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: no drug allergy information on file attending: chief complaint: ams major surgical or invasive procedure: none history of present illness: 42 yo m with an unknown past medical history presents to the ed with presumed drug overdose. per report, patient was found in a parking lot with altered mental status by ems and saying that he took a "handful of pills", that were mostly dilantin but unknown if anything else was mixed in. he was exhibiting altered gait at that time (around 10:30 am). he was only oriented x1 at this time. additional history is not available at this time. patient did report that he was intentionally trying to hurt himself. . on arrival to the ed, triage vs were 98, 93, 148/105, 18, 97% ra, and patient was lethargic but arousable an answering questions. at arrival, he was about 50 minutes post-ingestion. he did confirm a past medical history of seizures, but no other known medical history was obtained. he was given activated charcoal, and then started to refuse this intervention and became progressively more somnolent. he received narcan with no improvement. he was intbated for poor mental status, but was not reportedly hypoxic or in respiratory distress. intubation was uncomplicated but was noted to have aspiration of charcoal. et tube was noted to be high and was advanced 3 cm. qrs was narrom on ekg, dilantin level was 9.7, and tox screen was positive for tcas. ag was mildly elevated at 14. on transfer, vs were hr 77, 99/63, ac 550 x 17, 50%, peep 5 and sat 99%. . a toxicology consult was requested and advised serial dilantin levels q4h (with administration of extra charcoal dose if greater than 20), ekg q4h, and ct head without contrast. . in the icu, patient is unarousable. he appears comfortable. past medical history: depression epilepsy past mva w/ left shoulder injury social history: lives in with wife, 4yo daughter and , not working on disability. reports drinking up to 1 bottle of whisky plus beer per day in the past but has not drunk anything for a month. denies smoking or doing illicit drugs. family history: non-contributory physical exam: vitals: t: 97.7 bp: 125/78 p: 99 r: 18 o2: 92% - ac 550 cc x 18 40% fio2 general: intubated, somnolent, does not arouse to sternal rub heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi 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 gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: negative babinski bilaterally, 2+ patellar and biceps reflex, tone mildly increased, no asterxis and no clonus discharge exam: vitals: t: 100.0 bp: 144/73 p: 112 r: 16 o2:97% on ra general: sitting comfortably, nervous and very fixated on past automobile accident, very anxious to approval of doctors medical team. heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, otherwise non-focal pertinent results: labs on admission: 12:45pm blood wbc-8.2 rbc-4.95 hgb-14.7 hct-44.5 mcv-90 mch-29.7 mchc-33.0 rdw-12.9 plt ct-264 12:45pm blood neuts-55.7 lymphs-37.3 monos-3.8 eos-2.0 baso-1.2 12:45pm blood neuts-55.7 lymphs-37.3 monos-3.8 eos-2.0 baso-1.2 12:45pm blood plt ct-264 07:20pm blood pt-13.9* ptt-29.1 inr(pt)-1.2* 12:45pm blood glucose-150* urean-12 creat-0.9 na-137 k-4.1 cl-107 hco3-17* angap-17 12:45pm blood alt-30 ast-32 alkphos-107 totbili-0.2 07:20pm blood calcium-8.7 phos-3.7 mg-1.8 12:45pm blood phenyto-9.7* 12:45pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-pos 01:39pm blood type-art po2-365* pco2-42 ph-7.35 caltco2-24 base xs--2 -assist/con 08:57pm blood type-art temp-37.3 fio2-40 po2-140* pco2-37 ph-7.40 caltco2-24 base xs-0 -assist/con intubat-intubated admission ekg: bassline artifact. sinus rhythm. inferior t waves cannot be interpreted. clinical correlation is suggested. no previous tracing available for comparison. chest ap x-ray: low lung volumes are noted, with mild crowding of bronchovascular markings. the lungs are clear without consolidation or edema. there are no pleural effusions or pneumothorax. an endotracheal tube is seen with tip below the thoracic inlet, 7 cm from the carina. a nasogastric tube is present in the stomach. chest ap: findings: in the interval, the patient has been extubated and the nasogastric tube has been removed. today's image represents a normal chest radiograph without evidence of pulmonary edema, pulmonary infection or pleural effusions. the size of the cardiac silhouette and the appearance of the mediastinum is unremarkable. n/c head ct: impression: no acute intracranial abnormality. brief hospital course: 42 yo m with unknown past medical history presents with apparent intentional drug overdose, with likely phenytoin and tcas, now s/p intubation for airwary protection. # altered mental status: appears to be related to drug overdose. dilantin level peaked at 10.7 and then trended down. tca positive on serum tox, but no ekg changes so less likely to be toxic from tca. no clear toxic prodrome fits this clinical picture as patient without tachycardia, hypertension and diaphoresis (sympathomimetics); agitation, tachycardia, flushing (anticholinergics); miosis, lack of response to narcan (opiods); or autonomic instability, clonus, tremors (serotonin syndrome). no dramatic anion gap, so less likely ethylene glycol or methanol toxicity. ct head without acute ich. the patient was intubated in the ed for somnolence and maintained with mechanical ventilation. he received activated charcoal. toxicology followed the patient and recommended serial ekgs, which remained unchanged, and serial dilantin levels which were never toxic. the day after admission, the patient's mental status improved and he was extubated without any complications. his neurologic exam was normal and he had no other symptoms.he had one low-grade temperature to 100.5 without any accompanying symptoms. cxr and ua were negative. # suicideal ideation: per report patient was attempted to hurt himself by taking a "handful of pills". he describes the decision as impulsive and contact his psychotherapist afterwards. he was seen by psychiatry who felt that he was suicide risk and required inpatient psychiatric evaluation. he was kept with a section 12 but made no attempts to leave ama. his home anti-depressants were held per psychiatry recommendation. # epilepsy: most recent seizure 3 weeks ago per patient report. dilantin level went down to 7.8, so he was given a 300mg, one-time loading dose and restarting on his home regimen of 100mg . # sinus tachycardia: stably tachycardic. benzo and alcohol tox screen negative on admission, not recently using per patient. not responsive to fluid boluses. patient unsure of baseline heart rate. medications on admission: amitriptyline 25mg qhs effexor sr 150mg prozac 20mg qam dilantin 100mg lorazepam 0.5mg remeron 30mg qhs viagra vit d discharge medications: 1. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: extended care discharge diagnosis: final diagnosis: overdose secondary diagnoses: depression, epilepsy discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted after taking a handfull of your medicines. you were confused and sleepy, so you were intubated and went to the intensive care unit. you are doing better now, but we are worried about your depression and think that you should go to our inpatient psychiatric floor. . we stopped all of your medications except your dilantin (phenytoin). your psychiatrists will decide if your other medications should be restarted followup instructions: when you are ready to leave the hospital, please call your primary care doctor, , and make an appointment within the next 1-2 weeks. he should check your dilantin level to make sure you are protected from having a seizure. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: depressive disorder, not elsewhere classified other specified cardiac dysrhythmias epilepsy, unspecified, without mention of intractable epilepsy poisoning by hydantoin derivatives other alteration of consciousness poisoning by unspecified drug or medicinal substance suicide and self-inflicted poisoning by unspecified drug or medicinal substance 

Answer: The patient is high likely exposed to