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: respiratory depression major surgical or invasive procedure: endotracheal intubation history of present illness: 46 yo man w/ h/o schizophrenia and bipolar disorder who presents from rehab for altered mental status. reportedly, patient was found by rn staff at rehab to be lethargic, sleeping all day. rn staff commented that the patient appeared "drugged." per staff, trazodone tabs were found on his floor. staff suspected possible ingestion since this was not witnessed. only recent changes in medication was increase in neurontin recently from 300 to 600 mg tid. patient had been living alone prior to an admission to , but was transferred to rehab on discharge. . in the ed, the patient was afebrile, satting in the 80's on room air. he was put on nrb, given narcan 4mg x 1, then 2mg x 1. head ct did not reveal bleed or mass effect, but showed lacunar infarct in left putamen of unknown age. patient was very lethargic and could not answer questions. however, he was oriented to place. abg was done: 7.18/78/125 on nrb. patient was started on bipap in the ed. subsequently, the patient had large volume non-bloody emesis. anesthesia was called and the patient was intubated. past medical history: schizophrenia bipolar d/o depression htn cri (unknown baseline cr) sarcoidosis hep b asthma parkinson's stage iv left hip decub (mrsa) cervical/lumbar radiculopathy . social history: currently living at rehab. was living alone prior to hospital admission . reported h/o etoh. ?substance abuse. family history: unknown physical exam: on admission prior to intubation vs 97.9 - 114 - 119/41 - 28 - 99% gen: obese aa man, lethargic, arousable, but not oriented heent: perrl bilat, eomi bilat, anicteric, mmm, op clear neck: supple, unable to assess jvp due to habitus cv: tachycardic, regular, normal s1s2, no m/r/g resp: diffuse insp/exp wheezes bilaterally, no rales/rhonchi abd: nabs, obese, soft, nt, nd ext: warm, dry, 2+ pitting edema bilaterally neuro: moving all extremities, lethargic physical exam on transfer out of micu: vs 98.7 86 128/49 19 98%ra gen: obese aa man, sitting up in bed, a&ox4 heent: perrl bilat, eomi bilat, anicteric, mmm, op clear neck: supple, unable to assess jvp due to habitus cv: rrr, no m/r/g resp: ctab x few exp wheezes abd: nabs, obese, soft, nt, nd ext: warm, dry, 2+ pitting edema bilaterally, bandaged ulcer on l heel. neuro: asensate and paralyzed l foot, otherwise sensation and motor grossly intact. pertinent results: head ct (): findings: there is no evidence of acute intracranial hemorrhage. no evidence of mass effect is seen. no shift of normally midline structures is seen. note is made of oval-shaped low-density area in the left putamen, probably representing a lacunar infarct of unknown age. the surrounding soft tissue and osseous structures are unremarkable. impression: low-density area in the left putamen, probably representing lacunar infarction of unknown age. for further evaluation, please consider mri with diffusion-weighted images. ekg (): sinus tachycardia consider old septal infarct inferior and lateral st-t wave changes may be due to myocardial ischemia no previous tracing for comparison clinical correlation is suggested 03:00pm d-dimer-617* 03:00pm pt-13.1 ptt-23.1 inr(pt)-1.1 03:00pm plt smr-normal plt count-201 03:00pm neuts-83.2* bands-0 lymphs-11.0* monos-2.6 eos-3.0 basos-0.2 03:00pm wbc-13.0*# rbc-5.18 hgb-12.8* hct-40.6 mcv-78* mch-24.7* mchc-31.5 rdw-14.6 03:00pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:00pm albumin-4.4 calcium-9.6 phosphate-7.6* magnesium-2.2 03:00pm ck-mb-5 03:00pm alt(sgpt)-15 ast(sgot)-33 ck(cpk)-264* alk phos-89 amylase-93 tot bili-0.2 03:00pm glucose-92 urea n-50* creat-3.5*# sodium-142 potassium-5.1 chloride-101 total co2-25 anion gap-21* 03:05pm osmolal-309 03:05pm ctropnt-0.03* 03:24pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 03:24pm urine color-yellow appear-clear sp -1.016 03:24pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-neg amphetmn-neg mthdone-neg 04:57pm lactate-3.6* 07:22pm po2-125* pco2-78* ph-7.18* total co2-31* base xs--1 . cardiac enzymes: 03:05pm blood ctropnt-0.03* (note: in setting of arf) 12:05am blood ck-mb-3 ctropnt-<0.01 05:45am blood ck-mb-2 ctropnt-<0.01 10:20pm blood ck-mb-3 ctropnt-<0.01 . on day of discharge, 06:35am blood wbc-11.2* rbc-5.32 hgb-13.3* hct-39.8* mcv-75* mch-25.0* mchc-33.4 rdw-14.3 plt ct-221 06:35am blood neuts-68.0 lymphs-24.5 monos-5.5 eos-1.6 baso-0.5 06:35am blood plt ct-221 06:35am blood glucose-88 urean-10 creat-0.8 na-138 k-3.9 cl-104 hco3-19* angap-19 brief hospital course: 46 yo man w/ h/o schizophrenia and bipolar disorder who presents from rehab for altered mental status admitted to the micu on where he was treated for his altered mental status, respiratory failure, and acute renal failure. workup for altered mental status included workup for possible ingestion via serum and urine tox screens, as well as a head ct. his urine tox screen was positive for opiates