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: levaquin / metronidazole attending: chief complaint: tca overdose, depression major surgical or invasive procedure: none. history of present illness: this is a 22f with a history of polysubstance abuse and depression who now presents after an ingestion of pills. the history was gathered from her father and cousin. was in her usual state of health at 7am on morning of admission and when she reported to family that she had just ingested 14 doxepin pills. she became nauseated and mentioned she needed to vomit. she had a change in mental status, becoming confused and the father carried her into the car and drove her to the emergency department at . initial vitals were t99.1 111/67 130 14 100 ra. ecg was noted to be without signs of tca toxicity and she was transferred to for further evaluation. at , vitals initially p 110 bp 130/70 28 98 4l. she was noted to be somnolent and was intubated for airway protection and to get head ct. toxicology consultant evaluated the patient in the ed and recommended serial ecgs and monitoring in micu. . in the micu (), the patient was sedated with propofol 20-100 mcg/kg/min iv drip and was unresponsive. on the floor, initial micu vitals were 97.1, 121/84, 81, 100% (intubated). toxicology screen was positive for cocaine, methadone, and tricyclics. ekgs were monitored q1 hr; no abnormalities including qt or qrs elongation were seen. no intracranial process was seen on ct, and cxr was within normal limits. she remained stable overnight. on morning of hd #2, patient was extubated and ekgs remained wnl. potassium (2.8) was repleted. psychiatry was consulted and diagnosed polysubstance abuse, major depression (r/o ptsd), and believe that it is still unsafe for her to be discharged. they started patient on valium 5 mg po tid/prn for anxiety and seroquel 25-50mg po tid/prn for agitation; in addition, they recommended a 1:1 sitter. at this time, she was transferred to sirs service. on the floor, she denied any chest pains, shortness of breath, palpatations, suicidal or homicidal ideations, and reports that she did not intend to kill herself, but was trying to use them for sleep. past medical history: -asthma as a child, and has a home nebulizer which she never uses. she does not use inhalers -polysubtance abuse. social history: polysubtance abuse including heroin, cocaine. +tobacco use 1 ppd x 5 years, per father no history of significant etoh use. family history: no significant family history. father is healthy. physical exam: vs: temp: 100.4, st 114, 109/54, 94% ra gen: awake, alert, anxious to leave hospital, crying occasionally heent: nc/at, eomi, pupils 4mm equal, reactive, no lad resp: clear bilaterally with good aeration cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e, wwp neuro: a&o x3, cn ii-xii intact, good motor strength and no atrophy, no gait abnormalities, fnf test wnl pertinent results: wbc-21.0*# rbc-4.84 hgb-9.7* hct-31.5* mcv-65* mch-20.1* mchc-30.8* rdw-13.9 plt ct-325 wbc-12.1* rbc-4.63 hgb-9.1* hct-30.9* mcv-67* mch-19.6* mchc-29.4* rdw-14.0 plt ct-300 neuts-82.6* lymphs-14.7* monos-2.2 eos-0.3 baso-0.2 neuts-70.4* lymphs-23.9 monos-2.3 eos-3.2 baso-0.2 glucose-82 urean-8 creat-0.5 na-140 k-2.8* cl-107 hco3-25 angap-11 glucose-135* urean-13 creat-0.5 na-143 k-4.2 cl-110* hco3-24 angap-13 alt-51* ast-39 ld(ldh)-211 alkphos-79 totbili-1.1 alt-41* ast-35 alkphos-89 lipase-20 calcium-8.5 phos-2.7 mg-1.7 albumin-3.6 mg-1.8 iron-20* caltibc-257* ferritn-136 trf-198* asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-pos type-art temp-37.1 tidal v-500 po2-402* pco2-41 ph-7.40 caltco2-26 base xs-0 -assist/con intubat-intubated lactate-.6 urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirub-sm urobiln-2* ph-7.0 leuks-neg technique: non-contrast head ct. findings: evaluation is slightly limited by patient motion artifact. there is no evidence of hemorrhage, edema, mass, mass effect or infarction. ventricles and sulci are normal in size and configuration. there is no fracture. inspissated secretions in the posterior nasopharynx likely reflect the patient's intubated status. impression: no acute intracranial process. chest, single view: an et tube tip terminates 4.4 cm above the carina. an ng tube and sidehole projects below the diaphragm in the left upper quadrant. heart