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: seizure major surgical or invasive procedure: intubation history of present illness: patient is a 42 year-old male with past medical history significant for alcoholism and depression. patient presented to ed earlier this evening complaining of having fell off of a pole and fell backwards in . he had a scalp laceration which was not initially able to be repaired due to c-spine precautions. the patient had a head ct which was negative for any intracranial bleeds. ct neck also negative for any fractures. in the ed, initial vs were: t p 88, bp 89/58, rr 14 and o2 sat 100% ra. while in the ed the patient appeared anxious and confused initially. etoh level was 105 and the rest of toxicology screen was negative. . in the ed he then had a witnessed apneic episode and then went unresponsive for a few seconds per ed resdient but he had a palpable pulse and blood pressures remained stable. during this episode he had dropping oxygen saturations (drop not recorded) and he was clinching his jaw to the point where he chipped his tooth. patient then went into rapid bilateral upper extremity myoclonic jerking followed by partial proning of his arms bilaterally. he was given ativan 2mg iv x2, then 5mg iv ativan, then 6mg iv ativan, followed by 7mg iv ativan in ed. . minutes later he developed svt to 200 range which appeared to be atrial fibrillation vs. flutter per ed resident. he was intubated rapidly and then cardioverted in the ed with good response as hr returned to nsr with rate in 70-90 range. . ekg was significant for borderline long qrs at .122 as well. toxicology was called and suggested patient be given bicarbonate fluid to cover for possible tca overdose given ekg findings. while in ed he was given tetanus shot given new scalp laceration, 3l ns ivfs and then 3amps bicarbonate were given in d5. he also got 1g iv dilantin load and he was placed on propofol and a versed drip started after intubation. . on arrival to the micu patient was intubated and sedated. he was on ac mode with tv 600 x rr 16, fio2 40% and peep 5. hr was 90, bp 132/88 and patient was afebrile. he had dry dressings packed over right sided head laceration and he was in a c-spine collar. past medical history: -alcoholism -depression social history: unable to obtain as intubated, sedated family history: nc physical exam: vitals: ac mode with tv 600 x rr 16, fio2 40% and peep 5. saturations 100%. hr 90, bp 132/88, temp 99.9 f. general: sedated, intubated, pale skin, very warm heent: sclera anicteric, mmm, oropharynx with some evidence of dried blood over right buccal mucosa skin: pale skin, scalp with right posterior laceration, crusted dry blood over hair, about 1" superficial neck: supple, jvp not elevated, no lad, in a c-spine collar 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, unable to assess guarding, no organomegaly noted gu: foley in place, draining yellow fluid ext: warm, well perfused, 2+ pulses over upper/lower ext, no clubbing, cyanosis or edema neuro : deferred as patiet intubated but perrla pertinent results: ct neck: no evidence of any fractures ct head: prelim with no acute icp . ekg: sinus tachycardia to 150s, rbbb, qrs 122; qtc 423 brief hospital course: 42yo male with past medical history of alcoholism and depression who had recent fall and is now status post seizure with associated hypoxia and svt episode in ed. . #) alcohol intoxication with withdrawal syndrome: per patient's report, last drink was on and he consumed 1.5 pints of vodka. he had a seizure that was though to be multifactorial in the er but denied any prior episodes of visual hallucinations in the context of etoh withdrawal. patient was initially intubated and managed in the icu, in the setting of concern about protecting his airway during the seizure in the er. he was started on ciwa scale in the icu and was extubated within 24 hours. after extubation his vital signs remained stable and he was able to be weaned to q3h ciwa's so he was transferred to the floor. on the floor he was able to be weaned to q4h ciwa's, and watched until he was out of the danger zone for another seizure. he had social work consult for help with outpatient alcohol abuse programs and maintained on a multivitamin, thiamine and folate. . #) seizure: patient initially presented to the er s/p a fall, but then had a witnessed seizure in the er thought to be due to etoh withdrawal in combination with wellbutrin use which lowered his seizure threshold. patient was initially dilantin loaded in the er and neurology was consulted. an eeg was done with no evidence of seizure activity, so dilantin was discontinued as per neurology recommendations. . #) supraventricular tachycardia: ekgs and telemetry in ed consistent with rapid svt to 280 at peak with etiology possibly atrial fibrillation/flutter or avnrt as some of the tracings appear more regular vs. irregular. he was cardioverted in the er with no further episodes during his hospital stay. his troponins remained flat, his ck was elevated but in the setting of his fall, was thought to be due to possible rhabdomyolysis. . #) elevated ck: patient with ck elevated to around 1000, given recent fall concerning for possible rhabdomyolysis. he was continued on ivf hydration to help prevent kidney damage, and his ck's trended down. . #) depression/anxiety: patient has been followed by a psychiatrist in , continue to hold home wellbutrin given concern about seizure threshold. neurology team contact patient's psychiatrist to discuss concerns about wellbutrin, and his wellbutrin was not restarted. at the time of discharge he had outpatient follow up with his psychiatrist. medications on admission: medications: confirmed per last fill at pharmacy cvs , - ( last filled gabapentin 800mg alprazolam 0.5 prn anxiety (#30) tylenol codeine 2 q4-6hr prn pain (#50) buproprion xl 300mg daily . prior: lexapro 20mg (last filled ) celexa 60mg daily (last filled in spring ) discharge disposition: home discharge diagnosis: primary: 1. alcohol withdrawal 2. fall 3. seizure 4. depression/anxiety discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , it was a pleasure caring for you during your stay at . you were admitted after you had a fall . in the er you were witnessed having a seizure and then went into a fast heart rhythm that required your heart to be shocked to stop, during this time you were intbuated and transferred to our intensive care unit. the next morning you were able to be extubated and transferred to the medicine floor, we monitored you on the medicine floor for signs of alcohol withdrawal. after you were out of the danger period for withdrawal we felt you were medically stable for discharge. during your stay we also made some changes to your psychiatric medication regimen, due to concern about some the medications contributing to your seizure. the most important thing you could do to help keep yourself safe, and benefit your health would be to stop drinking alcohol. please consider following up with one of the outpatient program options given to you by the social workers from the hospital. please make sure you drink plenty of fluids after you leave the hospital. . changes made to your medication regimen: 1. stopped wellbutrin 300mg daily 2. stopped alprazolam 0.5mg prn anxiety 3. decreased seroquel dose to 50mg at night as needed for anxiety/insomnia 4. started folic acid 1mg daily 5. started multivitamin 1 tablet daily 6. started thiamine 100mg daily followup instructions: psychiatry: dr. , at 1pm . please call 1- to talk with your insurance company about what plan you have. then once you have the policy number please call to book an appointment. you are all registered through and they will book the appointment for you within 2 weeks. they just want to make sure you have active insurance so you stuck with for the appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube other electric countershock of heart diagnoses: thrombocytopenia, unspecified anemia, unspecified other convulsions open wound of scalp, without mention of complication paroxysmal ventricular tachycardia dysthymic disorder fall from other slipping, tripping, or stumbling rhabdomyolysis alcohol withdrawal respiratory arrest 

Answer: The patient is high likely exposed to