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 / darvon attending: chief complaint: ms changes major surgical or invasive procedure: none history of present illness: 57f h/o cva, depression c/b suicide attempts in past who was brought to by husband for decreased mental status. on presentation to the osh, patient found to have t 97.8, bp 63/47, rr 20, p 90, pox 97% ra. . per patient, takes oxycontin 40mg po tid for chronic pain syndrome thought polycystic kidneys and on day pta, patient took multiple (cannot quantitate, keeps changing her mind) extra pills. she denies intentional od; says she took this because she was having a lot of pain. she denies f/c; denies nasal congestion, rhinorrhea, sore throat, ear pain, sinus pain, neck pain/stiffness, rash, ha, photophobia. denies cough/sputum, cp/sob. denies abd pain, n/v, constipation. says she had some diarrhea 2d pta, but could not elaborate. had no specific complaints. . her labs at osh were significant for bun 39/cr 3.0, k 7.7, hco3 19, ast 70, alt 85, alk phos 149, ck 1175 (tpn 0.14, nl by osh assay); wbc 28.3. urine tox screen (+) morphine/benzos. u/a with trace ketones, 1(+) protein. . given findings on urine tox screen and h/o narcotics use, patient was given narcan 0.4 mg iv x 1, narcan 1 mg iv x 1. given her hypotension and concern for ? infection, patient was given ceftriaxone 1g iv x 1 and 2l ns. her hyperkalemia was treated with cacl 10% 5 ml iv x 1. . in the ed at , patient found to be hypotensive with sbp 60s, bradycardic with t to 101 rectally. initial wbc 17.9, cr 2.6, k 5.5. abg 7.08/62/69; started on nppv and given almost 3l ns and started on dopamine with significant improvement in her bp. . was given naloxone 2mg iv x 2, dolasetron 12.5 mg iv x 1, dopamine iv gtt, levofloxacin 500 mg iv x 1, metronidazole 500 mg iv x 1, vancomycin 1 g iv x 1. past medical history: 1. depression with multiple suicide/od attempts in the past 2. bipolar disorder 3. chronic pain syndrome ? polycystic kidney disease 4. htn 5. polycystic kidney disease 6. h/o sepsis 7. h/o cva with minimal residual defecits social history: no tobacco, etoh, ivdu. family history: no family available, unknown for now physical exam: t 101.0 (r) hr 54 bp 60/p--> rr 20 o2 97% general middle aged f appearing older than her stated age; answering questions, although slow in her response, and repeating answers heent eomi, perrl, dry mm, no lad, op without lesions neck supple; no meningismus heart distant lungs diminished bs on r side; no accessory muscle use, no paradoxical breathing abd soft, obese, nt, nd, bs(+) ext cool, no edema neuro oriented to person/place; mae x 4 skin no rash pertinent results: ekg: 60 bpm, sinus, nl axis, nl intervals, no atrial enlargement/ventricular hypertrophy. poor rwp. no acute st-t wave changes. . cxr: no infiltrate. 05:50pm wbc-17.9* rbc-3.04*# hgb-9.1*# hct-29.9* mcv-98 mch-29.9 mchc-30.4* rdw-13.8 05:50pm neuts-88.8* bands-0 lymphs-7.8* monos-3.3 eos-0.1 basos-0 05:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 05:50pm crp-5.82* 05:50pm cortisol-46.5* 05:50pm calcium-8.2* phosphate-7.5*# magnesium-2.0 05:50pm ck-mb-20* 05:50pm ctropnt-0.10* 05:50pm lipase-37 05:50pm alt(sgpt)-79* ast(sgot)-64* amylase-53 tot bili-0.8 07:00pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirubin-sm urobilngn-1 ph-5.0 leuk-neg 07:00pm urine rbc-* wbc- bacteria-occ yeast-none epi- renal epi-0-2 09:34pm asa-neg acetmnphn-neg brief hospital course: 1)narcotic overdose: pt admitted to icu on narcan drip. mental status improved over 1 day. all psych meds and narcotics held. on , pt had severe nausea with dry heaves, and low-dose methadone was started for presumed narcotic withdrawal. pt responded well to this, and she did not report any pain. she will need to gradually be tapered off the methadone. she denied that this was a suicide attempt. psychiatry saw pt and recommended holding all psych meds. they felt she was still a danger to herself and would benefit from in-pt psych admit. patient was amenable to this. 2. acidosis-patient's abg on admission 7.08/62/69, evidence of an acute respiratory acidosis likely narcotic overdose/oversedation. she also had a primary metabolic acidosis, likely from her renal failure. this completely resolved with improved mental status and with improved renal function. 3. renal failure- on admission creatinine 2.6 from baseline 0.5, likely hypovolemia. resolved with ivf, and on discharge, creatinine 0.4. 4. hyperkalemia-k 7.7 at osh, no ekg changes; was treated en route to with insulin/d50, calcium etc. likely all related to renal failure, and was normal for several days at time of discharge. . 5. leukocytosis-wbc persistently high without bandemia, with no focal source of infection. pt was given ceftriaxone at outside hospital and vancomycin/levofloxacin/flagyl here in the ed. multiple cultures showed no evidence of infection and antibiotics were discontinued. pt remained afebrile, with no indication of ongoing infection. wbc 10 at discharge. . 6. hypotension- was hypotensive on admission and transiently required dopamine. likely from hypovolemia and overdose. responded to fluids. bp 120/75 at time of discharge. 7. decreased ms-likely related to narcotic overdose. resolved. 8. cv-elevated ck with nl mb index; mildly elevated tpn with no ekg changes. pt ruled out mi. 8. anemia-unknown if this is chronic or new. in house, was stable in high 20's. iron and vitamin studies revealed b12 deficiency and pt started on b12. 9. depression/bipolar-apparently has h/o past od in the past. followed by psych in house. psych meds held for now on their advice. will d/c pt to in pt psych facility. . 10. transaminitis-? hypotension and mild shock. resolved during hospitalization. 11. fen-tolerated low salt diet at discharge . 12. full code . 13. comm-husband ( medications on admission: meds (home), doses unclear 1. 250 mg po qd 2. fioricet 3. dilaudid 4. topamax 5. seroquel 6. protonix 40 mg po qd 7. augmentin 8. remeron 30 mg po qd 9. reglan 10 mg po qd 10. bupropion 11. oxycontin 40 mg po tid (per patient) 12. gabapentin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for fever, pain. 2. heparin sodium (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 6. cyanocobalamin 1,000 mcg/ml solution sig: one (1) mg injection qd () for 7 days. 7. methadone hcl 10 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: 4 discharge diagnosis: narcotic overdose depression narcotic withdrawal hypertension polycystic kidney disease hypotension discharge condition: good. vitals stable, afebrile, normotensive, normal oxygenation. discharge instructions: you are being discharged to a psychiatric facility to help you with your depression and address any reasons for your overdose. followup instructions: follow up with your pcp after discharge from psych facility. md procedure: drug detoxification diagnoses: acidosis hyperpotassemia unspecified essential hypertension acute kidney failure, unspecified depressive disorder, not elsewhere classified hypotension, unspecified personal history of other diseases of circulatory system nausea alone backache, unspecified bipolar disorder, unspecified drug withdrawal other specified disease of white blood cells unspecified deficiency anemia nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] polycystic kidney, unspecified type unspecified drug dependence, continuous poisoning by other specified analgesics and antipyretics accidental poisoning by other specified analgesics and antipyretics other general symptoms 

Answer: The patient is high likely exposed to