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: history of present illness: the patient is a 22-year-old female with no significant past medical history who was transferred here from an outside hospital after a tylenol pm overdose. the patient was in her usual state of health until the day prior to admission when she had a "fight" with her boss at work. she was seen wondering about the house at approximately 11 p.m. speaking nonsensically by her father who encouraged her to go to sleep. she was then discovered on the day of admission at 1 p.m. in her bedroom and unresponsive by her father. emergency medical service transported her to hospital. it was subsequently discovered that she had ingested approximately one and a half bottles of tylenol pm. at the outside hospital, the patient received 2 gram of ceftriaxone. she had a negative head computed tomography. she was intubated for altered mental status. a serum toxicology screen revealed a tylenol level of over 200. the patient was given 140 mg/kg of n-acetylcysteine and charcoal followed by nasogastric lavage and bicarbonate. nasogastric lavage was occult-blood positive and rectal examination was guaiac-positive. she was then transferred to for further management in out medical intensive care unit. past medical history: none. allergies: no known drug allergies. medications on admission: diet pills that the patient purchased over the internet. she is not clear exactly what they were. family history: family history was noncontributory. social history: the patient reportedly drinks alcohol socially. she uses tobacco socially. she does have a history of cocaine use; per her cousin she quit last year. no history of intravenous drug use. she works in a health club. her parents are divorced. she lives with her father. she has some recreational percocet use in the last year. physical examination on presentation: temperature was 96.2 degrees fahrenheit, her heart rate was in the 120s, her blood pressure was 93 to 116/57 to 63, she was on pressure support ventilation of 20/5/40% with a rate of 21 and a tidal volume of 880. her oxygen saturation was 97% to 99% on room air. in general, the patient was an obese, sedated, and intubated woman. skin showed pressure shores on her left forearm and left hip. head, eyes, ears, nose, and throat examination revealed pupils were 5 mm and minimally reactive to light. she had charcoal around her mouth. neck examination revealed a large smooth bulge on the right side with no lymphadenopathy. cardiovascular examination revealed tachycardia; otherwise regular. pulmonary examination was clear. the abdomen was obese but soft and nontender. there were positive bowel sounds. extremity examination revealed no edema. there were strong bilateral radial pulses. there was normal capillary refill in her left arm and fingers. on neurologic examination, the patient was sedated and intubated. she had absent deep tendon reflexes in her patellar and achilles. her toes were upgoing bilaterally. pertinent laboratory values on presentation: white blood cell count was 26.9 (differential with 84% neutrophils, 10% bands, 3% lymphocytes, and 3% monocytes), her hematocrit was 52.8, and her platelets were in the 300s. her inr was 3.2, her prothrombin time was 22, and her partial thromboplastin time was 35.8. chemistry-7 revealed her sodium was 141, potassium was 4.7, chloride was 113, bicarbonate was 6, blood urea nitrogen was 10, creatinine was 0.9, and her blood glucose was 186. her anion gap was 22. her calcium was 8, her phosphate was 3.2, and her magnesium was 2.2. alanine-aminotransferase was 291, her aspartate aminotransferase was 312, her lactate dehydrogenase was 276, creatine kinase was 39,700. her alkaline phosphatase was 92. her total bilirubin was 2. her albumin was 4.3. her tylenol level was 706. serum osmolalities were 314. her lactate was 13.5. acetone was negative. ethanol was negative. urinalysis revealed a specific gravity of 1.025, large blood, 30 protein, 250 glucose, 27 red blood cells, 27 white blood cells, and a few bacteria. pertinent radiology/imaging: electrocardiogram revealed a narrow complex tachycardia and r prime in v1. impression: the patient is a 22-year-old female status post a suicide attempt with a large number of tylenol pm who presented with an altered mental status requiring intubation with severe anion gap metabolic acidosis, coagulopathy, liver enzyme abnormalities, leukocytosis, rhabdomyolysis, and left arm compression. concise summary of hospital course by issue/system: 1. toxicologic issues: the patient presented with both a tylenol and benadryl overdose. the tylenol overdose was treated with an infusion of n-acetylcysteine at 17.5 mg/kg per hour to decrease any further toxicity to the liver and kidneys. additionally, the patient underwent urgent hemodialysis in an effort to decrease the tylenol level given that it was over 700 on presentation to which was at least 20 hours after ingestion. n-acetylcysteine was continued until the patient's liver enzymes had normalized to be below 1000. for the benadryl overdose, the patient was treated supportively with benzodiazepines as needed for agitation from the anticholinergic effects of the benadryl. the remaining toxicology screens for possible other substances ingested were negative. 2. liver issues: the patient's liver enzymes and coagulation times were carefully monitored to determine liver function. her alanine-aminotransferase peaked at approximately 12,000. her aspartate aminotransferase peaked at about 8500. additionally, the patient's inr peaked at approximately 10. her bilirubin peaked at approximately 12. all were consistent with her being in hepatic failure. the patient was evaluated by the liver transplant team on the day of arrival. during her hospital course, she was in fact placed on the transplant list. however, her liver function began to recover and is in fact nearing normal currently. thus, she did not need a liver transplant. currently, her inr is 1.3. her bilirubin is 3. her liver enzymes are nearly normal. 3. renal issues: initially, the patient's kidney function was normal. she underwent emergent hemodialysis for decreasing the tylenol level. however, several days into her hospital course, the patient developed decreased urine output and with an increasing urine sodium; concerning for acute tubular necrosis secondary to tylenol toxicity. the patient was therefore restarted on hemodialysis for her acute renal failure through a right femoral quinton catheter. the patient tolerated this very well. over her hospital course, the patient's kidney function began to recover. by the time of discharge she had excellent urine output of over 2 liters of urine per day, and her creatinine was starting to normalize without hemodialysis. her creatinine went from 6.6 on to 6 on . her kidney function will need to continue to be followed daily for the next several days after discharge to insure that it continues to recover. 