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: codeine attending: chief complaint: chief complaint: overdose reason for micu admission: tca overdose with ecg changes, respiratory failure major surgical or invasive procedure: endotracheal intubation central line placement arterial line placement history of present illness: 44f with history of depression and etoh abuse, presenting s/p tca overdose. last seen by husband at midnight last night, "passed out" in a chair, which he presumed was due to etoh. snoring overnight, then when stopped snoring this am he called 911 (also found suicide note. uresponsive with ems arrival. given narcan without effect. intubated in the field. had gtc en route to osh. . patient arrived at osh at 820am. first ecg with widened qrs of ~160. initially hypotensive to 66/32. further seizures there. at some point a pill was found, which turned out to be doxepin. given iv bicarb. initial venous ph 6.85 which trended up with further bicarb. she was transferred to ed for further management. . in the ed, initial vs were: t98.7 p114 bp98/52 r24 o2 sat 100% on vent. seized 8 times in ed. femoral cvl placed. regarding ecgs, on arrival qrs 140, became as high as 160 and as low as 140. patient was given more boluses iv bicarb - >20 amps, then started on gtt. also given 50 grams ac, 20% fat emulsion - 100ml bolus x1 with later receiving 22.5 ml/min, diazepam 50 mg and lorazepam 2mg. also received 100 ml hypertonic saline. no pressors. before transfer up patient had wct (qrs ~180) at hr 120s which looked more like vt; got lidocaine bolus - 100 mg and second dose of intralipid.; qrs became more narrow. . upon arrival to the icu, patient had two gtcs lasting < 1 minute each; given diazepam 10 mg. a line placed. . review of systems: husband reports weight gain - pounds in the last few weeks. lately husband states moods have been "up". past medical history: depression with past suicide attempts will pills including doxepin etoh abuse hepatitis c high cholesterol bronchitis h/o mva many years ago leaving her in a coma with brain damage per husband social history: married, does not work. drinks etoh intake - 2 pints whiskey daily. quit smoking a few weeks ago (at least 1 ppd). husband not aware of any drug use. very difficult upbringing family history: father - suicide physical exam: vitals: general: intubated and sedated heent: sclera anicteric, pupils 4-> 3 mm bilaterally. ngt and ett in place, dried bloood around op. neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema. mildly flushed though not diaphoretic. bilateral linear healed scars at wrists. neuro: sedated, currently nonresponsive to verbal, tactile, painful stimuli pertinent results: hematology 01:39pm blood wbc-9.7 rbc-3.37* hgb-10.7* hct-30.2* mcv-90 mch-31.8 mchc-35.4* rdw-14.1 plt ct-432 03:54am blood wbc-8.4 rbc-2.87* hgb-8.8* hct-26.5* mcv-92 mch-30.5 mchc-33.1 rdw-14.6 plt ct-100* 05:43am blood wbc-10.7 rbc-3.33* hgb-10.2* hct-29.3* mcv-88 mch-30.8 mchc-34.9 rdw-13.6 plt ct-669* chem-10 05:45am blood glucose-91 urean-22* creat-0.5 na-138 k-3.3 cl-102 hco3-26 angap-13 01:39pm blood glucose-234* urean-16 creat-1.4* na-157* k-2.6* cl-100 hco3-38* angap-22* 03:57am blood calcium-8.3* phos-2.2* mg-2.3 lfts 04:01am blood alt-90* ast-326* ld(ldh)-695* alkphos-80 amylase-59 totbili-0.5 03:45am blood alt-32 ast-21 ld(ldh)-250 alkphos-92 amylase-101* totbili-0.3 03:57am blood amylase-378* 03:57am blood lipase-613* 04:01am blood lipase-28 10:25am blood ctropnt-<0.01 toxicology 02:54am blood tricycl-pos 10:25am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-pos 03:54am blood type-art temp-36.6 peep-5 fio2-40 po2-97 pco2-52* ph-7.40 caltco2-33* base xs-5 intubat-intubated urine 10:29pm urine color-straw appear-clear sp -1.006 10:29pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 10:25am urine rbc-0 wbc-0-2 bacteri-0 yeast-none epi-0 micro gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): gram positive cocci. in pairs and clusters. respiratory culture (final ): commensal respiratory flora absent. staph aureus coag +. sparse growth. of two colonial morphologies. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | erythromycin---------- =>8 r gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- =>4 r rifampin-------------- <=0.5 s tetracycline---------- <=1 s trimethoprim/sulfa---- <=0.5 s vancomycin------------ <=1 s brief hospital course: 44f with depression and etoh abuse, s/p severe tca overdose. multiple seizures with significant qrs widening and ecg changes. was admitted to the icu then transferred to the medicine floor. a brief description of her problems according to problem is described below: . # tca overdose. doxepin was found on scene. fit clinical scenario with cns depression, widened qrs, seizure, hypotension initially at osh. she received activated charcoal on transfer. toxicology was consulted immediately. she received hypertonic na and iv bicarb to overcome fast na channel antagonism, intralipid infusion for improving volume of distribution. she was put on a na bicarbonate drip to maintain ph > 7.45 and keep qrs <130. she was given 6 hours of interlipid. she had regular (initially q1hour) ekg's and abg's and the nahco3 drip was eventually weaned off. pt subsequently stablizied and ekgs normalized. . # respiratory failure. pt was intubated in field due to mental status from med related cns depression. later in the setting of intensive vent requirements was found to have a mrsa pneumonia as well, which was