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: no known allergies / adverse drug reactions attending: chief complaint: drug overdose major surgical or invasive procedure: exploratory laparotomy, gastrotomy history of present illness: history of presenting illness this patient is a 29 year old female who complains of od. patient was transferred from an outside hospital. patient initially presented with both lethargy and new onset atrial fibrillation. during the course of the patient's visit it was found that the patient had ingested multiple packets of unknown substance believed to be either cocaine or heroin in approximately 5 days ago. the patient was noted to have a functional gastric outlet obstruction, and was transferred to our facility for further management. the patient was started on a diltiazem drip for management of atrial fibrillation. en route to our facility, the patient was given benzodiazepines to protect against seizures. following this, the patient developed respiratory depression and hypotension. she was intubated and started on peripheral levophed past medical history: none social history: social history: just arrived from family history: nc physical exam: physical examination hr: 120s bp: 88/60 resp: 18t o(2)sat: 97% normal constitutional: intubated heent: normocephalic, atraumatic op with endotracheal tube chest: breath sounds bilateral cardiovascular: normal first and second heart sounds, tachycardic abdominal: soft, nondistended, absent bowel sounds. skin: warm and dry neuro: gcs 3t pertinent results: 04:50am blood wbc-11.8* rbc-3.64* hgb-11.5* hct-33.1* mcv-91 mch-31.6 mchc-34.8 rdw-13.4 plt ct-258 06:10am blood wbc-10.1 rbc-3.49* hgb-11.2* hct-32.8* mcv-94 mch-32.0 mchc-34.1 rdw-13.3 plt ct-216 06:00am blood wbc-14.9* rbc-3.75* hgb-12.0 hct-34.1* mcv-91 mch-32.0 mchc-35.2* rdw-13.3 plt ct-196 03:30pm blood wbc-22.0* rbc-4.15* hgb-12.9 hct-39.8 mcv-96 mch-31.1 mchc-32.4 rdw-13.3 plt ct-288 04:50am blood plt ct-258 06:10am blood plt ct-216 03:52am blood pt-14.7* ptt-37.0* inr(pt)-1.3* 03:30pm blood fibrino-264 04:50am blood glucose-98 urean-4* creat-0.4 na-135 k-3.5 cl-99 hco3-26 angap-14 06:10am blood glucose-121* urean-4* creat-0.6 na-137 k-3.5 cl-100 hco3-30 angap-11 08:38pm blood glucose-79 urean-6 creat-0.5 na-139 k-3.7 cl-110* hco3-21* angap-12 03:52am blood ck(cpk)-574* 08:38pm blood ck(cpk)-263* 03:52am blood ck-mb-11* mb indx-1.9 ctropnt-<0.01 08:38pm blood ck-mb-13* mb indx-4.9 ctropnt-<0.01 04:50am blood calcium-7.8* phos-3.1 mg-1.7 06:10am blood calcium-7.6* phos-2.4* mg-1.9 03:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 08:47pm blood lactate-1.9 08:47pm blood freeca-1.01* : chest x-ray: impression: no acute cardiopulmonary pathology. distended stomach full of heterogeneous material, rounded opacities may represent drug packets, in keeping with clinical history. : x-ray abdomen: findings: the ng tube tip is in the stomach. lateral decubitus film demonstrates some air-fluid levels in the colon. supine film shows gas in the colon. no free air is visualized. skin staples are seen in the mid abdomen : ekg: sinus tachycardia. otherwise, tracing is within normal limits. no previous tracing available for comparison : chest x-ray: findings: the et tube is 4 cm above the carina. left ij line tip is in the svc. ng tube is still slightly high with proximal port at the ge junction. there is increased opacity measuring 3.7 cm centered around the tip of the left ij line projecting over the region of the distal svc. there is also increased opacity in the right upper lung. this finding was called to the trauma team at the time of dictating this report (dr. . impression: 1. new increased opacity in the right upper lung of unclear etiology. 2. ng tube still slightly too high. : chest x-ray: findings: lobulated opacity seen on the film from earlier the same day is no longer visualized. there is increased opacity bilaterally consistent with effusions layering posteriorly and some alveolar edema. there is bilateral pulmonary vascular redistribution. ng tube tip is in the stomach. et tube tip is 0.8 cm above the carina. skin staples are again seen projecting over the upper abdomen. : echo: the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). there is mild regional left ventricular systolic dysfunction with probable mild basal to mid inferior hypokinesis. transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: suboptimal image quality. assessment of regional wall motion abnormalities is difficult. the basal to mid inferior wall is probably mildly hypokinetic. the apical segments are not well seen. no significant valvular abnormality seen. brief hospital course: 29 year old female admitted to the acute care service from an outside hospital with increased lethargy and new onset of atrial fibrillation. she reported ingestion of drug packets. she was intubated upon transport related to increasing somnolence and hypotension. she required pressor support and an anti-arrhythmic for control of her rapid heart rate. upon admission, she underwent radiographic imaging and was found to have a distended stomach full of heterogeneous material and few rounded opacities representing drug packets. -gastric tube was placed for stomach decompression. because of her clinical story and presentation, toxicology and gastroenterology were consulted and made recommendations for her management. she was emergently taken to the operating room where she underwent an exploratory laparotomy, gastrotomy and removal of narcotic packets. her operative course was stable. she was monitored in the intensive care unit after her procedure and required additional intravenous fluids. she had placment of a central venous line for additional access. her pressors were weaned off. she was extubated on pod #1. she underwent a bedside echocardiogram which showed a stunned myocardium (ef 30-40%) likely due to large catecholamine release. she had a repeat echocardiogram done which raised the suspicion of myocardial dysfunction, ef=>55%. she was transferred to the surgical floor on pod #2. her cardiac status was monitored because of her history of atrial fibrillation upon admission to the hosptial. she has had occasional episodes of increased heart rate to 100, which have resolved spontaneously. her -gastric tube was discontinued on pod# 3 and she slowly regained bowel function. she progressed from clear liquids to a regular diet. her foley catheter was discontinued and she is voiding without difficulty. she was seen by the social worker who provided her with additional support. her vital signs are stable and she is afebrile. she is tolertating a regular diet. her abdominal wound is clean with intact staples. she is preparing for discharge with instructions to follow up in the acute care clinic in 2 weeks for removal of the staples. medications on admission: none discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*10 tablet(s)* refills:*0* 2. colace 100 mg capsule sig: one (1) capsule po twice a day: hold for loose stool. 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: home discharge diagnosis: polysubstance overdose discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after ingestion of drug packets. you were taken to the operating room for an exploratory laparotomy and gastrotomy. you are now preparing for discharge with the following instructions: please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. followup instructions: please follow up with in the acute care clinic in 2 weeks for staple removal. you can schedule your appointment by calling # procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours gastrotomy diagnoses: atrial fibrillation hypotension, unspecified paralytic ileus accidental poisoning by heroin accidental poisoning by central nervous system stimulants poisoning by heroin foreign body accidentally entering other orifice poisoning by cocaine other conditions of brain acquired hypertrophic pyloric stenosis foreign body in stomach 

Answer: The patient is high likely exposed to