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: altered mental status major surgical or invasive procedure: femoral line placement history of present illness: 42 y/o man with pmh significant for polysubstance abuse, bipolar disorder, and multiple suicidal attempts admitted through the ed with apparent cocaine overdose. all history obtained from nursing, residents, and paperwork as pt unable to answer questions. pt initially presented to ed triage with the complaints of si and depression. however, while in triage, he became diaphoretic, ashen in color, and collapsed. his vs were 95.1 160 128/65 16 95% on a . labs were significant for cocaine and a serum etoh of 11. pt received a total of 4 mg of narcan which improved him from only responding to painful stimuli to responding to voice. at this time, the pt has a nasal airway in place. he has a positive gag reflex. he has a femoral cordis and has received 4 l nc. . talking with the pt, he denies pain by saying "no". he does not answer any other questions. . in the , he was monitored. he never required endotracheal intubation and was medically stable. he ruled out for a myocardial infarction and had not events on telemetry. lfts were elevated which was thought to be in the setting of seroquel overdose. he was transferred to the floor in stable condition. past medical history: 1. bipolar disorder 2. polysubstance abues 3. past suicidal attempts- per available notes, pt would consume a large quantity of etoh and benadryl tablets. social history: documented that pt uses tobacco, etoh, and drugs. present tox is present for cocaine. per an omr note from , the pt has a sister named . her telephone number at that time was . family history: non-contributory physical exam: 95.1 122 115/55 19 100% pt awakens to voice. he then falls back asleep. not answering orientation questions. heent- nc at. perrl. cardiac- tachycardic. regular rhythem. no m,r,g. pulm- cta anteriorly and laterally. abdomen- obese. soft. nt. nd. positive bowel sounds. extremities- no c/c/e. 2+ dp pulses bilaterally. pertinent results: ecg- narrow complex tachycardia at 134 beats per minute. no clear st-t wave changes. * admission labs: wbc-11.3* rbc-4.94 hgb-15.2 hct-42.2 mcv-85 mch-30.7 mchc-36.0* rdw-13.2 * neuts-73.2* lymphs-23.6 monos-2.4 eos-0.2 basos-0.6 * serum osm-287 * albumin-4.8 * serum tox: asa-neg ethanol-11* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg * valproate-29* * hep serologies: hbsag-negative hav ab-positive igm hav-negative * cardiac enzymes: ck-mb-5, ck 209, trop <0.01 * lfts: alt(sgpt)-275* ast(sgot)-122* ld(ldh)-294* ck(cpk)-209* alk phos-76 amylase-36 tot bili-0.8 * chem 7: glucose-207* urea n-10 creat-1.1 sodium-132* potassium-4.2 chloride-98 total co2-19* anion gap-19 * urine tox: bnzodzpn-neg barbitrt-neg opiates-neg cocaine-pos amphetmn-neg mthdone-neg brief hospital course: 42 y/o man with pmh significant for polysubstance abuse, bipolar disorder, and multiple suicidal attempts admitted through the ed with apparent cocaine overdose. a brief hospital course is outlined below. # cocaine/ seroquel overdose- initial tox screen was positive for cocaine. his symptoms of diaphoresis and tachycardia were felt to be consistent with this. however, he never really became hypertensive, and in the ed he was actually found to be hypotensive, as outlined in the hpi. he responded well to ivf repletion and 4mg narcan. he had no evidence of cardiac ischemia by ekg and serial cardiac enzymes were negative. toxicology was consulted and felt that his symptoms were likely consistent with substance abuse including cocaine, seroquel and alcohol use. he was admitted to the icu for monitoring. he did not require o2 support, and was able to maintain his airways on room air. in addition he maintained his blood pressure w/ ns ivf hydration, without need for pressor support. he was started on ciwa scale for withdrawl symptoms, but his ciwa score remained at 0 overnight. his mental status gradually improved overnight, and since he remained hd stable. he was transferred to the floor once medically stable and then transferred to the psychiatric service. # tachycardia- his tachycardia was normal sinus, without evidence of arrhythmia. it was felt to be a response to his cocaine ingestion, and subsequently improved with fluid recuscitation. he also had some orthostatic hypotension, thought to be secondary to seroquel overdose. this was improved at time of discharge, and he was ambulating without problem. did not have any qt prolongation as a result of his overdose. # bipolar disorder/ pt was complaining of depression and si on presentation to the ed. he has a history of psychiatric hospitalizations and suicide attempts. consulted psych and addictions consult for evaluation. when medically stable, he was discharged to the psychiatric service. his psychiatric medications were held while in-house and can be restarted at the discretion of the psychiatric service (depakote, remeron, and seroquel). # transaminitis- he initially had elevated ast and alt. these were also noted to be elevated in which was the only other value available. liver enzymes trended down overnight and he had no associated abdominal pains or gi symptoms. hep serologies were checked and were found to be negative for acute hep a, b, or c (consistent only with prior exposure to hepatitis b). they were resolving and time of discharge, and he remained without any symptoms. # disposition: he was discharged to the psychiatric service in stable medical condition. medications on admission: 1. depakote 2. seraquel 3. remeron discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. discharge disposition: extended care discharge diagnosis: cocaine overdose seroquel overdose orthostatic hypotension discharge condition: good discharge instructions: please take all your medications as prescribed and described in this discharge paperwork. we are holding all of your psychiatric medications for now (depakote, remeron, and seroquel). these can be restarted at the discretion of the psychiatrists. please follow up with your pcp as described below. followup instructions: please establish primary care with , md where: phone: date/time: 2:30 pm procedure: venous catheterization, not elsewhere classified diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents poisoning by other antipsychotics, neuroleptics, and major tranquilizers bipolar disorder, unspecified tachycardia, unspecified cocaine dependence, continuous suicide and self-inflicted poisoning by other specified drugs and medicinal substances orthostatic hypotension 

Answer: The patient is high likely exposed to