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: polysubstance overdose major surgical or invasive procedure: intubation history of present illness: 45 yo female with hx of hepatitis c c/b prior drug overdoses x-ferred from with polysubstance overdose. pt found next to bottles of quetiapine (seroquel) 90 x 200 mg, citalopram 30 x 20 mg, benztropine 14 x 1mg. pt arrived at osh and was somnolent so intubated for airway protection and given charcoal. in ed toxicology evaluated patient, ekg with slight increase in qrs duration (90-> 104) but did not change with nahco3 bolus and toxicology did not feel this was suggestive of tca overdose. increased sedation by patient but no seizure activity. utox and hcg negative. pt on arrival to unit was hemodynamically stable, unarousable, and not overbreathing the vent. . since admission to the unit the patient was extubated on with an episode of desaturation on the night of extubation requiring face mask. the patient continued to have periods of o2 desaturation with increasing tachypnea, requiring at times a shovel mask with 70% oxygen and temperature spike. the differential at this time was thought to be vs. aspiration pneumonia and the patient was started on levo and flagyl for presumed aspiration pneumonia. suspicion for pe at this time was reported to be very low. patient's chest film at this time additionally demonstrated diffuse patchy opacities concerning for infectious process vs. edema. patient's course was additionally complicated by large urine output, a total of over 6l since admission without diuretics for which urine osmoles were sent but were not consistent with diabetes insipidus. . past medical history: depression with psychosis prior suicide attempts by drug od- per sister has tried at least 6 times and has brain damage from prior episodes. hepatitis c (per chart, treated with peg interferon and ribavirin as recently as , no records of it past that date) social history: per sister lives with roomate. jehovah's witness- no blood products. does smoke, no etoh, hx of cocaine and heroin. family history: nc physical exam: 97.8 105/52 83 100% ac 600/16 peep 5 fio2 60 % intubated, sedated, lying in bed in nad. minimal response to pain or response to pain. mmm, op- et tube in place, 5 mm pupils not responsive to light, no jvd from, no lad cta-b rr without m soft, obese, nt/nd, +bs, no hsm no c/c/e, warm, no rashes, some myoclonic movements per sister these are why she takes benztropine and are old, bilaterally equivocal babinskis. pertinent results: admission labs: 07:09pm type-art temp-36.6 po2-341* pco2-37 ph-7.40 total co2-24 base xs-0 intubated-intubated 07:09pm k+-3.1* 07:00pm glucose-91 urea n-9 creat-0.7 sodium-142 potassium-3.7 chloride-111* total co2-19* anion gap-16 07:00pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-pos 07:00pm urine hours-random 07:00pm urine hours-random 07:00pm urine gr hold-hold 07:00pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:00pm urine color-straw appear-clear sp -1.007 07:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:00pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:00pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-pos 07:00pm glucose-91 urea n-9 creat-0.7 sodium-142 potassium-3.7 chloride-111* total co2-19* anion gap-16 07:09pm type-art temp-36.6 po2-341* pco2-37 ph-7.40 total co2-24 base xs-0 intubated-intubated additional pertinent labs/studies: . ekg: 84, sr, nnl axis, nl intervals qrs 104, qtc 480, no st/t wave changes . ap semierect portable chest x-ray: 1. lines and tubes as indicated above. the endotracheal tube is at the level of the clavicles. 2. cardiomegaly. 3. prominent mediastinum, most likely related to patient positioning. . ct of head: no ich. . cxr: 1. residual mild bibasilar interstitial abnormality with associated small left pleural effusion. 2. slight fullness of the left superior mediastinum. comparison to priors to determine stability would be recommended. otherwise, repeat film in three to six months would be helpful. alternatively, if there is any clinical concern for mediastinal adenopathy, a ct scan may be helpful. discharge labs: . 06:45am blood wbc-4.9 rbc-3.44* hgb-9.8* hct-29.3* mcv-85 mch-28.5 mchc-33.5 rdw-13.8 plt ct-297 06:15am blood neuts-43.1* lymphs-41.1 monos-5.0 eos-10.1* baso-0.7 06:45am blood glucose-101 urean-15 creat-0.8 na-137 k-4.3 cl-102 hco3-24 angap-15 06:15am blood ld(ldh)-187 06:15am blood lipase-34 06:45am blood calcium-9.0 phos-4.0 mg-1.9 brief hospital course: 45 yo female with h/o psychotic depression and prior suicide attempt presents with presumed quetiapine, citalopram, benztropine, and tca overdose intubated for airway protection. . 