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: ciprofloxacin / quinine attending: chief complaint: sob major surgical or invasive procedure: pericardial window doxycycline pleurodesis history of present illness: 86 y/o woman w/known cad, s/p pci, known pleural and pericardial effusions previous pericardial window , still w/ symptomatic pericardial effusion. past medical history: 1. cad (s/p cath : 2vd, prior ptca in lpda) 2. a fib: chronic, on coumadin 3. breast cancer s/p xrt and lumpectomy (6 years ago) 4. h/o chf (ef reportedly normal on last echo) 5. htn 6. hyperchol 7. dm2 8. s/p ccy social history: lives w/ husband. smoking hx: 30 pack years; quit 30 yrs ago. no etoh or drug use. family history: no premature cad physical exam: breath sounds decreased bilat. bases cor: irreg, w/holosystolic murmur 2+ ankle edema bilat otherwise unremarkable pre-op exam pertinent results: 05:55am blood hct-34.9* 04:30am blood wbc-8.6 rbc-4.10* hgb-11.9* hct-34.5* mcv-84 mch-29.0 mchc-34.5 rdw-18.7* plt ct-241 05:55am blood pt-21.8* inr(pt)-2.1* 05:50am blood pt-19.0* inr(pt)-1.8* 05:30am blood pt-17.2* inr(pt)-1.6* 05:55am blood k-4.1 04:30am blood glucose-64* urean-26* creat-0.8 na-135 k-4.2 cl-95* hco3-31 angap-13 brief hospital course: admitted to on for heparinization/normalization of inr off coumadin pre-op. she was taken tot he or on for left thoracoscopic pericardial window. post-op, she was taken to the csru, extubated & weaned of phenylephrine gtt by pod #1. thoracic surgery consult was obtained on for pleural effusion. on , she underwent doxycycline pleurodesis for her right pleural effusion. she was transferred to teh telemetry floor on . her coumadin was resumed, she began to progress with physical therapy and ambulation. over the next few days, she continued to have a large amount of serous drainage from her chest tube, and re-dosing of doxycycline was considered. on , her drainage had decreased, and her chest tube was ultimately removed on . follow-up chest x-ray on showed small, stable biapical pneumothoraces. she is ready to be discharged from the hospital, but still requiring assistance to ambulate. she will be sent to rehab to progress with physical therapy. medications on admission: lasix, atenolol, digoxin, crestor, zetia, arimidex, leutien, occivite, actonel, protonix, detrol, amitriptylline, caltrate, vitamins, metformin, coumadin (alternating doses of 5mg w/2.5 mg) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 6. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 7. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 8. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 11. tolterodine 2 mg tablet sig: two (2) tablet po daily (daily). 12. amitriptyline 10 mg tablet sig: one (1) tablet po hs (at bedtime). 13. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 14. lasix 40 mg tablet sig: one (1) tablet po once a day. 15. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po bid (2 times a day). 16. warfarin 1 mg tablet sig: 2.5 tablets po daily (daily) for 2 days: then re-check inr and dose for inr 2-2.5. discharge disposition: extended care facility: tcu discharge diagnosis: recurrent pericardial effusion cad s/p pci chronic afib htn lipids dm2 breast ca s/p l partial mastectomy/chemo/xrt s/p pericardiocentesis s/p pericardial window 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. p instructions: dr. 2 weeks dr. 3-4 weeks please call dr. office for follow-up appointment ( procedure: injection of antibiotic pericardiotomy injection into thoracic cavity diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of breast percutaneous transluminal coronary angioplasty status unspecified disease of pericardium long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to