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: hypotension, respiratory failure, unresponsive major surgical or invasive procedure: intubation central venous catheter history of present illness: 23 yo f w/ h/o depression transferred from w/ hypotension and respiratory failure. by report patient was found down in her home this morning by her 7 yo son, who awoke the patient's boyfriend. ems called. p120, r4, 118/p, sao2 88%. pupils noted to be constricted. pt noted to have to have agonal resp of approx 4/min. rec'd iv narcan 2mg x4 w/ some improvement in resp rate to 10. had ongoing resp distress, was clinching teeth, and was subsequently nasally intubated. . in , vs:97.9, p138, bp119/87, "intubated". maintained on dopamine was switched to levophed. noted to have elevated transaminases 574, 614. tox screen +benzos, +opiates. , neg acetaminophen. ct head neg, lp performed (neg). rec'd 5l ns, 7mg vecuronium, vancomycin 1g, ctx 2g, acyclovir 800mg iv. transferred to . . ed, tm 99.8, hr 125, bp 111/65, r 17, 100% intubated, unknown settings. iv nac started, and fentanyl bolus. ct abd performed. past medical history: depression social history: lives with 7 yo son. boyfriend intermittently stays over. brother recently attempted to commit suicide. works at bakery in afternoons, attending college, studying psychology. no pets. no etoh. +smoking. stopped cocaine (inh, intranasal) and percocet use approx one month ago, although boyfriend does not believe that she had any access to perocet recently. no history of ivdu. no recent travel. no outdoor exposures. no tick/mosquito bites. family history: unknown at this time. physical exam: t 100.5, 100/66 (0.2 mcg/k/min norepinephrine), 88, intubated, sedated. pupils 1mm b/l. minimally reactive op clr trachea midline regular s1,s2. no m/r/g lca b/l +bs. soft. nt. nd. no vaginal discharge. no masses/tampons/foreign bodies on bimanual examination. in ed, brn stool, guiac pos no le edema. pertinent results: 140 109 10 / 116 agap=13 4.1 22 0.6 \ ck: 696 ca: 7.2 mg: 1.5 p: 3.3 alt: 781 ap: 47 tbili: 0.2 alb: 3.3 ast: 858 ldh: 678 dbili: tprot: : 934 lip: 36 hcg:<5 . 94 15.5 \ 12.3 / 231 / 35.2 \ n:pnd l:pnd m:pnd e:pnd bas:pnd pt: 15.2 ptt: 29.9 inr: 1.4 . lp: gram stain: poly none, epithelial none, organisms none wbcc 0, rbc 0, poly 0, mono 0, prot 33, gluc 74 . ecg: 120 bpm, nl axis, nl int, twf v3, no st-tw changes. . cxr: ett 3 cm from carina, lij in place. no infiltrates/edema. . ct abd:(initial radiology read) liver appearance c/w acute inflammation . ucx: pending bxcx x2: pending brief hospital course: 23 yo f transferred from osh with respiratory failure, hypotension and elevated transaminases. . 1) hypotension- following admission was rapidly titrated off levophed. initial concern for sepsis given low grade fever, elev wbcc w/ bandemia, and hypotension. low suspicion for cardiac etiologies w/ nl ecg. possible sources remained negative. cxr clr, ua neg, no rashes. once extubated patient had no localizing symptoms. there was a ? of colitis based on ct but patient was w/o symptoms either before or after intubation. initially covered w/ vancomycin/ctx 2g/flagyl but were discontinued after cultures remained negative x 48 hours. pt remained asx with sbp in 90-100, most likely her baseline. random cortisol normal. in the end no clear diagnosis but presumed od. . 2) resp failure- cxr clr. history and tox screen c/w narcotics as etiology. low rr, warm dry skin and rapid improvement. on admission was overbreathing ventilator on pressure support. rapidly titrated down fio2 and extubated the afternoon following admission without difficulty . 3) transaminitis- unclear etiology most likely 2/.2 ischemic (hypotensive/hypoxic) vs unknwon toxin. hep serologies all negative. given unclear ingestion hx was maintained on iv nac x48h despite negative apa level. lfts continued to decreased substantially during hospitalization. no si/sx fo heaptic failure. pt instructed to follow up with pcp end of week for repeat lfts. . 4) od: unclear ingestion history. pt adamently denies si. says effects to a few tylenol pm and morphine for ha. pt seen by sw during hospitalization. . 5) depression: pt to continue effexor. pt to restart trileptal once lfts normal. medications on admission: (per tox note) lexapro 10mg flagyl 250 clonazepam 0.5 effexor 75 mg qday citalopram 200mg tab qday trileptal 300mg discharge medications: 1. venlafaxine 75 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po daily (daily). discharge disposition: home discharge diagnosis: respiratory failure shock hepatitis overdose discharge condition: good discharge instructions: please take all medications as prescribed; i would not start trileptal until you see your pcp and make sure your liver tests are back to normal. do not take tylenol or drink alcohol until told so by your pcp. please call your pcp or return to ed with abdominal pain, persistent nausea or vomitting, blood in stool or vomit, yellowing of skin or any other concern followup instructions: please call your pcp tomorrow and make an appointment for the this week to have your bloodwork checked. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: depressive disorder, not elsewhere classified poisoning by opium (alkaloids), unspecified accidental poisoning by other opiates and related narcotics acute respiratory failure poisoning by aromatic analgesics, not elsewhere classified hepatitis, unspecified shock, unspecified accidental poisoning by aromatic analgesics, not elsewhere classified 

Answer: The patient is high likely exposed to