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: ams major surgical or invasive procedure: endotracheal intubation, icu monitoring history of present illness: 32m with etoh cirrhosis, h/o sis, htn brought to ed after excessive etoh followed by ?seroquel and tramadol intoxication, intubated for ams. . pt has longstanding history of etoh abuse. has been excessively drinking the day pta in . his family brought him back to at 3am. at about 5am, he took a large amount of pills out of a bag, likely seroquel and/or ultram per family report (unkown quantity). he was driven to the ed, had difficulties getting out of the car. . in the ed, his vs were stable (t96.7, 80, 91/65, 19, 100%ra) but his pupils were 1mm b/l and he did not respond to painful stimuli. etoh level of 225. serum tox positive for bzd. he was given narcan 0.4, followed by 2 mg with no improvement. ekg was unremarkable. head ct without acute findings. a nasal airway was placed, pt did not have a gag. he was intubated without complications. he also received 50 gm of activated charcoal 100mg of iv thiamine. toxicology was consulted. his meds in his bag were reviewed and were identified as seroquel, tramadol, klonopin, antabuse and clonidin. recommendations were supportive care only. post-intubation cxr with signs of lingular pna. pt received levaquin and ctx x1 in the ed and was admitted to the icu for further care. . on arrival to the icu, pt was intubated, sedated on propofol gtt. . ros could not be obtained. past medical history: chronic alcholism etoh cirrhosis fatty liver disease hypertension anxiety social history: lives in in an apartment with one roomate. currently employed as an administratory at bu. denies smoking or illicit drug use. no hx of ivdu. drinks 2 bottles vodka per day. family history: uncle and grandfather died of chronic alcoholism mother: hx. mi, cad. htn. no dm or cancer. father: htn, no dm, cad or cancers. physical exam: vs: temp: 96.6 bp: 128/82 hr: 94 rr:14 o2sat96% on ac 550x14, 0.4, peep of 5 gen: intubated, sedated heent:pupils symmetric, ~3cm, slowly responsive to light. no scleral icterus. ett in place. neck: supple resp: cta b/l anteriorly, no r/w/r cv: rr, s1 and s2 wnl, no m/r/g abd: mildly distended. grimaces to deep palpation diffusely. + bs ext: no c/c/e, warm, good pulses skin: no rashes/no jaundice neuro: sedated on propofol gtt, opens eyes and squeezes hand to command. pertinent results: 08:15am wbc-3.6* rbc-3.59* hgb-10.4* hct-31.7* mcv-88 mch-28.9 mchc-32.7 rdw-16.3* 08:15am neuts-24.5* bands-0 lymphs-62.6* monos-8.2 eos-2.9 basos-1.8 08:15am plt smr-high plt count-489* 08:15am pt-16.0* ptt-29.2 inr(pt)-1.4* 08:15am glucose-108* urea n-19 creat-1.2 sodium-143 potassium-4.0 chloride-105 total co2-26 anion gap-16 08:15am alt(sgpt)-53* ast(sgot)-66* ld(ldh)-226 alk phos-111 tot bili-0.8 12:30pm lactate-4.3* 09:15pm lactate-2.2* . 143 105 19 ============ 108 4.0 26 1.2 . ca: 9.2 mg: 2.0 p: 3.3 d serum etoh 225 serum benzo pos serum asa, acetmnphn, barb, tricyc negative . wbc 3.6 hb 10.4 hct 31.7 plt 489 n:24.5 band:0 l:62.6 m:8.2 e:2.9 bas:1.8 . pt: 16.0 ptt: 29.2 inr: 1.4 . lactate:4.3 ph 7.40 pco2 40 po2 433 intubated; fio2%:100, ac 550x14, peep 5 . studies: . ekg in ed: nsr at 78, nl axis, nl intervals, no acute st changes. . cxr pre-intubation: low lung volumes with basilar atelectasis. . cxr post-intubation: the lung volumes are low, however, somewhat improved from interval study. et tube is 3.8 cm from the carina. the left lingular opacity is again seen. the interstitial markings are slightly less prominent than on prior. there is an ovoid radiodensity projecting over the heart, which is likely outside the patient. there is no effusion. there is no pneumothorax. impression: et tube in standard position. lingular pneumonia. . head ct : no acute findings. . cxr : single portable radiograph of the chest demonstrates low lung volumes. patchy airspace opacity projecting over the left lower lung persists, but is improved in the interval when compared with . the endotracheal tube has been removed. the nasogastric tube has been removed. the right lung is clear. no pneumothorax. brief hospital course: 32m with etoh cirrhosis, h/o sis, htn brought to ed after excessive etoh followed by ?seroquel and tramadol intoxication, intubated for ams. pt self-extubated on . ms t. he was continued on ciwa scale for withdrawal symptoms. the patient was called out to the floor on hd1, and was stable on the floor with normal vital signs. he was well appearing and taking good po diet and put back on his home medications except tramadol and seroquel. he did not require any ativan on a ciwa scale, with a max ciwa score of 7. despite heavy encouragement from the medical team and social work, the pt refused placement in an inpatient alcohol treatment facility. he was discharged in stable condition on hd3 with a list of resource numbers for alcohol cessation support and for psychiatric follow-up. . # intoxication: unknown quantities of seroquel and tramadol at 5am on day of admit. received charcoal and narcan in the ed. ekg with narrow qrs and normal qtc. was intubated and sedated but self-extubated on . ms rapidly cleared on hd 1, remained a&ox3 for remainder of the