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: history of present illness: patient is a 77-year-old female with a history of depression (question bipolar disorder) on lithium, who presented to the ed with change in mental status. she was seen by her brother on tuesday and was at her baseline. she lives alone as independent with activities of daily living. today while visiting, patient's brother noted that she was confused and disoriented, and had difficulty walking. patient currently not a reliable historian. unknown if patient has had recent decreased p.o. or medication changes. patient is denying pain, shortness of breath, or nausea. ed course: systolic blood pressure noted to be 70/40 on admission, received 3 liters normal saline. had low grade temperature to 100.7, and was given ceftriaxone for empiric meningitis coverage, but no lp was performed, head ct within normal limits. patient received 10 mg of haldol and 1.5 mg of ativan due to agitation during ct. patient was seen by toxicology and renal services, who agreed with hemodialysis for lithium toxicity. past medical history: 1. depression, with question of bipolar disorder. 2. parkinson's disease with gait disorder and history of falls. 3. hypothyroid. 4. hypertension. 5. lumbar disk disease. 6. status post appendectomy. medications on admission: 1. lithium carbonate 300 mg p.o. q.d. 2. olanzapine 5 mg q.h.s. 3. valsartan 80 mg q.d. 4. hydrochlorothiazide 12.5 mg q.d. 5. sinemet 25/100 one tablet p.o. t.i.d. 6. amitriptyline 50 mg p.o. q.d. 7. levothyroxine 100 mcg p.o. q.d. 8. dalmane 15 mg p.o. q.h.s. allergies: no known drug allergies. social history: patient lives alone, independent with activities of daily living. brother visits frequently. unknown tobacco or alcohol status. physical exam: temperature 98.2, heart rate 85, blood pressure 145/80, respiratory rate 16, and saturating 97% on room air. general: alert, oriented x1, intermittent answers questions, conversing with no one in particular. heent: pupils are equal, round, and reactive to light. dry mucous membranes. neck: no jvd, moderately supple. cardiovascular: regular rate and rhythm, no murmurs, rubs, or gallops, normal s1, s2. lungs are clear to auscultation bilaterally. abdomen: positive bowel sounds, nontender and nondistended, soft. extremities: no edema. positive tremulousness. neurologic: patient not cooperative with exam, moves upper extremities, question mild cogwheel rigidity, lower extremity hyperreflexia, positive ankle clonus. laboratories: initial laboratories: white count 15, 85% neutrophils, 13 lymphocytes, hematocrit 32.5, platelets 269. chem-7: 139/4.9/106/24/56/2.4 (baseline noted to approximately 1.4), glucose 90. lithium 3.4. urinalysis: trace ketones, micro negative, and culture pending. serum and urine toxicology negative. laboratory from : white count 7.6. chem-7: 142/4.1/110/25/15/1.0, glucose 105. lithium 0.4. b12, folate, and tsh within normal limits. amitriptyline level within normal limits. ekg on admission: sinus bradycardia with normal axis, normal qrs and q-t, no ischemic changes. chest x-ray on admission: questionable small left lower lobe infiltrate. culture data: urine and blood cultures from with no growth. repeat blood and urine from also with no growth. rpr was nonreactive. head ct : no evidence of acute intracranial hemorrhage. hospital course: in summary, patient is a 77-year-old female with a history of depression, who presents to the ed with mental status changes and was subsequently found to have lithium toxicity and acute renal failure. 1. lithium toxicity: etiology likely from chronic use in setting of prerenal insult and hypovolemia with unclear precipitating factor. patient was seen by both the toxicology and renal services, and subsequently underwent hemodialysis for six hours on the night of admission. subsequent lithium levels remained within normal limits and no further hemodialysis was required. 2. acute renal failure, prerenal etiology: patient was resuscitated with iv fluids and her creatinine subsequently returned to baseline levels. 3. mental status changes most likely due to lithium toxicity. some question whether patient could additionally have had an infectious etiology as she had a low-grade fever throughout her stay. her leukocytosis and low-grade fevers resolved, and her mental status gradually improved. given that she had a nonfocal neurologic examination, a meningitis/encephalitis or stroke as an etiology for delta ms was considered unlikely, therefore lumbar puncture and mri respectively were considered, but not pursued. additionally, patient's neuropsych medications were held throughout her stay. 4. questionable left lower lobe infiltrate: patient remained without impressive symptoms or exam findings. finding most likely felt to be consistent with atelectasis. the patient did not receive antibiotics during her stay. 5. history of depression: patient was seen by psychiatry, who recommended holding patient's prior outpatient psychiatric regimen. patient is to have outpatient followup with psychiatry and final medical resident to be determined at this time. 6. hypertension: patient's antihypertensive regimen was held on admission given acute renal failure and hypotension. prior to discharge, she was reinitiated on her outpatient regimen of valsartan and hydrochlorothiazide at their previous doses. 7. code: patient remains full code, contact is patient's brother, . discharge condition: patient is in stable condition, with stable o2 saturations on room air. patient's agitation has resolved and was no longer requiring restraints. discharge status: the patient was discharged to acute rehab facility. final diagnoses: 1. lithium toxicity. 2. acute renal failure. 3. delirium. 4. hypertension. 5. depression. 6. parkinson's disease. 7. hypothyroidism. discharge medication regimen and follow-up plans: to be dictated as an addendum at time of discharge. , m.d. dictated by: medquist36 procedure: hemodialysis venous catheterization for renal dialysis diagnoses: acute kidney failure, unspecified depressive disorder, not elsewhere classified pulmonary collapse paralysis agitans hyperosmolality and/or hypernatremia drug-induced delirium home accidents other psychotropic agents causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to