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: sulfa (sulfonamides) attending: chief complaint: altered mental status major surgical or invasive procedure: none history of present illness: mr. is a 31 year old man with a history of hypertension and polysubstance abuse who was transferred to the ed from following a multiday drug/alcohol binge and now change in mental status. his girlfriend called ems on after she went to his apartment because she hadn??????t heard from him since ; when she last heard from him, he was at his baseline mental status. she reports that he was in a dark room and was acting very strangely including laughing inappropriately, shaking, and sweating. he reported to her that he had smoked crack but couldn??????t say when that was; given all of this, she brought him to ed. his girlfriend also reports that he routinely binges on oxycontin (taking 80 mg tablets daily) and also takes large amounts of klonopin and xanax, which he buys from his neighbor; she is unsure if he was taking these as well, but assumed that he had been. . at where he was initially awake but confused. he was given iv ondansetron, activated charcoal, and sorbitol 50 mg. he was noted to vomit and then reportedly became unresponsive with reported decerebrate posturing on the left side and decorticate posturing on the right side and so he was intubated via rapid sequence intubation and put on a propofol drip. he had a normal ct scan of his head and a toxicology screen was positive only for benzodiazepines. he was transferred to for neurologic evaluation. . upon arrival to our ed, he was afebrile, hr 144, bp 119/69, rr 28, sat 98% on the ventilator. he extubated himself around 4am and was able to say that he had not taken any substances for the past two days or so. he reportedly complained of dyspnea and was thought to not be protecting his airway and was thus reintubated. he was given 1000 mg of iv vancomycin, mg of iv ceftriaxone, mg of iv ampicillin, and 500 mg of iv acyclovir though, per the ed resident, there was no concern for meningitis/encephalitis and so no lp was performed. . on questioning now, the patient indicates that it has been several days since he has taken any substances but is unable to say exactly when he stopped taking them. he does indicate that he was taking the drugs to get high. past medical history: - hypertension - substance abuse - prior knee injury requiring surgery - patient has told friends/family that he has mesothelioma or ??????some sort of cancer?????? but they aren??????t sure if he is making it up social history: occupation: unemployed drugs: per girlfriend, has had a problem with binging on prescription narcotics for approx 6 yrs; also takes his neighbor??????s prescription alprazolam and clonazepam tobacco: occasional cigars alcohol: per girlfriend, uses occasional alcohol other: has a daughter with his longterm girlfriend family history: unable to obtain physical exam: hr: 137 (132 - 137) bpm bp: 155/90(103) {155/90(103) - 164/98(110)} mmhg rr: 22 (22 - 28) insp/min spo2: 99% general: intubated and sedated, though opening eyes and responding appropriately to commands/questioning heent: pupils 7 mm ?????? 4 mm bilaterally; no scleral icterus; impaired gag reflex with copious oral secretions neck: supple; no cervical/supraclavicular lymphadenopathy chest: loud expiratory ronchi; no wheezes or rales cv: tachycardic, regular, no murmurs abdomen: soft, nontender, nondistended, normal bowel sounds, no hsm extremities: no edema, 2+ pt pulses neurologic: sedated but opening eye, following commands, and answering questions appropriately; perrl, eomi, 5/5 strength in bilateral deltoids, biceps, triceps, hip flexors/extensors, ankle flexors/extensors; 2+ patellar reflexes bilaterally pertinent results: 07:32am type-art temp-37.3 rates-20/1 peep-5 o2-100 po2-267* pco2-38 ph-7.34* total co2-21 base xs--4 aado2-429 req o2-72 intubated-intubated 07:16am glucose-116* urea n-22* creat-1.3* sodium-143 potassium-4.0 chloride-107 total co2-22 anion gap-18 07:16am calcium-9.0 phosphate-4.8*# magnesium-2.7* 07:16am tsh-0.11* 04:17am lactate-2.8* k+-4.9 04:17am hgb-20.2* calchct-61 04:00am alt(sgpt)-51* ast(sgot)-38 ck(cpk)-55 alk phos-99 tot bili-0.8 04:00am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:50am urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 03:50am urine rbc-* wbc-0-2 bacteria-rare yeast-none epi-0 trans epi-0-2 brief hospital course: this is a 31yo male admited for altered mental status presumably after an oxycontin/benzo binge as suicide attempt. at ed, the patient recieved charcoal and sorbitol, but later vomited, became diaphoretic, tachychardic and unresponsive, with decerebrate posturing on the left and decorticate posturing on the right. he was intubated. his drug screen was positive only for benzos. he was trasnferred to the for further care. . in the ed, hr 144, bp 119/69, rr 28 with 02 saturations 98% on ventilator. he was given thiamine, veccuronium, ceftriaxone, acyclovir, ampiciliin, versed, fentanyl, as his course was complicated by self-extubation followed by re-intubation after the patient became dyspneac. while at first there was some concern for meningitis (hence the regimen above), the team subsequently determined that there suspicion was low and no lp was performed. the patient was trasfered intubated to the micu. . on arrival to the micu, the patient showed t98.4, hr 122, bp 148/89, rr 20. after extubation pt halucinated and was tremulous and was started on a ciwa scale with lorazepam iv. as his mental status improved he was