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 ms major surgical or invasive procedure: r subclavian central line placement intubation- no complications. history of present illness: pt is a 51 year old african american woman with pmh sig for htn and hyperlipid with a remote hx of depression who was admitted on after she was found unresponsive by her husband at their home evening. she reportedly went to her room that evening to take a nap, which was not unusual, at around 5pm per her children. her husband checked on her at 8:15 pm and found her unresponsive and (per medical chart)"foaming at the mouth." she reportedly had multiple pill bottles out, but it was unclear at that point how much she had taken. pt psych who went through the pills with the patient's husband, there were approx 70 klonipin tabs missing, in addition to nifedipine and amytriptiline tabs missing. . in the ed, vs hr 60s sbp 110-130s (no temp taken at that time). noted to be very lethargic and vomiting, and subsequently intubated for airway protection. no abg taken prior to intubation. pt given propofol for intubation. pt had ng tube placed, and charcoal was given. labs were notable for a urine tox (+) for benzodiazepines and tcas. abg taken after intubation 7.24/67/304 (vent ac 550 x 15/peep 5/fio2 100%). pt then transferred to the micu. in the micu she remained intubated for obtundation. she was extubated on . she then had a witnessed aspiration and was started on levo and flagyl. . the patient is still unable to give a consistent story of why she is in the hospital. she reports that she fell off of a step stool and hit her head. she also reports that she is in th hospital for her pneumonia. she ademently denies any overdose on her medications as the reason she was admitted. she denies taking too many of her pills. per patient's nurse in the icu, who has been working with her for several days, after she was extubated 2 days ago, she did say that she took too many pills, but since then has also stated that she took too many pills because she was having pain in her foot which she broke one year ago. past medical history: htn hyperchol ? depression/ anxiety s/p surgical repaier for foot ankle fx. c/b staph infection. social history: lives with husband and 3 kids. occ etoh. 3 cig/d x 4 months. no ivdu/no illicit drug use. does not work. family history: dm physical exam: vitals: general: awake and alert. pleasant and talkative. obese. heent: pupils 3mm b/l and reactive. anicteric, pink conjunctivae. no lad. heart: rrr s1 s2; no m/g/r lungs: audible exp wheeze. bronchial bs. no rales or rhonchi on exam. abd: obese, soft, nt, nd, slightly hypoactive bs ext: warm, 1(+) radial/dp pulses b. r foot with well healed scars and 1+ edema. l foot with trace edema. neuro: awake and alert. - oriented x3 - cn ii-12 intact - able to recall objects - unable to spell world or perform serial 7 or 3's. - able to count backwards from 10. - aware of war and current president. states former president was . pertinent results: 10:00pm glucose-128* urea n-11 creat-1.1 sodium-139 potassium-5.7* chloride-104 total co2-27 anion gap-14 10:00pm alt(sgpt)-47* ast(sgot)-60* ck(cpk)-276* alk phos-68 amylase-116* tot bili-0.3 10:00pm lipase-26 10:00pm ck-mb-4 ctropnt-<0.01 10:00pm albumin-4.0 calcium-7.9* phosphate-5.3* magnesium-2.0 10:00pm asa-neg ethanol-neg acetmnphn-6.0 bnzodzpn-neg barbitrt-neg tricyclic-pos 10:00pm urine hours-random 10:00pm urine ucg-negative 10:00pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 10:00pm wbc-10.2 rbc-3.94* hgb-11.2* hct-34.3* mcv-87.1 mch-28.3 mchc-32.5 rdw-15.2 10:00pm neuts-82* bands-0 lymphs-14* monos-2 eos-2 basos-0 atyps-0 metas-0 myelos-0 10:00pm plt smr-normal plt count-331 10:00pm pt-13.6* ptt-23.2 inr(pt)-1.2 10:00pm d-dimer-288 10:00pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 10:00pm urine color-straw appear-clear sp -1.016 . . ct of the brain without intravenous contrast: no acute intracranial hemorrhage is identified. there is no mass effect or shift of normally midline structures. the lateral ventricles are symmetric and nondilated. the -white differentiation is preserved. there are tiny basal ganglia lacunes. bone windows demonstrate no evidence of fracture within the surrounding osseous structures. the mastoid air cells are normally pneumatized. there is a small amount of fluid within the ethmoid air cells, and minimal mucosal thickening within the right maxillary sinus. there appears to be proptosis. impression: 1. no acute intracranial hemorrhage or mass effect. 2. minimal mucosal thickening within the maxillary sinus and fluid in the ethmoid sinuses, findings that could possibly relate to mild sinusitis. . . post extubation cxr: the endotracheal tube and ng tube have both been removed. a right subclavian central venous catheter remains in place. there is an unusual sharp turn and a kink seen within the mid portion of the line in the brachiocephalic vein. there is mild cardiomegaly. mediastinal contours are normal. the aorta is slightly unfolded and tortuous. the lungs are clear. pulmonary vasculature is normal. there is no pneumothorax. the osseous structures are unremarkable. impression: mild cardiomegaly with no radiographic evidence of acute cardiopulmonary process. interval extubation. . . brief hospital course: assessment: a 51-year-old female admitted after found down with respiratory failure, question benzo overdose, now stable with a question of delirium. 