size and cardiomediastinal contours are normal. there is no focal airspace opacification. pulmonary vasculature is normal. no gross osseous abnormalities. impression: no acute intrathoracic process. ett and ngt in appropriate position. brief hospital course: # tca overdose: patient presents with intoxication of doxepin; toxicology screen was positive for methadone, tcas, and cocaine. patient states that last methadone dose was x2 weeks ago and she took suboxone x2 days prior to admission. patient was initially admitted to the medical icu where she was intubated to secure the airway, serial ekgs were done (all showed nsr without abnormalities), and patient was monitored. on hd #2, patient was extubated, and was monitored for symptoms of hypotension, palpatations, chest pain, or any other symptoms of tca intoxication. ekgs remained normal throughout micu course without arrythmias. she was then transferred to the medicine services after patient's peak for toxic symptoms were over (active metabolites 12-24 hours), ekgs remained normal throughout the course, and she exhibited no symptoms upon discharge. . # psychiatric status: patient was seen by psychiatric in the micu for questionable suicidal ideation. the patient denied any suicidal or homicidal ideation, and repeatedly wanted to go home. psychiatry reported that she has polysubstance abuse, depression, and borderline personality. she was given valium, seroquel, and ibuprofen prn for anxiety, agitation, and possible opiate withdrawal. she had 1:1 sitter throughout her hospital stay. upon discharge, she was counseled on depression and an appointment was made for outpatient psychiatric care near her home. . #anemia: patient presented with hematocrit of 31.5 (baseline unknown), with microcytic features and wide rdw. iron levels are low (20) with low tibc (257), and her low mcv (68) do not suggest a complete iron deficiency picture. iron deficiency alone is unlikely to cause such a microcytosis picture, therefore her anemia could be secondary to a mixed etiology of minor thalassemia (microcytosis of 68) and iron deficiency. she was started on iron supplementation and outpatient care for follow-up for her anemia. . #elevated wbc and fever: the patient had elevated wbc (20) and low-grade fever 100.4 in the micu, but trended down while admitted to the medicine floor (wbc 12, temp 98.2). she has no indication of infection as she clinically has no syptoms of fevers/chills and does not feel overall unwell; in addition, cxr shows no abnormalities. the most likely etiology was s/p micu extubation and stress response. medications on admission: none. discharge medications: 1. ferrous sulfate 325 mg (65 mg iron) capsule, sustained release sig: one (1) capsule, sustained release po once a day. discharge disposition: home discharge diagnosis: tricyclic overdose. discharge condition: good. discharge instructions: you were treated for a tricyclic overdose and were admitted to the medical icu. your laboratory values and ekg were stable, and you were then transferred to the medicine floor. please follow-up with your primary care physician and with outpatient pscyhicatric services (, 9:30 am at the psychologic services of ). if you feel unsafe, feel like hurting yourself or other people, or feel symptoms such as shortness of breath, weakness, fevers, or chills, please report to your primary care physician or return to the hospital. . please change your mass health insurance from to . it is important you do this for your primary care appointment or you will be billed. followup instructions: please follow-up with your primary care physician on dr. on at 1:30pm ( to change or cancel appointment). please follow-up with your psychiatric outpatient appointment on , saturday, 9:30 am at the pscyhological services in , ma. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube insertion of other (naso-)gastric tube drug detoxification diagnoses: tobacco use disorder asthma, unspecified type, unspecified hypopotassemia suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents opioid type dependence, continuous acute respiratory failure major depressive affective disorder, single episode, unspecified drug withdrawal other thalassemia home accidents cocaine dependence, continuous posttraumatic stress disorder 

Answer: The patient is high likely exposed to