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: suicide attempt: overdose on beta blocker, ace inhibitor, calcium channel blocker major surgical or invasive procedure: none history of present illness: mr. is a 46 yo male with a history of hypertension and depression who presents following suicide attempt with overdose with his antihypertensive agents. per patient, he took a combined 100+ pills of lisinopril, nifedipine, and atenolol late yesterday evening. he presented initially to the va and then transferred to . initially, sbp 80 which improved to 100. he then dropped to 70-80's. . on arrival in the ed, he received charcoal 100 grams via ngt. a serum tox screen was positive for alcohol only (level = 88). he received glucagon 4 mg and two doses of calcium gluconate. after the first dose of calcium gluconate sbp improved to 90's. pressures subsequently dropped again to 80's, without response to a second dose of calcium gluconate. a central venous line was placed and the patient was started on norepinephrine at rate of 0.12. per toxicology recommendations, he received insulin 100 units iv and was started on 100 unit/hour drip. he received 1 amp of dextrose with the insulin. at time of transfer, sbp's in 80's, hr 70. patient was reported to be mentating throughout ed course. he received a total of 3 liters ns. . patient on arrival to micu states he intentionally took the blood pressure pills and drank a pint of vodka yesterday in an attempt to kill himself. he is currently undergoing treatment in an alcohol/drug program for the past 4 months at the va. he reports that he had been abstinent for several months and relapsed the day before his suicide attempt; he says that it was depression because of this relapse that lead to his suicide attempt. past medical history: hypertension depression alcohol abuse social history: no illicits, no ivdu smokes ppd alcohol -- former abuser, h/o one alcohol withdrawal seizure, states no alcohol for 3 months until night prior to admission. patient previously in the navy -. family history: non-contributory physical exam: temp 99.3, hr 70, bp 101/65, o2 92% on face tent 50%, levophed at 0.12 mcg, fs 78 gen: nad psych: flat affect, + si heent: eomi, nystagmus with horizontal gaze which extinguishes, op cl cv: rrr, distant heart sounds, no m/r/g pulm: cta b/l anterior abd: obese, + bs, soft, non-tender ext: no c/c/e neuro: alert and oriented *3, ii-xii intact, no focal neurological deficit. pertinent results: on admission: 05:30am blood wbc-9.3 rbc-4.53* hgb-14.2 hct-40.9 mcv-90 mch-31.4 mchc-34.8 rdw-13.9 plt ct-280 05:30am blood neuts-58.2 lymphs-31.1 monos-7.0 eos-3.4 baso-0.4 05:30am blood glucose-181* urean-14 creat-1.0 na-139 k-3.5 cl-102 hco3-26 angap-15 05:30am blood alt-30 ast-27 alkphos-88 totbili-0.3 05:30am blood lipase-49 12:33am blood ck-mb-notdone ctropnt-<0.01 11:03am blood probnp-130 05:30am blood albumin-3.9 08:48am blood calcium-11.5* phos-1.2* mg-2.0 08:48am urine color-yellow appear-clear sp -1.031 08:48am urine blood-neg nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-neg 08:48am urine rbc-3* wbc-1 bacteri-none yeast-none epi-0 . tox: 05:30am blood asa-neg ethanol-88* acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . ph: 11:19am blood type- ph-7.32* comment-green top 03:28pm blood type- ph-7.34* 08:31pm blood type- ph-7.44 comment-corvac 12:31am blood type- ph-7.40 comment-green top 03:21am blood type- ph-7.41 comment-green top . on discharge: 01:56am blood wbc-7.8# rbc-4.01* hgb-12.8* hct-35.4* mcv-89 mch-31.9 mchc-36.1* rdw-13.9 plt ct-161 01:56am blood glucose-105 urean-13 creat-0.8 na-140 k-3.5 cl-104 hco3-28 angap-12 . urine culture : no growth . cta chest 1. negative examination for pulmonary embolism. 2. small bibasilar effusion with bibasilar atelectasis. 3. a right lower lobe ground glass opacity likely aspiration induced, however, early pneumonia cannot be excluded. followup examination is recommended. 4. prominent lymph nodes, 10.7-mm right hilar, 7.6 mm right peridiaphragmatic lymph nodes, that could be either secondary to an infectious etiology, however, this needs to be evaluated and followed up by another chest ct scan examination, which can also clarify the solitary less than 4-mm right upper lobe nodule. 5. cirrhotic liver containing a 6-mm right hypodense lesion that requires a dedicated liver ct or mri scan examination to exclude any underlying malignancy. . chest x-ray the heart size is mildly enlarged, unchanged. the mediastinal position, contour and width are stable. decrease in the pulmonary vessels diameter suggests resolution of volume overload. there is no appreciable pleural effusion. . and ecg: sinus rhythm. inferior and lateral st segment elevation. possible early repolarization. clinical correlation is suggested. brief hospital course: overall hospital course: patient was admitted to the micu after an overdose on his antihypertensive medications (over 100 pills of ccb, b blocker, and ace inhibitor). he was seen in consult by toxicology and per their recommendations was started on an insulin drip for ccb overdose with boluses of d50 as needed. he was also started on levophed for hypotension. he was maintained on supplemental o2 with a face tent and sats in the low 90s. both the levophed and insulin drips were weaned as tolerated, and the face tent was weaned to room air. he was satting in the mid-90s on room air at discharge. psychiatry was consulted and recommended continuing celexa, and a 1:1 sitter to prevent any attempts to self-harm. he was put on a ciwa because of previous alcohol withdrawal seizure; however, he required no doses of valium and exhibited no signs of withdrawal. at 72 hours, his ciwa scale was discontinue. he had one episode of chest pain which was similar to his previous heartburn; enzymes negative and ekg showed no acute changes; pain subsided with h2 blocker. he did have a ct/cta to rule out pe because of chest pain and the low o2 sats, and this did not show any pe but did show a rll ground glass opacity, prominent chest nodes, and a 6mm r hypodense lesion in