but otherwise negative. his serum to screen was negative tof etoh and other substances. the icu team felt the most likely suspect for ingestion was trazadone. they also felt it was possible that his recent increase in neurontin may be causing excess sedation and this was held. the head ct scan revealed a lacunar infarct, which was likely old and exam, was without focal neuro deficits. over his 2 day icu course his somnolence improved. he was also evaluated by psychiatry who felt it was safe to restart his psychiatric medications except for trazadone and neurontin. . in terms of his ams: suspected ingestion; possibly trazodone or other meds such as narcotics. may also be related to recent increase in neurontin dose from 300 --> 600 mg po tid. h/o etoh but serum alcohol negative in ed. tox screen positive for opiates, but otherwise negative. lacunar infarct on ct, likely old, no focal neuro deficits. no longer somnolent. per psych we resumed psych meds, except trazodone and neurontin. rehab may resume neurontin at pt's original dose (300mg), but recommend only if pt complains of le pain. . in terms of his respiratory failure, the etiology was unclear. was hypoxic on arrival to ed, put on nrb. there was no initial abg, so it is difficult to assess the cause of his resp distress. possibly hypoventilation from od. eventually became hypercarbic with abg 7.18/78/125, which may have been due to co2 retention on nrb. patient was placed transiently on bipap, and required intubation after vomiting while on bipap. unclear reason for co2 retention, patient has h/o asthma but no clear h/o copd. likely to obesity, possibly pickwickian. likely also has osa. pt extubated and weaned from sedation two days ago. abg off meds now demonstrates good ph and adequate oxygenation. on transfer from icu, patient with 100% oxygen saturation on room air. . in terms of his acute on chronic renal failure, the patient was resuscitated with ivf. his medications were renally dosed and creatinine trended down. creatine 3.5-->2.2-->1.8 across . (note: creatinine at day of discharge was 0.8.) . patient then transferred to the floor where his overnight stay included hypertension and headache, both resolved by morning with hydralizine and tylenol, respectively. lisinopril started for htn. creatinine now wnl. pt hemodynamically and respiratory status stable. pt counseled not to take medication as directed and not to take extra doses of his meds. he denies si/hi/ah/vh. pt d/c'd back to rehab. . medications on admission: colace 100 mg po bid ms contin 30 mg po q12h naproxen 500 mg po bid seroquel 100 mg po bid seroquel 200 mg po seroquel 50 mg po q2h prn neurontin 600 mg po tid ativan 1 mg po tid ativan 1 mg po q8h prn vitamin c 500 mg po bid protonix 40 mg po q24 albuterol nebs q4h prn atrovent neb q6h oxycodone 10 mg po q2h prn benztropine 1 mg po trazodone 100 mg po trazodone 25 mg po mom prn enema prn after breakfast discharge medications: 1. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 4. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 5. quetiapine fumarate 100 mg tablet sig: one (1) tablet po bid (2 times a day). 6. quetiapine fumarate 25 mg tablet sig: one (1) tablet po qid (4 times a day) as needed. 7. escitalopram oxalate 10 mg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever, headache. 9. lorazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). 10. benztropine 1 mg tablet sig: one (1) tablet po at bedtime. 11. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 12. wound care please resume previous care of buttock and l foot wounds. 13. dvt proph pt should amublate tid. if unable, please consider heparin sq for dvt prophylaxis. discharge disposition: extended care facility: rehab & nursing center - discharge diagnosis: 1. respiratory depression accidental med o/d (trazodone) 2. htn 3. schizophrenia 4. bpad 5. arf 6. crf 7. decubitus ulcer 8. depression discharge condition: good. discharge instructions: please take all medications as prescribed. please attend all followup appointments. please seek medical care if you develop fevers, chills, nausea, vomiting, shortness of breath, chest pain, or with other concerns. followup instructions: please continue your current care at rehabilitation. also, you should call dr. office at to arrange followup with him as needed. . you also have the following previously scheduled appointment: . provider: , md where: neurology phone: date/time: 4:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: acute kidney failure, unspecified asthma, unspecified type, unspecified sarcoidosis unspecified schizophrenia, unspecified acute respiratory failure pressure ulcer, buttock pressure ulcer, heel bipolar i disorder, most recent episode (or current) unspecified viral hepatitis b without mention of hepatic coma, acute or unspecified, without mention of hepatitis delta poisoning by tranquilizers and other psychotropic agents, undetermined whether accidentally or purposely inflicted 

Answer: The patient is high likely exposed to