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 known allergies / adverse drug reactions attending: chief complaint: unresponsive major surgical or invasive procedure: endotracheal extubation history of present illness: a 23m with history of etoh abuse was found staggering and banging head against the sidewalk outside of the ed at hospital. he reports that he had used ghb for the first time earlier in the day and had taken 6 cap fulls. he remembers little else throughout the day except for being surrounded by police. in their ed vitals were hr 66 bp 157/80 sao2 100% (o2 delivery not recorded) he reportedly became unresponsive with gcs 3 and was intubated. he received no paralytics. he was then transferred to the ed for further management. on arrival to our ed, airway was intact w/no tracheal deviation. pt became bradycardic to 30s-40s with systolic bps 130-140s and o2 sats 100%. extremieites were cool to touch with slow cap refill 2+ dp pulses. secondary survey significant for pupils 2mm bilaterally and minimally responsive, hypotonia, no rectal tone, unresponsive to pain, glucose 108. blood and urine tox screens were negative. ecg showed sinus brady at 51, lvh, prolonged qtc 460, 437 on repeat ekg. cxr shows ett in place without acute process. non contrast c spine and head ct were negative. ct c/a/p (prelim) report showed "scattered ground glass nodularity in bilateral lungs, transient intussusception of prox small bowel, heterogenous appearance to liver and spleen likely related to phase of contrast, trace free fluid, pericholecystic fluid, and a linear lucency in the proximal portion of body of sternum likely developmental/old injury." labs were remarkable for ast/ alt: 59/55 tbili 0.9 lipase 22. cr 0.7 ck: 522. on reevaluation at 6:01am found patient responding to pain. not localizing. pupils 4mm->2mm bilaterally. moving all 4 extremities. hrs high 50s-low 60s. at 7:30 am he awoke and was combative. because his c-spine could not yet be cleared he was sedated with propofol for safety. he was then admitted to the micu for further management. on arrival to the micu, patient is intubated, sedated. he was promptly extubated and reported the above history. he complained of sore throat and cough, stating that he had not had a cough in the day preceeding admission. review of systems: (+) per hpi (-) denies headache, blurryvision, dyspnea, chest pain, n/v/d, abdominal pain. denies numbness/tingling in lower/upper extremities. past medical history: etoh abuse bipolar disorder (previously on depakote) social history: living in evergreen sober house in . he is estranged from his parents and does not have any friends at the sober house that he wants contact. has smoked 1 1/2 packs since age 12 (15 pack year history) family history: denies famliy history of malignancy, cardiovascular disease. physical exam: admission exam vitals: t: 97.6 p:109 bp 135/88 rr16 98% ra general: young male breathing comfortably somnolent but arrousable in nad heent: conjunctival injection bilaterally, sclera anicteric, mmm, oropharynx clear, eomi, perrl, a laceration over the right brow is present with 4 sutures in place neck: cervical in place cv: tachycardic with sem at lusb regular rate and rhythm, normal s1 + s2, lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound/guarding gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: no facial droop, peerla, eomi, reflexes 2+ in patella and brachioradialis, no clonus. moving all 4 extremities motor in upper/lower, . pertinent results: admission labs =============== 02:55am blood wbc-10.6 rbc-4.59* hgb-14.6 hct-42.2 mcv-92 mch-31.9 mchc-34.7 rdw-12.6 plt ct-185 02:55am blood neuts-70.2* lymphs-22.2 monos-4.0 eos-3.2 baso-0.4 11:57am blood glucose-98 urean-6 creat-0.6 na-140 k-3.4 cl-105 hco3-27 angap-11 02:55am blood glucose-114* urean-13 creat-0.7 na-143 k-4.1 cl-106 hco3-17* angap-24* 11:57am blood ck(cpk)-900* 02:55am blood alt-59* ast-55* ck(cpk)-522* alkphos-70 totbili-0.9 02:55am blood albumin-4.5 calcium-9.0 phos-2.5* mg-1.9 brief hospital course: 23m found staggering and banging head against the sidewalk outside of the ed of with course complicated by unresponsiveness related to ghb intoxication and intubation for airway protection. he was extubated and left against medical advice. #) unresponsiveness: patient states that he had ingested gamahydroxybutarate (ghb) for the first time the day prior to admission. bradycardia, unresponsiveness, amneisa are common symptoms of ghb ingestion. lab testing showed negative toxicology screen and no aniongap at . spontaneous resolution of symtpoms ~ 6 horus after ingestion are also consistent with ghb intoxication. labs on arrival to showed anion gap likely related to starvation ketosis. though methanol and ethylene glycol posioning were also considered osmolar gap was normal. he was seen by social work and demanded to leave against medical advice. #) anion gap acidosis: patient admitted to with anion gap acidosis, with positive ketones on u/a this was thought likely starvation ketoacidosis. as above, methanyl and ethylene glycol ingestion were also considered. anion gap closed after patient was given iv fluids. #) ground glass opacities on chest ct: be aspiration related to toxidrome above. less likely to be a primary process as patient did not have any pulmonary signs or symptoms but rather was intubated because of mental status. differential includes malignancy though this is unlikely in this young man. hiv antibiody was sent and pending at the time that patient left against medical advice. #) status post fall: patient with laceration over right brow and received in cervical collar. c- collar was cleared. he should have sutures removed on . #) elevated ck: likely related to fall, ck mildly elevated at 500 and uptrending at the time he left to 900. this was thought unlikely to be rhabdomyolysis as he was not down for a prolonged period of time. #) elevated transaminases: ast/alt moderately elevated at 55/59. patient with history of drinking though he states he has been adstaining. he has multple tatoos which are not professionally done. hepatitis serologies (c and b) were sent and were pending at the time of discharge. #) transient intusussception seen on ct: surgery reviewed the imaging with the radiologist in the ed and felt there were no acute surgical issues. in discussion with radiolgy this is a common finding in the small bowel and of little clinical significance. he was asymptomatic with a benign abdominal exam. # identity: patient is logged into the hospital as and states his name is dob . he does not have any identification and does not want family called. collateral from confirmed the name he had given us and the story seemed consistent however no family/friends came to the bedside to identify the patient. medications on admission: none discharge medications: none discharge disposition: home discharge diagnosis: gammahydroxybutyrate intoxication (ghb) starvation ketoacidosis abnormal liver function discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: as you know, you were admitted to after being found down and intoxicated. you were intubated and admitted to the medical intensive care unit. we removed the breathing tube and you appeared improved. we verified that there was no broken bone in you neck. we performed a ct of the chest which showed focal nodules, the significance of which is unclear however could represent an infection, inflammation in the blood vessels. you should see a lung doctor (pulmonologist to discuss this further). your condition improved and you wanted to leave medical advice. we recommend that you abstain from ghb and that you seek medical and psychiatric treatment. we sent blood work to test for hiv and hepatitis, these results were pending when you left against medical advice. your sutures will need to be removed by a physician . followup instructions: please make an appointment for primary care for suture removal please make an appointment with a pulmonologist (lung doctor) in weeks please make an appointment with psychiatry in weeks md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: acidosis unspecified fall open wound of forehead, without mention of complication suicide and self-inflicted poisoning by other specified drugs and medicinal substances nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] poisoning by other and unspecified general anesthetics other nonspecific abnormal finding of lung field 

Answer: The patient is high likely exposed to