the liver which will need further follow up. he was transferred to the va where he receives his usual care. hospital course by problem: toxic ingesion: toxicology was consulted for this patient's overdose on ccb, bb, and acei. per their recommendations, insulin drip was started for ccb with careful monitoring for changes in cardiac conduction, and was weaned as tolerated based on his q1hr finger sticks. along with insulin, he got 3 amps of d50 to maintain blood sugars. insulin drip was turned off per toxicology in the morning of . levophed was given to titrate sbp >100 and map >65. this was weaned during the day on . his urine output and k+ were monitored closely in the setting of fluid shifts and hypotension. depression: patient admitted for suicide attempt. patient has history of depression treated with home celexa. he had a 1:1 sitter during his micu stay. per psychiatry consultation, he was restarted on his home celexa on . he will need close psychiatric follow up in the . --- patient will continue to need 1:1 sitter and psychiatry consult alcoholism: patient has history of alcoholism and had recently been abstinent; recent suicide attempt related to his relapse to drinking the day before the attempt. alcohol level 88 at admission. he was placed on a ciwa scale at presentation and this was discontinued on prior to discharge per psychiatry. chest pain: mds called for an episode of chest pain at midnight of . this pain was described as "discomfort" that the patient said was consistent with previous episodes of heartburn. this resolved with administration of famotidine. patient also received asa/oxygen/morphine. cardiac enzymes were negative and ekg showed no acute changes. patient received a ct/cta of the chest on to rule out pulmonary embolism, and this showed no pulmonary embolism (but did show incidental lung and liver lesions mentioned below). incidental lung and liver lesions: patient had ct/cta of the chest to rule out pulmonary embolism which found no pulmonary embolism but did find the following: 1. small bibasilar effusion with bibasilar atelectasis. 2. a right lower lobe ground glass opacity likely aspiration induced, however, early pneumonia cannot be excluded. followup examination is recommended. 3. prominent lymph nodes, 10.7-mm right hilar, 7.6 mm right peridiaphragmatic lymph nodes, that could be either secondary to an infectious etiology, however, this needs to be evaluated and followed up by another chest ct scan examination, which can also clarify the solitary less than 4-mm right upper lobe nodule. 4. cirrhotic liver containing a 6-mm right hypodense lesion that requires a dedicated liver ct or mri scan examination to exclude any underlying malignancy. these lesions could be concerning for malignancy especially as he is a known smoker. he will need follow up of these findings after discharge from . --- repeat repeat chest ct and abdominal ct or mri to follow-up and/or further clarify lung and liver lesions noted on cta chest. positive urinalysis: urinalysis was positive at presentation. this was repeated and was negative; the urine culture was negative. patient was not febrile and no antibiotics were started. hypertension: his home hypertension medications were held in the setting of hypotension due to his overdose requiring pressors. --- restart blood pressure medications slowly as heart rate and blood pressure tolerate. fen/gi: patient was kept npo until midday on when he was restarted on a cardiac/heart healthy diet(as he was medically stable) per toxicology. ppx: paitent started on heparin sc and remained on this for the rest of his micu stay to help prevent deep vein thrombosis. access: had a femoral line placed which was pulled on . also had 2 peripheral ivs placed on . code status: full code medications on admission: lisinopril nifedipine atenolol hctz celexa discharge medications: famotidine calcium carbonate celexa discharge disposition: extended care discharge diagnosis: overdose on calcium channel blocker, ace inhibitor, and beta blocker discharge condition: stable discharge instructions: you were admitted to the hospital because of an overdose on several of your hypertension medications. because of the overdose you were given a medication to absorb these excess drugs, as well as several medications to manage the overdose and prevent any complications related to it. at the time of your admission, you had a low blood pressure and needed to be started on medications to restore your blood pressure to normal levels. you also were treated with supplemental oxygen by a face mask, which was eventually able to be weaned down to a point where you could breathe well on room air. also you were given a medication for acid reflux because you complained of symptoms of reflux. . you were seen by our psychiatry team who felt you would benefit from additional psychiatric care perhaps as an inpatient. since you typically get you care in the va system you are being transferred to the va for further care and evaluation by va psychiatrists. . if you experience any chest pain, shortness of breath, fevers, nausea or other symptoms which are concerning to you, or if you again feel like you are in danger of overdosing on any of your medications please call your pcp immediately and if they are not available please come to the nearest emergency room. followup instructions: lung and liver lesions noted on ct will need to be followed by the physicians in charge of your care at the follow up with pcp and psychiatrist once discharged from va md, procedure: venous catheterization, not elsewhere classified diagnoses: unspecified essential hypertension alcoholic cirrhosis of liver depressive disorder, not elsewhere classified enlargement of lymph nodes other and unspecified alcohol dependence, continuous suicide and self-inflicted poisoning by other specified drugs and medicinal substances poisoning by other and unspecified agents primarily affecting the cardiovascular system poisoning by cardiotonic glycosides and drugs of similar action 

Answer: The patient is high likely exposed to