hospitalization, with no s/sx of alcohol withdrawal, or residual effects of possible seroquel/tramadol od. . # lingular infiltrate: found to have lingular infiltrate on cxr. lactate 4.3 in setting of intoxication. wbc 3.6 with lymphocytosis in ed but chronically leukopenic down to 2.6 intermittently since . received levo and ctx in ed empirically. lingular opacity likely only atelectasis in setting of hypoventilation. - f/u bcx- neg to date - no abx given, pt clinically well with improved cxr - repeat lactate trended down - repeat cxr improved . # etoh intoxication: admitted in with etoh intoxication. per last dc summary, no prior withdrawal seizures, but hallucinations on prior detox attempts. - monitored on ativan ciwa scale- no ativan needed - mvi, thiamine and folate - s/w c/s: long discussion with pt re: detox and alcohol cessation as above. see sw notes in omr. pt refused assistance with going directly to inpatient treatment, but was given multiple follow-up options with contact information. was also given psych f/u information as per dc instructions. . # pancytopenia: wbc around , hct around 31-35, plt around 130s-200s. likely due to chronic alcohol abuse with marrow suppression. currently high-normal plt, wbc at baseline and hct baseline. . # psych: h/o si in the past. per pt, intoxication was not suicide attempt. s/w c/s as above, psych felt not necessary as pt was able to contract for safety, did not endorse current si. despite not currently a threat to self or others, pt strongly recommended to f/u with psych as outpatient. f/u numbers provided as above. . # liver dz: ?etoh cirrhosis per last dc summary. ct abdomen from with diffusely fatty liver. cirrhosis cannot be excluded per radiology read. mildly elevated lfts on , stable on admission. inr of 1.4. . # fen: tolerating regular diet . # code: full . # dispo: dc to home with recommended follow-up as above . # comm: mother medications on admission: per last dc summary from : seroquel 25mg nightly for insomnia at night thiamine hcl 100 mg tablet daily cyanocobalamin 100 mcg tablet daily folic acid 1 mg tablet daily hexavitamin 1 tab daily discharge medications: 1. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 2. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed: do not exceed 2gm per day . 7. gabapentin 400 mg capsule sig: two (2) capsule po tid (3 times a day). 8. seroquel 25 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 9. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. 10. cyanocobalamin 100 mcg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: 1. altered mental status, likely due to intoxication and overdose 2. overdose, likely accidental 3. alcohol abuse secondary: 1. hypertension 2. anxiety 3. alcoholic liver disease discharge condition: good discharge instructions: you were evaluated and treated after your alcohol intoxication, made worse by your ingestion of seroquel and tramadol. you are strongly encouraged to stop drinking alcohol, as you have had serious health consequences from your alcohol as discussed. . please call your physician or go to the emergency room if you develop any further altered mental status from alcohol or drugs, any chest pain, shortness of breath, lightheadedness, fever greater than 101.5, severe abdominal pain or distention, persistent nausea or vomiting, diarrhea, inability to eat or drink, or any other symptoms which are concerning to you. . activity: you may resume your usual activity as tolerated. again, you are strongly encouraged to seek help regarding your alcohol abuse, as discussed with your physicians and social workers. . diet: you may resume your usual diet. . medications: resume your usual home medications. be sure to only take your prescribed doses of seroquel, and you should stop taking tramadol. do not drink alcohol with any of your medications. . please enter an alcohol rehabilitation program of your choosing. also, please follow up with your primary care physician, . , in weeks after discharge. please call to arrange an appointment. in addition, you are heavily encouraged to follow-up with the institute for psychotherapy, as discussed with your social worker. should have a counselor and a psychiatrist at the institute. please call to arrange an appointment. followup instructions: please enter an alcohol rehabilitation program of your choosing. also, please follow up with your primary care physician, . , in weeks after discharge. please call to arrange an appointment. in addition, you are heavily encouraged to follow-up with the institute for psychotherapy, as discussed with your social worker. should have a counselor and a psychiatrist at the institute. please call to arrange an appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: unspecified essential hypertension alcoholic cirrhosis of liver other convulsions pulmonary collapse poisoning by opium (alkaloids), unspecified accidental poisoning by other opiates and related narcotics anxiety state, unspecified poisoning by other antipsychotics, neuroleptics, and major tranquilizers altered mental status accidental poisoning by other specified tranquilizers acute alcoholic intoxication in alcoholism, continuous 

Answer: The patient is high likely exposed to