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: haldol / zyprexa / depakote / acetaminophen / chlorpromazine / ketorolac / trazodone attending: chief complaint: overdose major surgical or invasive procedure: colonoscopy history of present illness: patient is a 30yo m who presents status post overdose on multiple illicit drugs, including hallucinogens, amphetamines, and benzodiazepines. patient reports having taken pcp, , , , rufenol, and ecstasy two days ago when visiting a friend in heights in . his girlfriend drove him back to . he reports having had very bad visual hallucinations but no auditory hallucinations. at home, he was seeing snow inside his house, and his mother's basement "was like a swamp." he reports having had witnessed seizures, lasting about 2 minutes, having lost consciousness. he was inside the house when the seizures started, and he reports that the neighbors witnessed him from their windows. he reports falling down the stairs inside the house and also having fallen outside. he did hit his head. here in the icu, he reports hallucinations of bats and people that come and go. he does have a "severe" occipital headache and blurry vision. he reports having blurry vision every time he overdoses. he reports also a fever up to 104 degrees this morning. he has intermittent palpitations as well. he does have generalized muscle soreness. he denies any shortness of breath or chest pain. mr. states that he does have mood swings, but he denied current suicidal ideations. at the outside hospital, he did admit to suicidal ideations. the patient complains also of right knee pain, right ankle pain, and lower back pain. he does have a history of right ankle pain after multiple injuries, but the pain has been constant since , particularly when he walks on the right ankle; ankle pain exacerbated by recently walking 8miles. he has gotten 5 pills of oxycodone from an emergency room doctor in the past for this ankle pain in addition to hydromorphone pills from another doctor; he has used these pills very sparingly, saving them for when he has unbearable pain. he complains of new lower lumbar pain, very sharp, which he says began after the fall and is associated with a new "sciatica-like pain". he does say that he has a history of similar lower back pain for the past 5 years. past medical history: pmh: hepatitis c right ankle broken x6 over the years herniated disc at l2-l3 hx of kidney stones multiple rib fractures hx of anxiety, panic attacks, ptsd pcp: in meds: xanax 2mg tid valium 20mg qhs oxycodone (from an er doctor for ankle) social history: lives with mother in and is her caretaker. is married but separated. he also has a girlfriend. reports having overdosed on amphetamines and hallucinogens many times in the past, particularly when he used to be a professional skateboarder in , but he wasn't usually hospitalized those times. he reports having been hospitalized for detoxification of these medications about 3 times in the past year. he has tried speed in the past, but he denies use of iv drugs. he states that he does not drink any alcohol. he recently quit smoking, after smoking about 1ppd x 17yrs. family history: back problems depression physical exam: vs: t 99.5 hr 130s bp 136/73 rr 26 o2sat 95% __ nc gen: alert, oriented to "hospital," month, year, person; increased tone in muscles, but can relax them briefly when asked; wrestless, moving around constantly; agitated but easily redirectable and non-violent heent: pupils dilated about 7-8mm symmetrically, could not appreciate a pupillary reflex to light; emoi; no focal signs of tenderness on head, no hematoma or skin tears chest: clear to auscultation bilaterally; regular rhythm, rates 110s abd: soft, nontender, nondistended back: low lumbar tenderness to palpation ext: tender right ankle, a little swollen; 2+ symmetric reflexes in lower extremities; positive straight leg raise test bilaterally, but difficult to examine pertinent results: admission labs: . 11:59pm glucose-93 urea n-13 creat-0.7 sodium-138 potassium-4.1 chloride-111* total co2-20* anion gap-11 11:59pm alt(sgpt)-103* ast(sgot)-167* ck(cpk)-6335* 11:59pm albumin-3.3* calcium-7.1* phosphate-2.3* magnesium-1.7 05:43pm glucose-82 urea n-16 creat-0.8 sodium-140 potassium-4.1 chloride-109* total co2-23 anion gap-12 05:43pm alt(sgpt)-112* ast(sgot)-205* ck(cpk)-7527* 05:43pm calcium-7.7* phosphate-2.3* magnesium-1.6 10:35am glucose-101 urea n-20 creat-0.9 sodium-138 potassium-4.3 chloride-100 total co2-27 anion gap-15 . ct head: findings: there is no evidence of acute hemorrhage, edema, mass, mass effect, or vascular territorial infarction. the ventricles are normal in size and symmetric. there is no shift of midline structures. the sulci are normal in configuration. there are no acute fractures. there is an