4. rhabdomyolysis issues: rhabdomyolysis likely secondary to her prolonged time down on her left side. the patient was treated with vigorous hydration to prevent renal failure secondary to elevated myoglobin levels. her creatine kinases normalized while she was in the hospital. 5. coagulopathy issues: the patient's initial coagulopathy on presentation to the outside hospital was likely secondary to direct effects of tylenol on factor vii. however, she subsequently developed a significant coagulopathy secondary to her renal failure. the patient received multiple units of fresh frozen plasma while she was in the hospital to correct her coagulopathy for procedures and other line placements. additionally, she received multiple doses of vitamin k. by the time of discharge, her inr was 1.3. 6. left radial nerve palsy issues: initially, when the patient presented she had left arm swelling. there was concern for a possible compartment syndrome. the orthopaedic service was consulted and felt that she did not show signs of compartment syndrome after she was extubated, and her mental status had improved, neurologic and motor testing on her left arm revealed decreased thumb extension and abduction which was consistent with a left radial nerve palsy which was likely from compression. the orthopaedic service recommended a wrist splint to prevent thumb flexion contractors, and she was to follow up with dr. in the hand clinic one to two weeks after discharge. 7. suicide attempt issues: the patient had no known prior history of depression or suicide attempts. she was maintained with a one-to-one sitter for her entire in the hospital. once the patient was extubated and was able to speak, the psychiatry service was involved in her care. they are arranging for her to receive inpatient psychiatric treatment now that her medical issues have nearly resolved. 8. anion gap metabolic acidosis issues: the patient initially presented with a severe anion gap metabolic acidosis which was most likely secondary to a lactic acidosis which was most likely from a combination of the rhabdomyolysis and the fact that her liver was failing and was not effectively clearing lactate. the patient was treated with fluids containing bicarbonate, and the metabolic acidosis resolved over the first several days she was in the hospital. 9. altered mental status issues: on presentation, the patient's altered mental status was likely secondary to her large ingestion of benadryl. her mental status improved as she cleared over the first several days. 10. aspiration pneumonia issues: the patient came in with an elevated white blood cell count and began spiking fevers. chest x-rays and computed tomography scans were consistent with aspiration pneumonia. the patient was treated with a 10-day course of levofloxacin and flagyl with resolution of her sputum production and fevers as well as improvement in her white blood cell counts. 11. anemia issues: the patient was noted to develop a decrease in her hematocrit while she was here in the hospital. her hematocrit on admission was most likely hemoconcentrated. nevertheless, while she was in here toward the end of her hospital course, her hematocrit levels were consistently in the 27 to 31 range. the etiology of this are currently unclear as iron studies, b12, and folate studies were pending at the time of this dictation. although, given her age and the fact that she was menstruating, this was most likely reflective of an iron deficiency anemia. if the laboratories are consistent with this, the patient will be started on iron daily. at the time of this dictation, the medical issues have largely resolved or are near resolution. her only current outstanding issues is her kidney failure; which, at this time, appears to be progressing toward resolution with a decrease in her creatinine today. the patient will need her kidney function to be followed daily for at least the next several days, but at this time we do not expect that she will need any further hemodialysis. therefore, she is medically stable to go to an inpatient psychiatric facility. condition at discharge: condition on discharge was improved. the patient currently denies any suicidal ideation. discharge status: to inpatient psychiatric facility. discharge diagnoses: 1. suicide attempt by tylenol overdose. 2. fulminant hepatic failure secondary to tylenol toxicity; nearly resolved. 3. acute renal failure secondary to tylenol toxicity requiring hemodialysis; resolving. 4. left radial nerve compression injury. 5. rhabdomyolysis; resolved. 6. anemia. 7. aspiration pneumonia; resolved. 8. anion gap metabolic acidosis; resolved. 9. mental status changes; resolved. 10. coagulopathy; resolved. medications on discharge: 1. protonix 40 mg by mouth once per day. 2. calcium carbonate 1000 mg by mouth three times per day (with meals); to be continued as long as phosphate is elevated. 3. robitussin dm 5 ml to 10 ml by mouth q.4h. as needed. 4. cepacol lozenges as needed. 5. ferrous sulfate 325 mg by mouth once per day. discharge instructions/followup: 1. the patient was instructed to follow up with inpatient psychiatry, and upon discharge from the psychiatric facility was to follow up with outpatient psychiatry as they direct. 2. the patient was also instructed to follow up with dr. for her left hand and thumb weakness. the patient was to call telemetry to schedule an appointment in approximately one to two weeks; she was to continue wearing the wrist splint until then to prevent flexion contractures. 3. finally, the patient was instructed to follow up with her primary care physician upon discharge to further assess her renal function and make sure that it has returned to . 4. additionally, while the patient is at the psychiatric facility she should have a chemistry-10 checked daily for the next several days until her renal function normalizes or is nearly normal; at which point she should have it checked every three days for approximately one more week. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube hemodialysis arterial catheterization diagnoses: acidosis acute and subacute necrosis of liver acute kidney failure, unspecified pneumonitis due to inhalation of food or vomitus poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics suicide and self-inflicted poisoning by other specified drugs and medicinal substances poisoning by antiallergic and antiemetic drugs 

Answer: The patient is high likely exposed to