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: trileptal attending: chief complaint: intoxication major surgical or invasive procedure: none history of present illness: 44yo man w/ h/o of depression and multiple overdoses brought in unresponsive by his friends. apparently drank a large amount of alcohol and then snorted an unknown white substance. he was telling people beforehand that he wanted to kill himself. . in the ed, initial vs were: t 97 p 54 bp 101/56 r 15 o2 sat 100% ra. patient was unresponsive and not protecting his airway so he was intubated, receiving etomidate 20mg and succinylcholine 120mg. his tox screen was negative except for an alcohol level of 374. on transport to icu he self-extubated and was not re-intubated. . on the floor, the patient is groggy and difficult to arouse. he is able to say that he is at the and give his birth date. he denies pain. unable to provide review of systems. past medical history: - alcohol dependence (denies history of seizures in setting of withdrawal) - hypertension - wisdom teeth removed (no other known surgeries) - hyperlipidemia - neuropathy . per omr: - frequent hospitalizations for substance abuse/dual dx, including and medical centter , , ), caritas (, ), and for section 35 (date unknown), (date unknown), hospital (date unknown), hospital (date unknown), hospital (date unknown). - history of sib/sa by cutting his wrist - has at least 5 psych admission in the past 6 months, two following icu admissions for ods - has history of aggressive behavior, including assault of security guards in the emergency room . medications (per psych omr note): - seroquel 400mg po bid - neurontin 800 mg po qid - inderal 120 mg po qam . allergies: trileptal . social history (per past d/c summaries): pt reports not having completed high school. -tobacco history: smokes 1 ppd -etoh: one pint vodka daily, last was the day prior to admission, he does have a history of dts -illicit drugs: denies abusing illicit drugs but admits he does not take prescribed medications as directed to acheive additional sedation. social history: last drink was 11am on day of admission. . social history : pt reports not having completed high school. the pt has lived in his current sober house group home for the past 8 months has lived in various sober homes for the past 3 years. when asked about his schedule day-to-day the pt says he spends his days "taking walks." the pt reports feeling safe in the sober home and having friends there. when asked if his mother and father were still living the patient also says "i don't know". . forensic history: patient reports only one arrest for disorderly conduct while intoxicated; he denies any jail time. one admission for section 35. family history: schizophrenia alcoholism physical exam: general: sleeping, breathing comfortably, difficult to arouse. oriented to place and person, not time. heent: dilated pupils are equal and reactive to light, sclera anicteric, mmm, oropharynx clear neck: supple, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs: . 02:00pm blood wbc-13.1* rbc-4.29* hgb-14.2 hct-41.0 mcv-96 mch-33.0* mchc-34.6 rdw-13.7 plt ct-268 02:00pm blood glucose-91 urean-8 creat-0.9 na-135 k-3.9 cl-98 hco3-23 angap-18 ct scan head: impression: 1. no acute intracranial findings. stable probable chronic infarct of the left lentiform nuclei vs perivascular . 2. mild-to-moderate sinus opacification, stable. labs on discharge: 07:30am blood wbc-10.2 rbc-4.18* hgb-13.9* hct-39.8* mcv-95 mch-33.3* mchc-34.9 rdw-13.7 plt ct-251 07:30am blood plt ct-251 07:30am blood glucose-118* urean-11 creat-0.9 na-142 k-4.2 cl-104 hco3-31 angap-11 . . . . brief hospital course: 44yo male with altered mental status secondary to alcohol and snorting of an unknown white substance. # altered mental status: ekg, labs and physical exam are consistent with simple etoh intoxication. it is unclear whether the unknown snorted white substance is playing a role. once awake and alert, patient denied snorting any substance. he continued to require valium for alcohol withdrawal through the second day of admission for agitation but his mental status returned to baseline prior to discharge. . # suicidal ideation: per report, he endorsed suicidality prior to his ingestion. psych was consulted and sectioned him. he remained witha 1:1 sitter. they recommended retsarting all of his home psych medications. on the day of discharge, psychiatry believed he was at his baseline level of depression and would not benefit from an inpatient transfer. . # etoh abuse: on valium ciwa currently 5-10mg q2h, then spaced to q4 prn ciwa>10. he scored once in the morning prior to discharge for ciwa>10 but did not require further treatment or admission to dual diagnosis program prior to discharge. . # abd pain: pt reporting left sided abd pain starting overnight. ua, lfts, amylase/lipase wnl. responded to maalox. did not have pain after transfer to the floor. . # leukocytosis: patient had leukocytosis to 13 without a left shift. he does not appear infected at this time. there is concern for possible aspiration. continued to remain stable and white count decreased to normal range without intervention. medications on admission: quetiapine 400 mg po bid -gabapentin 800 mg po tid -propanolol 40 mg po bid discharge medications: 1. quetiapine 100 mg tablet sig: four (4) tablet po bid (2 times a day). 2. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*14 patch 24 hr(s)* refills:*2* 3. gabapentin 400 mg capsule sig: two (2) capsule po q8h (every 8 hours). 4. propranolol 40 mg tablet sig: one (1) tablet po bid (2 times a day). 5. valium 10 mg tablet sig: one (1) tablet po as directed. disp:*2 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: alcohol intoxication and withdrawal discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , you were admitted to the hospital for alcohol withdrawal and sedation. you were briefly intubated and watched closely during your hospitalization. you were continued on valium for withdrawal. you were seen by the psychiatry service who did not believe you would benefit from an inpatient psychiatric admission at this time. please continue to take your medications as prescribed, we did not make changes to these. followup instructions: please follow up with your psychiatrists. md procedure: insertion of endotracheal tube alcohol detoxification diagnoses: pure hypercholesterolemia tobacco use disorder acute respiratory failure personal history of noncompliance with medical treatment, presenting hazards to health home accidents suicide and self-inflicted poisoning by other and unspecified solid and liquid substances alcohol withdrawal toxic effect of ethyl alcohol acute alcoholic intoxication in alcoholism, continuous major depressive affective disorder, single episode, severe, specified as with psychotic behavior physical restraints status explosive personality disorder 

Answer: The patient is high likely exposed to