he was experiencing chest pain one month prior to presentation, and had a stress test, which he reports as normal. on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, recent black stools or red stools. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: cardiac risk factors: diabetes, dyslipidemia social history: social history is significant for the absence of tobacco use. there is no history of alcohol abuse. there is no family history of premature coronary artery disease or sudden death. his father passed away from and mother is also deseased from gastric cancer. physical exam: vs: t 99.4, bp 149/88, hr 126, rr 21, o2 99% on 15l gen: middle aged male, laying flat on bed, wearing o2 mask. 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, no jvp noted cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. ? + s3 vs fixed split s2 chest: patient laying flat and difficult to asses. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi heard anteriorally. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. +bs ext: 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: conclusions: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. the right ventricular cavity is unusually small. right ventricular systolic function is normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is a moderate to large sized pericardial effusion primarily anterior to the right atrium and right ventricle (2.1cm) and inferolateral left ventricle (1.2cm) with relatively less (<1cm) around the left ventricular apex and inferior wall. there is right ventricular diastolic collapse, consistent with impaired fillling/tamponade physiology. there is significant, accentuated respiratory variation in mitral/tricuspid valve inflows, consistent with impaired ventricular filling. impression: moderate to large partially loculated pericardial effusion with evidence of hemodynamic compromise/tamponade physiology. pericardial fluid: negative for malignant cells. cxr: pericardial drain remains in place. cardiomediastinal contours are stable in appearance. lung volumes remain low but slightly increased compared to the previous study. left retrocardiac opacity, likely a combination of atelectasis and effusion, appears unchanged. right lung is grossly clear. 08:46pm tsh-2.2 08:46pm cea-1.1 08:46pm wbc-19.4* rbc-4.68 hgb-13.9 hct-40.0 mcv-85 mch-29.8 mchc-34.8 rdw-13.7 07:00pm other body fluid tot prot-5.7 glucose-183 ld(ldh)-436 albumin-3.4 07:00pm other body fluid wbc-* rbc-144* polys-93* lymphs-0 monos-5* macrophag-2* 04:28pm alt(sgpt)-30 ast(sgot)-21 ld(ldh)-277* ck(cpk)-103 alk phos-63 amylase-17 tot bili-0.8 brief hospital course: #) cardiac: ischemia: while the patient complained of chest pain, seemed more pleuritic in nature. ce negative x 2 and negative while at osh. patient with recent stress test one month ago with supposed normal findings. cardiac cath in showing no cad. do no believe that patient complains of cp/sob is ischemic in nature. however, patient had cp 2-4 weeks ago, and given new pericardial effusion with possibly some restrictive componenent given incomplete resolution, possibilitys of a dressler's type syndrome cannot be overlooked. patient was continued on home dose of lipitor. . pump: patient w/ a large pericardial effusion on ct, and hemodynamic pressures consistent with tamponade. of note, however, is that patient hypertensive at presentation. patient s/p pericardiacentesis with removal of 600cc of staw color fluid w/ high wbc and pml predominance. fluid culture failed to grow organisims, and no malignant cells were seen on cytlogic exam. the etiology for the effusion is unclear. pt was hiv and ppd negative, no evidence of myocardial infarction, no known hx of causative drugs and toxins, no metabolic disorders (especially uremia, dialysis, and hypothyroidism.) the patient had no description of symptoms consistent with lupus, although had midly elevated levels of rf and . the patient described recent syndroms consistent with a viral podrome, which lends itself to a viral etiology. however, the simulaneous onset of both symptoms is less podromal in nature. ct negative for lung pathology. the patient remained clinicaly stable throughout hospitalization, and bp and hr returned to levels within hours of removal of pericardial fluid. serial f/u tte showed an absence of fluid reaccumulation. the patient was started on both ibuprofin for pain and cochicine. he was discharged due to continue ibuprofin for 2 week course and cochicine for 6 weeks. . #) dyspnea: most likely secondary to poor cardiac function in the setting of tamponade, and patient discharged without o2 requirment and adequate o2 sats. cxr showed b/l pleural effusions, lending itself to a seriousitis etiology. as pericardial fluid was analysed, no thoracentesis was performed. patient was discahred with instructions for f/u cxr in 1 week to evaluate effusions. sputum cx were negative and patient afebrile. . #) dm: patient w/ dm diagnosed three years ago. was maintained on home regimen of metformin/glipize w/ humalong iss. . #) hiatal hernia: kept on outpatient regimen of ranitidine and protonix. medications on admission: ranitidine 300mg qhs lipitor 10mg daily glipizide 5mg daily protonix one taplet daily metformin 1000mg asa 81mg qday discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. colchicine 0.6 mg tablet sig: one (1) tablet po bid (2 times a day) for 6 months. disp:*360 tablet(s)* refills:*0* 4. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) for 2 weeks. disp:*56 tablet(s)* refills:*0* 5. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). tablet(s) 6. glipizide 5 mg tablet sig: one (1) tablet po daily (daily). 7. pa/lateral chest xray discharge disposition: home discharge diagnosis: primary diagnosis: pericardial effusion cardiac tamponade secondary diagnosis: diabetes discharge condition: stable discharge instructions: you were admitted with a pericardial effusion, which is a collection of fluid around your heart. this fluid was removed and we followed you with a series of echocardiograms to make sure that it was not reaccumulating. we also did some tests to find an explanation for why the fluid accumulated, and everything came back negative. 1. please take all medications as prescribed. 2. please attend all follow-up appointments. you should see dr. in clinic in one week, and should make that appoinment upon discharge. 3. have a chest x-ray in one weeks time to evaluate for change of fluid on the lung. 4. if you develop chest pain, shortness of breath, lightheadedness, confusion, palpiations, or any other concerning symptoms, call your cardiologist or go straight to the emergency room. followup instructions: please schedule an outpatient follow up with your cardiologist dr. in 1 week. at that time, have a chest x-ray as prescribed below. procedure: coronary arteriography using a single catheter pericardiocentesis right heart cardiac catheterization diagnoses: unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia constrictive pericarditis acute pericarditis, unspecified 

Answer: The patient is high likely exposed to