switched to po valium with good effect. psych and sw were consulted. once lucid, the patient reported that this od was a suicide attempt as further described below. . course otherwise described by problem below: 1. substance abuse/dependence: it appears that the current episode was due to snorting of oxycontin and was a suicide attempt. the patient may have been abusing benzos as well in the days prior to presentation. no cocaine on current tox screens, but screen was positive for benzos. sw and psych were consulted and recommended continuing po valium per ciwa protocol. po thiamine, folic acid, multivitamin also given during the hospitalizaiton. psychiatry consult noted that the patient reports he became distraught and hopeless after his girlfriend gave him an ultimatutm that he needed to quit drugs or she and her son would leave. over the last two weeks before admission, he reportedly made statements to his mom and girlfriend that he was going to kill himslef. + hopelessness, anhedonia, si before hoispitalization, but denied si in the hospital. psychiatry aslo noted that the patient apparently tried to commit suicide at age 18. the patient reported trying to od on "multiple drugs two weeks ago". the patient was deemed unable to care for himself and met the criteria for section 12. although he does not want to go to a rehab facility, the decision was made that it was in his best interest to do so, and section 12 was filed. 2. altered mental status: very likely from some combination of withdrawl and/or intoxication. no evidence to suggest meningitis/encephalitis, lp was not performed. he recieved methadone, haldol and valium ciwa for delerium, but by , was alert and oriented, with a much clearer mental status. 3. respiratory failure: resolved over course. thought due to inability to protect airway in the setting of altered mental status, though cxr showed no signs of aspiration, and patient was afebrile throughout course. the patient was extubated on . . 4. hemoconcentration: also resolved over course. thought secondary to presumed poor po intake. pt reports not eating or drinking for 4 days prior to admission, just snorting oxycodone and taking benzos. . 5. hypertension/home medications: the patient remained hypertensive to the 140-150/80's in the unit. the patient's anti-hypertensive and home mediation regimen was difficult to establish. empty bottles prescribed by dr. of the following were found at home: atenolol 50 qd, lisinopril 5mg qd, ambien 10mg hs, doxepin 50mg qd, nabumetone 750 mg , percocet tid prn. the patient did not recieve anti-hypertensive medications during his micu course. today, we were able to establish with the patient's pharmacy that on , the patient filled prescriptions for atenolol 50qd and doxepin 50mg qd. the patient currently has a clonidine patch .3%; we recommned that his atenolol be slowly reintroduced. depending on the result, lisinopril may also be indicated and can be added. finally, he may be placed back on his doxepin, nabumetone and percocet as the admitting team feels is appropriate. please note that rapid withdrawal of clonidine while on a beta blocker is contraindicated. . proph: the patient was prophylaxed with lmw heparin, an h2 blocker. . code status: the patient remained full code throughout the hospitalization. medications on admission: unclear home regimen; empty bottles of the following were brought with the patient (prescribed by a dr. ): - atenolol 50 mg daily - lisinopril 5 mg daily - zolpidem 10 mg qhs - doxepin 50 mg daily - nabumetone 750 mg - percocet tid prn by report, he also takes 8-10 tablets of 80 mg oxycontin per day but it's unclear if these are prescribed or not. discharge medications: 1. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 2. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. diazepam 5 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for ciwa>10. discharge disposition: extended care facility: 4 discharge diagnosis: suicide attempt by overdose discharge condition: good discharge instructions: you will be discarged to a facility that will seek to help you with your substance abuse and suicidality. you were admitted after a suicide attempt by pharmacologic overdose. you required intubation in the micu because your mental status precluded preservation of your airway. you are being trasnferred to inpatient psychiatry. . please note that because we were unsure of your home medications when you were admitted yesterday, you have not been receiving some of the medications that you may previously have been on. today, the pharmacy from where you picked up your scripts on gave us a list of your current medications: doepin 50mg qd, percocet tid, and atenolol 50mg qd. we have not given you these medications while you have been here. because your blood pressure has been moderately high, we recommend that you ask your doctors 4 to gradually re-start your atenolol. they will be aware that it is important that the clonidine not abruptly be discontinued while you are on atenlol. followup instructions: you will be discarged to a facility that will seek to help you with your substance abuse and suicidality. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: unspecified essential hypertension depressive disorder, not elsewhere classified alcohol abuse, unspecified acute respiratory failure poisoning by other opiates and related narcotics suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics combinations of opioid type drug with any other drug dependence, continuous 

Answer: The patient is high likely exposed to