osteoma within the left frontal bone. middle ear cavities are clear. included views of the mastoid cells are clear. the paranasal sinuses are clear. the orbits are symmetric in size and appear normal. impression: no acute intracranial process. . r ankle xray: impression: osteochondral lesion with minimal subarticular collapse in the lateral talar dome . lumbar xray: findings: there are lumbar-type non-rib-bearing vertebrae seen. lumbar lordosis is preserved in the neutral position. in the flexion and extension position there are no perceived step-offs. vertebral body height and intervertebral disc space is preserved. no degenerative changes are seen. at the l4 spinous process, there is a cortical irregularity with an associated line of lucency that may represent a minimally displaced fracture. impression: possible minimally displaced fracture of the l4 spinous process . colonoscopy : impression: grade 2 internal hemorrhoids otherwise normal colonoscopy to cecum brief hospital course: 30yo m s/p overdose on multiple hallucinogens, presenting s/p multiple seizures and a fall having complaints of palpitations. . # overdose on hallucinogens: patient states it will take him 124 hours to detox from the pcp; he took the hallucinogens about 48 hours prior to admission. given iv valium per ciwa per tox recs. the first night of his admission to the icu, the patient escalated at times and became agitated and delerious. 3 code purples were called on the first night as patient would get out of bed often and would not listen to direction at first, but quickly listened after these codes. patient received 530 mg iv valium over the first day and night of his admission which appeared to have a paradoxical effect as patient became more restless. all benzos were d/c'd since then. psych was consulted and felt zyprexa was the drug of choice for him. he has a questionable history of hypoglycemia with this drug. he has had regular q 1 to q 4 hour finger sticks with normal blood sugars. one code purple was called the second night of admission b/c he was very agitated and threatened to hurt staff and himself as well as hitting himself in the face. he was placed in 4 point leather restraints and given 10 mg im zyprexa with good effect. patient remained quite calm and was placed in restraints for 4 hours. he has remained quite calm since this episode. an ekg was performed to monitor qtc. his interval appeared normal and unchanged from prior ekgs. he was continued on daily ekgs. as he stabilized a low dose of klonopin was started to aid with anxiety, to be adjusted further by his psychiatrists. . # rhabdomyolysis: secondary to overdose on amphetamines/pcp . ck elevated to 9666, decreased from 11,000 at outside hospital. normal kidney function. given high dose ivfs to maintain a uop of > 200 cc/hr. he improved as his ck came down considerably. he pulled all of his iv's out, but has taken good po. it was not felt he needed more ivfs and he was out of the danger zone of rhabdo. he was medically cleared for d/c from the and stable on the floor thereafter. . # seizures: likely secondary to the mix of drugs he has taken. not likely to withdraw from any of these drugs; did not take any alcohol or benzos, except rufenol. questionable history as patient's had an episode during his icu course where he was convulsing in bed. he did not lose consciousness, did not lose bowel or bladder function and he had no post-ictal period. likely having pseudo-seizures. contineud to monitor and with heavy dose of valium, has not been an issue. psych saw him again and since he had been on xanax and valium as an outpatient they recommended ciwa scales with valium for withdrawl symptoms only, but given the large dose of valium (over 500mg) should not be an acute issue. . # elevated lfts likely secondary to rhabdomyolysis, but could be related to his hepatitis c as well. unclear baseline. lft's remained stable during his course, so are likely due to his underlying hepatitis c. . # leukocytosis: likely related to the ingestion of these illicit drugs. afebrile. ua negative for infection, and no other source of infection likely. likely due to stress response. resolved during course of stay. . # s/p fall: had fallen down stairs when having seizures and hit his head. also fell outside. has significant occipital pain. no focal neurologic signs clinically. pain initially controlled with oxycodone, but due to delerium this was d/c'd. patient has not needed any more pain meds. ct head was negative for pathology . # mood/psych: intermittently stating he has suicidal ideations and agitation. had a 1:1 sitter throughout his hospital course. initially thought to be due to intoxication, however after the drugs cleared from his system, it was thought that this was likely his underlying mood disorder per