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: acetaminophen overdose major surgical or invasive procedure: none history of present illness: ms. is an 18 year old chinese woman who was brought to the ed following injestion ~50x500mg acetaminophen tablets ~2 days previously at ~10pm. patient c/o sx of generalized weakness and nausea/vomiting following ingestion. she reports taking the tylenol for "belly pain" that was sharp in character but she cannot describe it further. she has not had any bms since the ingestion. . in the ed, her vitals were 96.2 99 121/59 16 99% on ra. she was administered iv nac (150mg/kg bolus x1 hr). seen by transplant surgery in ed. not encephalopathic. boarding school contact by the er. currently, 96.2 62 113/83 20 100% on ra. . on review of systems, she denies fevers, chills, sweats, n/v, diarrhea, melena/hematochezia, jaundice, icterus, pruritis, rash, headache, dysuria, cough, prior h/o liver disease. no abdominal discomfort at this time. denies any si. past medical history: denies social history: from , moved to us 5mo ago. denies smoking, etoh, ilicits. family history: no known history of liver disease or psychiatric illness physical exam: 99.3, 113/63, 87, 100%ra 56.7kg general young woman in no acute distress turning neck to right side. heent sclera anicteric, conjunctiva pink, mmm neck no jvd, ij in place, no surrounding erythema pulm lungs clear bilaterally, no wheezing or rales cv regular s1 s2 no m/r/g abd soft nontender +bowel sounds, no hsm, nontender extrem: warm no edema full distal pulses, no asterixis derm no jaundice or rash no gross focal deficits, pleasant but with brief communication pertinent results: labs on admission and discharge: . 08:06pm blood wbc-18.6* rbc-4.90 hgb-15.2 hct-43.4 mcv-89 mch-31.0 mchc-35.0 rdw-12.5 plt ct-301 03:23am blood wbc-13.4* rbc-4.30 hgb-13.2 hct-37.7 mcv-88 mch-30.6 mchc-34.9 rdw-12.6 plt ct-267 07:00am blood wbc-3.2* rbc-3.78* hgb-11.6* hct-33.4* mcv-88 mch-30.5 mchc-34.6 rdw-13.5 plt ct-195 . 03:23am blood hypochr-normal anisocy-1+ poiklo-2+ macrocy-normal microcy-normal polychr-1+ schisto-1+ burr-2+ acantho-1+ . 08:06pm blood pt-31.7* ptt-35.7* inr(pt)-3.3* 07:00am blood pt-14.5* ptt-33.2 inr(pt)-1.3* . 08:06pm blood glucose-223* urean-10 creat-0.7 na-132* k-3.4 cl-97 hco3-21* angap-17 07:00am blood glucose-115* urean-9 creat-0.6 na-141 k-3.6 cl-107 hco3-26 angap-12 . 08:06pm blood alt-828* ast-523* alkphos-117 totbili-4.7* 12:53pm blood alt-4293* ast-1690* alkphos-133* totbili-4.5* 07:00am blood alt-1664* ast-211* ld(ldh)-240 alkphos-107 totbili-0.9 . 08:06pm blood albumin-4.4 calcium-9.1 phos-1.8* mg-2.0 07:00am blood albumin-3.6 calcium-8.4 phos-3.1 mg-2.0 . 03:41pm blood caltibc-229* ferritn-369* trf-176* 06:14pm blood hav ab-positive 03:23am blood hbsag-negative 08:06pm blood hbsag-negative 08:06pm blood hbsab-positive hbcab-negative 01:51pm blood ama-negative smooth-negative 03:41pm blood cea-1.6 afp-<1.0 01:51pm blood -negative 03:41pm blood igg-1064 iga-237 igm-68 03:23am blood hiv ab-negative 08:06pm blood asa-neg ethanol-neg acetmnp-120.3* bnzodzp-neg barbitr-neg tricycl-neg 05:00am blood acetmnp-neg 08:06pm blood hcv ab-negative . ca -9 13 . ceruloplasmin 15 l 18-53 mg/dl . herpes-1 (igg) antibody 0.12 0.00-0.89 index herpes-2 (igg) antibody 0.11 0.00-0.89 index . 03:41pm blood cea-1.6 afp-<1.0 . imaging: . sinus rhythm. normal tracing. no previous tracing available for comparison. read by: , intervals axes rate pr qrs qt/qtc p qrs t 70 130 88 44 . liver u/s ; . liver echotexture is unremarkable. there are no focal liver lesions identified. the right kidney measures 11.6 cm and is grossly unremarkable without evidence of hydronephrosis, stone, or mass. the gallbladder is unremarkable without evidence of cholelithiasis or cholecystitis. the pancreas is normal in echotexture. the main portal vein demonstrates normal hepatopetal flow. there is no evidence of intra- or extra-hepatic biliary dilatation with the common bile duct measuring 3 mm. there is no evidence of ascites. impression: unremarkable study. . echo : . impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. no valvular pathology or pathologic flow identified. . cxr : . findings: in comparison with earlier study of this date, there has been placement of a right