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: overdose major surgical or invasive procedure: intubation history of present illness: he presented to the ed reported that he was s/p ingestion (right prior to coming into the ed) of 12 400mg seroquels and 11 900mg pills of trileptals. however the patient only had 600mg trileptal pills available to him and none on his person despite bringing in a bag of his meds. . in the ed, vital signs on arrival were 96.0 116 149/94 16 98%. in the ed the patient was originally asking questions appropriately but became increasingly somnolent. the patient was vomiting large amounts in the ed. he was given etomidate 20mg and succ 120mg and intubated. he received was then put on propofol. cxr showed low lung volume, et tube terminates at 4.9 cm above carina, ng tube terminating at appropriate location, mild pulm vasc congestion, bibasilar opacities likely infection vs aspiration. he received 2.5l of ns and zofran 4mg iv x1 in the ed. . the pt's exam was notable for mydriasis with pupils dilated to 5mm, roving eye movements, diaphoretic, slurred speech, beats of clonus, psychomotor depression, wheezy after intubation, mottling of the hands, poor cap refill. there was no evidence rigidity or fevers. his ekg at 18:20 was notable for sinus tachycardia to 117 and qtc of 387 with qrs of 80 and then repeat ekg at 18:50 was sinus tachycardia to 104 and qtc of 331 with qrs 86. fs was normal at 134. cbc was unremarkable. electrolytes were normal. serum tox screen was pending at the time of transfer. unable to place foley to get urine tox. vitals prior to transfer were hr 93, bp 135/84 rr 15 100%. . on arrival to the icu were 100% on ac tv 550 rr14 peep 5 fio2 100%, hr 94 bp 154/96. he was awake on 60mcg/kg/min and responding to commands. ekg was concerning for 1mm st elevations in v5, v6, old st elevation in ii, old j point elevation in v2/v3. his qrs remained narrow and his qtc was 383. past medical history: past psych hx: - dx of bipolar ii with psychotic features in the past- symptoms unclear that led to that diagnosis at this time. - cognitive d/o nos by neuropsychological testing (prior to tbi) - h/o prior psychiatric hospitalizations, with "8 or 9" suicide attempts by overdose - h/o assaultive behavior: stabbed a friend with a penknife many years ago (in secondary school) pmh: klinefelter's, raynaud's, systemic sclerosis (extent uncertain, recent dx), hypercholesterolemia, s/p pedestrian vs. car accident in with tbi social history: per omr: mr. reported in previous psych notes that he has h/o etoh abiue. between the ages of 19 and 21 he reported drinking 2 pints of scotch or vodka per day. 3 to 6 times per week, drinking a six pack of beer at each use." he also reported a history of marijuana use. the period of heaviest usage was between the ages of 19 and 21. he stopped using marijuana because of its side effects such as paranoia. h/o of ivdu and cocain in past notes but urine and serum tox positive for methadone in . h/o stabbing friend with . after graduating high school, he worked for one year as a prep cook, he then works at a farm, and later at pharmacy. . family history: his father and two aunts (paternal and maternal) have a history of depression. this maternal aunt also has a history of alcohol abuse. physical exam: on admission: vs: t96.4 bp 154/96 rr18 95% on ac tv 550 rr14 peep 5 fio2 100% gen: awake and arousable, able to squeeze hands and follow commands heent: pupils dilated to 5 and reactive to 3, eomi grossly, anicteric, mmm, op, intubated resp: cta b/l with good air movement throughout anteriorly cv: rrr nl s1/s2 no m/r/g abd: +b/s, soft, nt, no masses or hepatosplenomegaly ext: + poor cap refill in right hand and doppler but not palpable right radial pulse, left radial pulse +1 neuro: pupils responsive to light bilaterally 5mm -> 3mm. able to squeeze hands when initially awake. 10+ beats of clonus bilaterally in feet. on discharge: vs: 96.0 140/p 79 16 94% ra gen: nad, aox3, awake and alert heent: anicteric, mmm, op clear, cn ii-xii grossly intact resp: ctab, no crackles or wheezes cv: rrr nl s1/s2 no m/r/g abd: +b/s, soft, nt, nd, no hsm ext: wwp, no c/c/e, + poor cap refill in right hand and doppler but not palpable right radial pulse, left radial pulse +1 pertinent results: 10:42pm glucose-153* urea n-13 creat-0.8 sodium-140 potassium-4.7 chloride-102 total co2-30 anion gap-13 10:42pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 10:09pm type-art po2-250* pco2-53* ph-7.33* total co2-29 base xs-1 -assist/con intubated-intubated 06:35pm glucose-127* urea n-14 creat-0.8 sodium-141 potassium-4.2 chloride-100 total co2-28 anion gap-17 cxr : impression: 1. endotracheal and nasogastric tubes in appropriate position. 