treated with iv vancomycin. was kept on vent and weaned along with aggressive diuresis, finally being extubated . after extubation she had one day of marked stridor that resolved with decadron and racemic epinephrin. she has since been breathing comfortably on room air. her sputum cultures reflect mrsa colonization not infection as she is without symptoms, fever or elevated wbc. . # seizure: most likely from tca overdose and gaba receptor antagonist activity. no prior history of seizures known. she was started on propofol gtt and and tca overdose was treated. she was prescribed benzodiazepines for breakthrough seizures. she had an eeg on hd1 that was interpreted as encephalopathy. no seizures since. . # suicidal ideation: when patient awoke she immediately expressed her wish to die. she was evaluated by psychiatry who felt she met section 12 criteria and required a 1:1. at times she showed symptoms of delirium without a clear organic cause. she has subsequently improved in regards to her mood. her affect seems pleasant and she currently states that she does not have suicidal ideation. . # pancreatitis: patient was found to have elevated lipase and amylase in the setting of low-grade fevers and leukocytosis, most likely due to prolonged sedation with propofol. she was extubated the next day and taken off propofol. she improved clinically with no abdominal pain, was advanced to regular diet with no problems. . # hypokalemia: associated with tca overdose treatment and movement of k across cell membrane. tox recommended keeping k > 3 with supplemental potassium. her k was regularly tested (initially q2hours) and repleted as needed. her k levels eventually normalized. . # wide complex tachycardia. precordial negative concordance and axis change most suspicious for vt. also consider sinus tach with qrs widening from tcas. vt can be be seen severe tca overdose. she was given a lidocaine bolus of 100mg with instructions to rebolus if recurrent despite nahco3 drip. this was not necessary during stay. she was monitored on continuous telemetry, which was eventually discontinued as there were no further events. . # combined respiratory/metabolic alkalosis with superimposed metabolic acidosis due to tcas and lactate: she had regular abg and electrolytes measured for monitoring. her vent settings were changes as needed. was put on a nahco3 drip initially to keep ph above 7.45 (and below 7.55). fluid boluses given as well. abg had normalized by time of discharge from icu and has since remained normal. . # thrombocytosis: pt was noted to have elevated platelet count. given recent pneumonia and pancreatitis, likely reactive thrombocytosis. will likely normalize in the next few days. . # volume overload: pt was estimated to be volume overloaded up to 17l total during her stay in the icu due to the large amount of fat emulsion solution that was used to treat tca overdose. pt was subsequently successfully diuresed with lasix 20mg iv prn. pt is currently euvolemic, no longer requiring lasix prn. . # based on the resolution of the issues above, pt was medically cleared on for transfer to the inpatient psych service. medications on admission: doxepin ?dose - at nighttime only adderall ?dose - on x one year ?citalopram ?statin or cholesterol medication ibuprofen 800 mg daily nicotine patch cvs - (cranberry highway) discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). capsule, delayed release(e.c.)(s) 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 3. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for eye irritation. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed for constipation. 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: extended care facility: d4 discharge diagnosis: tricyclic overdose respiratory failure pancreatitis pneumonia depression discharge condition: hemodynamically stable. vital signs stable. discharge instructions: you were admitted to the hospital after you were found unresponsive. you were taken to the hospital and required a machine to breath for you. you were treated for an overdose of medicaiton. you are now medically stable, however you will need inpatient psychiatric evaluation and are being transferred for that reason. please take all medications as prescribed. if you experience shortness of breath, chest pain, loss of conciousness, hallucinations or any other symptom that concerns you, please contact your primary care physician or go to the nearest emergency room for evaluation. followup instructions: please follow-up with your primary care physician after discharge from the inpatient psychiatry unit. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: pure hypercholesterolemia tobacco use disorder unspecified viral hepatitis c without hepatic coma other convulsions hypopotassemia suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents paroxysmal ventricular tachycardia acute respiratory failure major depressive affective disorder, single episode, unspecified carrier or suspected carrier of methicillin resistant staphylococcus aureus encephalopathy, unspecified intravenous anesthetics causing adverse effects in therapeutic use other specified hypotension acute pancreatitis other and unspecified alcohol dependence, continuous other alteration of consciousness mixed acid-base balance disorder methicillin resistant pneumonia due to staphylococcus aureus essential thrombocythemia suicidal ideation poisoning by tricyclic antidepressants 

Answer: The patient is high likely exposed to