1) respiratory failure- initially intubated for airway protection, but then noted to have a cxr which showed diffuse patchy alveolar infiltrates consistent with aspiration pneumonia which is thought to have occurred in setting of overdose. she was started on levofloxacin and flagyl for aspiration pneumonia and as she was ventilated for a ventilator acquired pneumona. she will complete 2 week course. by time of transfer, she is doing well and does not require oxygen at rest or with ambulation. she was also noted to have some fullness of her mediastinum on a plain film which should be followed with a repeat cxr in 3months. . 2) drug overdose- polysubstance: quetiapine, citalopram, and benztropine, and serum tox positive for tcas. ekg now with normal qrs and qt intervals. she was monitored for benzodiazxapine withdrawal but did not require treatment. dilated pupils and rigidity on exam on admission now resolved, were likely secondary to anticholinergic toxidrome. appears to be experiencing akathisia as well as some muscle twitching, unclear whether this is baseline. she states she has been taking cogentin for this. she was seen by psyhciatry during this hospitalization and was restarted on seroquesl and klonopin so far. her regemin can be further titrated at a psychiatric facility. her ekg was stable prior to discharge. . 3) depression with psychotic features: again followed by psychiatry. patient has had previus suicide attempts in the past and was watched with a sitter while here for suicide precautions and can be followed at an inpatient psych facility for further management of her psychaitric condition. . 4) hepatitis c: states she has undergone treatment with interferon and ribavirin earlier this year, last dose 2-3 months ago. per pt, hep c viral load after treatment was undetectable. lfts are currently normal. gi care at outside hospital. lfts were stable during current admission. . 5) discharge condition: good, she is breathing comfortably on room air at rest and with ambulation. she was here with aspiration pneumonia during her acute overdose event. she still has a mildly increased respiratory rate, thought secondary to anxiety, as her oxygenation is back to baseline and her chest x-ray shows resolving pneumonia. she will comnplete a course of oral antibiotics, but is back to baseline and medically clear. medications on admission: seroquel 600mg qhs benztropine 1-2mg/day prn celexa 40mg po qd klonopin 0.5mg/day prn discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 7 days. 3. clonazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day). 4. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 5. quetiapine 200 mg tablet sig: three (3) tablet po q hs (). 6. levofloxacin 750 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 7 days. discharge disposition: extended care discharge diagnosis: acute lung injury ventilator acquired pneumonia depression with psychositic features suicide attempt drug overdose hepatitis c discharge condition: good, breathing comfortably on room air at rest and with ambulation. she was here with aspiration pneumonia during her acute overdose event. she still has a mildly increased respiratory rate, thought secondary to anxiety, as her oxygenation is back to baseline and her chest x-ray shows resolving pneumonia. she will comnplete a course of oral antibiotics, but is back to baseline and medically clear. discharge instructions: please call or return if you have an increase in shortness of breath, fevers, chills or any other complaints. please continue to take all medications as prescribed. followup instructions: please follow up with your pcp days. please follow up with your psychiatrist in days. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: chronic hepatitis c without mention of hepatic coma suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents acute respiratory failure pneumonitis due to inhalation of food or vomitus poisoning by other antipsychotics, neuroleptics, and major tranquilizers suicide and self-inflicted poisoning by other specified drugs and medicinal substances major depressive affective disorder, single episode, severe, specified as with psychotic behavior poisoning by parasympatholytics (anticholinergics and antimuscarinics) and spasmolytics 

Answer: The patient is high likely exposed to