2. low lung volumes. possible mild pulmonary vascular congestion. bibasilar opacities could be due to pneumonia and/or aspiration tib/fib xray : patient is status post internal fixation of the right tibia. there is no evidence of hardware fracture or loosening. again identified is an oblique fracture of the mid shaft of the tibia with mature bridging bone along the lateral aspect of the tibial fracture and no significant callus formation along the medial aspect of the tibial fracture, unchanged. the proximal fibular fracture line is still seen, unchanged. there is diffuse osteopenia. no new fractures are identified. impression: no significant change when compared to prior exam. brief hospital course: p: 37 yo male with h/o raynauds, hl, suicide attempt, and etoh abuse who presents with suicide attempt likely with trileptal and seroquel but also the potential for other medications being involved given was incorrect about doses when speaking with ed doctors. ekg also notable for new 1mm st elevation in v5 and v6. . overdose: pt reported over dose with seroquel and trileptal on arrival to the ed although he was incorrect about the doses of the medications and brought a seroquel bottle but not a trilpetal bottle with him to the ed. the additional medications he brought with him included: sertraline, lexapro, abilify, trazodone, nifedipine, naltrexone, and lipitor. tox screen was notably negative for asa, etoh, acetminophen, benzo, barbituates, and tricyclics. both seroquel and trileptal can cause cns depression and are unlikely to cause aggitation. qrs and qtc were normal. toxicology saw the patient and on the basis of possible trileptal and seroquel overdose recommended to avoid antipsychotics for acute aggitation and instead using benzos, serial ekgs q4-6 hours to monitor for prolonged qtc, and monitoring electrolytes as tripelptal can cause mild hyponatremia. all ekgs and electrolytes remained normal. . respiratory acidosis and ? aspiration pna: pt intubated for airway protection in the setting of decreased mental status and in the setting of large volume emesis and likely aspiration. abg with respiratory acidosis 7.33/53/250 with component of acute on chronic co2 retention. bicarb was 28. she was started on ards net ventilation, and fio2 was quickly decreased. cxr on the second hospital day showed l consolidation and effusion, consistent with aspiration. . depression with suicidality: all psychiatric medications were held given concern for overdose while in micu. on awakening, patient wrote that he wanted to kill himself. psychiatry was consulted. patient was transferred to medical floor after being extubated for observation and then was deemed medically clear for transfer to inpatient psych floor. . st elevations: 1mm in ii (old) and 1mm in v5 and v6, old j point elevation in v2 and v3. there is no reason that the meds he took should cause st elevations unless cocaine involved. cocaine screen was negative. cardiac ischemia was thought very unlikely. . etoh abuse history: he was initially on a midazolam gtt and ciwa after extubation, showed no signs or symptoms of withdrawal, was taken off ciwa on medical floor. he was given thiamine, folate, mvi. . mottling on arms in ed and delayed cap refill: pt with baseline raynaud's disease. on admission he had palpable radial pulse on left and a dopplerable pulse with delayed cap refill on the right. . hl: lipitor continued . bipolar ii: held home psych meds until transfer to medical floor. restarted seroquel, trazodone and sertraline at outpatient doses, restarted trileptal at 300 mg per psych recs. patient will be transferred to an inpatient psych unit for further management. . urinary obstruction, unable to place foley: pt with 800 cc urinary retention and difficult foley placement. urology was consulted, found a stricture, and placed foley. they recommended instilling 400 cc into the bladder prior, which was done and he was able to void. . s/p tib/fib fracture: stable since of last year, got inpatient xray which was initially scheduled as outpatient, showed no significant change in fibula fracture. per ortho, he should be non weight bearing on the r leg and will follow up as needed. medications on admission: sertraline 100mg 2.5 tabs qam lexapro 20 mg daily abilify 5mg trazodone 100mg qhs nifedipine 60mg daily naltrexone 50mg daily lisinopril 20mg daily lipitor 10mg daily seroqeul 25mg 1 tab tid prn agitation seroquel 300mg qhs protonix 40mg daily ducosate 100mg calcium + vit d -trileptal (had in med list but no bottle here) discharge medications: 1. sertraline 50 mg tablet sig: five (5) tablet po daily (daily). tablet(s) 2. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. quetiapine 100 mg tablet sig: four (4) tablet po qhs (once a day (at bedtime)). 6. oxcarbazepine 150 mg tablet sig: two (2) tablet po bid (2 times a day). 7. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime). discharge disposition: extended care discharge diagnosis: primary: bipolar disorder ii secondary: hyperlipidemia raynaud's disease systemic sclerosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were seen in the hospital for an overdose of your medications, for this you were in the intensive care unit and intubated, but your breathing function recovered. after discharge, you will be transferred to an inpatient psychiatry unit for further management of your bipolar disorder and your medications. changes to your medications: start taking trileptal 300 mg twice a day (decreased dose) followup instructions: you will be transferred to an inpatient psychiatry unit for further management of your bipolar disorder. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acidosis pure hypercholesterolemia unspecified pleural effusion alcohol abuse, unspecified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus poisoning by other antipsychotics, neuroleptics, and major tranquilizers altered mental status lack of housing poisoning by other and unspecified anticonvulsants suicide and self-inflicted poisoning by other specified drugs and medicinal substances other bipolar disorders other specified retention of urine hypoglycemia, unspecified systemic sclerosis lack of normal physiological development, unspecified klinefelter's syndrome urethral stricture, unspecified urinary obstruction, unspecified 

Answer: The patient is high likely exposed to