ij catheter with the tip extending to the lower svc or cavoatrial junction. no evidence of pneumothorax. . findings: in comparison with the earlier study of this date, the tip of the right ij catheter has been pulled back to the mid portion of the svc. . microbiology: . blood (ebv) - virus vca-igg ab-negative; - virus ebna igg ab-negative; - virus vca-igm ab-negative. . blood (cmv ab) cmv igg antibody-pos; cmv igm antibody-neg inpatient serology/blood varicella-zoster igg serology-pos serology/blood rubella igg/igm antibody-neg serology/blood rapid plasma reagin neg urine urine culture-neg blood culture blood culture, routine-pending inpatient urine urine culture-neg . brief hospital course: 18-f presented with transaminitis following recent acetaminophen overdose, concerning for suicide attempt. patient was admitted to the icu. . 1. acute hepatic failure, acetaminophen overdose. this was felt to be secondary to recent massive acetaminophen overdose. if time course was accurate, patient was well above the treatment line on the rumack- nomogram. infectious, ischemic, or autoimmune in etiologies were felt to be less likely and confirmed by the studies as listed above. tox screen was negative w/ exception of acetaminophen, w/ level of 120. toxicology was consulted and iv nac at 50mg/kg was started over 4 hrs then 100mg/kg over 16 hrs. acetaminophel levels trended down to 12.1 by and patient was negative on . iv nac was continued until . alt/ast peaked at 4293/1690 and were 1664/211 at time of discharge. there were no signs of encephalopathy or of respiratory compromise. by , lfts reached their nadir. patient's abdominal pain has resolved, she had no shortness of breath, no n/v. she had no other complaints and was able to tolerate regular diet. inr trended down to 1.3 on day of discharge. fe/tibc ratio was < 45%, patient has a mildly low cerulloplasmin level. renal function was intact, there was no signs of hemolysis. the low cerulloplasmin will require outpatient follow up with hepatology. at time of discharge patient had mild pancytopenia, which is commonly seen in patients post icu stay. this is expected to recover. she was arranged for outpatient laboratory studies to be followed up by the liver clinic. . 2. leukocytosis. wbc 18k on admission. resolved by . probably secondary to stress of acute illness. ucx were negative, bcx were ntd at discharge. cxr w/o signs of infection. . 3. h/o abdominal pain. it was unclear if patient was fabricating this to explain her tylenol ingestion. abdominal exam was benign during serial exams. . 4. suspected suicide attempt. psychiatry and social work consults were obtained. patient vehemently denied suicidal ideation. a sitter was obtained. psychiatry lead the efforts in this area, along with social work. she was reported to be inconsistent regarding circumstances of overdose. because she was felt to be not forthcoming with details of her hx and her reliability was inquestion, she was sectioned and work-up for inpatient psychiatry admission. please see attached psychiatry and social work notes for more details. . 5. hyponatremia. secondary to volume depletion. na corrected for mild hyperglycemia was 134. na was 143 on discharge. . patient was discharged in stable condition with hepatology follow up and laboratory work. medications on admission: none discharge disposition: extended care facility: discharge diagnosis: primary: tylenol overdose secondary: none. discharge condition: stable discharge instructions: you were admitted to with tylenol overdose and question of suicide attempt. you required icu care. you were treated for overdose with iv medications. your liver function tests improved signficantly. . should you experience any new abdominal pain, nausea, vomiting, chest pain, shortness of breath, feelings hurting yourself or others, please call you primary care provider or go to the nearest emergency room. followup instructions: provider: , md phone: date/time: 2:40 . provider: , md phone: date/time: 3:00 procedure: venous catheterization, not elsewhere classified diagnoses: acute and subacute necrosis of liver hyposmolality and/or hyponatremia poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics leukocytosis, unspecified nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to