1. respiratory failure: the patient was intubated for airway protection on admission secondary to question of an overdose. avg on admission was consistent with respiratory acidosis from hyperventilation. the patient had a questionable history of asthma versus copd. she had an audible wheeze, but no wheeze on exam. the patient was continued on her albuterol and atrovent inhalers during her admission. she was extubated after approximately 48 hours. after this, she had a witnessed aspiration for which she was treated with levofloxacin and flagyl for 5 days. her respiratory status markedly improved by the time of discharge and she was requiring no further medications. the patient states that she does not take inhalers at home and therefore these were discontinued on discharge. 2. mental status changes/overdose: on admission, the patient had a positive tox screen for benzodiazepines, which were most concerning for mental status changes. the patient also had positive tox screens for tricyclic acids, which she was known to be taking for sleep. an ekg was done in the icu, which showed mild qt prolongation, which resolved by the time of transfer to a medicine floor. all narcotics were held in both the icu and after the patient was transferred to the medicine floor. mental status improved, however, the patient continued to deny the fact that she overdosed. the patient states after she awoke in the icu, that she had tripped on a stool in her bedroom and that is why she was found down. however, per reports from ems, there were pills all over the patient's bed. the patient states that these pills spilled when husband dragged her across the bed. the patient's story persisted with multiple different interviews by different physicians. the patient was seen by psychiatry, who felt that initially the patient was delirious; however, by the time of discharge, she was no longer delirious and maintained her story that she did not accidentally or intentionally overdose on pills. she states that occasionally she will take extra klonopin when she gets anxious. she was recently given the klonopin for her anxiety by a psychiatrist that she sees in the outpatient. the patient was monitored by psychiatry service throughout her admission, and felt that she did not require an inpatient admission after she was medically stable. her mental status did improve and per her family she was at her baseline at the time of discharge. the patient was not discharged on any narcotics or benzodiazepines and was asked to follow up with her outpatient psychiatrist for further evaluation of the need for antianxiety medications. the patient denied any psych history and states that she was only taking the klonopin on rare occasion. 3. lfts abnormality: patient had elevated lfts on admission, but they trended down to normal on transfer from the icu. it was felt that this may have been due to an element of shock liver, and hypoperfusion while the patient was down. her acetaminophen level was 6. 4. hypertension. patient has an extensive list of blood pressure medications including clonidine 0.2 mg p.o. b.i.d., lopressor 50 mg p.o. b.i.d., nifedipine 30 mg sustained release p.o. once daily., and hydrochlorothiazide 20 mg p.o. once daily. the patient was maintained on this regimen and her blood pressure was well controlled throughout her admission. 5. hyperlipidemia: after her lfts normalized, the patient was restarted on her home dose of lipitor. 6. status post foot surgery: upon further investigation of this, the patient reports that she broke her foot approximately 1 year ago and the incision of the repair became infected. she was on a course of antibiotics and had severe pain. she was receiving pain medication for a while after this procedure, however, she does report that she no longer takes pain medications for it, however, still has pain in her foot. all pain medications were held during this admission due to her mental status changes. the patient also did not request further pain medications during this admission. 7. fen. the patient was maintained on a cardiac diet and her electrolytes were repeated as needed. the patient was a full code during this admission. medications on admission: amitriptyline clonidine lipitor asa nifedipine cr ambien toprol nitro tab hctz tramadol discharge medications: 1. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 2. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). 3. clonidine hcl 0.2 mg tablet sig: one (1) tablet po bid (2 times a day). 4. nifedipine 30 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 5. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: benzodiazepine overdose delirium discharge condition: stable discharge instructions: please return to the hospital if you experience shortness of breath, chest pain, severe nausea/vomiting/diarrhea or any other severe symptoms. please return to the hospital or call your doctor if you are feeling any symptoms of depression. please call your doctor is you have any questions about your symptoms. - please go to your follow-up appointment with dr. on at 11am. followup instructions: please follow-up with your psychiatrist on at 11am. please follow-up with your pcp weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube diagnoses: acidosis anemia, unspecified unspecified essential hypertension poisoning by benzodiazepine-based tranquilizers accidental poisoning by benzodiazepine-based tranquilizers other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus other alteration of consciousness 

Answer: The patient is high likely exposed to