psych, who is following. his anxiety and agitation responded very well to po zyrexa, with a daily maximum dose of 25mg. subsequently, a low dose of klonopin was started for anxiety. . # r ankle pain: was related to trauma during the summer. xray demonstrated a talar subchondral lesion but no acute fracture. orthopedics evaluated the patient and recommended a supportive boot. they also recommended follow up and to consider outpatient mri if ankle pain persists. patient was treated with oxycodone 10mg qhs as needed given real pain issues, to be taken for no more than 7 days after discharge. he will wear the boot at discharge. . # back pain: patient had lumbar tenderness to palpation. xray demonstrated l4 spinous process fracture, minimally displaced. ortho spine evaluated the patient and recommended pain control only. . # bloody stool: patient complained of asymptomatic bloody stool x2-3 episodes. exam was unremarkable. hct was stable. patient underwent colonoscopy which showed hemorrhoids, the likely cause of bleeding. he had no further episodes of bleeding. . # right hand numbness: on hospital day #9, he complained of right fourth and fifth digit numbness. he was seen by the hand service, and the case was subsequently discussed with the emg service. dr. of neurology recommended emg in weeks to assess for the presence of ulnar neuropathy. was told of this plan, and agree to outpatient follow up. . patient was deemed medically cleared and stable for discharge on . . follow up: he should follow up with the following services after discharge from the psychiatric facility: 1. orthopedics, either locally or here at , for further evaluation of ankle injury. 2. emg/neurology, in weeks, , 8:30 am. medications on admission: xanax 2mg tid valium 20mg qhs oxycodone (from an er doctor for ankle) discharge medications: 1. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily) as needed for pain: to lumbar area, 12 hrs on/off. 2. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day): do not use alcohol or drive with this medication. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q8h (every 8 hours). 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 7. oxycodone 5 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain for 7 days: ankle/back pain. 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 9. promethazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. discharge disposition: home facility: 4, psychiatry facility discharge diagnosis: medication overdose rhabdomyolysis l4 spinous process fracture right ankle injury hepatitis c ptsd gi bleed, hemorrhoids discharge condition: good. afebrile. hemodynamically stable discharge instructions: you were admitted with toxic overdose. you were treated with supportive care and recovered. you were also seen by our orthopedists for a small fracture of your 4th lumbar spinous process, and chronic ankle injury. your lumbar spine is treated with pain control only. your ankle can be treated with a boot. please follow up with your orthopedist in the next 2-4 weeks for follow up and to consider mri of the ankle. you also had rectal bleeding, most likely related to hemorrhoids. your colonoscopy was otherwise normal. . your other medications will be adjusted by the psychiatrists. . return to the hospital with fevers, chills, or other concerning symptoms. . patient deemed medically cleared for discharge on followup instructions: follow up with your pcp weeks follow up with your orthopedist dr. in weeks. ( follow up with your psychiatrists as soon as possible procedure: colonoscopy diagnoses: other chronic pain esophageal reflux tobacco use disorder unspecified essential hypertension chronic hepatitis c without mention of hepatic coma acute kidney failure, unspecified other convulsions suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents accidental fall on or from other stairs or steps personal history of urinary calculi internal hemorrhoids with other complication drug-induced delirium attention deficit disorder with hyperactivity closed fracture of lumbar vertebra without mention of spinal cord injury rhabdomyolysis leukocytosis, unspecified poisoning by psychodysleptics (hallucinogens) suicide and self-inflicted poisoning by other specified drugs and medicinal substances lesion of ulnar nerve displacement of lumbar intervertebral disc without myelopathy posttraumatic stress disorder generalized anxiety disorder sedative, hypnotic or anxiolytic dependence, unspecified toxic effect of other pesticides, not elsewhere classified suicide and self-inflicted poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers knee, leg, ankle, and foot injury poisoning by amphetamines poisoning by other psychostimulants poisoning by intravenous anesthetics 

Answer: The patient is high likely exposed to