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: unresponsiveness major surgical or invasive procedure: intubation for airway protection history of present illness: this is a 45 y.o. male with past medical history of depression/anxiety presenting with unresponsiveness. per the patient's wife he has been dealing with increased anxiety over the past few month. for this he had been prescribed buproprion and increased doses of alprazolam (though according to his wife he had reported not starting his buproprion). then over the last three days he has developed strange behaviors and thought patterns. he has been paranoid and suspecting individuals at work of investigating and planning to accuse him of ethical violations. he has been worried that his conversations with human resources have been bugged. there has also been a question of increasing depression and possible suicidality. the patient denied suicidal ideation when asked directly about it by his wife. this evening of admission he went into the garage while his wife did something inside their home. as he came back in, he called for her but his speech was garbled and incomprehensible. she sat with him and over a period of minutes went from attempting speech to basically unresponsive and then to dozing. she called ems who initially brought him to . en route to he received iv naloxone (due to pinpoint pupils suspicion for opiate intoxication) and lorazepam for concern of seizure (unsure why) without any effect. at ed he was intubated for airway protection (no desaturations or apneas per records), had a benign head ct, and then was sent here for further management. . in the ed initial vital signs were 97.7, 70, 117/84, 100% intubated. patient had a stroke work-up with head and neck cta, which were benign. lytes and labs were also normal. neurology saw the patient and thought unlikely to be cerebrovascular accident. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: depression/anxiety social history: married, lives with wife family history: noncontributory physical exam: on transfer: vs: 100.3, 125/88, 92, 18, 98 ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, 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 ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: cxr imaging: impression: normal heart, lungs, hila, mediastinum and pleural surfaces. no evidence of pneumonia. . cxr: impression: low lung volumes and atelectasis, without other acute cardiopulmonary abnormality. . cta head neck: impression: 1. no acute intracranial hemorrhage or acute territorial infarct. 2. unremarkable cta of the head and neck without evidence of hemodynamically significant stenosis, dissection or aneurysm. 3. unerupted maxillary and mandibular third molars, at least the right mandibular third molar is impacted. . microbiology: u/a - mod leukocytes, pos nitrite, mod bacteria, wbc urine culture - ngtd blood culture - ngtd . tox asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . ekg: rvr in avr and termninal s, qrs and qt normal . on admission: 01:00am blood wbc-8.7 rbc-4.48* hgb-13.5* hct-39.1* mcv-87 mch-30.1 mchc-34.5 rdw-13.2 plt ct-230 01:00am blood pt-13.8* ptt-24.4 inr(pt)-1.2* 01:00am blood glucose-110* urean-10 creat-1.0 na-143 k-4.1 cl-109* hco3-24 angap-14 01:00am blood alt-23 ast-20 alkphos-50 totbili-0.9 01:00am blood lipase-20 01:00am blood ctropnt-<0.01 01:00am blood calcium-8.6 mg-1.9 01:00am blood osmolal-296 01:00am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 05:20am blood type-art po2-406* pco2-42 ph-7.42 caltco2-28 base xs-3 01:12am blood glucose-113* lactate-1.0 na-142 k-4.0 cl-103 calhco3-27 01:12am blood hgb-14.9 calchct-45 o2 sat-86 cohgb-1 methgb-0 01:12am blood freeca-1.06* . on discharge: 07:05am blood wbc-13.2* rbc-4.68 hgb-14.0 hct-40.9 mcv-87 mch-30.0 mchc-34.3 rdw-12.5 plt ct-200 07:05am blood plt ct-200 07:05am blood glucose-95 urean-12 creat-1.0 na-140 k-4.3 cl-102 hco3-26 angap-16 07:05am blood calcium-9.2 phos-3.5 mg-1.9 brief hospital course: 45 year old male h/o depression/anxiety who presented with altered mental status/unresponsiveness s/p overdose of alprazolam, lorazepam, amitriptylene, and wellbutrin. . 1) altered mental status/toxic overdose: pt initially presented with altered mental status of unclear etiology. unclear whether secondary to toxic/metabolic vs infectious vs vascular. patient had negative work up including tox screen (negative for aspirin, etoh, tylenol, barbiturates, tricyclics), negative cta of his head. he was given flumazenil, which improved his sedation and allowed for extubation. upon awakening, he gave a history of overdose of one bottle each of alprazolam and wellbutrin. after speaking with wife, she has brought in emptry bottles of alprazolam, lorazepam, amitriptylene, and wellbutrin. trigger appears to have been high stress related to workplace. neuro examination after clearing was also unremarkable. hemodynamically stable, with support of his airway, he was transferred to the floor. on the medical floor, patient had routine daily ekg's which were normal, with normal qrs complexes and normal qtc interval. no events on telemetry. in addition, he was placed on suicide precations, with 1:1 sitter. he denied repeat si/hi. social work and psychiatry were consulted. . 2) depression/anxiety/delusions: patient's history of delusions were concerning for a psychiatric decompensation vs depression with psychotic features. psych was consulted. pt was maintained on 1:1 sitter once extubated. . 3) low grade fever/uti: patient developed low grade fever. cxr negative for cardiopulm disease. blood cultures no growth to date. u/a was positive for nitrite, positive for leuk esterase, moderate bacteria, wbc . urine culture was pending at time of transfer. patient empirically started on ciprofloxacin 500 mg x 7 days (day 1 = ) given evidence of urinary tract infection, likely from catheter use in setting of unresponsiveness. . 4) acute renal insufficiency: cr 1.5 yesterday, but resolved to 1.0 with ivf overnight. suspect some component of dehydration/hypovolemia. cr 1.0 and normal on discharge. . transfer care and medically cleared for psychiatry. medications on admission: wellbutrin xr 150 mg extended release alprazolam discharge medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. lorazepam 1 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 3. lorazepam 1 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for insomnia. 4. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia discharge disposition: extended care facility: - discharge diagnosis: primary: 1. toxic/metabolic overdose, felt to be benzodiazepenes . secondary: 1. depression/anxiety discharge condition: good, without suicidal/homicidal thoughts, ambulatory, tolerating food without difficulty, on antibiotic for urinary tract infection discharge instructions: you were admitted for evaluation and treatment of ingestion overdose after taking too much of your psychiatric medications. you were intubated to protect your airway. the breathing tube was removed once you were fully conscious. you did not have any direct complications of this particular ingestion. your heart rhythm was closely monitored without events. . you were noted to have low grade fever and a urine sample suggestive of a urinary tract infection. we will continue you on antibiotics for this. . new medications: - ciprofloxacin 500 mg twice a day for 7 days . please seek medical attention for suicidal or homicidal thoughts, depression or anxiety that feels overwhelming, fevers, chest pain, abdominal pain, shortness of breath, or any other concerns. followup instructions: please call to make an appointment in weeks time with dr. , your primary care doctor. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: urinary tract infection, site not specified toxic encephalopathy acute kidney failure, unspecified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents poisoning by benzodiazepine-based tranquilizers dysthymic disorder acute respiratory failure hypoxemia hypovolemia infection and inflammatory reaction due to indwelling urinary catheter unspecified psychosis poisoning by other antidepressants poisoning by tricyclic antidepressants 

Answer: The patient is high likely exposed to